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Inflammatory Bowel Disease (IBD)IBD-PRNCT06910553

IBD Pregnancy Registry

An observational study of Inflammatory Bowel Disease (IBD), run by CorEvitas at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Data collected through the registry may be used to address a range of research questions and objectives, including but not limited to the following: Research question: Is there an increased risk of adverse maternal, fetal, or infant outcomes among individuals who are exposed to Inflammatory Bowel Disease (IBD)… Read more about this study

Who is it for?
Ages 18 to 50 years, women only
Conditions the study is for
Inflammatory Bowel Disease (IBD)
What is being tested?
Non-exposed group and Exposed to IBD pharmacotherapy during pregnancy
How many people
832 participants
Where
1 siteUnited States
Study dates
Apr 2025to Sep 2032
Phase
Observational
Are there results?
Not yet: the study is under way

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 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: Pregnant individuals across the US \& Canada who learn of the study via nationwide advertising campaigns or via their healthcare providers

Who may be able to join

  • Exposed and unexposed cohort:
  • A resident of the US or Canada at enrollment
  • Currently pregnant
  • 18 to 50 years of age at enrollment
  • Physician-confirmed diagnosis of IBD (UC, CD, other and unspecified noninfective gastroenteritis and colitis [ICD-10 K52] and indeterminate colitis [ICD-10 K52.3])
  • Evidence of a personally signed and dated informed consent document or, upon waiver of written consent by the relevant institutional review board (IRB)/independent ethics committee, verbal consent, indicating that the individual (or a legally acceptable representative) has been informed of all pertinent aspects of the study
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  • Authorize their HCP to provide data to the registry
  • Provide contact information (for participant and HCPs)
  • Exposed cohort only:
  • Exposed to an IBD pharmacotherapy during pregnancy

Who cannot join

  • Exposed and unexposed cohort:
  • Exposure to methotrexate during pregnancy

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ronna L Chan, PhD, MPH contact

800-616-3791

ibd-pr@corevitas.com

United States1 site, 1 recruiting
  • PPD

    Wilmington, North Carolina, 28401

    CorEvitas Clinical Research Associate, 1-800-616-3791, ibd-pr@corevitas.com

    Recruiting

Other trials in United States

About this study

Official title: CorEvitas Inflammatory Bowel Disease Pregnancy Registry (IBD-PR)

Data collected through the registry may be used to address a range of research questions and objectives, including but not limited to the following:

Research question: Is there an increased risk of adverse maternal, fetal, or infant outcomes among individuals who are exposed to Inflammatory Bowel Disease (IBD) treatments during pregnancy?

Read more

The primary objective of the registry is to estimate the prevalence of major congenital malformations among pregnant individuals with IBD who are exposed to an IBD pharmacotherapy during pregnancy.

The secondary objectives of the registry are:

To estimate the prevalence of other maternal, fetal, and infant outcomes among pregnant individuals with IBD who are exposed to IBD pharmacotherapies during pregnancy.

To contextualize the prevalence of outcomes among pregnant individuals who are exposed to IBD pharmacotherapies during pregnancy and estimate the prevalence of all outcomes of interest among pregnant individuals with IBD who are not exposed to any IBD pharmacotherapies or an IBD pharmacotherapy of interest during pregnancy.

If sample size permits, to estimate the risk ratio for each outcome, comparing the outcomes of pregnant individuals with IBD who are exposed to IBD pharmacotherapy with those who are not exposed to any IBD pharmacotherapies or an IBD pharmacotherapy of interest during pregnancy.

Data collection may be used to determine pharmacotherapy-specific use with or without unexposed cohorts on an as-needed basis, as sample size allows.

Read the detailed description

Rationale and Background:

Inflammatory bowel disease (IBD) is a group of chronic inflammatory conditions that affect the gastrointestinal tract and can be divided into two main types: Crohn's disease (CD) and ulcerative colitis (UC). Half of the people diagnosed with IBD received their diagnosis before the age of 35 years, which coincides with the peak reproductive years for women. Studies have shown that IBD is associated with increased risk of adverse pregnancy and fetal outcomes, including preterm birth, stillbirth, and low birth weight. The CorEvitas IBD Pregnancy Registry (IBD-PR) aims to collect real-world evidence on the safety of IBD pharmacotherapies during pregnancy and the first year of infant life and provide valuable insights into the risks and safety profiles of IBD medications, enabling healthcare professionals to make more informed decisions when managing IBD in pregnant individuals.

Research Question and Objectives: Data collected through the registry may be used to address a range of research questions and objectives, including but not limited to the following:

The research question is: Is there an increased risk of adverse maternal, fetal, or infant outcomes among individuals who are exposed to IBD pharmacotherapies during pregnancy?

