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 |
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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 |
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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 |