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Trial · NCT03532932

A Study to Evaluate Disease Control and Treatment Pattern in Participants With Moderate to Severe Inflammatory Bowel Disease (IBD) in Real Life Practice

NCT03532932, Completed, Takeda; results first posted 2024-03-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate Disease Control and Treatment Pattern in Participants With Moderate to Severe Inflammatory Bowel Disease (IBD) in Real Life Practice. Trials, record NCT03532932. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03532932

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate Disease Control and Treatment Pattern in Participants With Moderate to Severe Inflammatory Bowel Disease (IBD) in Real Life Practice
NCT number
NCT03532932
Status
Completed
Enrollment
1,990 participants, actual
Lead sponsor
Takeda
Conditions
Colitis, Ulcerative, Crohn Disease, Inflammatory Bowel Diseases
First posted
2018-05-22
Last updated
2024-03-29
Results first posted
2024-03-29

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
Treatment pattern with biologics agents or non-biological therapy included unique treatments combinations, Like\>5-ASA1(Start with 5-ASA:5-ASA→Systemic biologics \[SB\] +/- STER+/-standard therapy\[ST\]),\>5ASA2(without \[w/o\] STER),\>5ASA3(5-ASA→STER+/-ST),\>5ASA4(5-ASA→IS),\>5ASA 5(5-ASA→5-ASA+/-IS),\>5ASA6(5-ASA→ NOTR),\>5ASA7(5-ASA),\>NOTR1(NOTR→Biologics \[BIO\]+/-ST+/-STER),\>NOTR 2(TR→ST+/-STER),\>NOTR 3(NOTR),\>IS1(IS→SB+STER+/-ST),\>IS2(IS→SB+ST w/o STER),\>IS 3(IS→STER+/-ST),\>IS4(IS→5-ASA),\>IS5(IS→NOTR),\>IS6(IS→5-ASA+IS),\>IS7(IS mono),\>IS+5ASA1(IS+5-ASA→SB +/-ST),\>IS+5ASA2(IS+5-ASA→SB ±ST w/o STER),\>IS+5ASA3(IS+5-ASA→STER+/-ST),\>IS+5ASA4(IS+5-ASA→NOTR),\>IS+5ASA5(IS+5-ASA→IS),\>IS+5ASA6(IS+5-ASA→5-ASA),\>IS+5ASA7(IS+5-ASA),\>BIO1(SB+/-STER+/-ST→withdrawal \[w/d\] of SB+ST+/-STER),\>BIO2(SB+/-STER+/-ST),\>BIO3(SB+/-STER+/-ST→NOTR),\>BIO4(SB+/-STER+/-ST→SB mono),\>STER1(STER+/-ST→w/d of STER+SB+/-ST),\>STER2(STER+/-ST→w/d of STER+ST),\>STER3(STER+/-ST→SB+STER+/-ST),\>STER4(STER+/-ST→NOTR),\>STER5(STER+/-ST).
SecondaryNumber of Participants Stratified by Location of DiseaseWithin 1 year prior to Baseline (Visit 1)
SecondaryNumber of Participants Stratified by Disease SeverityAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective period
Disease Severity was defined using Harvey-Bradshaw Index (HBI) and mayo index. HBI is validated clinical index for evaluation of CD disease severity, including the 5 categories: general well-being, abdominal pain, number of liquid stools, abdominal mass and complications. The score ranges from 0 to 25, where score less than (\<) 5 was remission, score 5-7 was mild activity, score 8-16 was moderate, and score \>16 was severe. Mayo index was used for evaluation of UC disease severity. Mayo index is an instrument consisting of 4 categories of: stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment, each sub score graded from 0 to 3. The score ranges from 0 to 12, where score \<2 was remission, score 3-5 was mild, score 6-10 was moderate, and score \>10 was severe.
SecondaryNumber of Participants Based on Usage of Methods for Documentation of Disease Activity in Routine PracticeFrom Baseline Visit (Day 1) up to 12 months
Disease activity assessment was performed using following methods- biomarkers, endoscopy, biopsy, X-ray, magnetic resonance imaging (MRI) and ultrasound examination. Number of participants whose disease activity was evaluated using the respective methods were reported.
SecondaryNumber of Assessments Using Different Methods in Participants With UC and CD Disease ActivityFrom Baseline Visit (Day 1) up to 12 months
Disease activity assessment was performed using following methods- biomarkers, endoscopy, biopsy, X-ray, MRI and ultrasound examination. Biomarkers was based on evaluation of C-reactive protein (CRP) and/or fecal calprotectin levels. Endoscopy included colonoscopy/rectoromanoscopy/sigmoidoscopy and/or video capsule endoscopy and/or esophagogastroduodenoscopy (in the presence or suspicion of the presence of lesions of the upper gastrointestinal tract in Crohn's disease), X-ray was used for examination of the intestine to exclude stricturing and other lesions, MRI was used for examination of the intestine to exclude stricturing and other lesions using MRI and ultrasound for examination of the intestine to exclude stricturing and other lesions. Number of assessments using different methods in participants with UC and CD disease activity was summarized for specified methods and reported in terms of mean and standard deviation.
SecondaryUC Participants: Percentage of Participants Who Achieved Combined Clinical and Endoscopic Remission Based on Mayo IndexAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective period
The full Mayo index is an instrument to measure disease activity of UC. It consists of 4 parameters: stool frequency, rectal bleeding, endoscopic evaluation, and Physician's global assessment. Each parameter of the score ranged from 0 (normal or inactive disease) to 3 (severe activity). The score ranged from 0 to 12, where score \<2 was remission, score 3-5 was mild activity, score 6-10 was moderate activity, and score \>10 was severe activity. Higher scores indicating higher disease activity.
