Skip to main content
. 2020 May 16;2020(5):CD012877. doi: 10.1002/14651858.CD012877.pub2

Rutgeerts 2012.

Study characteristics
Methods Multicenter, randomized, double‐blind, placebo‐controlled trial
The study was conducted at 19 sites in Europe, the United States, and Canada from August 2006 to September 2008
Intention‐to‐treat analysis performed
Study duration 52 weeks
Participants Adults aged 18 ‐ 75 with a diagnosis of ileocolonic CD for at least 4 months; CDAI score 220 ‐ 450 (N = 129)
All participants received open‐label induction therapy with adalimumab 160 mg sc at week 0 and 80 mg sc at week 2
Interventions Participants who responded to induction (decrease in CDAI of at least 70 points from baseline) were randomized at week 4 to adalimumab 40 mg eow (n = 64) or placebo (n = 65). Participants were followed for 52 weeks
Outcomes Primary end points included mucosal healing at week 12
Secondary end points included:
mucosal healing at week 52 (defined as CDEIS ≤ 9);
CDEIS remission (defined as CDEIS score ≤ 4) at weeks 12 and 52; 
CDAI remission and response at weeks 12 and 52; 
the percentages of participants achieving > 75% decrease in CDEIS score from baseline at weeks 12 and 52
Notes This study was funded by Abbott Laboratories. Author conflicts of interest are reported in the manuscript
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind trial
Blinding of outcome assessment (detection bias)
All outcomes Low risk Investigators were blinded to participant assignment. Study primary end points included mucosal healing as per CDEIS, and other end points based on standardized rating scales (CDAI and CDEIS)
Incomplete outcome data (attrition bias)
All outcomes Low risk Study used a modified ITT analysis. The number of dropouts was low
Selective reporting (reporting bias) Low risk All expected outcomes were reported
Other bias Low risk No other apparent sources of bias