CClinicalTrials.gg
CompletedNCT03155243HOPEUpdated Feb 11, 2021

Impact of Humira® Therapy on Ocular Inflammation, Selected Health Care Resource Utilization and Patient Reported Outcomes in Patients With Active Non-infectious Intermediate, Posterior and Panuveitis in Routine Clinical Practice

An observational study in Uveitis, sponsored by AbbVie. Completed at 28 sites in 12 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2021-02-11.

Sponsored by AbbVie · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
155
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This study aims at evaluating real life effectiveness of originator adalimumab (Humira®) participants with active non-infectious intermediate, posterior and panuveitis (NIIPPU) despite high-dose corticosteroid therapy; including effect on ocular inflammation, health-related quality of life, health resource utilization, work ability and medication burden, as well as describe the characteristics of NIIPPU participants treated with Humira® in the real-life setting.

02

Conditions studied

  • Uveitis

Keywords

  • Humira®
  • Adalimumab
  • Ocular inflammation
  • Active non-infectious intermediate, posterior and panuveitis
03

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants with diagnosed active non- infectious intermediate, posterior or panuveitis (NIIPPU) that are being treated with Humira® as per locally approved label and prescription guidelines.

Inclusion criteria

  • Participants voluntarily signed a patient authorization form to use and disclose personal health information (or informed consent, where applicable).
  • Age >= 18 years at the time of the enrollment.
  • Diagnosis of active NIIPP uveitis as defined by the presence of at least 1 of the following parameters:

    1. Active, inflammatory, chorioretinal and/or inflammatory retinal vascular lesion
    2. >= 2+ anterior chamber cells [Standardization of Uveitis Nomenclature (SUN) criteria]
    3. >= 2+ vitreous haze [National Eye Institute (NEI)/SUN criteria]
  • Humira® treatment is indicated as per local Summary of Product Characteristics (SmPC) and professional and/or reimbursement guidelines.
  • Decision on the treatment with Humira® was made prior to any decision to approach the patient to participate in this study.

Exclusion criteria

Exclusion Criteria:

  • Participants who cannot be treated with Humira® according to the local Humira® SmPC and/or local professional and reimbursement guidelines.
  • Prior treatment with Humira®, including current course of Humira® started prior to baseline visit assessments.
  • Participants currently participating in other clinical research.
  • Participants who are unwilling or unable to complete the quality of life and other patient reported questionnaires.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
155 participants (actual)

Groups and cohorts

  • Participants receiving adalimumab (Humira®)

    Participants with active non- infectious intermediate, posterior or panuveitis receiving adalimumab (Humira®).

05

What researchers measure

Primary outcomes

  1. Proportion of participants who achieve treatment response at any of the follow-up visits

    Definition of response: "quiescence" defined as patients with no new active chorioretinal inflammatory lesions and having anterior chamber (AC) cell and vitreous haze (VH) grade of \<=0.5+ in both eyes.

    Time frame: Up to Month 12

Secondary outcomes

  1. Proportion of participants with maintained response at any of follow up visits

    Maintained response is defined as quiescence achieved at respective prior visit and no flare at current visit.

    Time frame: Up to Month 12

  2. Percent change in Presenteeism

    Assessing percent change in presenteeism

    Time frame: Up to Month 12

  3. Proportion of participants with maintained response separately for each follow-up visit

    Maintained response is defined as quiescence achieved at respective prior visit and no flare at current visit.

    Time frame: Up to Month 12

  4. Percent Change in Total activity impairment

    Assessing Percent Change in Total activity impairment

    Time frame: Up to Month 12

  5. Changes in total score of Work Productivity & Activity Impairment (WPAI)-UV score

    Assessing changes in total score of WPAI-UV score

    Time frame: From Month 1 to Month 12

  6. Change in emergency room admissions

    Assessing change in emergency room admissions

    Time frame: From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

  7. Proportion of participants with treatment response separately for each follow-up visit

    Response is defined as participants with no new active inflammatory lesions and having anterior chamber (AC) cell and vitreous haze (VH) grade of \<=0.5+ in both eyes.