The primary objective of the registry is to estimate the prevalence of major congenital malformations (MCM) among pregnant individuals with IBD who are exposed to an IBD pharmacotherapy during pregnancy.

The secondary objectives of the registry are:

To estimate the prevalence of other maternal, fetal, and infant outcomes among pregnant individuals with IBD who are exposed to an IBD pharmacotherapy during pregnancy

To contextualize the prevalence of outcomes among pregnant individuals who are exposed to IBD pharmacotherapies during pregnancy and estimate the prevalence of all outcomes of interest among pregnant individuals with IBD who are not exposed to an IBD pharmacotherapy during pregnancy

If sample size permits, to estimate the risk ratio for each outcome, comparing the outcomes of pregnant individuals with IBD who are exposed to an IBD pharmacotherapy with outcomes of those who are not exposed to an IBD pharmacotherapy

Data collection may be used to determine pharmacotherapy-specific use with or without unexposed cohorts on an as-needed basis, as sample size allows.

Study Design: This prospective, observational cohort study is designed to estimate the prevalence of maternal, fetal, and infant outcomes among individuals with IBD who are exposed to an IBD pharmacotherapy during pregnancy. For this registry, the index date will be the date of first exposure to the IBD pharmacotherapy for the exposed cohort and the date of enrollment for the unexposed cohort. The risks of pregnancy-related outcomes, maternal outcomes, and neonatal/infant outcomes will be estimated for participants with IBD exposed and unexposed to any IBD pharmacotherapies or an IBD pharmacotherapy of interest during pregnancy.

Population: The registry population will include two cohorts of pregnant individuals: one cohort of individuals with a diagnosis of IBD who are exposed to an IBD pharmacotherapy during pregnancy and one cohort of individuals with a diagnosis of IBD who are not exposed to IBD pharmacotherapies during pregnancy.

Variables: Individuals will be considered exposed during pregnancy if at least one dose of an IBD treatment is taken during pregnancy or up to at least five times the product's half-life before conception. The primary outcome of interest is MCMs. The maternal and pregnancy secondary outcomes include minor congenital malformations, preeclampsia, eclampsia, spontaneous abortion, stillbirth, pregnancy termination, preterm birth, small for gestational age, gestational diabetes, pregnancy-induced hypertension, and placental abruption. The infant secondary outcomes during the first year of life include postnatal growth deficiency, infant developmental delay, infant hospitalization, infant infections (both serious and nonserious), and infant death. Covariates will include demographics, risk factors for the outcomes, comorbidities, concomitant medications, and predictors of treatment with an approved IBD pharmacotherapy.

Data Source: This registry will collect data from participants and healthcare providers involved in their care or the care of their infants via concise data collection forms at predefined timepoints during pregnancy, at pregnancy outcome, and up to 1 year of infant age.

Study Size: The registry aims to include as many pregnant individuals as possible, with no defined upper limit on enrollment in each cohort, to estimate the prevalence of the primary outcome, MCM, with meaningful confidence and precision. This approach aims to achieve adequate sample size to address additional research questions of interest, and/or maintain generalizability and representativeness of the registry population. Assuming a prevalence of MCM equivalent to 3% in each cohort, 1,143 and 303 live births in the analysis population of each cohort are needed to estimate the prevalence of MCM with ±1% and 2% precision, respectively.

Data Analysis: Participant characteristics will be summarized with descriptive statistics for each cohort. Comparative analyses will be conducted for each outcome if sample size permits. Supplementary analyses will be conducted that include pregnant individuals who were excluded from the analysis population. If sample size permits, subgroup and sensitivity analyses will be performed to examine the extent to which changes in certain methods or assumptions affect the results.

Milestones: The IBD-PR is expected to launch in March 2025, and the end of data collection is planned for 30 September 2032.

Being tested
Non-exposed group, Exposed to IBD pharmacotherapy during pregnancy
Keywords
Pregnant, IBD, Registry, UC, Inflammatory Bowel Disease, Ulcerative Colitis
Medical subject headings
Inflammatory Bowel Diseases, Colitis, Ulcerative

What participants receive

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

  • Non-exposed groupOther

    Pregnant individuals with IBD who are not exposed to an IBD pharmacotherapy during pregnancy

  • Exposed to IBD pharmacotherapy during pregnancyDrug

    Pregnant individuals with IBD who are exposed to an IBD pharmacotherapy during pregnancy

Study groups in NCT06910553
Study groupRoleWhat they receive
IBD pharmacotherapy exposedIndividuals with a diagnosis of IBD who are exposed to an approved IBD pharmacotherapy at any time during pregnancy
Receives: Drug: Exposed to IBD pharmacotherapy during pregnancy
IBD pharmacotherapy unexposedIndividuals with a diagnosis of IBD who are not exposed to IBD pharmacotherapy during pregnancy
Receives: Other: Non-exposed group

What is being measured

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

  1. Major congenital malformation

    An abnormality of body structure or function that is present at birth, is of prenatal origin (i.e., birth defect), has significant medical, social, or cosmetic consequences for the affected individual, and typically requires medical intervention.

