ulcerative colitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Ulcerative colitis evolving for at least 6 months - Patient older than 18 years - Initiating a treatment by infliximab, adalimumab, golimumab, vedolizumab or tofacitinib - Patient covered by French national health insurance - Written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 80 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: - Patients with anti-hypertensive, antiplatelet or lipid-lowering drugs without stable dosage within the 3 months before the study and over the study period. - Patients with a cardiovascular event such as myocardial infarction and stroke - Diabetic patient - Pregnant women or breastfeeding - Minor - -Patient deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the CIMT after 3 months of therapy in UC in patients treated by anti-TNF, vedolizumab, and tofacitinib;Secondary Objective: -To compare the arterial stiffness after 3 months of therapy in UC in patients treated by anti-TNF, vedolizumab, and tofacitinib. -To compare the CIMT and arterial stiffness after 12 months of therapy in UC, and the evolution of them, in patients treated by anti-TNF, vedolizumab, and tofacitinib. -To compared the biomarkers of endothelial dysfunction and coagulation parameters at baseline and at 3 and 12 months and in patients responders and non-responders in patients treated by anti-TNF, vedolizumab, and tofacitinib. -To compared the coagulation parameters at baseline and at 3 and 12 months and in patients’ responders and non-responders to biologics in patients treated by anti-TNF, vedolizumab, and tofacitinib. -To compared the levels of neutrophil extracellular traps (NETs) at baseline and at 3 and 12 months and in patients responders and non-responders in patients treated by anti-TNF, vedolizumab, and tofacitinib. ;Primary end point(s): Carotid intima media thickness (CIMT) ;Timepoint(s) of evaluation of this end point: at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Aortic pulse wave velocity (aPWV) / arterial stiffness - Augmentation index (AIx) - Framingham score, the 10-year atherosclerotic CV disease risk (ASCVD) indices (reflect of the cardiovascular risk) and the SCORE score - Ulcerative colitis activity score /Mayo Score - Lipids parameters (HDL, LDL, TC, TG) - Arterial tension and systolic pressure index - Endothelial function / Coagulation parameters ;Timepoint(s) of evaluation of this end point: At 12 months | — |
Countries
France
Contacts
CHU Amiens-Picardie