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出境医 / 临床实验 / IDENTIFICATION OF PROGNOSTIC AND PREDICTIVE BIOMARKERS IN INFLAMMATORY BOWEL DISEASE (i-BANK)

IDENTIFICATION OF PROGNOSTIC AND PREDICTIVE BIOMARKERS IN INFLAMMATORY BOWEL DISEASE (i-BANK)

Study Description
Brief Summary:
Interventional study of a group of patients with an inflammatory bowel disease (Crohn's disease or ulcerative colitis) to identify predictive and prognostic biomarkers of natural history and response to biotherapies.

Condition or disease Intervention/treatment Phase
Inflammatory Bowel Diseases Crohn Disease Ulcerative Colitis Procedure: endoscopic biopsy Procedure: samples of the oral cavity Procedure: Samples of the resected specimen Not Applicable

Detailed Description:

Percentage of primary responders who haven't lost response to biotherapies during follow-up (anti-TNF, ustekinumab, vedolizumab).

Response to treatment will be evaluated using objective criteria for measuring intestinal inflammation: endoscopic remission (endoscopic biopsy and surgical specimens), radiological (MRI), and / or biological (CRP, fecal calprotectin) .

Response to therapy rates will be correlated with genomic, epigenomic, and microbiota data stratified by major environmental factors (nutrition, tobacco, physical activity).

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1000 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: IDENTIFICATION OF PROGNOSTIC AND PREDICTIVE BIOMARKERS OF NATURAL HISTORY AND RESPONSE TO BIOTHERAPIES IN INFLAMMATORY BOWEL DISEASE : i-BANK
Estimated Study Start Date : April 2, 2019
Estimated Primary Completion Date : April 2, 2021
Estimated Study Completion Date : April 2, 2029
Arms and Interventions
Arm Intervention/treatment
IBD patients
All patients with an established Crohn's disease or ulcerative colitis
Procedure: endoscopic biopsy
Per-endoscopic biopsies

Procedure: samples of the oral cavity
7 samples of the oral cavity with a swab

Procedure: Samples of the resected specimen
if patient has to undergo a digestive resection as part of his standard management, samples of the pathological area and samples at the end of the resection will be realised

Outcome Measures
Primary Outcome Measures :
  1. Proportion of patients who have lost response to biotherapies (anti-TNF, ustekinumab, vedolizumab). [ Time Frame: 5 years ]

Secondary Outcome Measures :
  1. Proportion of patients who underwent surgery [ Time Frame: 5 years ]
  2. Post-operative morbidity rates in IBD [ Time Frame: 5 years ]
  3. Surgical recurrent rate in Crohn's disease [ Time Frame: 5 years ]
  4. Propotion of patients with a destruction of the intestinal wall in CD (abscess, fistula) [ Time Frame: 5 years ]
  5. Proportion of patients developing a cancer [ Time Frame: 5 years ]
  6. Readmission rates for acute severe colitis or ileitis [ Time Frame: 5 years ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age>=18 years
  • Patients with an established diagnosis of CD or UC (clinical, biological, radiological, endoscopic or histologic criteria)
  • Patients >=45 kg
  • Affiliated member of the Social Security system

Exclusion Criteria:

  • Patients with an undetermined colitis
  • Patients with a non established diagnosis of CD
  • Women of childbearing age without a method of contraception
  • Persons covered by articles L. 1121-5, L. 1121-7 and L1121-8 of the Public Health Code
  • Pregnant women, breastfeeding women

    -- Age < 18 years

  • Persons under legal protection
  • Person who does not have the capacity to consent
  • Persons under the age of 18 years who are deprived of their liberty by decision of a judicial or administrative authority (articles L. 3212-1 and L. 3213-1).
Contacts and Locations

Contacts
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Contact: Adeline GERMAIN, MD, PhD +33383153120 a.germain@chru-nancy.fr