SecondaryCD Participants: Percentage of Participants Who Achieved Clinical Remission Based on HBIAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective period
HBI was used for evaluation of CD remission. It is a validated clinical index for CD, including the 5 categories of: general well-being, abdominal pain, number of liquid stools, abdominal mass and complications. The score ranges from 0 to 25, where score \<5 was remission, score 5-7 was mild activity, score 8-16 was moderate activity, and score \>16 was severe activity. Higher scores indicating higher disease activity.
SecondaryNumber of Participants With at Least One Episode of Failure of Biological or Non-biological TherapyFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
SecondaryNumber of Participants Who Needed Treatment Adjustments Based on Disease Activity AssessmentFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
SecondaryPercentage of Participants Stratified by Achieving the Treatment GoalsFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
Treat to target (T2T) approach was used for assessment of treatment goals. A "Treat to target" approach for UC included clinical remission (defined as resolution of rectal bleeding and diarrhea/altered bowel habit) and endoscopic remission (defined as Mayo endoscopic subscore of 0-1). Biomarker remission (normal C-reactive protein \[CRP\] and calprotectin) was considered as an adjunctive target. Histological remission was considered as an adjunctive goal. Clinical remission for CD was defined as resolution of abdominal pain and diarrhea/altered bowel habit. Endoscopic remission for CD was defined as resolution of ulceration at ileocolonoscopy or resolution of findings of inflammation on cross-sectional imaging in participants who cannot be adequately assessed with ileocolonoscopy. Biomarker remission (normal CRP and faecal calprotectin) was considered as an adjunctive target.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)FAS included those participants who signed the informed consent form and were analyzed in the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Stratified by Location of DiseaseWithin 1 year prior to Baseline (Visit 1)
FAS included those participants who signed the informed consent form and were analyzed in the study. Here, overall number of participants analyzed signified participants who were evaluable for this outcome measure.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Stratified by Disease SeverityAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective period
FAS included those participants who signed the informed consent form and were analyzed in the study. Here, overall number of participants analyzed signified participants who were evaluable for this outcome measure and number analyzed signifies participants who were evaluable at specified visits.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Based on Usage of Methods for Documentation of Disease Activity in Routine PracticeFrom Baseline Visit (Day 1) up to 12 monthsFAS included those participants who signed the informed consent form and were analyzed in the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Assessments Using Different Methods in Participants With UC and CD Disease ActivityFrom Baseline Visit (Day 1) up to 12 monthsFAS included those participants who signed the informed consent form and were analyzed in the study.assessmentsMEAN
SECONDARYUC Participants: Percentage of Participants Who Achieved Combined Clinical and Endoscopic Remission Based on Mayo IndexAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective periodFAS included those participants who signed the informed consent form and were analyzed in the study.percentage of participantsNUMBER
SECONDARYCD Participants: Percentage of Participants Who Achieved Clinical Remission Based on HBIAt Visit 1 (Baseline), Visit 2 (6 months), Visit 3 (12 months) of prospective periodFAS included those participants who signed the informed consent form and were analyzed in the study.percentage of participantsNUMBER
SECONDARYNumber of Participants With at Least One Episode of Failure of Biological or Non-biological TherapyFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)FAS included those participants who signed the informed consent form and were analyzed in the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Needed Treatment Adjustments Based on Disease Activity AssessmentFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
FAS included those participants who signed the informed consent form and were analyzed in the study. Here, overall number of participants analyzed signified participants who were evaluable for this outcome measure.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants Stratified by Achieving the Treatment GoalsFrom 2 years before enrollment up to Month 12 after enrollment (up to 3 years)
FAS included those participants who signed the informed consent form and were analyzed in the study. Here, overall number of participants analyzed signified participants who were evaluable for this outcome measure and number analyzed signifies participants who were evaluable for given categories.
percentage of participantsNUMBER

