Trial Outcomes & Findings for A Study of Moderate to Severe Inflammatory Bowel Disease, Including Ulcerative Colitis (UC) and Crohn's Disease (CD) (NCT NCT04873700)
NCT ID: NCT04873700
Last Updated: 2024-11-07
Results Overview
Percentage of participants with active CD observed, where active CD was defined as Harvey Bradshaw index (HBI) greater than or equal to (\>=) 8 or Crohn's disease active index (CDAI) \>=220. CDAI assessed CD based on clinical signs and symptoms such as number of liquid stools, intensity of abdominal pain, general wellbeing, presence of comorbid conditions, use of antidiarrheal, physical examination and laboratory findings. Total score ranges from 0 to 600 points. Higher score indicates more severe disease. HBI score was used to measure disease activity of CD and consisted of 5 clinical parameters: general well-being, abdominal pain, number of liquid stools per day, abdominal mass, and complications. Total score is sum of individual parameters. Score ranges from a minimum score of 0 to no pre-specified maximum score as it depends on number of liquid stools, where higher scores indicate more severe disease. Percentages are rounded off to whole number at the nearest decimal.
COMPLETED
335 participants
Day 1
2024-11-07
Participant Flow
Participants took part in the study at approximately 12 investigative sites in Mexico from 30 August 2021 to 17 May 2022.
Participants with mild to none and moderate to severe inflammatory bowel disease (Ulcerative Colitis or Crohn's Disease) were enrolled in this retrospective observational study. 335 participants were enrolled, but 9 participants had insufficient data to define level of disease activity and they were not included in the analysis. All analysis and comparisons were performed considering 326 participants.
Participant milestones
| Measure |
Moderate to Severe Crohn's Disease
Participants diagnosed with moderate to severe CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
43
|
52
|
42
|
189
|
|
Overall Study
COMPLETED
|
43
|
52
|
42
|
189
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Race and Ethnicity were not collected from any participant.
Baseline characteristics by cohort
| Measure |
Moderate to Severe Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Total
n=326 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
49.5 years
n=43 Participants
|
42.8 years
n=52 Participants
|
43.0 years
n=42 Participants
|
43.4 years
n=189 Participants
|
44.67 years
n=326 Participants
|
|
Sex: Female, Male
Female
|
25 Participants
n=43 Participants
|
33 Participants
n=52 Participants
|
19 Participants
n=42 Participants
|
114 Participants
n=189 Participants
|
191 Participants
n=326 Participants
|
|
Sex: Female, Male
Male
|
18 Participants
n=43 Participants
|
19 Participants
n=52 Participants
|
23 Participants
n=42 Participants
|
75 Participants
n=189 Participants
|
135 Participants
n=326 Participants
|
|
Race and Ethnicity Not Collected
|
—
|
—
|
—
|
—
|
0 Participants
Race and Ethnicity were not collected from any participant.
|
|
Region of Enrollment
Mexico
|
43 Participants
n=43 Participants
|
52 Participants
n=52 Participants
|
42 Participants
n=42 Participants
|
189 Participants
n=189 Participants
|
326 Participants
n=326 Participants
|
PRIMARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data is reported for participants with active CD.
Percentage of participants with active CD observed, where active CD was defined as Harvey Bradshaw index (HBI) greater than or equal to (\>=) 8 or Crohn's disease active index (CDAI) \>=220. CDAI assessed CD based on clinical signs and symptoms such as number of liquid stools, intensity of abdominal pain, general wellbeing, presence of comorbid conditions, use of antidiarrheal, physical examination and laboratory findings. Total score ranges from 0 to 600 points. Higher score indicates more severe disease. HBI score was used to measure disease activity of CD and consisted of 5 clinical parameters: general well-being, abdominal pain, number of liquid stools per day, abdominal mass, and complications. Total score is sum of individual parameters. Score ranges from a minimum score of 0 to no pre-specified maximum score as it depends on number of liquid stools, where higher scores indicate more severe disease. Percentages are rounded off to whole number at the nearest decimal.
Outcome measures
| Measure |
Crohn's Disease
n=95 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With Active CD at Day 1
|
45.3 percentage of participants
Interval 35.3 to 55.3
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data is reported for participants with active UC.