    Measured: Full pregnancy period (~9 months)

Secondary outcomes (16)
  1. Minor congenital malformation

    An anomaly or abnormality of body structure that is present at birth, is of prenatal origin (i.e., birth defect), poses no significant health problem in the neonatal period, and tends to have limited social or cosmetic consequences for the affected individual.

    Measured: Full pregnancy period (~9 months)

  2. Spontaneous abortion

    An involuntary fetal loss or the expulsion of the products of conception occurring at <20 gestational weeks.

    Measured: <20 gestational weeks

  3. Pregnancy termination

    A voluntary fetal loss or interruption of pregnancy that occurs for any reason, including but not limited to for the preservation of maternal health or because of fetal abnormalities.

    Measured: Full pregnancy period (~9 months)

  4. Preeclampsia

    A disorder of pregnancy associated with new-onset hypertension, which occurs most often after 20 weeks of gestation and frequently near term, and proteinuria. Or, in the absence of proteinuria, it is defined as new-onset hypertension with the new onset of any of the following:

    • Thrombocytopenia: platelet count <100,000/mL
    • Renal insufficiency: serum creatinine concentrations >1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease
    • Impaired liver function: elevated blood concentrations of liver transaminases to twice the normal concentration
    • Pulmonary edema
    • New-onset headache unresponsive to medication and not accounted for by alternative diagnoses or visual symptoms

    Measured: Full pregnancy period (~9 months)

  5. Eclampsia

    New-onset tonic-clonic, focal, or multifocal seizures in the absence of other causative conditions such as epilepsy, cerebral arterial ischemia and infarction, intracranial hemorrhage, or drug use.

    Measured: Full pregnancy period (~9 months)

  6. Stillbirth

    Involuntary fetal loss occurring at ≥20 gestational weeks or, if gestational age is unknown, a fetus weighing ≥350g

    Measured: ≥20 gestational weeks

  7. Preterm birth

    A live birth occurring at <37 gestational weeks

    Measured: <37 gestational weeks

  8. Small for gestational age

    Birth weight <10th percentile for sex and gestational age using standard growth charts for full and preterm live-born infants.

    Measured: At infant birth (up to 12 months of age)

  9. Gestational diabetes

    Any degree of glucose intolerance with onset or first recognition during pregnancy

    Measured: Full pregnancy period (~9 months)

  10. Pregnancy induced hypertension

    A disorder of pregnancy defined as a systolic blood pressure of 140 mm Hg or more or a diastolic blood pressure of 90 mm Hg or more, or both, on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with previously normal blood pressure

    Measured: >20 gestational weeks

  11. Placental abruption

    Premature separation of the placenta from its uterine attachment before the delivery of a fetus

    Measured: Full pregnancy period (~9 months)

  12. Postnatal growth deficiency

    Weight, length, or head circumference in <10th percentile for sex and chronological age using standard growth charts

    Measured: Up to 12 months of age

  13. Infant developmental delay

    Failure to achieve the developmental milestones for chronological age, as defined by the CDC.

    Measured: Up to 12 months of age

  14. Infant hospitalization

    The admission of an infant to a hospital

    Measured: Up to 12 months of age

  15. Infant infections (serious or nonserious)

    Infant infections that resulted in medical visit or hospitalization

    Measured: Up to 12 months of age

  16. Infant death

    The death of an infant before his or her first birthday

    Measured: Up to 12 months of age

Timeline

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

  1. First posted4 Apr 2025
  2. Study startApr 2025 (estimated)
  3. Primary completionSep 2032 (estimated)
  4. Study completionSep 2032 (estimated)

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
832 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06910553
Sponsor's protocol ID
IBDPR-310
Acronym
IBD-PR
Status last verified
Apr 2025
First submitted
6 Mar 2025
Last updated
4 Apr 2025
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Inflammatory Bowel Disease (IBD), run by CorEvitas at 1 site in United States.

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 10 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 4 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 States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Ronna L Chan, PhD, MPH (800-616-3791, ibd-pr@corevitas.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Major congenital malformation (time frame: Full pregnancy period (~9 months)). 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 4 Apr 2025.

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