Results by group214

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDUC ParticipantsGreater than (>) 5-aminosalicylic acid (5ASA) 133Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDCD ParticipantsGreater than (>) 5-aminosalicylic acid (5ASA) 116Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDUC Participants>5ASA 238Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDCD Participants>5ASA 214Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDUC Participants> 5ASA 3192Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDCD Participants> 5ASA 330Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDUC Participants>5ASA 49Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDCD Participants>5ASA 45Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDUC Participants>5ASA 546Participants
Number of Participants Stratified by Treatment Patterns Associated With Biologics Agents Use or Non-biological Therapy in Participants With Moderate to Severe UC and CDCD Participants>5ASA 57Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDUC Participants1,214
Overall StudySTARTEDCD Participants687
Overall StudyCOMPLETEDUC Participants1,140
Overall StudyCOMPLETEDCD Participants615
Overall StudyNOT COMPLETEDUC Participants74
Overall StudyNOT COMPLETEDCD Participants72

Adverse events194

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLeukopeniaBlood and lymphatic system disordersUC Participants71,214
otherLeukopeniaBlood and lymphatic system disordersCD Participants5687
otherBicytopeniaBlood and lymphatic system disordersUC Participants11,214
otherBicytopeniaBlood and lymphatic system disordersCD Participants0687
otherGilbert's syndromeCongenital, familial and genetic disordersUC Participants11,214
otherGilbert's syndromeCongenital, familial and genetic disordersCD Participants0687
otherAbdominal painGastrointestinal disordersUC Participants11,214
otherAbdominal painGastrointestinal disordersCD Participants0687
otherColitis ulcerativeGastrointestinal disordersUC Participants41,214
otherColitis ulcerativeGastrointestinal disordersCD Participants0687

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityUC Participants31,214
Total, all-cause mortalityCD Participants5687
Total, other adverse eventsUC Participants481,214
Total, other adverse eventsCD Participants31687
Total, serious adverse eventsUC Participants1461,214
Total, serious adverse eventsCD Participants84687

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
UC Participants vs CD Participants: Number of Participants With at Least One Episode of Failure of Biological or Non-biological TherapyTrial comparisons
UC Participants vs CD Participants: deaths from any causeTrial comparisons
UC Participants vs CD Participants: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03532932

GET https://conductscience.org/api/trials/v1/NCT03532932/results?page=2