Percentage of participants with active disease UC disease will be observed, where UC is defined as 9-point Partial Mayo Score (pMayo score) \>=5. The Mayo score is composed of four categories (bleeding, stool frequency, physician assessment, and endoscopic appearance) rated from 0-3 that are summed into a total score ranging from 0-12. pMayo score consists of 3 sub scores: stool frequency, rectal bleeding, and physician global assessment of disease severity, each graded from 0 to 3. These scores are summed to give a total score range of 0 to 9; where higher scores indicating more severe disease. The pMayo score when compared with the full Mayo score and categorizes UC patients as being in remission (score of 0 to 2), having mild activity (pMayo of 3 or 4) or moderate to severe activity (pMayo of \>=5).
Outcome measures
| Measure |
Crohn's Disease
n=231 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With Active UC at Day 1
|
18.2 percentage of participants
Interval 13.2 to 23.2
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data is reported for participants with CD only. Overall number analyzed is the number of participants available for analysis. Number analyzed is the number of participants with data available for each category of the clinical presentation.
Number of participants will be reported based on the clinical presentations (location, behavior, perianal disease, achievement of ileal disease and extraintestinal manifestations for CD participants). Clinical presentations that have data for at least one participant in the below categories are reported. Data is reported for participants with CD only.
Outcome measures
| Measure |
Crohn's Disease
n=7 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=30 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With CD Based on Clinical Presentation
Location: Ileal(L1)
|
0 Participants
|
9 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Location: L1+Isolated Upper GI Tract Disease(L4)
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Location: Colonic Disease (L2)
|
1 Participants
|
5 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Location: L2 + L4
|
1 Participants
|
0 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Location: Ileocolic(L3)
|
4 Participants
|
11 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Behavior: Non stenosing/non penetrating
|
0 Participants
|
10 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Behavior: Stenosing (B2)
|
5 Participants
|
12 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Behavior: B2+Perianal Disease (P)
|
0 Participants
|
2 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Behavior: Penetrating (B3)
|
1 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Behavior: B3+P
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Perianal Disease: None
|
4 Participants
|
23 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Perianal Disease: Indolent Fistula
|
0 Participants
|
3 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Perianal Disease: Active Fistula
|
1 Participants
|
0 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Perianal Disease: Hemorrhoids
|
1 Participants
|
0 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Ileal Disease: Achievement ≥1
|
3 Participants
|
19 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Ileal Disease: Achievement <1
|
3 Participants
|
3 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Peripheral arthritis
|
3 Participants
|
4 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Aphthous ulcers
|
0 Participants
|
2 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Episcleritis
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Uveitis
|
1 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Osteoporosis
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Anemia
|
2 Participants
|
0 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Hematological alteration
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With CD Based on Clinical Presentation
Extraintestinal Manifestations: Other
|
1 Participants
|
20 Participants
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data is reported for participants with UC only. Overall number analyzed is the number of participants available for analysis. Number analyzed is the number of participants with data available for each category of the clinical presentation.
Number of participants will be reported based on the clinical presentations (location, behavior, and extraintestinal manifestations,). Clinical presentations that have data for at least one participant in the below categories are reported. Data is reported for participants with UC only.
Outcome measures
| Measure |
Crohn's Disease
n=14 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=103 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With UC Based on Clinical Presentation
Location - Distal UC: Proctitis(E1)
|
2 Participants
|
10 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Location - Distal UC: Proctosigmoiditis(E1)
|
3 Participants
|
14 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Location - Left sided: Mucosa inflammation extending up to splenic flexure(E2)
|
5 Participants
|
22 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Location - Pancolitis: Mucosa inflammation up to proximal transverse colon and beyond(E3)
|
4 Participants
|
52 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Behavior - clinical remission (asymptomatic)(S0)
|
0 Participants
|
43 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Behavior - mild UC(S1)
|
5 Participants
|
34 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Behavior - moderate UC(S2)
|
8 Participants
|
18 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Behavior - severe UC(S3)
|
1 Participants
|
3 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Peripheral arthritis
|
1 Participants
|
23 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Pyoderma gangrenosum
|
0 Participants
|
2 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Aphthous ulcers
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Primary sclerosing cholangitis
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Osteoporosis
|
0 Participants
|
2 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Anemia
|
3 Participants
|
3 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Hematological alteration
|
0 Participants
|
1 Participants
|
—
|
—
|
|
Number of Participants With UC Based on Clinical Presentation
Extraintestinal manifestations - Other
|
10 Participants
|
70 Participants
|
—
|
—
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria.
