From: zumone2002 on
http://www.medicalnewstoday.com/articles/122174.php

Drugs For Acute Severe Ulcerative Colitis Assessed
19 Sep 2008

The National Institute for Health Research Health Technology
Assessment (NIHR HTA) programme has funded a £1.6 million clinical
trial to compare two powerful drugs for people with steroid resistant
acute severe ulcerative colitis (UC). UC affects approximately 150,000
people in the UK and is a major burden on patients and NHS resources,
as it often leads to severe morbidity, grossly impaired quality of
life, frequent and long inpatients stays and emergency colectomy.

Recent studies have reported that infliximab and ciclosporin are
effective in treating patients with chronic UC resistant to oral
steroids, but there is a lack of evidence in acutely ill patients.
NICE have recently highlighted the need for a large, high-quality
trial to address in particular the long-term impact on patient
outcomes, and costs. Researchers led by Professor John G Williams of
Swansea University will use a two arm trial to compare the clinical
and cost-effectiveness of infliximab and ciclosporin over a ten year
period. They aim to recruit around 480 patients across 40 centres in
the UK to assess and compare quality of life, death rates, colectomy,
severe illness, NHS and patient borne costs, and patient views after
these treatments.

"UC is a chronic debilitating disease and is one of the most important
conditions seen by gastroenterologists. Acutely ill patients who do
not respond to steroid treatment usually require surgical removal of
the large bowel." says Professor Williams. "Few alternative treatments
exist for severe steroid-resistant UC, so it is important that this
research is conducted to help identify whether infliximab and
ciclosporin are cost-effective options with proven benefits for this
group of patients."

To view the full project details visit http://www.hta.ac.uk/1737

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Luke