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A multicentre prospective cohort study assessing the effectiveness of budesonide MMX® (Cortiment®$^{MMX®}$) for active, mild-to-moderate ulcerative colitis


Danese, Silvio; Hart, Ailsa; Dignass, Axel; Fiorino, Gionata; Louis, Edouard; Bonovas, Stefanos; D'Haens, Geert; Dotan, Iris; Rogler, Gerhard; Paridaens, Kristine; Peyrin-Biroulet, Laurent (2019). A multicentre prospective cohort study assessing the effectiveness of budesonide MMX® (Cortiment®$^{MMX®}$) for active, mild-to-moderate ulcerative colitis. United European Gastroenterology Journal, 7(9):1171-1182.

Abstract

Background
Cortiment®$^{MMX®}$ (budesonide MMX®) is currently approved for the induction of remission in mild-to-moderate ulcerative colitis (UC) patients when 5-ASA treatment is not sufficient. Data in real-life settings are lacking.
Methods
This was a multicentre observational prospective cohort study conducted in Europe and Canada. Effectiveness, safety, and tolerability of Cortiment®$^{MMX®}$ in a real-life setting of patients treated for mild-to-moderate UC was investigated. Patients were prescribed Cortiment®$^{MMX®}$ in accordance with the Summary of the Product Characteristics (SmPC).The primary endpoint was the clinical benefit of Cortiment® MMX® in routine practice (improvement ≥ 3 points in the clinical sub-scores of the Ulcerative Colitis Disease Activity Index, UCDAI).
Results
Data from 326 patients with mild-to-moderate UC were analysed for the primary endpoint. Clinical benefit was achieved in 60.1% (196/326) of patients at the end of Cortiment®$^{MMX®}$ treatment. Clinical remission (UCDAI clinical sub-score ≤ 1), full symptoms resolution (rectal bleeding (RB) = 0 and stool frequency (SF) = 0) and symptoms resolution (RB = 0 + SF ≤ 1) at the end of the Cortiment®$^{MMX®}$ treatment were achieved in 51.8%, 45.1% and 63.2% of patients, respectively. The median time to symptoms resolution was 30 days (range 29.0-36.0 days). Fifty patients (14.3%) had to discontinue Cortiment®$^{MMX®}$ due to adverse events; 17.5% of patients (n = 61) reported at least one adverse event related to the study drug.
Conclusions
This was the first time that a large cohort study was conducted with Cortiment®$^{MMX®}$ in a real-life setting. It demonstrated that Cortiment®$^{MMX®}$ is effective, safe and well tolerated in about 60% of UC patients.

Abstract

Background
Cortiment®$^{MMX®}$ (budesonide MMX®) is currently approved for the induction of remission in mild-to-moderate ulcerative colitis (UC) patients when 5-ASA treatment is not sufficient. Data in real-life settings are lacking.
Methods
This was a multicentre observational prospective cohort study conducted in Europe and Canada. Effectiveness, safety, and tolerability of Cortiment®$^{MMX®}$ in a real-life setting of patients treated for mild-to-moderate UC was investigated. Patients were prescribed Cortiment®$^{MMX®}$ in accordance with the Summary of the Product Characteristics (SmPC).The primary endpoint was the clinical benefit of Cortiment® MMX® in routine practice (improvement ≥ 3 points in the clinical sub-scores of the Ulcerative Colitis Disease Activity Index, UCDAI).
Results
Data from 326 patients with mild-to-moderate UC were analysed for the primary endpoint. Clinical benefit was achieved in 60.1% (196/326) of patients at the end of Cortiment®$^{MMX®}$ treatment. Clinical remission (UCDAI clinical sub-score ≤ 1), full symptoms resolution (rectal bleeding (RB) = 0 and stool frequency (SF) = 0) and symptoms resolution (RB = 0 + SF ≤ 1) at the end of the Cortiment®$^{MMX®}$ treatment were achieved in 51.8%, 45.1% and 63.2% of patients, respectively. The median time to symptoms resolution was 30 days (range 29.0-36.0 days). Fifty patients (14.3%) had to discontinue Cortiment®$^{MMX®}$ due to adverse events; 17.5% of patients (n = 61) reported at least one adverse event related to the study drug.
Conclusions
This was the first time that a large cohort study was conducted with Cortiment®$^{MMX®}$ in a real-life setting. It demonstrated that Cortiment®$^{MMX®}$ is effective, safe and well tolerated in about 60% of UC patients.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Gastroenterology and Hepatology
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Oncology
Health Sciences > Gastroenterology
Language:English
Date:November 2019
Deposited On:10 Jan 2020 14:53
Last Modified:29 Jul 2020 12:21
Publisher:Sage Publications
ISSN:2050-6406
OA Status:Hybrid
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1177/2050640619864848
PubMed ID:31700630

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