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Impact of Humira® Therapy on Ocular Inflammation, Selected Health Care Resource Utilization and Patient Reported Outcomes in Patients With Active Non-infectious Intermediate, Posterior and Panuveitis in Routine Clinical Practice

Completed
Conditions
Uveitis
Registration Number
NCT03155243
Lead Sponsor
AbbVie
Brief Summary

This study aims at evaluating real life effectiveness of originator adalimumab (Humira®) participants with active non-infectious intermediate, posterior and panuveitis (NIIPPU) despite high-dose corticosteroid therapy; including effect on ocular inflammation, health-related quality of life, health resource utilization, work ability and medication burden, as well as describe the characteristics of NIIPPU participants treated with Humira® in the real-life setting.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
155
Inclusion Criteria
  • Participants voluntarily signed a patient authorization form to use and disclose personal health information (or informed consent, where applicable).

  • Age >= 18 years at the time of the enrollment.

  • Diagnosis of active NIIPP uveitis as defined by the presence of at least 1 of the following parameters:

    1. Active, inflammatory, chorioretinal and/or inflammatory retinal vascular lesion
    2. >= 2+ anterior chamber cells [Standardization of Uveitis Nomenclature (SUN) criteria]
    3. >= 2+ vitreous haze [National Eye Institute (NEI)/SUN criteria]
  • Humira® treatment is indicated as per local Summary of Product Characteristics (SmPC) and professional and/or reimbursement guidelines.

  • Decision on the treatment with Humira® was made prior to any decision to approach the patient to participate in this study.

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Exclusion Criteria
  • Participants who cannot be treated with Humira® according to the local Humira® SmPC and/or local professional and reimbursement guidelines.
  • Prior treatment with Humira®, including current course of Humira® started prior to baseline visit assessments.
  • Participants currently participating in other clinical research.
  • Participants who are unwilling or unable to complete the quality of life and other patient reported questionnaires.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of participants who achieve treatment response at any of the follow-up visitsUp to Month 12

Definition of response: "quiescence" defined as patients with no new active chorioretinal inflammatory lesions and having anterior chamber (AC) cell and vitreous haze (VH) grade of \<=0.5+ in both eyes.

Secondary Outcome Measures
NameTimeMethod
Percent change in PresenteeismUp to Month 12

Assessing percent change in presenteeism

Proportion of participants with maintained response at any of follow up visitsUp to Month 12

Maintained response is defined as quiescence achieved at respective prior visit and no flare at current visit.

Proportion of participants with maintained response separately for each follow-up visitUp to Month 12

Maintained response is defined as quiescence achieved at respective prior visit and no flare at current visit.

Percent Change in Total activity impairmentUp to Month 12

Assessing Percent Change in Total activity impairment

Change in emergency room admissionsFrom 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

Assessing change in emergency room admissions

Change in cumulative hospital admissionsFrom 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

Assessing change in cumulative hospital admissions

Change in hospitalization days prior to and during Humira® treatmentFrom 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

Assessing change in hospitalization days prior to and during Humira® treatment

Change from baseline in Best corrected visual acuity (BCVA)From Month 1 to Month 12

Assessing change from baseline in Best corrected visual acuity (BCVA)

Change from baseline in Central Retinal Thickness (CRT)From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

Assessing change from baseline in Central Retinal Thickness (CRT)

Percent change in AbsenteeismUp to Month 12

Assessing percent change in absenteeism

Percent Change in Total work productivity impairmentUp to Month 12

Assessing Percent Change in Total work productivity impairment

Change from baseline in intraocular pressureFrom Month 1 to Month 12

Assessing change from baseline in intraocular pressure

Changes in total score of Work Productivity & Activity Impairment (WPAI)-UV scoreFrom Month 1 to Month 12

Assessing changes in total score of WPAI-UV score

Proportion of participants with flare at any of follow up visitUp to Month 12

Flare is defined as new active inflammatory lesions or AC cell grade of \>=2+ or VH grade of \>=2+ at least in one eye.

Change in outpatient visitsFrom 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

Assessing change in outpatient visits

Proportion of participants with treatment response separately for each follow-up visitUp to Month 12

Response is defined as participants with no new active inflammatory lesions and having anterior chamber (AC) cell and vitreous haze (VH) grade of \<=0.5+ in both eyes.

Trial Locations

Locations (28)

Medizinische Universität Graz /ID# 206301

🇦🇹

Graz, Steiermark, Austria

Medical University of Vienna /ID# 206190

🇦🇹

Vienna, Wien, Austria

Clinica Oftalmologica del Caribe /ID# 206448

🇨🇴

Barranquilla, Atlantico, Colombia

Fundacion hospitalaria San Vicente de Paul /ID# 208295

🇨🇴

Medellín, Colombia

Rabin Medical Center /ID# 163108

🇮🇱

Petakh Tikva, Tel-Aviv, Israel

Charite Campus Virchow-Klinikum /ID# 204879

🇩🇪

Berlin, Germany

Universitätsklinikum Hamburg-Eppendorf /ID# 205234

🇩🇪

Hamburg, Germany

St. Franziskus Hosp Muenster /ID# 206695

🇩🇪

Munster, Germany

Omma /Id# 163750

🇬🇷

Athens, Greece

University General Hospital of Ioannina /ID# 163752

🇬🇷

Ioannina, Greece

Interbalkan Medical Center /ID# 163753

🇬🇷

Thessaloniki, Greece

Semmelweis Egyetem /ID# 163647

🇭🇺

Budapest, Hungary

Sheba Medical Center /ID# 163109

🇮🇱

Ramat Gan, Israel

American University of Beirut /ID# 210122

🇱🇧

Beirut, Lebanon

Stadtspital Triemli /ID# 206204

🇨🇭

Zurich, Zuerich, Switzerland

Inselspital, Universitaetsklinik /ID# 201027

🇨🇭

Bern, Switzerland

Hop Ophtalmique Jules Gonin /ID# 201028

🇨🇭

Lausanne, Switzerland

Cleveland Clinic Abu Dhabi /ID# 210123

🇦🇪

Abu Dhabi, United Arab Emirates

Royal Victoria Eye and Ear Hos /ID# 163653

🇮🇪

Dublin, Ireland

Barzilai Medical Center /ID# 163025

🇮🇱

Ashkelon, Israel

Foscal /Id# 207362

🇨🇴

Bucaramanga, Colombia

Vseobecna Fakultni Nemocnice /ID# 209530

🇨🇿

Prague, Czechia

Athens Eye Hospital /ID# 163751

🇬🇷

Athens, Greece

Szegedi Tudomanyegyetem /ID# 163646

🇭🇺

Szeged, Hungary

Tel Aviv Sourasky Medical Ctr /ID# 163024

🇮🇱

Tel Aviv-Yafo, Tel-Aviv, Israel

Hadassah Medical Center /ID# 169305

🇮🇱

Jerusalem, Yerushalayim, Israel

Bnai Zion Medical Center /ID# 163026

🇮🇱

Haifa, Israel

Albahar Ophtalmology Center /ID# 210124

🇰🇼

Kuwait, Kuwait

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