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Ibd CAncer and seRious infections in Europe

Conditions
K50.0
K50.1
K51
K52.3
Crohn disease of small intestine
Crohn disease of large intestine
Ulcerative colitis
Indeterminate colitis
Registration Number
DRKS00009799
Lead Sponsor
Hoptial Lariboisière- Service de Gastroenterologie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
13262
Inclusion Criteria

Patient with an established diagnosis of Crohn´s disease, ulcerative colits or IBD, unclassified made at least 3 months earlier based on usal radiological, endoscopic or histological criteria.
Patient 18 an older accepting to sign the informed participating consent form, stating that he accepts to provide personal details to complete the electronic studydocumentation as required and to be contacted by a Study Coordinator and his gastroenterologist for the purpose of the study during the entire study period if required.

Exclusion Criteria

Patient unable to sign the informed consent form.
Patient with no regular access to internet.
Treatment at entry in the study with an immunomodulator different from thiopurines and methotrexate.
At the time of inclusion in the study, therapy was not assigned to any of the groups mentioned.
Patient previously enrolled in a randomized clinical trial.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary objective of I-CARE study is to assess prospectively the presence and the extent of safety concerns (cancers (especially lymphoma) and serious infections risks) for anti-TNF or other biologicals alone or in combination with thiopurines among IBD patients. Safety profile of all steroids formulation will also be analysed. We will stratify the risk of cancers and seroius infections according to IBD phenotype and disease activity (clinical, radiologic and endoscopic). <br>Study duraction 4 years: 1 year inclusion period and 3 years follow-up period
Secondary Outcome Measures
NameTimeMethod
To investigate prospectively the impact of anti-TNF based strategies or other biologicals on the natural history of IBD and their potential for disease modification by collecting validated surrogate markers such as muscosal healing and disease complications such as bowel damage, surgeries and hospitalizations.<br><br>To assess the evolation of patient-reported outcomes (PROs) on a yearly basis and the impact of anti-TNF agents or other biologicals on PROs in IBD.<br>1 year inclusion period and 3 years follow-up period.<br><br>To evaluate the benefit-risk ratio of strategies based on an earlier and wider use of anti-TNF or other biologicals therapy for IBD.<br><br>To assess the healthcare costs and cost-efficacy of current therapeutic straegies in IBD.<br><br>Study duraction 4 years: 1 year inclusion period and 3 years follow-up period
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