Clinical trial • Gastroenterology

INFLIXIMAB for Ulcerative colitis

Clinical trial of INFLIXIMAB for Ulcerative colitis.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Ulcerative colitis
Drug Modality
Monoclonal antibody|Small molecule

Key dates

Initial CTIS Submission Date
19-08-2024
First CTIS Authorization Date
10-09-2024

Trial design

Patients treated by infliximab, adalimumab, golimumab, vedolizumab, and tofacitinib (no dosing or schedule specified in trial documentation)-controlled trial across 1 site in France.

Comparator
Patients treated by infliximab, adalimumab, golimumab, vedolizumab, and tofacitinib (no dosing or schedule specified in trial documentation)
Target Sample Size
100
Trial Duration For Participant
365

Eligibility

Recruits 100 Minors are explicitly excluded ("Minor"); patients deprived of liberty or under judicial protection (guardianship or supervision) are excluded. Written informed consent is required from participants (patients older than 18 years). No mention of assent procedures or age-specific consent documents or languages in the available data..

Pregnancy Exclusion
Pregnant women or breastfeeding
Vulnerable Population
Minors are explicitly excluded ("Minor"); patients deprived of liberty or under judicial protection (guardianship or supervision) are excluded. Written informed consent is required from participants (patients older than 18 years). No mention of assent procedures or age-specific consent documents or languages in the available data.

Inclusion criteria

  • {"criterion_text":"- Ulcerative colitis evolving for at least 6 months"}
  • {"criterion_text":"- Patient older than 18 years"}
  • {"criterion_text":"- Initiating a treatment by infliximab, adalimumab, golimumab, vedolizumab or tofacitinib"}
  • {"criterion_text":"- Patient covered by French national health insurance"}
  • {"criterion_text":"- Written informed consent"}

Exclusion criteria

  • {"criterion_text":"- Patients with anti-hypertensive, antiplatelet or lipid-lowering drugs without stable dosage within the 3 months before the study and over the study period."}
  • {"criterion_text":"- Patients with a cardiovascular event such as myocardial infarction and stroke"}
  • {"criterion_text":"- Diabetic patient"}
  • {"criterion_text":"- Pregnant women or breastfeeding"}
  • {"criterion_text":"- Minor"}
  • {"criterion_text":"- Patient deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Carotid intima media thickness (CIMT)","definition_or_measurement_approach":"CIMT measured and compared after 3 months of therapy in patients treated with anti-TNF, vedolizumab, and tofacitinib (assessment timing: after 3 months as stated in main objective)."}

Secondary endpoints

  • {"endpoint_text":"- Aortic pulse wave velocity (aPWV) / arterial stiffness","definition_or_measurement_approach":"Arterial stiffness / aPWV measured and compared after 3 months of therapy (and assessed over 12 months per secondary objectives)."}
  • {"endpoint_text":"- Augmentation index (AIx)","definition_or_measurement_approach":"AIx measurement as a marker of arterial function; assessed in study visits (secondary objectives include comparison after 3 and 12 months)."}
  • {"endpoint_text":"- Framingham score, the 10-year atherosclerotic CV disease risk (ASCVD) indices (reflect of the cardiovascular risk) and the SCORE score","definition_or_measurement_approach":"Cardiovascular risk scores (Framingham, ASCVD, SCORE) calculated at baseline and compared at 3 and 12 months as stated in secondary objectives."}
  • {"endpoint_text":"- Ulcerative colitis activity score /Mayo Score","definition_or_measurement_approach":"UC activity assessed using Mayo Score; compared at study timepoints (baseline, 3 and 12 months as per objectives)."}
  • {"endpoint_text":"- Lipids parameters (HDL, LDL, TC, TG)","definition_or_measurement_approach":"Lipid panel (HDL, LDL, total cholesterol, triglycerides) measured at baseline and at 3 and 12 months per secondary objectives."}
  • {"endpoint_text":"- Arterial tension and systolic pressure index","definition_or_measurement_approach":"Blood pressure measurements and systolic pressure index assessed at study visits (baseline, 3 and 12 months as implied by objectives)."}
  • {"endpoint_text":"- Endothelial function / Coagulation parameters","definition_or_measurement_approach":"Biomarkers of endothelial function and coagulation parameters measured at baseline and at 3 and 12 months and compared between responders and non-responders as stated in secondary objectives."}

Recruitment

Planned Sample Size
100
Recruitment Window Months
59
Consent Approach
Written informed consent required from participants. Inclusion criterion specifies patients older than 18 years, so consent provided by the adult participant. Minors are excluded. A subject information and informed consent form document is listed for publication, but no details on languages or age-specific documents are provided.

Geography

Total Number Of Sites
1
Total Number Of Participants
100

France

Earliest CTIS Part Ii Submission Date
05-09-2024
Latest Decision Or Authorization Date
10-09-2024
Processing Time Days
5
Number Of Sites
1
Number Of Participants
100

Sites

Site Name
Centre Hospitalier Universitaire Amiens Picardie
Department Name
HEPATO-GASTROLOGY
Principal Investigator Name
Mathurin FUMERY
Principal Investigator Email
Fumery.Mathurin@chu-amiens.fr
Contact Person Name
Mathurin FUMERY
Contact Person Email
Fumery.Mathurin@chu-amiens.fr
Number Of Participants
100

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire Amiens Picardie
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"pfizer","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Inflectra 100 mg powder for concentrate for solution for infusion
Active Substance
INFLIXIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation information present (prodAuthStatus=2, marketing authorisation number EU/1/13/854/001)
Maximum Dose
5 mg/kg
Investigational Product Name
Simponi 45 mg/0.45 mL solution for injection in pre-filled pen.
Active Substance
GOLIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation information present (prodAuthStatus=2, marketing authorisation number EU/1/09/546/009)
Maximum Dose
40 mg
Investigational Product Name
AMGEVITA 40 mg solution for injection in pre-filled syringe
Active Substance
ADALIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation information present (prodAuthStatus=2, marketing authorisation number EU/1/12/1164/011)
Maximum Dose
40 mg
Investigational Product Name
Entyvio 300 mg powder for concentrate for solution for infusion
Active Substance
VEDOLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation information present (prodAuthStatus=2, marketing authorisation number EU/1/14/923/001)
Maximum Dose
300 mg
Investigational Product Name
XELJANZ 5 mg film-coated tablets
Active Substance
TOFACITINIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Marketing authorisation information present (prodAuthStatus=2, marketing authorisation number EU/1/17/1178/002)
Maximum Dose
20 mg

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