Fertility and Pregnancy After Surgery IBD Audit

NCT ID: NCT04663971

Last Updated: 2024-04-26

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

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-01

Study Completion Date

2024-10-01

Brief Summary

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Crohn's disease and Ulcerative colitis are chronic disease that are usually diagnosed at young age. The diseases and the associated treatment can impact on patient's sexual function, fertility, pregnancy, and delivery. This study aims to assess the impact of inflammatory bowel diseases on these aspects in female patients.

Detailed Description

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This is a cross-sectional, international, multicentre study. Female patients diagnosed with inflammatory bowel diseases (Crohn's disease and ulcerative colitis) treated at several Italian centres will be retrospectively assessed for inclusion.

Those who underwent surgery below the age of 35 years between 2000 and 2020 will be included. The study aims to obtain information on female fertility, pregnancy and delivery, and to identify factors associated with infertility and problems to conclude the pregnancy.

For each nation, at least one centre will collect data on patients who were not treated with surgery.

Patients who meet inclusion criteria will be asked to prospectively fill a questionnaire on fertility and pregnancy.

Data on treatments and demographic will be retrospectively collected by the local investigators and uploaded on a secure online database.

Conditions

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Inflammatory Bowel Diseases Crohn Disease Ulcerative Colitis Fertility Disorders Pregnancy Complications Delivery Problem

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Crohn's disease

Patients with Crohn's disease.

Any surgery

Intervention Type PROCEDURE

Any surgical procedures performed for inflammatory bowel diseases

Any medical treatment

Intervention Type PROCEDURE

Any treatment (including non-surgical) performed for inflammatory bowel diseases

Ulcerative colitis

Patients with Ulcerative colitis

Any surgery

Intervention Type PROCEDURE

Any surgical procedures performed for inflammatory bowel diseases

Any medical treatment

Intervention Type PROCEDURE

Any treatment (including non-surgical) performed for inflammatory bowel diseases

Interventions

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Any surgery

Any surgical procedures performed for inflammatory bowel diseases

Intervention Type PROCEDURE

Any medical treatment

Any treatment (including non-surgical) performed for inflammatory bowel diseases

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Crohn's disease diagnosis
* ulcerative disease diagnosis
* operated on before 36 years of age

Exclusion Criteria

* younger than 18 years old at follow-up
* no definitive diagnosis
* no surgical procedures performed

A subgroup of patients who did not undergo surgery will be used, at least one for each country.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Bologna

OTHER

Sponsor Role collaborator

University of Rome Tor Vergata

OTHER

Sponsor Role collaborator

Italian Group for the study of Inflammatory Bowel Disease (IG-IBD)

OTHER

Sponsor Role collaborator

University of Campania Luigi Vanvitelli

OTHER

Sponsor Role lead

Responsible Party

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Gianluca Pellino

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giuseppe Sica, MD, PhD

Role: STUDY_CHAIR

University Tor Vergata Roma

Matteo Rottoli, MD, PhD

Role: STUDY_CHAIR

University Alma Mater Bologna

Francesco Selvaggi, MD, PhD

Role: STUDY_CHAIR

University of Campania Luigi Vanvitelli Napoli

Locations

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Policlinico S.Orsola-Malpighi

Bologna, , Italy

Site Status RECRUITING

Rho Memorial Hospital

Milan, , Italy

Site Status NOT_YET_RECRUITING

Universitá degli Studi della Campania Luigi Vanvitelli

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Policlinico Tor Vergata

Roma, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Gianluca Pellino, MD, PhD

Role: CONTACT

0815667919

Facility Contacts

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Matteo Rottoli, MD, PhD

Role: primary

Gianluca M Sampietro

Role: primary

Gianluca Pellino, MD, PhD

Role: primary

Giuseppe Sica, MD, PhD

Role: primary

References

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M Rottoli, P Pezzuto, G Fallani, G Pellino, F Rizzello, P Gionchetti, G Poggioli. P199 Ileal pouch-anal anastomosis in women of childbearing age affected by ulcerative colitis: a single-centre study on the risk factors for infertility and outcomes of pregnancy over 17 years. Journal of Crohn's and Colitis, Volume 16, Issue Supplement_1, January 2022, Pages i259-i261, https://doi.org/10.1093/ecco-jcc/jjab232.326

Reference Type BACKGROUND

Bernell O, Lapidus A, Hellers G. Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn's disease. Br J Surg. 2000 Dec;87(12):1697-701. doi: 10.1046/j.1365-2168.2000.01589.x.

