Unique ID issued by UMIN | UMIN000036954 |
---|---|
Receipt number | R000039362 |
Scientific Title | A Retrospective Study Evaluating Cost-effectiveness of Leukocytapheresis and Anti-human TNF-alpha Monoclonal Antibody for Ulcerative Colitis. |
Date of disclosure of the study information | 2019/06/04 |
Last modified on | 2019/06/04 15:28:42 |
A Retrospective Study Evaluating Cost-effectiveness of Leukocytapheresis and Anti-human TNF-alpha Monoclonal Antibody for Ulcerative Colitis.
A Retrospective Study Evaluating Cost-effectiveness of Leukocytapheresis and Anti-human TNF-alpha Monoclonal Antibody for Ulcerative Colitis.
A Retrospective Study Evaluating Cost-effectiveness of Leukocytapheresis and Anti-human TNF-alpha Monoclonal Antibody for Ulcerative Colitis.
A Retrospective Study Evaluating Cost-effectiveness of Leukocytapheresis and Anti-human TNF-alpha Monoclonal Antibody for Ulcerative Colitis.
Japan |
Ulcerative colitis
Gastroenterology |
Others
NO
Although leukocytapheresis (LCAP) and anti-TNF-alpha monoclonal antibody (biological preparation; BP) have been used commonly for refractory cases of ulcerative colitis (UC), it has not been determined hitherto whether these therapeutic tools have similar beneficial impact on the disease activity. Furthermore, the costs accompanying the treatment with these two modalities have not been compared. We therefore evaluated retrospectively the cost-effectiveness as well as the adverse events entailing the treatment with LCAP and BP.
Others
Cost-effectiveness
Exploratory
Pragmatic
Not applicable
Rachmilewitz Clinical Activity Index (CAI) calculated by white blood cell counts, anemia, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), as well as physical manifestations (e.g., bloody stool, abdominal cramps and fever) during the 12 months of the study period and the expense pertaining to the treatment over 12 months was calculated based on the costs for conventional drugs (e.g., mesalazine, prednisolone, azathiopurine), BP (infliximab, adalimumab) and apheresis devices (i.e., Cellsorba Ex).
Adverse events during the treatment period.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
We enrolled patients who had been diagnosed as UC in Tokyo Bay Urayasu Ichikawa Medical Center between April 2013 and December 2018. Endoscopic and histological diagnosis of UC was made in all patients. These patients had Rachmilewitz Clinical Activity Index (CAI) 5 or greater and most of the patients had been treated with conventional therapies, including mesalazine and corticosteroids. These patients were then treated with either LCAP or BP.
We excluded indeterminate colitis.
12
1st name | Toshihiko |
Middle name | |
Last name | Suzuki |
Tokyo Bay Urayasu Ichikawa Medical Center
Department of Nephrology, Endocrinology and Diabetology
2790001
3-4-32, Todaijima, Urayasu, Chiba
+81-47-351-3101
suzutoshibay@gmail.com
1st name | Masahiro |
Middle name | |
Last name | Sakai |
Tokyo Bay Urayasu Ichikawa Medical Center
Department of Nephrology, Endocrinology and Diabetology
2790001
3-4-32, Todaijima, Urayasu, Chiba
+81-47-351-3101
masahirosa@jadecom.jp
Department of Nephrology, Endocrinology and Diabetology, Tokyo Bay Urayasu Ichikawa Medical Center
None
Other
Tokyo Bay Urayasu Ichikawa Medical Center
3-4-32, Todaijima, Urayasu, Chiba
+81-47-351-3101
masahirosa@jadecom.jp
NO
東京ベイ・浦安市川医療センター
2019 | Year | 06 | Month | 04 | Day |
Unpublished
12
Completed
2018 | Year | 10 | Month | 01 | Day |
2018 | Year | 11 | Month | 14 | Day |
2018 | Year | 11 | Month | 15 | Day |
2019 | Year | 03 | Month | 31 | Day |
Retrospective study
2019 | Year | 06 | Month | 04 | Day |
2019 | Year | 06 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039362