    Time frame: Up to Month 12

  8. Change from baseline in Best corrected visual acuity (BCVA)

    Assessing change from baseline in Best corrected visual acuity (BCVA)

    Time frame: From Month 1 to Month 12

  9. Change in cumulative hospital admissions

    Assessing change in cumulative hospital admissions

    Time frame: From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

  10. Change from baseline in Central Retinal Thickness (CRT)

    Assessing change from baseline in Central Retinal Thickness (CRT)

    Time frame: From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

  11. Proportion of participants with flare at any of follow up visit

    Flare is defined as new active inflammatory lesions or AC cell grade of \>=2+ or VH grade of \>=2+ at least in one eye.

    Time frame: Up to Month 12

  12. Percent change in Absenteeism

    Assessing percent change in absenteeism

    Time frame: Up to Month 12

  13. Percent Change in Total work productivity impairment

    Assessing Percent Change in Total work productivity impairment

    Time frame: Up to Month 12

  14. Change in outpatient visits

    Assessing change in outpatient visits

    Time frame: From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

  15. Change in hospitalization days prior to and during Humira® treatment

    Assessing change in hospitalization days prior to and during Humira® treatment

    Time frame: From 6 months prior to treatment start (Week 0 [baseline]) to 12 months after treatment start (total 18 months)

  16. Change from baseline in intraocular pressure

    Assessing change from baseline in intraocular pressure

    Time frame: From Month 1 to Month 12

06

Study locations

28 sites
  • Medizinische Universität Graz /ID# 206301
    Graz, Steiermark 8010, Austria
  • Medical University of Vienna /ID# 206190
    Vienna, Wien 1090, Austria
  • Clinica Oftalmologica del Caribe /ID# 206448
    Barranquilla, Atlantico 080020, Colombia
  • Foscal /Id# 207362
    Bucaramanga, 680001, Colombia
  • Fundacion hospitalaria San Vicente de Paul /ID# 208295
    Medellín, 050010, Colombia
  • Vseobecna Fakultni Nemocnice /ID# 209530
    Prague, 128 08, Czechia
  • Charite Campus Virchow-Klinikum /ID# 204879
    Berlin, 13353, Germany
  • Universitätsklinikum Hamburg-Eppendorf /ID# 205234
    Hamburg, 20251, Germany
  • St. Franziskus Hosp Muenster /ID# 206695
    Munster, 48145, Germany
  • Omma /Id# 163750
    Athens, 11525, Greece
  • Athens Eye Hospital /ID# 163751
    Athens, 16675, Greece
  • University General Hospital of Ioannina /ID# 163752
    Ioannina, 45500, Greece
  • Interbalkan Medical Center /ID# 163753
    Thessaloniki, 57001, Greece
  • Semmelweis Egyetem /ID# 163647
    Budapest, 1085, Hungary
  • Szegedi Tudomanyegyetem /ID# 163646
    Szeged, 6720, Hungary
  • Royal Victoria Eye and Ear Hos /ID# 163653
    Dublin, 2, Ireland
  • Rabin Medical Center /ID# 163108
    Petakh Tikva, Tel-Aviv 4941492, Israel
  • Tel Aviv Sourasky Medical Ctr /ID# 163024
    Tel Aviv-Yafo, Tel-Aviv 6423906, Israel
  • Hadassah Medical Center /ID# 169305
    Jerusalem, Yerushalayim 91120, Israel
  • Barzilai Medical Center /ID# 163025
    Ashkelon, 78278, Israel
  • Bnai Zion Medical Center /ID# 163026
    Haifa, 3339419, Israel
  • Sheba Medical Center /ID# 163109
    Ramat Gan, 5262100, Israel
  • Albahar Ophtalmology Center /ID# 210124
    Kuwait, 35151, Kuwait
  • American University of Beirut /ID# 210122
    Beirut, 1107, Lebanon
  • Stadtspital Triemli /ID# 206204
    Zurich, Zuerich 8063, Switzerland
  • Inselspital, Universitaetsklinik /ID# 201027
    Bern, 3010, Switzerland
  • Hop Ophtalmique Jules Gonin /ID# 201028
    Lausanne, 1000, Switzerland
  • Cleveland Clinic Abu Dhabi /ID# 210123
    Abu Dhabi, United Arab Emirates
07

References and documents

Individual participant data

Plan to share: Undecided

08

Registry details

Key details

Study ID
NCT03155243
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
May 16, 2017
Start date
Jun 20, 2017
Primary completion
Feb 24, 2020
Completion
Feb 24, 2020
Last update
Feb 11, 2021

Study contacts

AbbVie Inc.
study director · AbbVie

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion