Sub-optimal Response to Anti-Tumor Necrosis Factor's in Inflammatory Bowel Disease in Emerging Markets

NCT ID: NCT03090139

Last Updated: 2018-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1731 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-03-28

Study Completion Date

2018-06-13

Brief Summary

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The purpose of this study is to establish the incidence of sub-optimal response to anti-TNF therapy in UC and CD participants.

Detailed Description

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Participants with historical diagnosis of CD and UC who were naïve to anti-TNF therapy were observed in this retrospective study. The study will look to identify the local barriers in prescribing anti-TNF therapy, treatment patterns and indicators of sub-optimal response to anti-TNF therapy in UC and CD participants in real-world clinical practice in the EM countries, along with the associated incidence of sub-optimal response and impact on health care resource utilization (HCRU). The will enroll approximately 2000 participants.

The study consists of two periods, eligibility period followed by a data abstraction period. During the eligibility period participants who had initiated first anti-TNF therapy during 01 March 2010 up to 01 March 2015 will be recruited and observed. Participants will be followed up for a period of minimum 2 years (other than death) and a maximum of 5 years from the date of first treatment of anti-TNF therapy for CD and UC (Index date). During the data abstraction period participants who have eligible medical charts will be identified and all retrospective data will be collected.

This multi-center trial will be conducted in Argentina, China, Colombia, Mexico, Russia, Saudi Arabia, Singapore, South Korea, Taiwan and Turkey. The overall time to abstract data during the data extraction period from the web-based electronic data capture (EDC) system will be approximately 1 year from March 2017 to February 2018.

Conditions

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Colitis, Ulcerative Crohn Disease Inflammatory Bowel Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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All Participants

All participants with diagnosis of UC and CD, who initiated treatment with anti-TNF therapy from 01 March 2010 up to 01 March 2015 will be observed. Retrospective data extraction will be done for eligible participants from March 2017 up to approximately February 2018.

Anti-TNF Therapy

Intervention Type DRUG

Anti-TNF therapy.

Interventions

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Anti-TNF Therapy

Anti-TNF therapy.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Who are 18 years or older at Index Date and diagnosed with UC or CD.
2. Who were naive to anti-TNF therapy and received their first dose of any anti-TNF therapy (index date) for UC or CD within the Eligibility Period from 01 March 2010 through 01 March 2015.

Exclusion Criteria

1. Diagnosed with indeterminate/unspecified type of IBD.
2. Were part of an IBD-related clinical trial during the observational period should be excluded (that is, index date up to the date of chart abstraction).
3. Who received an anti-TNF therapy for any non-UC or non-CD conditions (example, rheumatoid arthritis, ankylosing spondylitis, psoriasis, or cancer).
4. Who received an anti-TNF/biologic therapy at any point that was administered outside of the labelled dosing regimen (example, episodic use of anti-TNF therapy).
5. With UC who had a total colectomy prior to their first anti-TNF therapy.
6. Charts not available.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Hospital Italiano

Ciudad Autonoma Buenos Aires, Buenos Aires, Argentina

Site Status

Hospital Italiano de La Plata

La Plata, Buenos Aires, Argentina

Site Status

Hospital Aleman

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Hospital Britanico de Buenos Aires

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Hospital Privado Centro Medico de Cordoba

Córdoba, , Argentina

Site Status

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

The Sixth Affiliated Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status

The Affiliated Drum Tower Hospital of Nanjing University

Nanjing, Jiangsu, China

Site Status

First Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status

Ruijin Hospital, Shanghai Jiaotong Uni. School of Med.

Huangpu, Shanghai Municipality, China

Site Status

Zhongshan Hospital Fudan University

Shanghai, Shanghai Municipality, China

Site Status

No. 10 People's Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Sir Run Run Shaw Hospital affiliated with the Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Hospital Militar Central

Bogotá, , Colombia

Site Status

Hospital Universitario San Ignacio

Bogotá, , Colombia

Site Status

Institucion Mediservis Tolima IPS S.A.S

Ibagué, , Colombia

Site Status

Instituto de Coloproctologia ICO S.A.S.

Medellín, , Colombia

Site Status

Hospital Pablo Tobon Uribe

Medellín, , Colombia

Site Status

Investigacion Clinica de Leon S.C.

León, Guanajuato, Mexico

Site Status

Centro de Investigacion Clinica Acelerada, S.C.

Mexico City, Mexico City, Mexico

Site Status

Instituto Nacional de Ciencias Medicas y Nutricion Dr. Salvador Zubiran

Mexico City, Mexico City, Mexico

Site Status

Centro Regiomontano de Estudios Clinicos Roma S.C.

