RecruitingPhase 4NCT04183608

A Trial COmparing staNdard of Care Versus Treat to Target With telemonitoRing and Patient Education in Patients With Ulcerative cOlitis Initiating Adalimumab

An Open-label Randomized Trial COmparing staNdard of Care Versus Treat to Target With telemonitoRing and Patient Education in Patients With Ulcerative cOlitis Initiating adaLimumab: The CONTROL Trial


Sponsor

Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives

Enrollment

238 participants

Start Date

Jan 14, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

PHASE: IV DESCRIPTIVE: Randomized, interventional, open label multicenter trial POPULATION: Moderate to severe ulcerative colitis STUDY TREATMENTS: Patients will all receive Adalimumab 160/80/40mg EOW until V1 (W14) followed by 40mg EOW until V2 (W26) and could be optimized up to 80mg EOW (or 40 EW according to patient and/or investigator preference) for two months and then could be optimized up to 80mg EOW (or 40 EW according to patient and/or investigator preference) and azathioprine (2.0/2.5 mg/kg/ day) or methotrexate (25 mg EW) until V3 (W 38). OBJECTIVES: To assess the impact of a treat to target treatment follow up by e-Monitoring and fecal calprotectin dosing at home associated to an appropriate patient education versus standard treatment follow up at W48 in patients requiring a treatment with adalimumab (Humira®).


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two treatment approaches for moderate-to-severe ulcerative colitis (a type of inflammatory bowel disease): standard care versus a "treat-to-target" strategy, where the treatment is actively adjusted based on regular monitoring using remote tools such as stool tests and apps. **You may be eligible if...** - You are 18–74 years old - You have moderate-to-severe active ulcerative colitis - Your current treatments (steroids, thiopurines, methotrexate, or vedolizumab) have not worked well or you could not tolerate them - You are about to start a new biologic therapy (such as infliximab, adalimumab, or ustekinumab) **You may NOT be eligible if...** - You have Crohn's disease or indeterminate colitis (not ulcerative colitis) - You are currently on the biologic medication being studied - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGAdalimumab

Patients will all receive Adalimumab 160/80/40mg EOW until V1 (W14) followed by 40mg EOW until V2 (W26)

DIAGNOSTIC_TESTCalprotectin

Fecal calprotectin dosing at home with IBDoc

OTHERe-Monitoring

e-Monitoring at Week 6, Week 10, Week 14, Week 18, Week 22, Week 26, Week 34, Week 38, Week 42 and Week 48 The patient must complete the first 2 questions of the Mayo score: * Stool frequency * The frequency of bleeding He must also complete the information on his injections

OTHERTherapy Education

Patient Education at W0, W2, W14, W26 and W38.


Locations(24)

Centre hospitalier de Cholet

Cholet, Maine Et Loire, France

CHU Amiens- Picardie (site Sud)

Amiens, France

CHRU de Besançon - Hôpital Jean Minjoz

Besançon, France

CHU Caen Hôpital Côte de Nacre

Caen, France

CHU Estaing

Clermont-Ferrand, France

APHP - Hôpital Beaujon

Clichy, France

CH Colmar - Hôpital Pasteur

Colmar, France

Centre hospitalier de Douai

Douai, France

CHRU Lille Hôpital Claude Huriez

Lille, France

APHM - Hôpital Nord

Marseille, France

GHI Le Raincy-Montfermeil

Montfermeil, France

CHU Montpellier - Hôpital Saint Eloi

Montpellier, France

CHU Nantes - Hôpital Hotel Dieu

Nantes, France

CHU Nice- Hopital l'Archet

Nice, France

CHU Nîmes - Hôpital Universitaire Caremeau

Nîmes, France

CHU Bordeaux - Hôpital Haut Lévêque

Pessac, France

CHU Lyon Sud

Pierre-Bénite, France

CHU Rennes Hôpital Pontchaillou

Rennes, France

CH Saint Etienne Hopital Nord

Saint-Priest-en-Jarez, France

CH Toulon - CHITS CH Sainte Musse

Toulon, France

CHU Toulouse - Hôpital Rangueil

Toulouse, France

CH Tourcoing - Hôpital Gustave Dron

Tourcoing, France

CHU Nancy - Hôpital de Brabois

Vandœuvre-lès-Nancy, France

APHP - Hôpital du Kremlin-Bicêtre

Le Kremlin-Bicêtre, Île-de-France Region, France

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT04183608


Related Trials