Crohn's Disease
Conditions
Brief summary
This registry is a multi-center, prospective, observational program that will gather and analyze data on subjects with Crohn's disease being treated with Remicade® as per approved product monograph in Canada. In contrast to a controlled clinical trial, there is no imposed experimental intervention and treatment with Remicade® is determined solely by the subject's physicians. Thus, the data captured and reported in this registry will reflect a real world approach to the treatment of Crohn's disease with Remicade®.
Detailed description
Subjects will be selected for this registry using a non-probability sampling method.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient was given the Patient Information Brochure; AND, * Patient has never been treated with Remicade® (patient is naïve to Remicade® at the time of registration); AND, * Patient is a good candidate to receive Remicade® as per the product monograph; AND, * Patient has agreed to complete the Patient Diary for one week prior to each visit in the registry; AND, * Patient has signed the approved consent form.
Exclusion criteria
* Per product monograph
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Response at 36 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline). | 36 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
| Clinical Response at 12 Months (Decrease in Crohn's Disease Activity Index [CDAI]>= 70 Points AND >= 25% From Baseline). | 12 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
| Clinical Response at 24 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline). | 24 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
| Clinical Remission at 36 Months (CDAI <= 150 Points). | 36 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
| Clinical Remission at 12 Months (CDAI <= 150 Points). | 12 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
| Clinical Remission at 24 Months (CDAI <= 150 Points). | 24 months after baseline | CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450. |
Secondary
| Measure | Time frame |
|---|---|
| Number of Serious Adverse Events | Throughout study (up to 36 months) |
Participant flow
Recruitment details
This was an observational trial/registry. Recruitment began in 2002. Subjects were drawn from community centers and some academic centers.
Pre-assignment details
Not applicable for an observational trial. Subjects were not assigned to treatment, but received infliximab only if their physician had decided to treat with infliximab.
Participants by arm
| Arm | Count |
|---|---|
| Subjects Receiving Remicade Crohn's disease subjects who were to receive Remicade® per Product Monograph. | 556 |
| Total | 556 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Observational Follow-up | Lost to Follow-up | 148 |
| Recruitment | Unknown if infliximab received | 164 |
Baseline characteristics
| Characteristic | Subjects Receiving Remicade |
|---|---|
| Age, Continuous | 37.5 years STANDARD_DEVIATION 12.8 |
| Region of Enrollment Canada | 556 participants |
| Sex: Female, Male Female | 314 Participants |
| Sex: Female, Male Male | 242 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 392 |
| serious Total, serious adverse events | 39 / 392 |
Outcome results
Clinical Remission at 12 Months (CDAI <= 150 Points).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 12 months after baseline
Population: Patients at 12 months: Patients with at least 12 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Remission at 12 Months (CDAI <= 150 Points). | 108 Participants |
Clinical Remission at 24 Months (CDAI <= 150 Points).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 24 months after baseline
Population: Patients at 24 months: Patients with at least 24 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Remission at 24 Months (CDAI <= 150 Points). | 59 Participants |
Clinical Remission at 36 Months (CDAI <= 150 Points).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 36 months after baseline
Population: Patients at 36 months: Patients with at least 36 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Remission at 36 Months (CDAI <= 150 Points). | 31 Participants |
Clinical Response at 12 Months (Decrease in Crohn's Disease Activity Index [CDAI]>= 70 Points AND >= 25% From Baseline).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 12 months after baseline
Population: Patients at 12 months: Patients with at least 12 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Response at 12 Months (Decrease in Crohn's Disease Activity Index [CDAI]>= 70 Points AND >= 25% From Baseline). | 118 Participants |
Clinical Response at 24 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 24 months after baseline
Population: Patients at 24 months: Patients with at least 24 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Response at 24 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline). | 66 Participants |
Clinical Response at 36 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline).
CDAI is calculated based on 8 factors: # of liquid stools, abdominal pain, patient well-being, Crohn's complications, need for anti-diarrheal medications, abdominal mass, hematocrit, and weight. CDAI can range from 0 to 600. Remission is \< 150, and moderate to severe disease ranges from 220 to 450.
Time frame: 36 months after baseline
Population: Patients at 36 months: Patients with at least 36 months of follow-up. Imputation for missing values used either the last observation carried forward or last observation carried backward, whichever had the highest CDAI.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Clinical Response at 36 Months (Decrease in CDAI >= 70 Points AND >= 25% From Baseline). | 31 Participants |
Number of Serious Adverse Events
Time frame: Throughout study (up to 36 months)
Population: Safety data were collected for all patients registered. Total number of subjects: 556. Non serious adverse events: 198. Serious Adverse Events: 105.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving Remicade | Number of Serious Adverse Events | 105 Number of Serious Adverse Events |