- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04663971
Fertility and Pregnancy After Surgery IBD Audit (Fertile-IBD)
IBD Audit on Fertility, Pregnancy and Delivery in Patients With Inflammatory Bowel Disease: a International Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a cross-sectional, international, multicentre study. Female patients diagnosed with inflammatory bowel diseases (Crohn's disease and ulcerative colitis) treated at several Italian centres will be retrospectively assessed for inclusion.
Those who underwent surgery below the age of 35 years between 2000 and 2020 will be included. The study aims to obtain information on female fertility, pregnancy and delivery, and to identify factors associated with infertility and problems to conclude the pregnancy.
For each nation, at least one centre will collect data on patients who were not treated with surgery.
Patients who meet inclusion criteria will be asked to prospectively fill a questionnaire on fertility and pregnancy.
Data on treatments and demographic will be retrospectively collected by the local investigators and uploaded on a secure online database.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Gianluca Pellino, MD, PhD
- Phone Number: 0815667919
- Email: gianluca.pellino@unicampania.it
Study Locations
-
-
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Bologna, Italy, 40138
- Policlinico S.Orsola-Malpighi
-
Contact:
- Matteo Rottoli, MD, PhD
-
Principal Investigator:
- Matteo Rottoli, MD, PhD
-
Milano, Italy, 20017
- Rho Memorial Hospital
-
Contact:
- Gianluca M Sampietro
-
Principal Investigator:
- Gianluca M Sampietro
-
Napoli, Italy, 81038
- Università degli Studi della Campania Luigi Vanvitelli
-
Contact:
- Gianluca Pellino, MD, PhD
- Email: gianluca.pellino@unicampania.it
-
Sub-Investigator:
- Francesco Selvaggi, MD
-
Roma, Italy, 00133
- Policlinico Tor Vergata
-
Contact:
- Giuseppe Sica, MD, PhD
- Email: antonella.piccioli@uniroma2.it
-
Principal Investigator:
- Giuseppe Sica, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Crohn's disease diagnosis
- ulcerative disease diagnosis
- operated on before 36 years of age
Exclusion Criteria:
- younger than 18 years old at follow-up
- no definitive diagnosis
- no surgical procedures performed
A subgroup of patients who did not undergo surgery will be used, at least one for each country.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Cross-Sectional
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Crohn's disease
Patients with Crohn's disease.
|
Any surgical procedures performed for inflammatory bowel diseases
Any treatment (including non-surgical) performed for inflammatory bowel diseases
|
Ulcerative colitis
Patients with Ulcerative colitis
|
Any surgical procedures performed for inflammatory bowel diseases
Any treatment (including non-surgical) performed for inflammatory bowel diseases
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fertility
Time Frame: through study completion, an average of 1 year
|
Rate of infertility and number of pregnancies.
Number of attempts to achieve pregnancy.
|
through study completion, an average of 1 year
|
Pregnancy
Time Frame: through study completion, an average of 1 year
|
Rate of successful pregnancies.
Number of miscarriages.
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
In-vitro fertilization
Time Frame: through study completion, an average of 1 year
|
Number of in-vitro fertilization attempts
|
through study completion, an average of 1 year
|
Abortion/s
Time Frame: through study completion, an average of 1 year
|
Number of abortions and reasons.
|
through study completion, an average of 1 year
|
Complications, surgical
Time Frame: through study completion, an average of 1 year
|
Incidence of early and late surgical complications and effects on fertility
|
through study completion, an average of 1 year
|
Complications, medical
Time Frame: through study completion, an average of 1 year
|
Incidence of medical complications and effects on fertility
|
through study completion, an average of 1 year
|
Surgical approach
Time Frame: through study completion, an average of 1 year
|
Rate of minimally invasive surgery use and effect on fertility and pregnancy
|
through study completion, an average of 1 year
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Giuseppe Sica, MD, PhD, University Tor Vergata Roma
- Study Chair: Matteo Rottoli, MD, PhD, University Alma Mater Bologna
- Study Chair: Francesco Selvaggi, MD, PhD, University of Campania Luigi Vanvitelli Napoli
Publications and helpful links
General Publications
- M Rottoli, P Pezzuto, G Fallani, G Pellino, F Rizzello, P Gionchetti, G Poggioli. P199 Ileal pouch-anal anastomosis in women of childbearing age affected by ulcerative colitis: a single-centre study on the risk factors for infertility and outcomes of pregnancy over 17 years. Journal of Crohn's and Colitis, Volume 16, Issue Supplement_1, January 2022, Pages i259-i261, https://doi.org/10.1093/ecco-jcc/jjab232.326
- Bernell O, Lapidus A, Hellers G. Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn's disease. Br J Surg. 2000 Dec;87(12):1697-701. doi: 10.1046/j.1365-2168.2000.01589.x.
