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A Long Term Safety Study of Infliximab (Remicade) in in Ulcerative Colitis Patients

Completed
Conditions
Ulcerative Colitis
Interventions
Registration Number
NCT00207688
Lead Sponsor
Janssen Research & Development, LLC
Brief Summary

The purpose of this study is to evaluate long-term safety information of infliximab in patients who have participated in infliximab clinical studies in ulcerative colitis.

Detailed Description

This is a long term, multicenter, international safety study to evaluate targeted long-term safety information on patients who have participated in infliximab(Remicade) clinical studies in ulcerative colitis that require long-term safety follow-up. All patients who received at least one dose of study drug (infliximab or placebo) in the primary studies (C0168T37 ,C0168T46, C0168T72) are eligible to participate in this long-term safety follow-up study (C0168T62). Patients will begin participation in C0168T62 at the time of their last safety visit in the primary study and will be followed for 5 years. No study agent will be administered. Information on deaths, serious infections, new malignancies (including colorectal cancer) and new autoimmune diseases and surgical procedures (including colectomy) and hospitalizations for the treatment of ulcerative colitis will be collected. Information about possible delayed allergic reactions (possible fever, rash, fatigue, joint pain) will also be collected if patients received infliximab after the end of the primary study. In addition, data on dysplasia of the colon will be collected from patients who were identified in the primary study to be at high-risk for colon cancer and were required per protocol to undergo a follow-up colonoscopy as part of long-term safety follow-up. All adverse events, including non-serious adverse events, will also be collected.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
505
Inclusion Criteria
  • All patients enrolled in three Phase 3 Janssen-sponsored (C0168T37, C0168T46, C0168T72) infliximab clinical studies in ulcerative colitis that require long-term safety follow-up
  • Patients must have received at least 1 dose of study agent to be eligible for participation in the study
Exclusion Criteria
  • Patients who refuse consent or are unwilling to respond to requests for long-term safety information within the required timeframe will be excluded. In addition, patients participating in a study extension to the primary study are not eligible for participation in the C0168T62 study during the study extension participation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Infliximab 10 mg/kgInfliximab 10 mg/kgThis is an observational study which includes patients from primary studies C0168T37, C0168T46, C0168T72.
Infliximab 5 mg/kgInfliximab 5 mg/kgThis is an observational study which includes patients from primary studies C0168T37, C0168T46, C0168T72.
PlaceboPlaceboThis is an observational study which includes patients from primary studies C0168T37, C0168T46, C0168T72.
Primary Outcome Measures
NameTimeMethod
Number of patients with adverse events as a measure of safety5 years

Long-term safety will be evaluated by assessment of serious infections,new malignancies (including colorectal cancer), new autoimmune diseases, death, delayed hypersensitivity (serum sickness-like) reactions, or dysplasia of the colon and other non-serious adverse events. Non-serious adverse events will be collected for participants continuing at the beginning of collection of non-serious adverse events.

Secondary Outcome Measures
NameTimeMethod
Number of patients with surgical procedures (including colectomy) for the treatment of ulcerative colitis5 years
Number of patients with malignancies by malignancy type5 years

Number of patients with malignancies by malignancy type (ie, lymphoma, nonmelanoma skin cancers, other malignancies)

Number of patients with serious infections by type of infection5 years
Number of patients with hospitalizations for the treatment of ulcerative colitis5 years
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