Number of participants will be reported based on the IBD therapies which include aminosalicylates, steroids, immunomodulators, immunosuppressants, biologics, antibiotics, probiotics, and surgeries. A participant can receive more than one IDB therapy.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Sulfasalazine (SSZ)
|
1 Participants
|
1 Participants
|
6 Participants
|
14 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Mesalazine (5-ASA)
|
20 Participants
|
25 Participants
|
36 Participants
|
140 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Olsalazine
|
0 Participants
|
0 Participants
|
1 Participants
|
1 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Mesalazine extended release
|
2 Participants
|
3 Participants
|
5 Participants
|
52 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Hydrocortisone
|
4 Participants
|
3 Participants
|
5 Participants
|
17 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Prednisone
|
18 Participants
|
23 Participants
|
19 Participants
|
77 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Prednisolone
|
0 Participants
|
0 Participants
|
2 Participants
|
3 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Budesonide
|
5 Participants
|
9 Participants
|
7 Participants
|
42 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Methylprednisolone
|
0 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Azathioprine
|
14 Participants
|
19 Participants
|
12 Participants
|
81 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
6-mercaptopurine
|
0 Participants
|
2 Participants
|
0 Participants
|
3 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Methotrexate
|
4 Participants
|
3 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Infliximab
|
13 Participants
|
9 Participants
|
9 Participants
|
46 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Adalimumab
|
21 Participants
|
22 Participants
|
4 Participants
|
26 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Vedolizumab
|
1 Participants
|
1 Participants
|
4 Participants
|
9 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Certolizumab
|
4 Participants
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Golimumab
|
0 Participants
|
0 Participants
|
2 Participants
|
3 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Ustekinumab
|
13 Participants
|
8 Participants
|
2 Participants
|
1 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Metronidazole
|
3 Participants
|
0 Participants
|
2 Participants
|
4 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Ciprofloxacin
|
2 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Other
|
14 Participants
|
3 Participants
|
11 Participants
|
44 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Salicylic derivatives + Immunosuppressants
|
10 Participants
|
19 Participants
|
27 Participants
|
122 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Biologic therapy + Immunosuppressants
|
12 Participants
|
14 Participants
|
1 Participants
|
4 Participants
|
|
Number of Participants With UC or CD Based on Inflammatory Bowel Disease (IBD) Therapies
Salicylic derivatives + Immunosuppressants + Biologic therapy
|
19 Participants
|
18 Participants
|
13 Participants
|
60 Participants
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfill the study eligibility criteria. Number analyzed is the number of participants who had a complete duration from start to end date of therapy. Participants with incomplete or missing dates were not included in the analysis.
Time between the beginning of IBD therapy until the end of treatment or Day 1, whichever comes first. IBD therapies include aminosalicylates, steroids, immunomodulators, immunosuppressants, biologics, antibiotics, probiotics, and surgeries.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Duration of IBD Therapies
Sulfasalazine (SSZ)
|
0.2 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
33.3 months
Interval 17.0 to 42.0
|
62.3 months
Interval 40.3 to 84.3
|
|
Duration of IBD Therapies
Mesalazine (5-ASA)
|
42.1 months
Interval 3.7 to 111.1
|
34.3 months
Interval 18.6 to 50.0
|
8.4 months
Interval 0.2 to 347.2
|
54.3 months
Interval 0.6 to 138.1
|
|
Duration of IBD Therapies
Mesalazine Extended release
|
31.0 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
—
|
—
|
|
Duration of IBD Therapies
Olsalazine
|
—
|
—
|
60.0 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
|
Duration of IBD Therapies
Hydrocortisone
|
0.1 months
Interval 0.1 to 0.13
|
0.1 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
0.2 months
Interval 0.2 to 0.3
|
0.1 months
Interval 0.0 to 0.3
|
|
Duration of IBD Therapies
Prednisone
|
5.0 months
Interval 0.9 to 207.4
|
2.9 months
Interval 1.1 to 83.9
|
1.6 months
Interval 0.7 to 182.0
|
3.0 months
Interval 0.1 to 148.5
|
|
Duration of IBD Therapies
