This non-interventional study is an observational cohort with parallel groups aiming primarily to describe the success of biosimilar of ustekinumab in Behçet's syndrome in whom conventional approaches have failed or are not suitable well tolerated, and then to compare with patients receiving apremilast within routine care. Ustekinumab previously prescribed subcutaneously at 90 mg on Week 0, 4, 12 and 20 within the standard of care. Following non-opposition to participate, patients data will be collected, which will comprise data of the 3-month interval medical visits, except for the first month of treatment, in which the short-term tolerance of treatments is usually assessed (ie, baseline visit, then week 4, 12, 24, 36 and 52). Clinical examination, biological tests and relevant clinical scores (BDCAF, BSAS and PhGA) data that were performed within routine care. No changes to patients' usual care will be made (no additional visits, additional examinations or questionnaires), their safety and well-being remaining therefore unchanged. Data will be collected from the participant's medical record (containing medical reports and examinations, biological tests, nursing records, etc.), for the period of participation in the research, with the only purpose of meeting the objectives of the research. Data will be collected using an electronic 'eCRF observation book on the REDCap platform. The following data will be collected: demographic data (age, sex, weight, height); clinical data (history of the disease, pathology diagnosed, activity of the pathology), treatments, biological data, adverse events. No genetic data will be collected as part of the study. No data will be transferred abroad. No additional questionnaires, examinations or visits will be added by the research. Activity indexes for BS will be calculated as part of routine care. The number, duration and intensity of oral ulcers of patients will be verified by the nurse or the site investigator according to the routine care. Patients' data with active mucocutaneous Behçet's manifestations with an indication of starting apremilast within standard of care (according to AMM and PNDS) will be retrospectively collected in order to establish a retrospective cohort for comparative purposes.
This non-interventional study is an observational and comparative cohort aiming to describe the success of biosimilar of ustekinumab in Behçet's syndrome in whom conventional approaches have failed or are not suitable well tolerated. Data on 208 patients is expected to be identified as follows: * data of 104 patients will be collected from patients who have received the ustekinumab * data of 104 patients will be collected from patients who have received the apremilast. Ustekinumab is usually prescribed subcutaneously at 90 mg on Week 0, 4, 12 and 20 within the standard of care. Following non-opposition to participate, patients data will be collected retrospectively according to local clinical practices and usual care, which usually comprises 3-month interval medical visits, except for the first month of treatment, in which the short-term tolerance of treatments is usually assessed (ie, baseline visit, then week 4, 12, 24, 36 and 52). Available data on clinical examination, biological tests and relevant clinical scores (BDCAF, BSAS and PhGA) that are performed within routine care will be retrieved. No changes to patients' usual care will be made (no additional visits, additional examinations or questionnaires), their safety and well-being remaining therefore unchanged. Data will be collected from the participant's medical record (containing medical reports and examinations, biological tests, nursing records, etc.), for the period of participation in the research, with the only purpose of meeting the objectives of the research. Data will be collected using an electronic eCRF observation book on the REDCap platform. The following data will be collected: demographic data (age, sex, weight, height); clinical data (history of the disease, pathology diagnosed, activity of the pathology), treatments, biological data, adverse events. No genetic data will be collected as part of the study. No data will be transferred abroad. No additional questionnaires, examinations or visits will be added by the research. Activity indexes for BS are usually calculated as part of routine care. The number, duration and intensity of oral ulcers of patients might be verified by the nurse or the site investigator according to the routine care. Patients data with active mucocutaneous Behçet's manifestations with an indication of starting apremilast within standard of care will be also retrospectively collected in order to establish a comparative group, using the same parameters above mentioned
Study Type
OBSERVATIONAL
Enrollment
208
CHU BORDEAUX Hôpital Saint-André - Service de médecine interne
Bordeaux, France
NOT_YET_RECRUITINGService de médecine interne-APHP - Henri Mondor
Créteil, France
NOT_YET_RECRUITINGHOPITAL CROIX-ROUSSE - HCL - service de médecine interne
Lyon, France
NOT_YET_RECRUITINGHospices civils de Lyon
Lyon, France
NOT_YET_RECRUITINGGHSIF Melun
Melun, France
RECRUITINGAP-HP-Hôpital COCHIN
Paris, France
NOT_YET_RECRUITINGservice de dermatologie - APHP - St Louis
Paris, France
NOT_YET_RECRUITINGCHU Rouen_Hôpital Charles Nicolle
Rouen, France
NOT_YET_RECRUITINGCHU de Rouen - service dermatologie
Rouen, France
NOT_YET_RECRUITINGAPHP_Hopital Lariboisière
Paris, Île-de-France Region, France
ACTIVE_NOT_RECRUITING...and 1 more locations
Success at Week 24 will be defined as the absence of active mucocutaneous manifestations
Success at Week 24 will be defined as the absence of active mucocutaneous manifestations at week 24 without treatment discontinuation due to inefficacy or toxicity.
Time frame: Week 24
Area under the curve (AUC) for the cumulative number of oral ulcers
Area under the curve (AUC) for the cumulative number of oral ulcers along the study period at W24.
Time frame: Week 24
Duration (days) of oral and genital ulcers
Duration (days) of oral and genital ulcers up to W24
Time frame: Week 24
Number of oral and genital ulcers
Number of oral and genital ulcers up to week 24
Time frame: Week 24
Number of painful and swollen joints
Number of painful and swollen joints up to W24
Time frame: Week 24
Rate of patients with complete response (ie, no mucocutaneous manifestations), partial response (>50% reduction in overall mucocutaneous manifestations), and no response
Rate of patients with complete response (ie, no mucocutaneous manifestations), partial response (\>50% reduction in overall mucocutaneous manifestations), and no response (ie, persistence of mucocutaneous manifestations not fulfilling complete or partial response definitions) at W12 and W24
Time frame: Week 12 and Week 24
Rate of treatment discontinuations for safety reasons
Rate of treatment discontinuations for safety reasons up to W24
Time frame: Week 24
Rate of treatment failures
Rate of treatment failures (i.e., persistence of active mucocutaneous manifestations that require a change in immunomodulatory therapy) up to W24
Time frame: Week 24
Change in BDCAF scores
The score is between 0 and 12. Higher scores indicate a worse evaluation
Time frame: Week 24
Frequency and severity of adverse events
Frequency and severity of adverse events (CTCAE grade) along the study period.
Time frame: 48 months
Safety of patients receiving the Apremilast
frequency and severity of adverse events in patients receiveing apremilast.
Time frame: 48 months
pain intensity (0-10 EVA score) for genital and oral ulcers
pain intensity (0-10 EVA score) for genital and oral ulcers up to W24
Time frame: WEEK24
Change in BSAS scores
The score is between 0 and 100. Higher scores indicate a worse evaluation
Time frame: week24
Change PhGA scores
The score is between 0 and 10. Higher scores indicate a worse evaluation
Time frame: week 24
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.