Actively Recruiting

Phase 4
Age: 18Years - 75Years
All Genders
NCT04183608

A Trial COmparing staNdard of Care Versus Treat to Target With telemonitoRing and Patient Education in Patients With Ulcerative cOlitis Initiating Adalimumab

Led by Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives · Updated on 2023-05-31

238

Participants Needed

24

Research Sites

432 weeks

Total Duration

On this page

Sponsors

G

Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives

Lead Sponsor

A

AbbVie

Collaborating Sponsor

AI-Summary

What this Trial Is About

PHASE: IV DESCRIPTIVE: Randomized, interventional, open label multicenter trial POPULATION: Moderate to severe ulcerative colitis STUDY TREATMENTS: Patients will all receive Adalimumab 160/80/40mg EOW until V1 (W14) followed by 40mg EOW until V2 (W26) and could be optimized up to 80mg EOW (or 40 EW according to patient and/or investigator preference) for two months and then could be optimized up to 80mg EOW (or 40 EW according to patient and/or investigator preference) and azathioprine (2.0/2.5 mg/kg/ day) or methotrexate (25 mg EW) until V3 (W 38). OBJECTIVES: To assess the impact of a treat to target treatment follow up by e-Monitoring and fecal calprotectin dosing at home associated to an appropriate patient education versus standard treatment follow up at W48 in patients requiring a treatment with adalimumab (Humira®).

CONDITIONS

Official Title

A Trial COmparing staNdard of Care Versus Treat to Target With telemonitoRing and Patient Education in Patients With Ulcerative cOlitis Initiating Adalimumab

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults with moderately-to-severely active ulcerative colitis who had an inadequate response or intolerance to steroids, thiopurines, methotrexate, or vedolizumab, or no response to an adequate steroid course
  • Age 18 years and older but less than 75 years
  • Patients scheduled to start treatment with adalimumab
  • Nafive to anti-TNF therapy and other biologics effective for ulcerative colitis except vedolizumab
  • Nafive to JAK inhibitors
  • Moderately-to-severely active ulcerative colitis for at least 3 months with a Mayo score of 6-12 and endoscopy subscore of at least 2
  • Established diagnosis of ulcerative colitis for at least 3 months
  • Current treatment with oral 5-ASA unless contraindicated
  • Stopped azathioprine, 6-mercaptopurine, or methotrexate two weeks before inclusion
  • Use of contraception for females with childbearing potential throughout the trial
  • Familiar with smartphone and internet use
Not Eligible

You will not qualify if you...

  • Unable to give consent due to physical or mental condition
  • No written consent provided
  • Pregnancy or breastfeeding
  • Severe acute colitis or imminent risk of colectomy
  • History of colectomy
  • History of colonic mucosal dysplasia or unresected adenomatous polyps
  • Positive stool test for enteric pathogens or Clostridium difficile toxin
  • Use of oral corticosteroids over 40 mg prednisone (or equivalent) daily at inclusion
  • Use of cyclosporine, tacrolimus, anti-TNF therapy, other biologics (except vedolizumab), JAK inhibitors, or investigational agents within 5 half-lives before trial start
  • Contraindications to anti-TNF therapy including active infection, untreated latent tuberculosis, severe heart failure, recent malignancy, demyelinating neurological disease, or recent live vaccines
  • Dominant arm deficiency or physical impairment affecting test performance
  • Use of prohibited medications
  • Participation in another trial or follow-up from another trial

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 24 locations

1

Centre hospitalier de Cholet

Cholet, Maine Et Loire, France, 49300

Active, Not Recruiting

2

CHU Amiens- Picardie (site Sud)

Amiens, France, 80054

Actively Recruiting

3

CHRU de Besançon - Hôpital Jean Minjoz

Besançon, France, 25030

Active, Not Recruiting

4

CHU Caen Hôpital Côte de Nacre

Caen, France, 14033

Withdrawn

5

CHU Estaing

Clermont-Ferrand, France, 63003

Actively Recruiting

6

APHP - Hôpital Beaujon

Clichy, France, 92110

Actively Recruiting

7

CH Colmar - Hôpital Pasteur

Colmar, France, 68024

Active, Not Recruiting

8

Centre hospitalier de Douai

Douai, France, 59507

Terminated

9

CHRU Lille Hôpital Claude Huriez

Lille, France, 59037

Actively Recruiting

10

APHM - Hôpital Nord

Marseille, France, 13915

Actively Recruiting

11

GHI Le Raincy-Montfermeil

Montfermeil, France, 93370

Actively Recruiting

12

CHU Montpellier - Hôpital Saint Eloi

Montpellier, France, 34295

Actively Recruiting

13

CHU Nantes - Hôpital Hotel Dieu

Nantes, France, 44093

Actively Recruiting

14

CHU Nice- Hopital l'Archet

Nice, France, 62002

Actively Recruiting

15

CHU Nîmes - Hôpital Universitaire Caremeau

Nîmes, France, 30029

Actively Recruiting

16

CHU Bordeaux - Hôpital Haut Lévêque

Pessac, France, 33604

Actively Recruiting

17

CHU Lyon Sud

Pierre-Bénite, France, 69495

Actively Recruiting

18

CHU Rennes Hôpital Pontchaillou

Rennes, France, 35033

Actively Recruiting

19

CH Saint Etienne Hopital Nord

Saint-Priest-en-Jarez, France, 42270

Not Yet Recruiting

20

CH Toulon - CHITS CH Sainte Musse

Toulon, France, 83056

Withdrawn

21

CHU Toulouse - Hôpital Rangueil

Toulouse, France, 31403

Actively Recruiting

22

CH Tourcoing - Hôpital Gustave Dron

Tourcoing, France, 59200

Not Yet Recruiting

23

CHU Nancy - Hôpital de Brabois

Vandœuvre-lès-Nancy, France, 54500

Actively Recruiting

24

APHP - Hôpital du Kremlin-Bicêtre

Le Kremlin-Bicêtre, Île-de-France Region, France, 94275

Actively Recruiting

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Research Team

X

Xavier Hebuterne, MD PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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A Trial COmparing staNdard of Care Versus Treat to Target With telemonitoRing and Patient Education in Patients With Ulcerative cOlitis Initiating Adalimumab | DecenTrialz