Effective maintenance therapy in Crohn's disease regardless of prior infliximab use.1

PRECiSE 2 Trial

PRECiSE 2 was a randomized, double-blind, placebo-controlled trial in which 668 adults patients with a ≥3-month history of active Crohn's disease (a Crohn's Disease Activity Index [CDAI] score of 220-450) received 400 mg at weeks 0, 2, and 4 in open-label induction phase.2 Patients who responded at week 6 were randomized to receive CIMZIA subcutaneously every 4 weeks (n=216) or placebo (n=212). Primary end point was response at week 26. The majority of patients in the intention-to-treat population had not previously been treated with an anti-TNF therapy (n=322).2

Results—Bio-Experienced Patients

  • There was a significant difference in response at week 26 between the CIMZIA and placebo groups among patients who had previously received the biologic drug infliximab (44% vs 25%; P=0.02) and those who had not previously received infliximab (69% vs 40%; P< 0.001)2
  • There was no significant difference in response and remission rates between the two groups for patients who were and those who were not receiving concomitant glucocorticoids, immunosuppressive agents, or both2

WELCOME Study

The WELCOME study was a 26-week prospective study that included patients with moderate to severe Crohn's disease who had initially responded to but eventually failed or had hypersensitivity to infliximab therapy (N=539). Primary end point was clinical response, measured as at least a 100 point reduction in CDAI score at week 6. The trial consisted of a 6-week, open-label induction phase (CIMZIA 400 mg at weeks 0, 2, and 4) and a double-blind maintenance phase (CIMZIA 400 mg every 2 or 4 weeks).3

Results—Bio-Experienced Patients

  • At week 6, 62% of patients had a clinical response and clinical remission was reported in 39% of patients3
  • At week 26, 40% of patients randomized to CIMZIA 400 mg every 4 weeks had a clinical response compared with a response rate of 37% of patients randomized to 400 mg every 2 weeks3

Indication
CIMZIA is indicated for reducing signs and symptoms of Crohn's disease and maintaining clinical response in adult patients with moderately to severely active disease who have had an inadequate response to conventional therapy.

Serious and sometimes fatal side effects have been reported with CIMZIA. These include tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens. Lymphoma and other malignancies also have been reported in children and adolescents. CIMZIA is not indicated for use in pediatric patients.

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