Prednisolone
|
—
|
—
|
—
|
3.2 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
|
Duration of IBD Therapies
Budesonide
|
—
|
—
|
2.0 months
Interval 1.3 to 12.4
|
2.8 months
Interval 1.4 to 18.0
|
|
Duration of IBD Therapies
Azathioprine
|
40.3 months
Interval 2.7 to 111.1
|
38.6 months
Interval 4.1 to 96.31
|
1.5 months
Interval 0.06 to 153.5
|
45.5 months
Interval 0.2 to 181.8
|
|
Duration of IBD Therapies
Methotrexate
|
4.9 months
Interval 3.8 to 6.0
|
—
|
0.7 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
|
Duration of IBD Therapies
Metronidazole
|
0.2 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
0.2 months
Interval 0.2 to 0.2
|
0.2 months
Interval 0.2 to 0.3
|
|
Duration of IBD Therapies
Ciprofloxacin
|
—
|
—
|
0.2 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
|
Duration of IBD Therapies
Infliximab
|
10.3 months
Interval 0.8 to 17.0
|
62.3 months
Interval 5.5 to 89.8
|
21.9 months
Interval 3.1 to 73.4
|
14.2 months
Interval 0.75 to 181.4
|
|
Duration of IBD Therapies
Adalimumab
|
27.5 months
Interval 0.19 to 125.2
|
34.27 months
Interval 5.3 to 103.8
|
28.6 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
27.5 months
Interval 0.1 to 125.2
|
|
Duration of IBD Therapies
Vedolizumab
|
—
|
—
|
—
|
9.0 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
|
Duration of IBD Therapies
Ustekimumab
|
66.5 months
Interval 50.4 to 82.6
|
1.0 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
—
|
|
Duration of IBD Therapies
Certolizumab
|
15.7 months
Interval 3.9 to 132.0
|
—
|
—
|
—
|
|
Duration of IBD Therapies
Golimumab
|
—
|
—
|
0.3 months
Minimum and Maximum range was not estimable due to insufficient number of participants with events.
|
—
|
|
Duration of IBD Therapies
Other:
|
23.8 months
Interval 0.2 to 47.4
|
—
|
2.8 months
Interval 0.1 to 128.2
|
4.5 months
Interval 0.1 to 103.7
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfill the study eligibility criteria.
Percentage of participants who have experienced any biologic therapy (examples, infliximab, adalimumab, golimumab, ustekinumab, certolizumab) once or more than once according to medical history until the day 1. Percentages are rounded off to the nearest single decimal.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With UC or CD Based on Biologic-experience
|
72.0 percentage of participants
|
61.5 percentage of participants
|
33.0 percentage of participants
|
33.8 percentage of participants
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfill the study eligibility criteria.
Percentages are rounded off to the nearest single decimal.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With UC or CD Who Have Not Responded Previously to Biologic Therapies
|
65.1 percentage of participants
|
25.0 percentage of participants
|
28.5 percentage of participants
|
20.1 percentage of participants
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfill the study eligibility criteria.
Percentages are rounded off to the nearest single decimal.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Poor effectiveness
|
34.8 percentage of participants
|
15.3 percentage of participants
|
11.9 percentage of participants
|
9.5 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Patient decision
|
6.9 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Remission
|
0 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
1.0 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Unknown
|
0 percentage of participants
|
0 percentage of participants
|
4.7 percentage of participants
|
2.1 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Patient poor adherence
|
2.3 percentage of participants
|
3.8 percentage of participants
|
0 percentage of participants
|
1.0 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Comorbidity
|
0 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
0.5 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Adverse reaction
|
4.6 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
3.7 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Patient access to treatment
|
6.9 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
0.5 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Antibodies
|
2.3 percentage of participants
|
1.9 percentage of participants
|
0 percentage of participants
|
0.5 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Serum level of antidrug
|
0 percentage of participants
|
1.9 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
|
Percentage of Participants With UC or CD Based on Reasons for Non-response to Previous Biologic Therapies
Other
|
6.9 percentage of participants
|
1.9 percentage of participants
|
11.9 percentage of participants
|
1.0 percentage of participants
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfill the study eligibility criteria.