Locations
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France
CHRU Nancy
Vandœuvre-lès-Nancy, France, 54510
Contact: Marjorie STARCK    +33383155273    m.starck@chru-nancy.fr   
Sub-Investigator: Laurent PEYRIN-BIROULET, MD, PhD         
Principal Investigator: Adeline GERMAIN, MD,PhD         
Sub-Investigator: Laurent BRESLER, MD         
Sub-Investigator: Camille ZALLOT, MD         
Sub-Investigator: Marine FERRY, MD         
Sponsors and Collaborators
Central Hospital, Nancy, France
Investigators
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Principal Investigator: Adeline GERMAIN, MD, PhD CHRU Nancy
Tracking Information
First Submitted Date  ICMJE January 17, 2019
First Posted Date  ICMJE January 18, 2019
Last Update Posted Date January 18, 2019
Estimated Study Start Date  ICMJE April 2, 2019
Estimated Primary Completion Date April 2, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: January 17, 2019)
Proportion of patients who have lost response to biotherapies (anti-TNF, ustekinumab, vedolizumab). [ Time Frame: 5 years ]
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: January 17, 2019)
  • Proportion of patients who underwent surgery [ Time Frame: 5 years ]
  • Post-operative morbidity rates in IBD [ Time Frame: 5 years ]
  • Surgical recurrent rate in Crohn's disease [ Time Frame: 5 years ]
  • Propotion of patients with a destruction of the intestinal wall in CD (abscess, fistula) [ Time Frame: 5 years ]
  • Proportion of patients developing a cancer [ Time Frame: 5 years ]
  • Readmission rates for acute severe colitis or ileitis [ Time Frame: 5 years ]
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE IDENTIFICATION OF PROGNOSTIC AND PREDICTIVE BIOMARKERS IN INFLAMMATORY BOWEL DISEASE
Official Title  ICMJE IDENTIFICATION OF PROGNOSTIC AND PREDICTIVE BIOMARKERS OF NATURAL HISTORY AND RESPONSE TO BIOTHERAPIES IN INFLAMMATORY BOWEL DISEASE : i-BANK
Brief Summary Interventional study of a group of patients with an inflammatory bowel disease (Crohn's disease or ulcerative colitis) to identify predictive and prognostic biomarkers of natural history and response to biotherapies.
Detailed Description

Percentage of primary responders who haven't lost response to biotherapies during follow-up (anti-TNF, ustekinumab, vedolizumab).

Response to treatment will be evaluated using objective criteria for measuring intestinal inflammation: endoscopic remission (endoscopic biopsy and surgical specimens), radiological (MRI), and / or biological (CRP, fecal calprotectin) .

Response to therapy rates will be correlated with genomic, epigenomic, and microbiota data stratified by major environmental factors (nutrition, tobacco, physical activity).

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Inflammatory Bowel Diseases
  • Crohn Disease
  • Ulcerative Colitis
Intervention  ICMJE
  • Procedure: endoscopic biopsy
    Per-endoscopic biopsies
  • Procedure: samples of the oral cavity
    7 samples of the oral cavity with a swab
  • Procedure: Samples of the resected specimen
    if patient has to undergo a digestive resection as part of his standard management, samples of the pathological area and samples at the end of the resection will be realised
Study Arms  ICMJE IBD patients
All patients with an established Crohn's disease or ulcerative colitis
Interventions:
  • Procedure: endoscopic biopsy
  • Procedure: samples of the oral cavity
  • Procedure: Samples of the resected specimen
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Not yet recruiting
Estimated Enrollment  ICMJE
 (submitted: January 17, 2019)
1000
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE April 2, 2029
Estimated Primary Completion Date April 2, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Age>=18 years
  • Patients with an established diagnosis of CD or UC (clinical, biological, radiological, endoscopic or histologic criteria)
  • Patients >=45 kg
  • Affiliated member of the Social Security system

Exclusion Criteria:

  • Patients with an undetermined colitis
  • Patients with a non established diagnosis of CD
  • Women of childbearing age without a method of contraception
  • Persons covered by articles L. 1121-5, L. 1121-7 and L1121-8 of the Public Health Code
  • Pregnant women, breastfeeding women

    -- Age < 18 years

  • Persons under legal protection
  • Person who does not have the capacity to consent
  • Persons under the age of 18 years who are deprived of their liberty by decision of a judicial or administrative authority (articles L. 3212-1 and L. 3213-1).
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Adeline GERMAIN, MD, PhD +33383153120 a.germain@chru-nancy.fr
Listed Location Countries  ICMJE France
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03809728
Other Study ID Numbers  ICMJE PSS 2018 / I-BANK-GERMAIN / MS
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Undecided
Responsible Party Central Hospital, Nancy, France
Study Sponsor  ICMJE Central Hospital, Nancy, France
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Adeline GERMAIN, MD, PhD CHRU Nancy
PRS Account Central Hospital, Nancy, France
Verification Date January 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP