Inflammatory Bowel Disease
Conditions
Keywords
Therapeutic drug monitoring, Biological treatment, IBD
Brief summary
In this cross sectional and longitudinal study, patients with inflammatory bowel disease on biological treatment with infliximab or adalimumab will be included. After inclusion, the dosage of their existing biological therapy will be adjusted following regular trough-level and antibody-level monitoring, according to a treatment algorithm. Disease activity markers, fatigue and QoL will be assessed during the study. The hypothesis is that therapeutic drug monitoring may improve clinical disease outcome after one year of follow-up.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with inflammatory bowel disease on treatment with infliximab or adalimumab of any duration (at least 3 doses)
Exclusion criteria
* Inability to consent * Inability to adhere to treatment protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical remission rate | One Year | Harvey Bradshaw Index \<5 Partial Mayo score \<=2 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Symptom scoring | One Year | Harvey Bradshaw Index, Partial Mayo Score. Change after therapeutic drug monitoring. |
| Inflammatory markers | One year | C reactive protein, Fecal Calprotectin. Change after therapeutic drug monitoring. |
| Fatigue scoring | One Year | Assessed by Fatigue severity scale and Visual analogue scale. Change after therapeutic drug monitoring. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Healthcare resource utilization | One year | Registration of * Outpatient visits * Hospital admissions (days) * Sick leave (days) * Visits at general practitioner due to IBD activity * Endoscopy due to IBD activity |
Countries
Norway