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Crohn DiseaseNCT04232228

A Study to Evaluate the Impact of Care4Today® IBD, a Smart System to Facilitate the Management of Crohn's Disease by Patients and Health Care Providers

An observational study of Crohn Disease, run by Janssen-Cilag Ltd. at 1 site in United Kingdom.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to describe the Crohn's Disease (CD)-related secondary healthcare resource utilisation of patients in the 6 months pre- and 12 months post-activation of Care4Today® inflammatory bowel disease (C4T IBD) alongside standard of care (SOC) in the management of CD. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Crohn Disease
How many people
32 participants
Where
1 siteUnited Kingdom
Study dates
7 Feb 2020to 4 Apr 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants with moderate to severe CD for at least 6 months and with at least 6 months of continuous care, which may include conventional and/or biological therapies.

Who may be able to join

  • Participants with moderate to severe Crohn's disease (CD), diagnosed at least 6 months prior to index date, as documented by the treating healthcare professional (HCP)
  • Participants with at least 6 months of continuous care in the study centre prior to index date
  • Participants who have agreed to install Care4Today® inflammatory bowel disease (C4T IBD) on their iOS or android smartphone as part of their management of CD
  • Participants providing informed written consent to participate in the study from the date of activation (including installation and linkage to HCP web interface) of the C4T IBD app on his/her smartphone

Who cannot join

  • Participants with presence of ileorectal or ileal pouch-anal anastomosis documented in their medical records
  • Participants in remission for over 2 years as documented in their medical records
  • Participants participating in an interventional clinical trial
  • Participants participating in an observational study where the protocol interferes with the C4T study in the opinion of the principal investigator at each site
  • Participants with insufficient command of English to interact effectively with C4T IBD and complete the study questionnaires in the opinion of the principal investigator at each site
  • Participants unable or unwilling to provide their informed written consent to participate in the study

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Leeds Teaching Hospitals NHS Trust

    Leeds, LS9 7TF

Other trials in United Kingdom

About this study

Official title: A UK Observational Study to Evaluate the Impact of Care4Today® IBD, a Smart System to Facilitate the Management of Crohn's Disease by Patients and Health Care Providers

The purpose of this study is to describe the Crohn's Disease (CD)-related secondary healthcare resource utilisation of patients in the 6 months pre- and 12 months post-activation of Care4Today® inflammatory bowel disease (C4T IBD) alongside standard of care (SOC) in the management of CD.

Conditions
Crohn Disease
Being tested
No intervention
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • No interventionOther

    No intervention was used in this study.

Study groups in NCT04232228
Study groupRoleWhat they receive
Participants with Crohn's Disease (CD)Adult participants with moderate to severe CD who agree to be part of the study and who fit the inclusion/exclusion criteria and use Care4Today inflammatory bowel disease (C4T IBD) alongside standard of care (SOC) at participating centers will be observed. Data available per clinical practice and via the C4T IBD application will be collected within this study. Participants will also be asked to complete questionnaires that are sent directly to the patients, which are not completed as part of clinical practice or via the application. Relevant data will be collected by prospectively following participants from the index date for 12 months, and also by retrospectively collecting data for the 6-month period prior to the index date from participant's medical records. Index is the activation date of C4T IBD application in participant's smartphone.
Receives: Other: No intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Crohn's Disease Related Secondary Health Related Utilization (HRU) in the 6 Months Pre-Activation of Care4Today® Inflammatory Bowel Disease (C4T IBD) Application (Pre-Index)

    The number of gastroenterology health care provider (HCP) contacts per participant in the 6 months pre-index will be reported. Index is the activation date of C4T IBD application in participant's smartphone.

    Measured: 6 months pre-index of C4T IBD application

  2. Crohn's Disease Related Secondary HRU in the 12 Months Post-Activation of C4T IBD Application (post-index)

    The number of gastroenterology HCP contacts per participant in the 12 months post-index will be reported. The 12 months post-index period will be split into two time periods: 0-6 months post-index and 6-12 months post-index. The 0-6 and 6-12 month post-index periods will be described separately.

