Table 7 Summary of safety in cohort of patients with fistulas to 2 years from CHARM baseline
EventAll patients with fistula (adalimumab and placebo) (n  =  117)All adalimumab patients with fistula (eow and weekly combined) (n  =  70)
No (%)No (%)
Adverse event112 (95.7)70 (100)
Serious adverse event33 (28.2)22 (31.4)
Adverse event leading to discontinuation of study medication19 (16.2)13 (18.6)
Infectious adverse event76 (65.0)53 (75.7)
Serious infectious adverse event13 (11.1)*10 (14.3)†
Serious gastrointestinal adverse event15 (12.8)‡13 (18.6)§
Malignant neoplasm1 (0.9)0
Injection-site pain7 (6.0)4 (5.7)
Opportunistic infection00
Congestive heart failure00
Demyelinating disorder00
Death00
  • *Fifteen events were reported in 13 patients: nine events of abscess (four perianal, two abdominal, one rectal, one scrotal, one not specified), one event of clostridial infection, one event of sepsis, one event of pneumonia, one event of tuberculosis, one event of otitis media and one event of post-procedural infection. †Twelve events were reported in 10 patients: eight events of abscess (three perianal, two abdominal, one rectal, one scrotal, one not specified), one event of clostridial infection, one event of pneumonia, one event of tuberculosis and one event of otitis media. ‡Seventeen events were reported in 15 patients: 10 events of Crohn’s disease (CD), four events of obstruction (two intestinal, two small intestinal), two events of fistula (one anal, one intestinal) and one event of abdominal mass. §Fifteen events were reported in 13 patients: eight events of CD, four events of obstruction (two intestinal, two small intestinal), two events of fistula (one anal, one intestinal), and one event of abdominal mass. CHARM, Crohn’s Trial of the fully Human Antibody Adalimumab for Remission Maintenance.