- Spinelli A, Sacchi M, Bazzi P, Leone N, Danese S, Montorsi M. Laparoscopic surgery for recurrent Crohn's disease. Gastroenterol Res Pract. 2012;2012:381017. doi: 10.1155/2012/381017. Epub 2012 Jan 2.
- Cosnes J, de Parades V, Carbonnel F, Beaugerie L, Ngo Y, Gendre JP, Sezeur A, Gallot D, Malafosse M, le Quintrec Y. Classification of the sequelae of bowel resection for Crohn's disease. Br J Surg. 1994 Nov;81(11):1627-31. doi: 10.1002/bjs.1800811122.
- Pellino G, Keller DS, Sampietro GM, Carvello M, Celentano V, Coco C, Colombo F, Geccherle A, Luglio G, Rottoli M, Scarpa M, Sciaudone G, Sica G, Sofo L, Zinicola R, Leone S, Danese S, Spinelli A, Delaini G, Selvaggi F; Italian Society of Colorectal Surgery SICCR. Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis. Tech Coloproctol. 2020 May;24(5):397-419. doi: 10.1007/s10151-020-02175-z. Epub 2020 Mar 2. Erratum In: Tech Coloproctol. 2020 Jun 20;:
- Calvet X, Panes J, Alfaro N, Hinojosa J, Sicilia B, Gallego M, Perez I, Lazaro y de Mercado P, Gomollon F; Members of Consensus Group, Aldeguera X, Alos R, Andreu M, Barreiro M, Bermejo F, Casis B, Domenech E, Espin E, Esteve M, Garcia-Sanchez V, Lopez-Sanroman A, Martinez-Montiel P, Luis Mendoza J, Gisbert JP, Vera M, Dosal A, Sanchez E, Marin L, Sanroman L, Pinilla P, Murciano F, Torrejon A, Ramon Garcia J, Ortega M, Roldan J. Delphi consensus statement: Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units. J Crohns Colitis. 2014 Mar;8(3):240-51. doi: 10.1016/j.crohns.2013.10.010. Epub 2013 Dec 2.
- Rajaratnam SG, Eglinton TW, Hider P, Fearnhead NS. Impact of ileal pouch-anal anastomosis on female fertility: meta-analysis and systematic review. Int J Colorectal Dis. 2011 Nov;26(11):1365-74. doi: 10.1007/s00384-011-1274-9. Epub 2011 Jul 16.
- Waljee A, Waljee J, Morris AM, Higgins PD. Threefold increased risk of infertility: a meta-analysis of infertility after ileal pouch anal anastomosis in ulcerative colitis. Gut. 2006 Nov;55(11):1575-80. doi: 10.1136/gut.2005.090316. Epub 2006 Jun 13.
- Beyer-Berjot L, Maggiori L, Birnbaum D, Lefevre JH, Berdah S, Panis Y. A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study. Ann Surg. 2013 Aug;258(2):275-82. doi: 10.1097/SLA.0b013e3182813741.
- Gorgun E, Cengiz TB, Aytac E, Aiello A, da Silva G, Goldberg JM, Holubar SD, Stocchi L, Wexner SD, Steele SR, Hull TL. Does laparoscopic ileal pouch-anal anastomosis reduce infertility compared with open approach? Surgery. 2019 Oct;166(4):670-677. doi: 10.1016/j.surg.2019.04.045. Epub 2019 Aug 14.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Fertile-IBD
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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