Monterrey, Nuevo León, Mexico

Site Status

Centro de Investigacion y Manejo, Torre Medica Sanatorio Toluca

Toluca, State of Mexico, Mexico

Site Status

Hospital Medica Sur

Distrito Federal, , Mexico

Site Status

The Saint Ioasaf Belgorod Regional Hospital

Belgorod, , Russia

Site Status

Irkutsk State Regional Hospital

Irkutsk, , Russia

Site Status

Kazan State Medical University

Kazan', , Russia

Site Status

Moscow Clinical Research Center

Moscow, , Russia

Site Status

FSBI State Scientific Centre of Coloproctology" of the MoH of RF

Moscow, , Russia

Site Status

Moscow Region Research Cliniucal Institute

Moscow, , Russia

Site Status

Pokrovskaya Municipal Hospital

Saint Petersburg, , Russia

Site Status

Llc "Riat"

Saint Petersburg, , Russia

Site Status

SBIH City Clinical Hospital #31

Saint Petersburg, , Russia

Site Status

FSBEI HE Stavropol State Medical University of Ministry of Healthcare of Russian Federation

Stavropol, , Russia

Site Status

King Khalid National Guard Hospital

Jeddah, , Saudi Arabia

Site Status

King Fahd General Hospital

Jeddah, , Saudi Arabia

Site Status

King Fahd University Hospital

Khobar, , Saudi Arabia

Site Status

King Khalid University Hospital

Riyadh, , Saudi Arabia

Site Status

King Fahd Medical City

Riyadh, , Saudi Arabia

Site Status

King Faisal Specialist Hospital & Research Center

Riyadh, , Saudi Arabia

Site Status

National University Cancer Institute,

Singapore, , Singapore

Site Status

Singapore General Hospital- Parent

Singapore, , Singapore

Site Status

CJ Ooi Gastroenterology Clinic Pte Ltd

Singapore, , Singapore

Site Status

Tan Tock Seng Hospital

Singapore, , Singapore

Site Status

Changi General Hospital- Parent

Singapore, , Singapore

Site Status

Yonsei University Wonju Severance Christian Hospital

Wŏnju, Gangwon-do, South Korea

Site Status

Hanyang University Guri Hospital

Guri-si, Gyeonggi-do, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

The Catholic University of Korea, St. Vincent's Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Korea University Anam Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Kangbuk Samsung Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Changhua Christian Hospital

Changhua, , Taiwan

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Mackay Memorial Hospital

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan District, , Taiwan

Site Status

Ankara University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Turkiye Yuksek Ihtisas Training and Research Hospital

Ankara, , Turkey (Türkiye)

Site Status

Baskent University Ankara Hospital

Ankara, , Turkey (Türkiye)

Site Status

Gazi University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Gaziantep University Medical Faculty Sahinbey Educational Research Hospital

Gaziantep, , Turkey (Türkiye)

Site Status

Istanbul University Cerrahpasa Medical Faculty

Istanbul, , Turkey (Türkiye)

Site Status

Acibadem Fulya Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Haydarpasa Numune Training and Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Istanbul Medeniyet Uni Goztepe Training&Res Hosp

Istanbul, , Turkey (Türkiye)

Site Status

Izmir Katip Celebi Univ. Ataturk Training and Research Hospital

Izmir, , Turkey (Türkiye)

Site Status

Inonu Uni. Med. Fac.

Malatya, , Turkey (Türkiye)

Site Status

Countries

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Argentina China Colombia Mexico Russia Saudi Arabia Singapore South Korea Taiwan Turkey (Türkiye)

References

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Li J, Liu Z, Hu P, Wen Z, Cao Q, Zou X, Chen Y, Wang Y, Zhong J, Shen X, Demuth D, Fadeeva O, Xie L, Chen J, Qian J. Indicators of suboptimal response to anti-tumor necrosis factor therapy in patients from China with inflammatory bowel disease: results from the EXPLORE study. BMC Gastroenterol. 2022 Feb 4;22(1):44. doi: 10.1186/s12876-021-02074-z.

Reference Type DERIVED
PMID: 35120446 (View on PubMed)

Yamamoto-Furusho JK, Al Harbi O, Armuzzi A, Chan W, Ponce de Leon E, Qian J, Shapina M, Toruner M, Tu CH, Ye BD, Guennec M, Sison C, Demuth D, Fadeeva O, Khan QMR. Incidence of suboptimal response to tumor necrosis factor antagonist therapy in inflammatory bowel disease in newly industrialised countries: The EXPLORE study. Dig Liver Dis. 2020 Aug;52(8):869-877. doi: 10.1016/j.dld.2020.05.031. Epub 2020 Jun 17.

Reference Type DERIVED
PMID: 32563721 (View on PubMed)

Other Identifiers

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IBD-5001

Identifier Type: -

Identifier Source: org_study_id

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