UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055475
Receipt number R000063372
Scientific Title Multicenter Registry Study on the Efficacy and Safety of Anti-IL-23p19 Antibodies for Ulcerative Colitis
Date of disclosure of the study information 2024/09/11
Last modified on 2024/09/10 21:50:15

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Basic information

Public title

Multicenter Registry Study on the Efficacy and Safety of Anti-IL-23p19 Antibodies for Ulcerative Colitis

Acronym

QUALT19 Registry

Scientific Title

Multicenter Registry Study on the Efficacy and Safety of Anti-IL-23p19 Antibodies for Ulcerative Colitis

Scientific Title:Acronym

QUALT19 Registry

Region

Japan


Condition

Condition

Ulcerative Colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Ulcerative colitis (UC), a subset of inflammatory bowel disease (IBD), is characterized by chronic recurrent intestinal inflammation. UC is thought to develop as a result of interactions between genetic susceptibility and environmental factors. Once diagnosed, long-term management of disease activity through continuous medical treatment is crucial.
While treatment guidelines for UC have been established by the Intractable Intestinal Disorder Research Group in Japan, clinicians often face challenges in drug selection. The recent introduction of various biological agents and small molecule compounds has further complicated this process. Given the high cost of these medications, appropriate patient selection is imperative from a health economics perspective. Randomized controlled trials and meta-analyses have reported on the efficacy of biologics and small molecule compounds for IBD, as well as predictors of treatment response. However, these studies often involve patients with specific clinical profiles, potentially leading to discrepancies between trial results and real-world clinical outcomes. Consequently, there has been renewed interest in analyses based on real-world clinical data. In Europe, IBD patient registries have been established, facilitating rapid reporting on the effectiveness and safety of biologics and small molecule compounds in real-world settings, significantly contributing to clinical decision-making. This study focuses specifically on UC within the broader context of IBD. Our primary objective is to evaluate the efficacy of anti-IL-23p19 antibodies and identify predictors of treatment response in UC patients treated at Saga University's division of Gastroenterology and participating institutions across Kyushu in Japan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Clinical remission at 4 weeks, 12 weeks, 28 weeks, and 52 weeks after initiation of treatment

Key secondary outcomes

Rates of clinical improvement, achievement of steroid-free remission, changes in quality of life (QOL), rates of biomarker remission, and incidence of adverse events at 4 weeks, 12 weeks, 28 weeks, and 52 weeks after treatment initiation
Rate of endoscopic remission at 52 weeks
Analysis of factors contributing to successful induction and maintenance of remission


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with ulcerative colitis (UC) and receiving treatment with anti-IL-23p19 antibodies at Saga University Hospital and affiliated research institutions from the date of approval notification issuance to March 31, 2027.
Patients aged 18 years or older.
Patients under 18 years of age with consent obtained from their legal representatives.

Key exclusion criteria

Individuals who do not consent to the purpose of this observational study.
Cases where the attending physician determines that participation in the research is inappropriate.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Esaki
Middle name
Last name Motohiro

Organization

Saga University

Division name

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine

Zip code

8498501

Address

Nabeshima5-1-1, Saga-City, Saga-Prefecture, Japan.

TEL

0952-31-6511

Email

mesaki01@cc.saga-u.ac.jp


Public contact

Name of contact person

1st name Sadashima
Middle name
Last name Kento

Organization

Saga University

Division name

Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine

Zip code

8498501

Address

Nabeshima5-1-1, Saga-City, Saga-Prefecture, Japan.

TEL

0952-31-6511

Homepage URL


Email

s_kent66@yahoo.co.jp


Sponsor or person

Institute

Saga University

Institute

Department

Personal name

Esaki Motohiro


Funding Source

Organization

Saga University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saga University Clinical Research Review Board

Address

Nabeshima5-1-1, Saga-City, Saga-Prefecture, Japan.

Tel

0952-34-3357

Email

crb@mail.admin.saga-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 09 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2024 Year 01 Month 17 Day

Date of IRB

2024 Year 03 Month 18 Day

Anticipated trial start date

2024 Year 04 Month 05 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multicenter prospective registry focused on evaluating the treatment effectiveness and safety of molecular-targeted drugs and small molecules in patients with ulcerative colitis (UC). Data will be collected from various facilities, including detailed patient information, clinical outcomes, and quality of life (QOL) metrics using the IBDQ score. This study involves collaboration between several university hospitals and clinics across Kyushu, Japan. Additionally, this research aims to investigate treatment predictors and explore differences in treatment response among various drugs, specifically focusing on Mirikizumab and Risankizumab.
The study also adheres to ethical guidelines such as the Helsinki Declaration and Japan's Ethical Guidelines for Medical and Health Research Involving Human Subjects. All personal data will be pseudonymized and stored securely, and no identifiable information will be shared between institutions without proper consent. Research results will be disseminated through academic journals and conferences, contributing to the ongoing development of clinical strategies for UC.


Management information

Registered date

2024 Year 09 Month 10 Day

Last modified on

2024 Year 09 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063372