The primary objectives of this study are to assess whether there is transfer of CZP into breastmilk of lactating mothers who are receiving an established dosing regimen of CZP by evaluatingthe concentration of CZP in mature breast milk, and to…
ID
Source
Brief title
Condition
- Autoimmune disorders
- Pregnancy, labour, delivery and postpartum conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- The concentration of CZP in the breast milk of lactating mothers;
- The calculated daily infant dose of CZP in breast milk;
Secondary outcome
- The concentration of total PEG in the breast milk;
- AEs of the mother and infant from time.
Background summary
Pregnant women with immunological diseases like RA and CD, and their treating
physicians,
would benefit from information about the transfer of CZP in breast milk when
assessing the
benefit/risk of whether and how to take CZP in their individual
situations.
This study is considered to be a Postauthorization Safety Study (PASS) because
it evaluates risks
of a medicinal product used in patient populations for which safety information
is limited or
missing. Although this study is noninterventional with regard to CZP
administration, it is
considered interventional due to fact that breast milk being collected.
Study objective
The primary objectives of this study are to assess whether there is transfer of
CZP into breast
milk of lactating mothers who are receiving an established dosing regimen of
CZP by evaluating
the concentration of CZP in mature breast milk, and to calculate the infant
daily dose of maternal
CZP. The exploratory objective is to assess the concentration of polyethylene
glycol (PEG) in
breast milk.
Study design
This is a multicenter, postmarketing, prospective study evaluating the
concentration of
certolizumab pegol (CZP [CDP870, Cimzia®]) in mature breast milk of lactating
mothers who
are receiving commercial CZP in accordance with the current approved
prescribing information.
Intervention
not applicable.
Study burden and risks
Collection of breast milk and blood sample for TB test.
Risks associated with study procedures:
- Collection of blood sample for TB testing
- Collection of breast milk
Arco Corporate Drive 8010
Raleigh, North Carolina NC 27617
US
Arco Corporate Drive 8010
Raleigh, North Carolina NC 27617
US
Listed location countries
Age
Inclusion criteria
1. An IRB/IEC approved written Informed Consent form for participation of the maternal
subject and her infant (for collection of infant demographic and AE data) is signed and dated
by the subject. Where applicable, the written Informed Consent form with respect to the
infant is also signed and dated by the holder of parental rights as designated by the maternal
subject.
2. Subject is considered reliable and capable of adhering to the protocol and visit schedule
according to the judgment of the Investigator.
3. Subject is female and at least 18 years of age at the time of providing consent.
4. Subject has delivered term infant(s) (at least 37 weeks gestation).
5. Subject is being treated with CZP per the current approved prescribing information
(Appendix 17.1).
6. The decision to treat with CZP or to breastfeed is made independently from and prior to the
subject consenting to participate in this study.
7. Subject agrees to use only the emollient or nipple cream provided by the Sponsor for use
during the Sampling Period.
Additional criteria to be confirmed at Visit 2 (just prior to sampling):
8. Subject is at least 6 weeks postpartum.
9. Subject is on an established dosing regimen of CZP (at least the third dose of CZP since
starting/restarting CZP).
Exclusion criteria
1. Subject is taking a prohibited medication or has taken a prohibited medication as defined in
Section 7.3.2. Note: any subjects requiring antibiotics must be discussed with the Medical
Monitor prior to enrollment.2. Subject has history of chronic alcohol abuse or drug abuse in the last year.
3. In subjects who intend to breastfeed, the infant has any abnormality noted on physical
examination that, in the opinion of the Investigator, may jeopardize or compromise the
subject*s ability to participate in this study.
4. Subject has any medical, obstetrical or psychiatric condition that, in the opinion of the
Investigator, can jeopardize or would compromise the subject*s ability to participate in this
study or the outcome of the pregnancy (as applicable). Note: subjects with mastitis infection
should not have samples collected until the infection is completely resolved.
5. Subject has history of breast implants, breast augmentation, or breast reduction surgery.
6. Subject has previously participated in this study.
7. Subject has participated in a study of an investigational medicinal product (IMP) (or a
medical device) within the previous 30 days or 5 half-lives (whichever is longer) prior to
Screening or is currently participating in another study of an IMP (or a medical device)
unless the study is UCB UP0017 or a registry study.
8. Subject has received treatment with any biological therapeutic agent, or other anti-TNF
agents with the exception of CZP, within 5 half-lives prior to obtaining the first sample.
9. Subject has a positive or indeterminate QuantiFERON®-TB GOLD In Tube test at Screening.
In case of indeterminate result, a retest is allowed if time permits; 2 results of indeterminate
require exclusion of the subject (see also exclusion criterion 10 - definition of latent
tuberculosis [LTB]). Tuberculosis (TB) test results that have been obtained within the
previous 60 days prior to Screening (with negative results) are acceptable (QuantiFERON®-
TB GOLD or purified protein derivative [PPD] test).
10. Subject with known TB infection, at high risk of acquiring TB infection, or LTB infection.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR201300412628-NL |
CCMO | NL48429.056.14 |