The IBD treatment categories that have data for at least one participant are reported.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Adalimumab
|
1 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Sulfasalazine (SSZ)
|
0 Participants
|
1 Participants
|
0 Participants
|
2 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Mesalazine (5-ASA)
|
0 Participants
|
0 Participants
|
1 Participants
|
2 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Mesalazine extended release
|
0 Participants
|
0 Participants
|
0 Participants
|
2 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Prednisone
|
0 Participants
|
1 Participants
|
2 Participants
|
2 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Budesonide
|
0 Participants
|
1 Participants
|
0 Participants
|
3 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Azathioprine
|
0 Participants
|
1 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Infliximab
|
0 Participants
|
0 Participants
|
0 Participants
|
1 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Vedolizumab
|
1 Participants
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Ustekinumab
|
0 Participants
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Metronidazole
|
0 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Ciprofloxacin
|
0 Participants
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With UC or CD Introduced With IBD Treatment at Day 1
Other
|
1 Participants
|
0 Participants
|
1 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data for participants with CD were reported.
CDAI assessed clinical signs and symptoms: number of liquid stools, intensity of abdominal pain, general wellbeing, presence of comorbid conditions, use of antidiarrheal, physical examination and laboratory findings. Total score ranges from 0-600 points. Higher score indicates more severe disease. HBI score measures disease activity of CD based on 5 clinical parameters: general well-being, abdominal pain, number of liquid stools/day, abdominal mass, and complications. Total score is sum of individual parameters. Score ranges from a minimum score of 0 to no pre-specified maximum score as it depends on number of liquid stools, where higher scores indicate more severe disease. Socio-demographic variables included age, sex, professional status, educational level, participant income. Clinical variables included duration and age at diagnosis, steroid dependence or refractoriness, family history, medical history and comorbidities, criteria used for diagnosis, calprotectin and EIM.
Outcome measures
| Measure |
Crohn's Disease
n=95 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With HBI >=8 or CDAI >=220 Points Versus HBI <8 or CDAI <220 Points Categorized Based on Socio-demographic, Clinical and Treatment-related Variables in CD Participants
|
43 Participants
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Data for participants with UC were reported.
Mayo score is composed of 4 categories (bleeding, stool frequency, physician assessment, and endoscopic appearance) rated from 0-3 that are summed into a total score ranging from 0-12. pMayo score consists of 3 sub scores: stool frequency, rectal bleeding, and physician global assessment of disease severity, each graded from 0 to 3. These scores were summed to give a total score range of 0 to 9; where higher scores indicating more severe disease. The pMayo score when compared with the full Mayo score and categorizes UC patients as being in remission (score of 0-2), having mild activity (pMayo of 3-4) or moderate to severe activity (pMayo \>=5). Socio-demographic variables included age, sex, professional status, educational level, participant income. Clinical variables included duration and age at diagnosis, steroid dependence or refractoriness, family history, medical history and comorbidities, criteria used for diagnosis, calprotectin and extraintestinal manifestations (EIM).
Outcome measures
| Measure |
Crohn's Disease
n=231 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Number of Participants With pMayo Score >=5 Versus pMayo Score <5 Categorized Based on Socio-demographic, Clinical and Treatment-related Variables in UC Participants
|
42 Participants
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number analyzed is the number of participants with data available for analysis. Number analyzed is the number of participants available for analysis for specified categories.