Reference Type RESULT
PMID: 11122187 (View on PubMed)

Spinelli A, Sacchi M, Bazzi P, Leone N, Danese S, Montorsi M. Laparoscopic surgery for recurrent Crohn's disease. Gastroenterol Res Pract. 2012;2012:381017. doi: 10.1155/2012/381017. Epub 2012 Jan 2.

Reference Type RESULT
PMID: 22253619 (View on PubMed)

Cosnes J, de Parades V, Carbonnel F, Beaugerie L, Ngo Y, Gendre JP, Sezeur A, Gallot D, Malafosse M, le Quintrec Y. Classification of the sequelae of bowel resection for Crohn's disease. Br J Surg. 1994 Nov;81(11):1627-31. doi: 10.1002/bjs.1800811122.

Reference Type RESULT
PMID: 7827890 (View on PubMed)

Pellino G, Keller DS, Sampietro GM, Carvello M, Celentano V, Coco C, Colombo F, Geccherle A, Luglio G, Rottoli M, Scarpa M, Sciaudone G, Sica G, Sofo L, Zinicola R, Leone S, Danese S, Spinelli A, Delaini G, Selvaggi F; Italian Society of Colorectal Surgery SICCR. Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis. Tech Coloproctol. 2020 May;24(5):397-419. doi: 10.1007/s10151-020-02175-z. Epub 2020 Mar 2.

Reference Type RESULT
PMID: 32124113 (View on PubMed)

Calvet X, Panes J, Alfaro N, Hinojosa J, Sicilia B, Gallego M, Perez I, Lazaro y de Mercado P, Gomollon F; Members of Consensus Group; Aldeguera X, Alos R, Andreu M, Barreiro M, Bermejo F, Casis B, Domenech E, Espin E, Esteve M, Garcia-Sanchez V, Lopez-Sanroman A, Martinez-Montiel P, Luis Mendoza J, Gisbert JP, Vera M, Dosal A, Sanchez E, Marin L, Sanroman L, Pinilla P, Murciano F, Torrejon A, Ramon Garcia J, Ortega M, Roldan J. Delphi consensus statement: Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units. J Crohns Colitis. 2014 Mar;8(3):240-51. doi: 10.1016/j.crohns.2013.10.010. Epub 2013 Dec 2.

Reference Type RESULT
PMID: 24295646 (View on PubMed)

Rajaratnam SG, Eglinton TW, Hider P, Fearnhead NS. Impact of ileal pouch-anal anastomosis on female fertility: meta-analysis and systematic review. Int J Colorectal Dis. 2011 Nov;26(11):1365-74. doi: 10.1007/s00384-011-1274-9. Epub 2011 Jul 16.

Reference Type RESULT
PMID: 21766164 (View on PubMed)

Waljee A, Waljee J, Morris AM, Higgins PD. Threefold increased risk of infertility: a meta-analysis of infertility after ileal pouch anal anastomosis in ulcerative colitis. Gut. 2006 Nov;55(11):1575-80. doi: 10.1136/gut.2005.090316. Epub 2006 Jun 13.

Reference Type RESULT
PMID: 16772310 (View on PubMed)

Beyer-Berjot L, Maggiori L, Birnbaum D, Lefevre JH, Berdah S, Panis Y. A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study. Ann Surg. 2013 Aug;258(2):275-82. doi: 10.1097/SLA.0b013e3182813741.

Reference Type RESULT
PMID: 23360923 (View on PubMed)

Gorgun E, Cengiz TB, Aytac E, Aiello A, da Silva G, Goldberg JM, Holubar SD, Stocchi L, Wexner SD, Steele SR, Hull TL. Does laparoscopic ileal pouch-anal anastomosis reduce infertility compared with open approach? Surgery. 2019 Oct;166(4):670-677. doi: 10.1016/j.surg.2019.04.045. Epub 2019 Aug 14.

Reference Type RESULT
PMID: 31420214 (View on PubMed)

Other Identifiers

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Fertile-IBD

Identifier Type: -

Identifier Source: org_study_id

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