Effectiveness and Tolerance of IV vs SC Biological Drugs in Gastrointestinal Diseases

NCT06604728 | Recruiting

• 1 other identifier: BIOES - 5713
• Study Type: observational
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

Biologics are effective pharmacological treatments for Inflammatory Bowel Disease (IBD). To date, in the context of these pathologies, the formulations that can be administered subcutaneously are available for all the biological agents on the market (infliximab, adalimumab, golimumab, vedolizumab and ustekinumab) and can guarantee self-administration of the therapy at home with a reduction in hospital admissions , improved pharmacokinetics and pharmacoeconomic benefits For these reasons, the consolidation of the clinical practice of switching biological drugs to subcutaneous administration in patients with IBD in clinical remission could be a good strategy in terms of therapeutic efficacy and tolerability. To date, intravenous and subcutaneous therapy for the biologics considered in the present study is considered equivalent both from a pharmacokinetic point of view ("bioequivalence" of the drug) and from a clinical point of view due to the available efficacy and safety data. The clinical choice of one or the other formulation generally takes into consideration the patient's concern, the subject's venous availability and the experience of the prescribing doctor. This protocol aims to collect the "real life" clinical experience and describe the clinical progress of the patients.

Conditions

Inflammatory Bowel Diseases

Outcome Measures

Primary Outcomes (1)

• The percentage of patients who maintain clinical remission

  percentage of patients who maintain clinical remission after switching to subcutaneous therapy without further changes in current therapy

  24 months

Study Arms (1)

Patients affected by IBD in therapy with biological therapies

cohort of patients affected by IBD in therapy with biological drugs, already subjected (retrospective cohort) or who will undergo (prospective cohort) for reasons of clinical practice to switch from the intravenous indication to the corresponding subcutaneous prescription (in particular, from vedolizumab or intravenous infliximab intravenously and to vedolizumab or subcutaneous infliximab).

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

subjects who meet all the inclusion criteria, and all subjects who meet at least one exclusion criterion will be excluded. cohort of patients with IBD on biologic therapy, who have already undergone (retrospective cohort) or who will undergo (prospective cohort) for clinical practice reasons a switch from the intravenous formulation to the corresponding subcutaneous formulation (in particular, from vedolizumab or intravenous infliximab intravenously and to vedolizumab or subcutaneous infliximab).

You may qualify if:

• Age ≥ 18 years;
• Confirmed diagnosis of IBD (Crohn's disease, ulcerative colitis or indeterminate colitis)
• Intravenous therapy with vedolizumab or infliximab; OR
• Patients who for clinical reasons initiated subcutaneous vedolizumab or infliximab therapy at least 2 and up to 8 weeks after intravenous therapy with the same drugs for the prospective cohort and patients on subcutaneous vedolizumab and infliximab therapy for more than 8 weeks after intravenous therapy with the same drugs for the retrospective cohort;
• Stable (at least 12 weeks) steroid-free IBD clinical remission, defined as a finding of Harvey Bradshaw Index3 (HBI) scores \< 5 or Partial Mayo Score 4.5 (PMS) \< 2 for patients with Crohn's disease or colitis ulcerative, respectively, assessed at the time of switching the drug to subcutaneous administration;
• Ability to sign informed consent for participation in the study and to comply with the schedule of scheduled visits.

You may not qualify if:

• Patients with dietary or medication changes during the study period (for the prospective group) or who experienced dietary or medication changes in the 48 weeks between drug switching from intravenous to subcutaneous administration (for the retrospective group only) ;
• Patients undergoing colectomy or with cutaneous ostomy;
• Patients scheduled for hospitalization or surgery within the period of study participation;
• Concomitant enrollment in other interventional experimental protocols;
• Unstable personality or unable to adhere to protocol procedures;
• Any clinical condition which, in the opinion of the investigators, may contraindicate enrollment in the study;
• Refusal to sign informed consent to participate in the study.

Sponsors & Collaborators

• Fondazione Policlinico Universitario Agostino Gemelli IRCCS: lead

Study Sites (1)

Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC CEMAD

Roma, 00168, Italy

RECRUITING

MeSH Terms

Conditions

Inflammatory Bowel Diseases

Condition Hierarchy (Ancestors)

Gastroenteritis; Gastrointestinal Diseases; Digestive System Diseases; Intestinal Diseases

Study Officials

• Franco Scaldaferri, PI

  Fondazione Policlinico Gemelli, Rome

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Franco Scaldaferri, PI

CONTACT

+393334975975; franco.scaldaferri@policlinicogemelli.it

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD

Study Record Dates

• First Submitted: September 18, 2024
• First Posted: September 19, 2024
• Study Start: September 4, 2023
• Primary Completion: September 1, 2025
• Study Completion: September 1, 2025
• Last Updated: September 19, 2024

Record last verified: 2024-09

Locations

IT (1)