SF-36 is a general quality of life (QoL)-questionnaire, which evaluates 8 health dimensions: physical functioning, bodily pain, role physical (limitations due to physical problems), role emotional (limitations due to personal or emotional problems), mental health, social functioning, vitality, and general health perceptions. Based on these 8 dimensions, two weighted scores were generated: the physical component summary (PCS) score and the mental component summary (MCS) score. Scores range between 0 and 100, with higher scores indicating a better quality of life. Mean score of each component (physical component and mental component) was reported.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=188 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
General Health
|
43.4 score on a scale
Standard Deviation 20.64
|
48.0 score on a scale
Standard Deviation 23.59
|
43.4 score on a scale
Standard Deviation 22.26
|
53.6 score on a scale
Standard Deviation 23.62
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Physical Functioning
|
64.2 score on a scale
Standard Deviation 28.43
|
77.5 score on a scale
Standard Deviation 24.10
|
71.1 score on a scale
Standard Deviation 25.89
|
81.1 score on a scale
Standard Deviation 22.97
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Bodily Pain
|
52.7 score on a scale
Standard Deviation 28.12
|
65.0 score on a scale
Standard Deviation 27.90
|
57.5 score on a scale
Standard Deviation 29.36
|
70.6 score on a scale
Standard Deviation 26.09
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Role Physical
|
55.5 score on a scale
Standard Deviation 28.87
|
62.9 score on a scale
Standard Deviation 28.29
|
51.8 score on a scale
Standard Deviation 26.63
|
69.9 score on a scale
Standard Deviation 25.43
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Role Emotional
|
55.6 score on a scale
Standard Deviation 28.51
|
62.2 score on a scale
Standard Deviation 26.89
|
57.1 score on a scale
Standard Deviation 28.07
|
70.6 score on a scale
Standard Deviation 24.04
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Mental Health
|
56.6 score on a scale
Standard Deviation 20.43
|
60.9 score on a scale
Standard Deviation 19.82
|
56.5 score on a scale
Standard Deviation 22.62
|
64.8 score on a scale
Standard Deviation 19.39
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Social Functioning
|
53.8 score on a scale
Standard Deviation 29.19
|
66.6 score on a scale
Standard Deviation 25.09
|
59.2 score on a scale
Standard Deviation 28.70
|
69.7 score on a scale
Standard Deviation 26.81
|
|
Mean Score of Components of 36-item Short Form Health Survey (SF-36) of UC or CD Participants
Vitality
|
43.9 score on a scale
Standard Deviation 20.30
|
53.7 score on a scale
Standard Deviation 21.23
|
49.4 score on a scale
Standard Deviation 22.55
|
57.2 score on a scale
Standard Deviation 20.56
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria.
The IBDQ was a 32-item questionnaire that measured 4 dimensions: bowel function, emotional status, systemic symptoms, and social function. Within dimensions, each question presented seven possible answers/points. Each domain score was the sum of 8 responses each ranging from 1 to 7, where 1 indicated worst function and 7 the best. The sub-score ranged from 8 to 56 and thus the total score ranged from 32 to 224, where higher score indicating better quality of life.
Outcome measures
| Measure |
Crohn's Disease
n=42 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=51 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=188 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean Total Score of Inflammatory Bowel Disease Questionnaire (IBDQ) of UC or CD Participants
|
144.8 score on a scale
Standard Deviation 42.78
|
159.03 score on a scale
Standard Deviation 36.00
|
140.2 score on a scale
Standard Deviation 43.67
|
165.7 score on a scale
Standard Deviation 33.85
|
SECONDARY outcome
Timeframe: The last 7 days prior to Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number analyzed is the number of employed participants with data available for analysis for this outcome measure.
WPAI assessed the impact of IBD on work productivity and daily activities during the previous 7 days. The WPAI included 6 questions: 1 (if currently employed); 2 (hours missed due to disease); 3 (hours missed other reasons); 4 (hours actually worked); 5 (degree disease affected productivity while working); 6 (degree disease affected regular activities). WPAI generated four component scores: percentage of work time missed (absenteeism); percentage of impairment while working (presentisms); percentage of overall work impairment (absenteeism and presentisms combined); and percentage of activity impairment. Scores for WPAI range from 0% to 100%, where 0 % indicates no impairment and 100% is total loss of work productivity/activity. Employed participants were evaluated for this outcome measure. Mean total percentage of work impairment (absenteeism and presentisms) were reported in terms of hours.
Outcome measures
| Measure |
Crohn's Disease
n=26 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=28 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=21 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=115 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean of Percentage of Total Work Impairment Assessed by Work Productivity and Activity Impairment Questionnaire (WPAI) in UC or CD Participants
|
20.337 Percentage of total work impairment
Standard Deviation 19.2252
|
21.184 Percentage of total work impairment
Standard Deviation 21.4860
|
24.152 Percentage of total work impairment
Standard Deviation 15.6386
|
17.700 Percentage of total work impairment
Standard Deviation 19.6796
|
SECONDARY outcome
Timeframe: The last 7 days prior to Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number analyzed is the number of employed participants with data available for analysis for this outcome measure.
WPAI assessed the impact of IBD on work productivity and daily activities during the previous 7 days. The WPAI included 6 questions: 1 (if currently employed); 2 (hours missed due to disease); 3 (hours missed other reasons); 4 (hours actually worked); 5 (degree disease affected productivity while working); 6 (degree disease affected regular activities). WPAI generated four component scores: percentage of work time missed (absenteeism); percentage of impairment while working (presentisms); percentage of overall work impairment (absenteeism and presentisms combined); and percentage of activity impairment. Scores for WPAI range from 0% to 100%, where 0 % indicates no impairment and 100% is total loss of work productivity/activity. Employed participants were evaluated for this outcome measure. Mean work time missed (absenteeism) was reported.
Outcome measures
| Measure |
Crohn's Disease
n=26 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=28 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=21 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=118 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean of Percentage of Work Time Missed Assessed by WPAI in UC or CD Participants
|
19.873 percentage of work time missed
Standard Deviation 30.6995
|
17.285 percentage of work time missed
Standard Deviation 25.1336
|
9.798 percentage of work time missed
Standard Deviation 16.3332
|
10.590 percentage of work time missed
Standard Deviation 23.7578
|
SECONDARY outcome
Timeframe: The last 7 days prior to Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number analyzed is the number of employed participants with data available for analysis for this outcome measure.
WPAI assessed the impact of IBD on work productivity and daily activities during the previous 7 days. The WPAI included 6 questions: 1 (if currently employed); 2 (hours missed due to disease); 3 (hours missed other reasons); 4 (hours actually worked); 5 (degree disease affected productivity while working); 6 (degree disease affected regular activities). WPAI generated four component scores: percentage of work time missed (absenteeism); percentage of impairment while working (presentisms); percentage of overall work impairment (absenteeism and presentisms combined); and percentage of activity impairment. Scores for WPAI range from 0% to 100%, where 0 % indicates no impairment and 100% is total loss of work productivity/activity. Employed participants were evaluated for this outcome measure. Mean impairment while working (presentisms) was reported.
Outcome measures
| Measure |
Crohn's Disease
n=27 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=30 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=21 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=116 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean of Percentage of Impairment While Working Assessed by WPAI in UC or CD Participants
|
33.3 Percentage of Impairment
Standard Deviation 33.85
|
30.0 Percentage of Impairment
Standard Deviation 30.40
|
29.5 Percentage of Impairment
Standard Deviation 22.69
|
23.1 Percentage of Impairment
Standard Deviation 25.92
|
SECONDARY outcome
Timeframe: The last 7 days prior to Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number analyzed is the number of employed participants with data available for analysis for this outcome measure.
WPAI assessed the impact of IBD on work productivity and daily activities during the previous 7 days. The WPAI included 6 questions: 1 (if currently employed); 2 (hours missed due to disease); 3 (hours missed other reasons); 4 (hours actually worked); 5 (degree disease affected productivity while working); 6 (degree disease affected regular activities). WPAI generated four component scores: percentage of work time missed (absenteeism); percentage of impairment while working (presentisms); percentage of overall work impairment (absenteeism and presentisms combined); and percentage of activity impairment. Unemployed participants only answered to questions related to employment status and regular activities impairment. Scores for WPAI range from 0% to 100%, where 0 % indicates no impairment and 100% is total loss of work productivity/activity. Mean total activity impairment was reported.
Outcome measures
| Measure |
Crohn's Disease
n=26 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=28 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=21 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=115 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Mean Percentage of Total Activity Impairment Assessed by WPAI in UC or CD Participants
|
45.7 percentage of total activity impairment
Standard Deviation 35.87
|
33.1 percentage of total activity impairment
Standard Deviation 30.76
|
44.0 percentage of total activity impairment
Standard Deviation 30.45
|
27.4 percentage of total activity impairment
Standard Deviation 29.53
|
SECONDARY outcome
Timeframe: Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria.
Percentages are rounded off at the nearest single decimal.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With UC or CD Who Quit Their Job Due to IBD and Unable to Return to Work
|
0 percentage of participants
|
0 percentage of participants
|
4.8 percentage of participants
|
0 percentage of participants
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria.
Healthcare resources included hospitalizations, medical appointments, imaging, and laboratory testing. Percentages are rounded off to whole number at the nearest decimal.
