Ibd CAncer and seRious Infections in France (I-CARE 2)

NCT ID: NCT06089590

Last Updated: 2025-03-14

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

6000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-25

Study Completion Date

2031-03-01

Brief Summary

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This is a French prospective longitudinal observational multicentre cohort study.

Primary objective : to assess prospectively the presence and the extent of safety concerns (cancer, serious infections, arterial and venous thrombotic events) in patients with CD and UC and treated with JAKi, anti-IL23p19, and S1p modulators.

Detailed Description

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Number of patients : 6 000 at least Participating investigators : 250 at least

Recruitment period : 3 years 6 months

Primary objective : to assess prospectively the presence and the extent of safety concerns (cancer, serious infections, arterial and venous thrombotic events) in patients with CD and UC and treated with JAKi, anti-IL23p19, and S1p modulators.

Secondary objectives :

* To assess the presence and the extent of safety concerns in patients treated with JAKi, anti-IL23p19, and S1p modulators for each outcome of interest separately (cancer, serious infections, arterial thrombotic events, venous thrombotic events)
* To investigate prospectively the impact of JAKi, anti-IL23p19 and S1p modulators strategies on the natural history of IBD and their potential for disease modification by collecting validated surrogate markers such as mucosal healing and disease complications such as bowel damage (strictures, fistulas, abscess), surgeries, and hospitalizations
* To assess the evolution of ePROs on a trimester basis and the impact of JAKi, anti-IL23p19, and S1p modulators on ePROs in IBD
* To evaluate the benefit-risk ratio of strategies based on a wider use of JAKi, anti-IL23p19, and S1p modulators therapy for IBD
* To assess the healthcare costs and cost-efficacy of current therapeutic strategies in IBD.

Conditions

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IBD Ulcerative Colitis Crohn Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group Anti-IL23p19

Patients treated with anti-IL23p19 (risankizumab, guselkumab, mirikizumab, brazikumab)

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Group Jak inhibitors

Patient treated with Jak inhibitors (tofacitinib, upadacitinib, filgotinib)

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Group S1P Modulators

Patient treated with S1P modulators (ozanimod, etrasimod)

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Group Anti TNF

Patient treated with anti-TNF (infliximab, adalimumab, golimumab) (with a maximal proportion of 25% as 1st first line biologic after conventional treatment (aminosalicylates, corticosteroids, thiopurines, methotrexate))

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Group Anti integrins

Patient treated with anti-integrins (vedolizumab)

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Group Anti IL12/23

Patient treated with anti-IL12/23 (ustekinumab)

Non-interventional

Intervention Type OTHER

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Interventions

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Non-interventional

This study is non-interventional, patients will be enrolled when initiating a treatment through standard of care procedures.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient with an established diagnosis of Crohn's disease, ulcerative colitis or IBD unclassified based on usual radiological, endoscopic or histological criteria.
* Patient aged 18 and older accepting to sign the informed participating consent form, stating that he accepts to provide personal details (mobile and home phone number, e-mail address), to complete the e-PRO as required and to be contacted by a Study Coordinator and his gastroenterologist for the purpose of the study during the entire study period and during follow up if required.

Exclusion Criteria

* Patient unable to sign the informed consent form
* Patient with no regular access to internet
* Patient refusing to sign the informed consent form
* Patient enrolled in a Randomized Clinical Trial (If the investigational product received was blinded, and if the treatment is unknown at time of enrolment in I-CARE 2)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanoia

OTHER

Sponsor Role collaborator

Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julien Kirchgesner

Role: PRINCIPAL_INVESTIGATOR

Hôpital Saint Antoine - APHP

Mathurin Fumery

Role: PRINCIPAL_INVESTIGATOR

CHU Amiens-Picardie

Locations

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CHU Amiens Picardie

Amiens, , France

Site Status RECRUITING

APHP Hôpital Saint Antoine

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Marie Coisnon

Role: CONTACT

09 72 57 61 60

Charlotte Mailhat

Role: CONTACT

09 72 57 61 60

Facility Contacts

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Mathurin FUMERY, PHD

Role: primary

Julien Kirchgesner

Role: primary

Other Identifiers

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GETAID-2022-02

Identifier Type: -

Identifier Source: org_study_id

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