Impact of Anti-Tnf, Vedolizumab and Tofacitinib on Aortic Stiffness, Carotid Intima-Media Thickness and Cardiovascular Risk of Patients with Ulcerative Colitis

2024-517314-15-00 Protocol PI2020_843_0114 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol PI2020_843_0114

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 1

ulcerative colitis

To compare the CIMT after 3 months of therapy in ulcerative colitis in patients treated by anti-TNF, vedolizumab, and tofacitinib

Key facts

Sponsor
Centre Hospitalier Universitaire Amiens Picardie
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Decision date (initial)
2024-09-10
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
pfizer

External identifiers

EU CT number
2024-517314-15-00
EudraCT number
2020-004391-18

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Therapy

To compare the CIMT after 3 months of therapy in ulcerative colitis in patients treated by anti-TNF, vedolizumab, and tofacitinib

Secondary objectives 7

  1. To compare the arterial stiffness after 3 months of therapy in UC in patients treated by anti-TNF, vedolizumab, and tofacitinib.
  2. To compare the CIMT and arterial stiffness after 12 months of therapy in UC, and the evolution of them, in patients treated by anti-TNF, vedolizumab, and tofacitinib.
  3. To compared the biomarkers of endothelial dysfunction and coagulation parameters at baseline and at 3 and 12 months and in patients responders and non-responders in patients treated by anti-TNF, vedolizumab, and tofacitinib.
  4. To compared the coagulation parameters at baseline and at 3 and 12 months and in patients responders and nonresponders to biologics in patients treated by anti-TNF, vedolizumab, and tofacitinib.
  5. To compared the levels of neutrophil extracellular traps (NETs) at baseline and at 3 and 12 months and in patients responders and non-responders in patients treated by antiTNF, vedolizumab, and tofacitinib.
  6. To compare the Framingham score, the 10-year atherosclerotic CV disease risk (ASCVD) indices and the SCORE at baseline and at 3 and 12 months in patients responders and non responders to UC therapy
  7. To compared the lipids levels at baseline and at 3 and 12 months and in patients responders and non-responders to UC therapy

Conditions and MedDRA coding

ulcerative colitis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Ulcerative colitis evolving for at least 6 months
  2. Patient older than 18 years
  3. Initiating a treatment by infliximab, adalimumab, golimumab, vedolizumab or tofacitinib
  4. Patient covered by French national health insurance
  5. Written informed consent

Exclusion criteria 6

  1. Patients with anti-hypertensive, antiplatelet or lipid-lowering drugs without stable dosage within the 3 months before the study and over the study period.
  2. Patients with a cardiovascular event such as myocardial infarction and stroke
  3. Diabetic patient
  4. Pregnant women or breastfeeding
  5. Minor
  6. Patient deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Carotid intima media thickness (CIMT)

Secondary endpoints 7

  1. Aortic pulse wave velocity (aPWV) / arterial stiffness
  2. Augmentation index (AIx)
  3. Framingham score, the 10-year atherosclerotic CV disease risk (ASCVD) indices (reflect of the cardiovascular risk) and the SCORE score
  4. Ulcerative colitis activity score /Mayo Score
  5. Lipids parameters (HDL, LDL, TC, TG)
  6. Arterial tension and systolic pressure index
  7. Endothelial function / Coagulation parameters

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 5

Entyvio 300 mg powder for concentrate for solution for infusion

PRD1598541 · Product

Active substance
Vedolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
300 mg milligram(s)
Max total dose
3600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L04AG05 — -
Marketing authorisation
EU/1/14/923/001
MA holder
TAKEDA PHARMA A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

XELJANZ 5 mg film-coated tablets

PRD4862227 · Product

Active substance
Tofacitinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
20 mg milligram(s)
Max total dose
2240 mg milligram(s)
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
L04AA29 — -
Marketing authorisation
EU/1/17/1178/002
MA holder
PFIZER EUROPE MA EEIG
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Inflectra 100 mg powder for concentrate for solution for infusion

PRD6483369 · Product

Active substance
Infliximab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
5 mg/kg milligram(s)/kilogram
Max total dose
5 mg/kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L04AB02 — -
Marketing authorisation
EU/1/13/854/001
MA holder
PFIZER EUROPE MA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Simponi 45 mg/0.45 mL solution for injection in pre-filled pen.

PRD7075278 · Product

Active substance
Golimumab
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
INTRAVENOUS
Max daily dose
40 mg milligram(s)
Max total dose
1400 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L04AB06 — -
Marketing authorisation
EU/1/09/546/009
MA holder
JANSSEN BIOLOGICS B.V.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

AMGEVITA 40 mg solution for injection in pre-filled syringe

PRD11345143 · Product

Active substance
Adalimumab
Substance synonyms
ABP 501, BI 695501, MSB11022
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
40 mg milligram(s)
Max total dose
2080 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L04AB04 — -
Marketing authorisation
EU/1/12/1164/011
MA holder
AMGEN EUROPE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire Amiens Picardie

Sponsor organisation
Centre Hospitalier Universitaire Amiens Picardie
Address
1 Rond Point Du Pr Christian Cabrol
City
Amiens Cedex 1
Postcode
80054
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
FUMERY MATHURIN

Public contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
GUENEBEM KOSSI Fulvia

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 100 1
Rest of world 0

Investigational sites

France

1 site · Authorised, recruitment pending
Centre Hospitalier Universitaire Amiens Picardie
HEPATO-GASTROLOGY, 1 Rond Point Du Pr Christian Cabrol, 80054, Amiens Cedex 1

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_PROTOCOLE_2024-517314-15-00 2
Recruitment arrangements (for publication) NA 1
Subject information and informed consent form (for publication) L1-SIS_and_ICF_PATIENT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC vedolizumab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_ golimumab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_ Infliximab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Adalimumab 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_tofacitinib 1
Synopsis of the protocol (for publication) D1_PROTOCOLE__SYNOPSIS_FR_2024-517314-15-00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-19 France Acceptable
2024-09-07
2024-09-10