Association of Bowel Urgency With Quality-of-Life Measures in Patients With Moderately-to-Severely Active Ulcerative Colitis: Results From Phase 3 LUCENT-1 (Induction) and LUCENT-2 (Maintenance) Studies.
Crohns Colitis 360
; 6(1): otae001, 2024 Jan.
Article
in En
| MEDLINE
| ID: mdl-38313767
ABSTRACT
Background:
Improvement in bowel urgency (BU) was associated with better clinical outcomes in phase 3 LUCENT-1 (induction) and LUCENT-2 (maintenance) studies in moderately-to-severely active ulcerative colitis (UC). We assessed association of BU with quality-of-life (QoL) outcomes.Methods:
LUCENT-1 1162 patients randomized 31 to intravenous mirikizumab 300 mg or placebo every 4 weeks (Q4W) for 12 weeks. LUCENT-2 544 mirikizumab induction responders re-randomized 21 to subcutaneous mirikizumab 200 mg or placebo Q4W through Week (W) 40 (W52 of continuous treatment). Patients reported BU severity in the past 24 hours using a validated Urgency Numeric Rating Scale (NRS). In patients with baseline Urgency NRSâ ≥3, the association between BU Clinically Meaningful Improvement (CMI; ≥3-point decrease) and remission (score 0 or 1) with patient-reported outcomes was assessed at W12 and W52.Results:
A significantly greater proportion of patients with versus without BU Remission achieved IBDQ remission (W12 87.3% vs 42.7%, Pâ <â .0001; W52 91.4% vs 45.5%, pâ <â .0001). Similarly, BU Remission was associated with more patients achieving CMI in SF-36 Physical Component Summary (W12 69.0% vs 44.4%, Pâ <â .0001; W52 77.5% vs 42.1%, Pâ <â .0001) and Mental Component Summary (W12 53.5% vs 41.0%, Pâ =â .0019; W52 62.0% vs 38.3%, Pâ <â .0001) scores. At W12 and W52, patients with BU CMI or Remission showed significant improvements in EQ-5D-5L and Work Productivity and Activity ImpairmentUC scores. Significant improvements were also seen in fatigue, abdominal pain, and nocturnal stool.Conclusions:
In patients with moderately-to-severely active UC, improvement in BU was associated with improved QoL in phase 3 LUCENT-1 and LUCENT-2 studies. Clinical Studies LUCENT-1 NCT03518086; LUCENT-2 NCT03524092.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Clinical_trials
/
Risk_factors_studies
Aspects:
Patient_preference
Language:
En
Journal:
Crohns Colitis 360
Year:
2024
Document type:
Article
Affiliation country: