Trial Outcomes & Findings for Anal Human Papillomavirus in Inflammatory Bowel Disease Study (NCT NCT01364896)

NCT ID: NCT01364896

Last Updated: 2019-05-21

Results Overview

Anal (and vaginal for female participants) HPV PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) using the SYBR-Green-based real-time PCR assay with a reverse line blot assay for genotyping of HPV in the positive samples and Taqman probe-based real-time PCR assays for quantification of individual HPV subtypes

Recruitment status

COMPLETED

Target enrollment

46 participants

Primary outcome timeframe

Baseline and 6 to 12 months

Results posted on

2019-05-21

Participant Flow

Participant milestones

Participant milestones
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Overall Study
STARTED
46
Overall Study
COMPLETED
46
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Anal Human Papillomavirus in Inflammatory Bowel Disease Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=46 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
46 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
32 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
Region of Enrollment
United States
46 participants
n=5 Participants
Number of participants with Crohn's Disease
31 participants
n=5 Participants
Number of participants with Ulcerative Colitis
14 participants
n=5 Participants
Number of participants with Indeterminate Colitis
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 6 to 12 months

Anal (and vaginal for female participants) HPV PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) using the SYBR-Green-based real-time PCR assay with a reverse line blot assay for genotyping of HPV in the positive samples and Taqman probe-based real-time PCR assays for quantification of individual HPV subtypes

Outcome measures

Outcome measures
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=46 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Number of Participants With Anal HPV of Any Type, Single Type, and Multiple Types
Number of Participants with Anal HPV of Any Type
41 participants
Number of Participants With Anal HPV of Any Type, Single Type, and Multiple Types
Number of Participants with Single Types
16 participants
Number of Participants With Anal HPV of Any Type, Single Type, and Multiple Types
Number of Participants with Multiple Types
25 participants

PRIMARY outcome

Timeframe: Baseline and 6 to 12 months

Outcome measures

Outcome measures
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=41 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 16
65.2 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 18
2.2 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 31
2.2 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 33
0 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 45
23.9 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 52
0 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 58
2.2 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Females with Vaginal HPV
90.5 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 6
6.6 percentage of participants
Percent of Participants With HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and/or 58
Percent of Participants with HPV type 11
23.9 percentage of participants

PRIMARY outcome

Timeframe: Baseline and 6 to 12 months

High-resolution anoscopy with anal cytology testing

Outcome measures

Outcome measures
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=46 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Number of Participants With Abnormal Anal Cytology (ASC-US, ASC-H, LSIL, HSIL, Cancer)
Number of Participants with Abnormal Anal Cytology
21 participants
Number of Participants With Abnormal Anal Cytology (ASC-US, ASC-H, LSIL, HSIL, Cancer)
Number of Participants with Anal Dysplasia
28 participants
Number of Participants With Abnormal Anal Cytology (ASC-US, ASC-H, LSIL, HSIL, Cancer)
Number of Participants with HSIL
4 participants
Number of Participants With Abnormal Anal Cytology (ASC-US, ASC-H, LSIL, HSIL, Cancer)
Number of Participants with LSIL
24 participants

PRIMARY outcome

Timeframe: Baseline and 6 to 12 months

High resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria

Outcome measures

Outcome measures
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=46 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Number of Participants Who Had One or More Anal Biopsies
33 participants

PRIMARY outcome

Timeframe: Baseline and 6 to 12 months

High resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria

Outcome measures

Outcome measures
Measure
Inflammatory Bowel Disease, Immunosuppressive Agent
n=46 Participants
Men and women 18 years + with a histological diagnosis of IBD (ulcerative colitis or Crohn's disease) who are undergoing a colonoscopy prior to starting a non-corticosteroid immunosuppressive agent Venous blood samples, anal swab samples, vaginal swab samples, high resolution anoscopy (HRA), anal biopsy samples: Before and at least 6 months after starting a new non-steroid immunosuppressive agent for IBD treatment, eligible participants who are attending for routine colonoscopy will have: 1. Anal swab samples (and vaginal swab samples for female participants) for human papillomavirus PCR typing (6, 11, 16, 18, 31, 33, 45, 52, 58) 2. High-resolution anoscopy and biopsy of all visible high-grade dysplastic lesions based on validated colposcopic criteria 3. Anal cytology testing
Number of Participants With High-grade Anal Dysplasia Lesions
28 participants

Adverse Events

Inflammatory Bowel Disease, Immunosuppressive Agent

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ross Cranston

University of Pittsburgh

Phone: 412-383-1675

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place