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临床试验/NCT06691061
NCT06691061招募中不适用

Real-life Comparative Effectiveness of Vedolizumab, Ustekinumab and JAK Inhibitors in Patients with Ulcerative Colitis After Anti-TNFα Failure or Intolerance

Humanitas Clinical and Research Center1 个研究点 分布在 1 个国家目标入组 450 人开始时间: 2023年8月1日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
450
试验地点
1
主要终点
Clinical and endoscopic effectiveness of the three treatments

研究概览

简要总结

The goal of this observational study is to compare the real-life effectiveness and safety of vedolizumab, ustekinumab and JAK inhibitors in patients with UC who had been exposed to at least one anti-TNF-alpha therapy.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Established diagnosis of UC according to the current European Crohn's and Colitis Organization (ECCO) guidelines7;
  • Age ≥ 18 years-old;
  • Capability of expressing informed consent;
  • Clinically active ulcerative colitis (cf. 'operative clinical measures', below) at baseline;
  • Initiation of vedolizumab, ustekinumab or JAK inhibitors (tofacitinib, upadacitinib or filgotinib) as second-line target therapy at baseline;
  • Previous treatment with at least one anti-TNFα drug licenced for the treatment of UC (i.e., infliximab, adalimumab and/or golimumab);
  • No exposure to vedolizumab, ustekinumab and JAK inhibitors before baseline;
  • At least 1 follow-up visit after baseline

排除标准

  • Diagnosis of Crohn's colitis, IBD-U or other gastrointestinal inflammatory conditions;
  • Age < 18 years-old;
  • Incapability of expressing informed consent;
  • Acute severe UC requiring hospitalization at baseline;
  • No previous exposure to anti-TNFα therapies;
  • Previous treatment with target therapies other than anti-TNF-α for UC before baseline;
  • Ustekinumab or JAK inhibitors induction with a non-standard posology for UC.

结局指标

主要结局

Clinical and endoscopic effectiveness of the three treatments

时间窗: 12 months

Rates of steroid-free clinical remission and endoscopic remission

次要结局

未报告次要终点

研究者

发起方
Humanitas Clinical and Research Center
申办方类型
Other
责任方
Principal Investigator
主要研究者

Alessandro Armuzzi

Professor

Humanitas Clinical and Research Center

研究点 (1)

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