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NCT04852666: COMPARE

Comparative Effectiveness of Biologics or Small Molecule Therapies in Inflammatory Bowel Disease (IBD)

Completed Results posted Last updated 14 June 2024
What this trial tests

trial in Crohn's Disease in 465 participants. Completed in 15 December 2022.

Timeline
25 July 2019
Primary endpoint
15 December 2022
15 December 2022

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
StatusCompleted
Study typeOBSERVATIONAL
Enrollment465
Start date25 July 2019
Primary completion15 December 2022
Estimated completion15 December 2022
Sites2 locations across United States

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

Who can join

18 and older, any sex, with Crohn's Disease or Ulcerative Colitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

PROMIS Measures of Pain Interference Primary · Single assessment, performed as close to 6 months after medication initiation as possible (4-10 month window)

NIH Patient Reported Outcome Measurement Information System (PROMIS) measures of Pain Interference. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score indicates more pain interference (poorer health).

GroupValue95% CI
Crohn's Disease (Vedolizumab)51.2± 10.17
Crohn's Disease (Ustekinumab)51.6± 9.94
Ulcerative Colitis (Vedolizumab)50.1± 10.2
Ulcerative Colitis (Tofacitinib)48.2± 9.0
PROMIS Measures of Fatigue Primary · Single assessment, performed as close to 6 months after medication initiation as possible (4-10 month window)

NIH Patient Reported Outcome Measurement Information System (PROMIS) measures of Fatigue. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score indicates more fatigue (poorer health).

GroupValue95% CI
Crohn's Disease (Vedolizumab)54.7± 11.73
Crohn's Disease (Ustekinumab)54.4± 12.31
Ulcerative Colitis (Vedolizumab)52.7± 11.8
Ulcerative Colitis (Tofacitinib)50.6± 9.4
Number of Participants With Index Medication Persistence Secondary · 4-10 months after medication initiation

Medication persistence was defined as continuing index medication.

GroupValue95% CI
Crohn's Disease (Vedolizumab)119
Crohn's Disease (Ustekinumab)203
Ulcerative Colitis (Vedolizumab)63
Ulcerative Colitis (Tofacitinib)29
Number of Participants Using Corticosteroids at Follow-Up Secondary · 4-10 months after medication initiation

Participants who reported using corticosteroids.

GroupValue95% CI
Crohn's Disease (Vedolizumab)27
Crohn's Disease (Ustekinumab)28
Ulcerative Colitis (Vedolizumab)15
Ulcerative Colitis (Tofacitinib)1
Short Crohn's Disease Activity Index (sCDAI) Secondary · Single assessment, performed as close to 6 months after medication initiation as possible (4-10 month window)

Short Crohn's Disease Activity Index. This is a method to measure Crohn's disease patients' symptoms using only a questionnaire, which can be completed without an office visit or lab work. The variables included in the short CDAI are abdominal pain, stool frequency, and general well-being reported as a total score. The higher the score, the worse the disease activity. The sCDAI uses the same scale as the full CDAI with scores ranging from 0 to 600, such that scores,\<150 define remission, 150 to 219 mild activity, 220 to 450 moderate activity, and greater than 450 severe activity.

GroupValue95% CI
Crohn's Disease (Vedolizumab)147± 89.6
Crohn's Disease (Ustekinumab)144± 85.8
Mayo Clinic Score Secondary · Single assessment, performed as close to 6 months after medication initiation as possible (4-10 month window)

The Mayo Clinic Score (MCS) asks 2 questions about (1) stool frequency and (2) rectal bleeding with an overall score range (0-6). Higher scores reflect more disease symptomatology.

GroupValue95% CI
Ulcerative Colitis (Vedolizumab)1.7± 1.8
Ulcerative Colitis (Tofacitinib)1.2± 1.5
PROMIS Social Satisfaction Score Secondary · Single assessment, performed as close to 6 months after medication initiation as possible (4-10 month window)

NIH Patient Reported Outcome Measurement Information System (PROMIS) measures of social satisfaction. PROMIS scores can range from 0 to 100; scales are calibrated using a T-score metric with a mean of 50 and standard deviation of 10. A higher score for social satisfaction indicates better health.

GroupValue95% CI
Crohn's Disease (Vedolizumab)49.1± 10.59
Crohn's Disease (Ustekinumab)49.3± 10.06
Ulcerative Colitis (Vedolizumab)47.5± 11.0
Ulcerative Colitis (Tofacitinib)50.4± 10.6

Sponsor's own description

The purpose of this study is to assess effectiveness of vedolizumab versus ustekinumab in patients with Crohn's disease and vedolizumab versus tofacitinib in patients with ulcerative colitis, after non-response to anti-tumor necrosis factor (TNF) medications, using data from two existing cohorts.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Comparative Effectiveness of Biologic or Small-Molecule Therapies after Failure of Anti-Tumor Necrosis Factor Treatment in Patients with Crohn Disease or Ulcerative Colitis
    Kappelman MD, Adimadhyam S, Toh S, Dobes A, et al · · 2024 · PMID 40737476

Verify or expand the search:

Other recruiting trials for Crohn's Disease

Currently open trials in the same condition.

Other University of North Carolina, Chapel Hill trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04852666.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing