Real-world Data Regarding Treatment of Ulcerative Colitis Patients With Golimumab

NCT ID: NCT03394586

Last Updated: 2018-01-09

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

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-01

Study Completion Date

2018-12-31

Brief Summary

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TNF inhibitors have improved treatment options for patients with inflammatory bowel disease (IBD) and three TNF inhibitors, infliximab, adalimumab and golimumab are available for treatment of ulcerative colitis in Switzerland. However, these drugs have been tested under ideal conditions in randomized controlled trials. Real-world data are needed to complement this information. It is the aim of our study to test, whether patients with ulcerative colitis can be effectively treated with golimumab in a real world setting in Switzerland.

The investigators will use data from the Swiss IBD cohort study (SIBDC) in Switzerland. They will identify all SIBDC patients with UC treated with Golimumab and perform a retrospective chart review. The investigators will acquire patient reported outcomes and objective measures for inflammation at baseline, at 6-10 weeks and at 6 and 12 months after golimumab treatment. Primary endpoint will be clinical response (i.e. meaningful improvement) at 6-10 weeks. Secondary endpoints will be clinical response at 6 and 12 months and clinical remission (i.e. free of symptoms of disease).

Detailed Description

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Ulcerative colitis patients from the Swiss IBD cohort study treated with golimumab will be identified. The investigators will perform a retrospective chart review and assess patient reported outcomes and objective measures of inflammation to assess response and remission.

As clinical response in UC the investigators will define a composite end point of: Marked improvement in partial Mayo score AND improvement in one or more of the following parameters (acquired during chart review):

* Endoscopy data
* ultrasonography
* Calprotectin (cut off 100microg/g)
* CRP
* Anemia resolution

Marked improvement is defined as: Clinical response based on partial Mayo Score (including physician global assessment): decrease in partial Mayo score ≥ 2 points and ≥ 30% from baseline and a decrease in rectal bleeding subscore ≥ 1 point or absolute rectal bleeding score ≤ 1. Improvement in lab work is defined as a reduction of the difference between baseline values and the next limit of normal by ≥ 30%. Improvement in endoscopy/ ultrasonography is defined as a reduction of colitis in the same technique compared to baseline substantiated by images (endoscopy) or measurements of diameter of the bowel wall.

As clinical remission in UC the investigators define normalization (i.e. absence of pathology) of patient reported outcomes (Frequency of stool, blood in stool) AND no evidence of residual disease activity in all of the following parameters:

* endoscopy data
* ultrasonography
* calprotectin (cut off 100microg/g)
* CRP and anemia

Conditions

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Ulcerative Colitis Flare Up, Symptom

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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UC patients with golimumab

We will retrospectively analyze all ulcerative colitis patients from the Swiss IBD cohort study treated with golimumab.

Exposure to golimumab

Intervention Type DRUG

retrospective chart review to assess patient related outcomes and objective measures of inflammation at baseline, 6-10 weeks, 6 months, 12 months.

Interventions

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Exposure to golimumab

retrospective chart review to assess patient related outcomes and objective measures of inflammation at baseline, 6-10 weeks, 6 months, 12 months.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient of the Swiss IBD cohort study
* Diagnosis ulcerative colitis
* Past treatment with golimumab (at least one dose)

Exclusion Criteria

* none
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gerhard Rogler, MD PhD

Role: STUDY_CHAIR

University of Zurich

Locations

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Division of Gastroenterology, University Hospital Zurich

Zurich, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Benjamin Misselwitz, MD

Role: CONTACT

0041 044 255 1111

Facility Contacts

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Gerhard Rogler, MD PhD

Role: primary

++41 44 255 9519

Benjamin Misselwitz, MD

Role: backup

++41 44 255 1111

Other Identifiers

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Golimumab study

Identifier Type: -

Identifier Source: org_study_id

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