Status: Ongoing
First registered on:
10/10/2016
Last updated on:
18/06/2020
1. Study identification
EU PAS Register NumberEUPAS15752
Official titleA Post-Authorization Safety Study of Golimumab in Ulcerative Colitis Using the Spanish ENEIDA Registry
Study title acronym
Study typeObservational study
Brief description of the studyUlcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) of unknown etiology that may be associated with severe symptoms and impaired quality of life. UC may affect all ages and medical treatment depends on disease severity and extent. In the case of intractable disease, colectomy may be indicated. Patients with UC are at increased risk of developing colorectal cancer (CRC) and dysplasia compared to the general population.
Simponi (golimumab; GLM) received European marketing authorization for treatment of moderately to severely active ulcerative colitis on 19-Sep-2013.
This long-term, non-interventional observational study will use data from ENEIDA, a large prospectively maintained registry of patients with IBD in Spain to evaluate whether the use of GLM is associated with a risk of colectomy for intractable disease, advanced neoplasia (colorectal cancer or high grade dysplasia), and Hepatosplenic T-Cell Lymphoma (HSTCL) in patients with UC as compared with alternative therapies for similar severity of disease. It will use a new user bi-directional cohort design with the option for a nested case-control (NCC) analysis. The cohort study will use data that are primarily collected for the Spanish ENEIDA IBD registry, and the NCC analysis will also use data from retrospective review of selected medical charts.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsRTI-HS
Department/Research groupPharmacoepidemiology & Risk Management
Organisation/affiliationRTI Health Solutions
Details of (Primary) lead investigator
Title Dr
Last name Fortuny
First name Joan
Is this study being carried out with the collaboration of a research network?
Yes
Grupo Español Trabajo en Enfermedad de Crohn y Colitis Ulcerosa (GETECCU)
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?30
Countries in which this study is being conducted
National study
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed29/02/201629/02/2016
Start date of data collection20/09/201620/09/2016
Start date of data analysis31/10/2022
Date of interim report, if expected
Date of final study report31/03/2023
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMerck Sharp & Dohme Corporation100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Fortuny
First name Joan
Address line 1Av. Diagonal 605, 9-1
Address line 2
Address line 3
CityBarcelona
Postcode08028
CountrySpain
Phone number (incl. country code)34933622814
Alternative phone number
Fax number (incl. country code)34937608507
Public Enquiries
Title Dr
Last name Fortuny
First name Joan
Address line 1Av. Diagonal 605, 9-1
Address line 2
Address line 3
CityBarcelona
Postcode08028
CountrySpain
Phone number (incl. country code)34933622814
Alternative phone number
Fax number (incl. country code)34937608507
6. Study drug(s) information
Substance class (ATC Code)L04AB06 (golimumab)
7. Medical conditions to be studied
Medical condition(s)Yes
Colitis ulcerative
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects3200
Additional information
Data in the ENEIDA registry come from a network of more than 50 academic and community gastroenterology practices across Spain that have an interest in IBD. Its census of patients with UC is approximately 19,000.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
ENEIDA, Spain
Sources of data
Prospective patient-based data collection
Disease/case registry
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
This study seeks to evaluate whether the use of GLM is associated with a risk of colectomy for intractable disease, advanced neoplasia (colorectal cancer or high grade dysplasia), and HSTCL in patients with UC as compared with alternative therapies for similar severity of disease. No a priori hypotheses will be evaluated.
Are there primary outcomes?Yes
Colectomy due to intractable disease and Composite advanced colonic neoplasia (Colorectal cancer or High-grade colorectal dysplasia)
Are there secondary outcomes?Yes
Colorectal Cancer and Hepatosplenic T-cell Lymphoma
13. Study design
What is the design of the study?
Cohort study
Case-control study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Patients will be selected into the study population if they initiate therapy with GLM, an anti-TNF agent other than GLM, or thiopurine starting 19 September 2013 through 18 September 2021. Follow-up will continue through 31 December 2021. Follow-up duration for the study population is thus expected to range from 2 months to 8 years, depending on the date of cohort entry.
15. Data analysis plan
Please provide a brief summary of the analysis method
All analyses will be conducted based on automated registry data, except for the nested-case control analysis. Baseline analyses will describe each cohort by patient characteristics. For each inception cohort, annual enrolment will be described, along with the frequency of study outcomes and cumulative person-years of follow-up accrued. The incidence rate of primary and secondary outcomes will be estimated for each inception cohort. The cumulative incidence of primary and secondary outcomes will be estimated using time-to-event analyses, overall by inception cohorts and then in stratified analyses. Stratification factors will be evaluated one at a time and will include gender, time since initial UC diagnosis, history of primary sclerosing cholangitis, UC hospitalization, and previous use of systemic steroids. Separate nested case-control analyses are planned to evaluate the association between study exposures and the two primary outcomes, colectomy for intractable disease and ACN.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