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Percentage of Participants With UC or CD Categorized Based on Healthcare Resources
Imaging and Laboratory Testing
|
60.5 percentage of participants
|
61.5 percentage of participants
|
52.4 percentage of participants
|
67.2 percentage of participants
|
|
Percentage of Participants With UC or CD Categorized Based on Healthcare Resources
Hospital Admissions
|
37.2 percentage of participants
|
17.3 percentage of participants
|
28.6 percentage of participants
|
12.7 percentage of participants
|
|
Percentage of Participants With UC or CD Categorized Based on Healthcare Resources
Medical Appointments: IBD Specialist
|
67.4 percentage of participants
|
59.6 percentage of participants
|
64.3 percentage of participants
|
66.7 percentage of participants
|
|
Percentage of Participants With UC or CD Categorized Based on Healthcare Resources
Medical Appointments: Emergency Medical Appointment
|
2.3 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
0 percentage of participants
|
|
Percentage of Participants With UC or CD Categorized Based on Healthcare Resources
Medical Appointments: Other Specialist
|
4.7 percentage of participants
|
0 percentage of participants
|
2.4 percentage of participants
|
4.2 percentage of participants
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria.
A cost analysis of Ulcerative Colitis (UC) and Crohn's Disease (CD) was developed, classified by severity as mild and moderate-severe for each of the conditions. Direct medical costs were considered and included the following items: associated comorbidities, intestinal manifestations, surgical procedures, emergency visits, hospitalizations, medical appointments, follow-up studies, and previous pharmacological treatments; this was collected in the study including the number of participants and the proportion of them that presented the items studied. The total direct medical cost for all participants with each of the conditions was obtained, with the average 3-year cost per participant for UC and for CD multiplied by the number of all participants with UC and CD respectively. So, the values reported in the data table below represent the total direct cost for all participants with UC and CD respectively. The total direct cost was in Mexican Peso(MXN).
Outcome measures
| Measure |
Crohn's Disease
n=43 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=52 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=42 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=189 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Total Direct Medical Cost for Participants With UC or CD
|
16362506.13 MXN
|
12611636.50 MXN
|
9673667.75 MXN
|
33842289.53 MXN
|
SECONDARY outcome
Timeframe: From 3 years prior to Day 1 until Day 1Population: Enrolled Population Set included all participants who provided written informed consent and fulfilled the study eligibility criteria. Overall number of participants analyzed is the number of employed participants.
A cost analysis of UC and CD was developed, classified by severity as mild and moderate-severe for each condition. Indirect cost was estimated by using number of hours missed from work (absenteeism) multiplied by average hourly labor cost including wages and benefits, to calculate average lost productivity cost per participant due to absenteeism during specified duration. Hours missed from work were assessed by Work Productivity and Activity Impairment Questionnaire: General Health (WPAI-GH) questionnaire, in which respondents answered 6 questions related to work productivity and impairment.The indirect medical cost for all participants with each of the conditions was obtained,with the average 3-year cost per participant for UC and for CD multiplied by the number of all employed participants with UC and CD respectively. So, values reported in data table below represent the indirect cost in totality for all employed participants with UC and CD respectively. The indirect cost is in MXN.
Outcome measures
| Measure |
Crohn's Disease
n=27 Participants
Participants diagnosed with moderate to severe Crohn's Disease (CD) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the inflammatory bowel disease (IBD) treatments and use of other healthcare resources related with the management of CD.
|
Mild to None Crohn's Disease
n=30 Participants
Participants diagnosed with mild to none activity of CD were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of CD.
|
Moderate to Severe Ulcerative Colitis
n=21 Participants
Participants diagnosed with moderate to severe Ulcerative Colitis (UC) were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
Mild to None Ulcerative Colitis
n=120 Participants
Participants diagnosed with mild to none activity of UC were observed on Day 1 for cross-sectional evaluation of disease activity, treatment patterns, burden of disease and quality of life along with retrospective data collection for previous 3 years prior to Day 1 to assess the IBD treatments and use of other healthcare resources related with the management of UC.
|
|---|---|---|---|---|
|
Indirect Cost for Participants With UC or CD
|
394402.91 MXN
|
276419.13 MXN
|
77869.29 MXN
|
458451.24 MXN
|
Adverse Events
Moderate to Severe Crohn's Disease
Mild to None Crohn's Disease
Moderate to Severe Ulcerative Colitis
Mild to None Ulcerative Colitis
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
- Publication restrictions are in place
Restriction type: OTHER