    Measured: Up to 12 months post index of C4T IBD application

Secondary outcomes (10)
  1. Crohn's Disease (CD)-Related Primary Healthcare Resource Utilization

    CD-related primary healthcare resource utilization of participants in the 6 months pre- and 12-months post-index of C4T IBD will be reported.

    Measured: 6 months pre- and 12-months post-index

  2. Number of Participants with Characteristics Including Duration of Disease, Current Treatments and Previous Treatments

    Characteristics of participants enrolled into the study including, but not limited to, duration of disease, current treatments (ongoing at the time of C4T IBD activation) and previous treatments (including reasons for treatment changes where available) will be reported. Data will be collected from participant's medical records.

    Measured: At screening (during 6 months pre-index)

  3. Disease Activity of Participants Measured Using the Harvey-Bradshaw Index (HBI) or Modified HBI

    Disease activity of participants using HBI or modified HBI will be reported.

    Measured: 6 months pre- and 12 months post-index

  4. Disease Activity of Participants Measured Using Markers of Systemic Inflammation

    Disease activity of participants using markers of systemic inflammation (Faecal calprotectin [FCP] and C reactive protein [CRP] levels) will be reported.

    Measured: 6 months pre- and 12 months post-index

  5. Disease Progression of Participants Measured Using the Fatigue Severity Scale (FSS)

    FSS is a short questionnaire implemented in the C4T IBD application that allows a person to measure their level of fatigue. It contains 9 items measuring the severity of fatigue symptoms in the last week.

    Measured: Up to 12 months post-index

  6. Disease Progression of Participants Measured Using Number of Bowel Movements

    Number of daily bowel movements will be measured using the bespoke patient-reported outcome (PRO) within the C4T IBD application. The questionnaire captures bowel movements recorded as day/night, according to the level of urgency, and presence of blood.

    Measured: Up to 12 months post-index

  7. Disease Progression of Participants Measured by Level of Abdominal Pain

    Abdominal pain will be measured using the bespoke PRO within the C4T IBD application. The questionnaire captures the level of abdominal pain on a scale from 0-10 (at 2 points intervals) where higher score indicates more severe pain.

    Measured: Up to 12 months post-index

  8. Impact of C4T IBD on Health Related Quality of Life (HRQoL, General and Inflammatory Bowel Disease [IBD] Specific) and Productivity

    Impact of C4T IBD on HRQoL (general and IBD specific) and productivity will be reported based on online questionnaires.

    Measured: Up to 12 months post-index

  9. Impact of C4T IBD on Participant's Level of Engagement with Their Disease Measured Using the Patient Activation Measure (PAM)

    Impact of C4T IBD on participant's level of engagement with their disease measured using the PAM will be reported based on online questionnaire.

    Measured: Up to 12 months post-index

  10. Patient- and HCP-Reported Satisfaction

    Patient- and HCP-reported satisfaction of C4T IBD application will be reported based on bespoke online questionnaire.

    Measured: Up to 12 months post-index

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jan 2020
  2. Study start7 Feb 2020
  3. Primary completion4 Apr 2022
  4. Study completion4 Apr 2022

Why it stopped: The Care4Today® IBD dashboard for HCPs and the patient app will be deactivated indefinitely and will no longer be available for use

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04232228
Sponsor's protocol ID
CR108721
Other IDs
CNTO1275CRD4033
Status last verified
Apr 2025
First submitted
15 Jan 2020
Last updated
27 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

An observational study of Crohn Disease, run by Janssen-Cilag Ltd. at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 27 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: The Care4Today® IBD dashboard for HCPs and the patient app will be deactivated indefinitely and will no longer be available for use). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Crohn's Disease Related Secondary Health Related Utilization (HRU) in the 6 Months Pre-Activation of Care4Today® Inflammatory Bowel Disease (C4T IBD) Application (Pre-Index) (time frame: 6 months pre-index of C4T IBD application). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2025.

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