NCT03375424

Brief Summary

This study on biologics (Vedolizumab/anti-TNF) in the treatment of inflammatory bowel disease (IBD) patients in Germany extends the prospective documentation of efficacy in induction and maintenance therapy of anti-TNF to the use of Vedolizumab with a particular interest in the construction of a multifactorial model to predict long-term responses and favorable disease outcome or to predict severe side effects caused by therapy with biologics. Little data are available on the efficacy and safety of biologics in Germany in a real world situation. While the increasing use of anti-TNF-alpha antibodies in IBD-patients the new therapy with Vedolizumab opens up new opportunities in IBD-therapy, it may also pose new options and problems in terms of efficacy and predictors of response and potential side effects.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2017

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 2, 2017

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

November 6, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 18, 2017

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2019

Completed
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2024

Completed
Last Updated

December 18, 2017

Status Verified

December 1, 2017

Enrollment Period

1.6 years

First QC Date

November 6, 2017

Last Update Submit

December 12, 2017

Conditions

Keywords

Vedolizumab, Crohns disease, Ulcerative colitis, safety

Outcome Measures

Primary Outcomes (1)

  • safety index (Chronic steroid-use ≥ 20 mg for ≥ 6 months, New secreting fistula, Op caused by stenosis, Mortality (all), Hospitalization > 14 days, Long-term-illness (with > 30 days off work), Early retirement)

    Success - no; Failure - yes

    through study completion, an average of 1 year

Secondary Outcomes (9)

  • Comparison of the disease course in IBD-patients on Vedolizumab/anti-TNF therapy with IBD-patients with an early-stage disease

    during the first 14 weeks after individual participation

  • Development of a multifactorial model to predict a favorable course of disease

    through study completion, an average of 1 year

  • Online documentation of effectiveness in induction and maintenance therapy including the occurrence of serious side effects

    through study completion, an average of 1 year

  • Efficacy (remission and response) of induction therapy (week 14)

    through study completion, an average of 1 year

  • Generation of health economic data in IBD-patients on biologicals

    through study completion, an average of 1 year

  • +4 more secondary outcomes

Study Arms (3)

1st subpopulation

IBD-patients (age at enrollment: 18-80 years) receiving a newly introduced Vedolizumab (VDZ) therapy (n=1.800). A former therapy with other biologics is allowed. More than 30% of these Vedolizumab patients will be biologics-naiv.

Biological: vedolizumab

2nd subpopulation

IBD-patients (age at enrollment: 18-80 years) receiving a newly introduced anti-TNF-alpha therapy other than VDZ (n=350) in biologics-naiv patients.

3rd subpopulation

IBD patients (age at enrollment: 18-80 years) with an early disease (n=350), who were first diagnosed \<2 years before the start of documentation in the Investigator initiated non-interventional study (NIS) but have not yet received and are not planned to receive biologics in the near future.

Interventions

vedolizumabBIOLOGICAL

duration of disease and kind of therapy

1st subpopulation

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

There are three subpopulations: 1. IBD-patients (age at enrollment: 18-80 years) receiving a newly introduced Vedolizumab (VDZ) therapy (n=1.800). A former therapy with other biologics is allowed. More than 30% of these Vedolizumab patients will be biologics-naiv. 2. IBD-patients (age at enrollment: 18-80 years) receiving a newly introduced anti-TNF-alpha therapy other than VDZ (n=350) in biologics-naiv patients. 3. IBD patients (age at enrollment: 18-80 years) with an early disease (n=350), who were first diagnosed \<2 years before the start of documentation in the Investigator initiated non-interventional study (NIS) but have not yet received and are not planned to receive biologics in the near future.

You may qualify if:

  • IBD-patients (UC/CD) aged 18-80 years at enrollment
  • Written informed consent is given

You may not qualify if:

  • Lack of adequate documentation possibilities
  • Malignant disease in history
  • Planned surgical intervention

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gastroenterologische Gemeinschaftspraxis Minden

Minden, Lower Saxony, 32423, Germany

RECRUITING

MeSH Terms

Conditions

Inflammatory Bowel DiseasesCrohn DiseaseColitis, Ulcerative

Interventions

vedolizumab

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal DiseasesColitisColonic Diseases

Study Officials

  • Bernd Bokemeyer, PD Dr. med.

    Gastroenterologische Gemeinschaftspraxis Minden, Uferstr. 3, 32423 Minden

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
60 Months
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 6, 2017

First Posted

December 18, 2017

Study Start

October 2, 2017

Primary Completion

April 30, 2019

Study Completion

April 30, 2024

Last Updated

December 18, 2017

Record last verified: 2017-12

Data Sharing

IPD Sharing
Will not share

Locations