Protocol summary

Study aim
To evaluate the safety profile of Nupada® in real-world practice.
Design
Phase IV, Prospective, observational
Settings and conduct
This study will be conducted on 161 patients with inflammatory bowel disease (ulcerative colitis and Crohn’s disease) who are candidates for treatment with Nupada® over 24 weeks. During this period, patients with ulcerative colitis will have 5 visits (at baseline, week 4, week8, week 16, and week 24), and patients with Crohn’s disease will have 4 visits (at baseline, week 4, week 12, and week 24(. At each visit, participants will be evaluated and asked about the occurrence of adverse events after starting Nupada® by their physicians. Also, at each visit, the effectiveness of Nupada® will be evaluated with the partial Mayo score in patients with ulcerative colitis and with Harvey-Bradshaw index in patients with Crohn’s disease. Furthermore, the effectiveness of Nupada® will be assessed by the percentage of pa-tients achieving clinical response at week 24 based on the Mayo score in patients with ulcerative colitis and the Harvey-Bradshaw index in patients with Crohn’s disease.
Participants/Inclusion and exclusion criteria
Inclusion criteria 1. Patients with ulcerative colitis or Crohn’s disease 2. Patients who are candidates to receive Upadacitinib treatment according to the in-vestigator’s opinion 3. Ability to comprehend and willingness to give consent for this study Exclusion criteria NA
Intervention groups
Tablets of Nupada® will be prescribed and ingested by patients with a dose and frequency based on the physician’s opinion.
Main outcome variables
Adverse events occurred during study until week 24 based on the physician’s assessment. Clinical re-sponse at week 24 based on changes in Mayo score in patients with ulcerative colitis and Harvey-Bradshaw in patients with Crohn’s disease com-pared to baseline.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20150303021315N46
Registration date: 2026-10-09, 1405/07/17
Registration timing: registered_while_recruiting

Last update: 2026-10-09, 1405/07/17
Update count: 0
Registration date
2026-10-09, 1405/07/17
Registrant information
Name
Nassim Anjidani
Name of organization / entity
Orchid Pharmed
Country
Iran (Islamic Republic of)
Phone
+98 21 4347 3000
Email address
amini@orchidpharmed.com
Recruitment status
recruiting
Funding source
Expected recruitment start date
2026-10-02, 1405/07/10
Expected recruitment end date
2027-07-01, 1406/04/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A Post-Marketing Surveillance Study to Evaluate the Safety and Effectiveness of Upadacitinib (Nupada® produced by NanoAlvand Co.) in pa-tients with inflammatory bowel diseases.
Public title
Study to evaluate safety and effectiveness of Upadacitinib (Nupada® produced by NanoAlvand Co.) in patients with inflammatory bowel diseas-es.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with ulcerative colitis or Crohn’s disease Patients who are candidates to receive Upadacitinib treatment according to the investigator’s opinion Ability to comprehend and willingness to give con-sent for this study
Exclusion criteria:
NA
Age
From 18 years old
Gender
Both
Phase
4
Groups that have been masked
No information
Sample size
Target sample size: 202
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Shahid Beheshti University of Medical Sciences
Street address
6th Floor, Building No. 2, University Headquarters, Shahid Beheshti University of Medical Sciences and Health Services, Arabi St., Chamran Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1546815514
Approval date
2026-07-25, 1405/05/03
Ethics committee reference number
IR.SBMU.RIGLD.REC.1405.007

Health conditions studied

1

Description of health condition studied
Ulcerative colitis, Crohn’s disease
ICD-10 code
K51, K50
ICD-10 code description
Ulcerative colitis, Crohn's disease [regional enteri-tis]

Primary outcomes

1

Description
To evaluate the safety of Upadacitinib (Nupada®, produced by NanoAlvand Co.) through the adverse events occurred during study based on physician assessment.
Timepoint
In every visit until week 24
Method of measurement
Adverse events occurred during the study based on physician assessment

Secondary outcomes

1

Description
Percentage of patients with clinical response* at week 24*Definition of Clinical Response based on Mayo Score in patients with ulcerative colitis: A decrease of at least three points in the patient's Mayo Score compared to the screening visit,ANDA decrease of at least 30% in the patient's Mayo Score compared to the screening visit,ANDThe Subscore related to Rectal Bleeding must de-crease by at least one point, or the score for this cri-terion must be 0 or 1.*Definition of Clinical Response based on Harvey-Bradshaw Index in patients with Crohn’s disease: A decrease of at least three points in the patient's Har-vey-Bradshaw Index compared to the screening vis-it.
Timepoint
Mayo score in patients with ulcerative colitis: Baseline, Week 4, Week 8, Week 16, Week 24Harvey-Bradshaw index in patients with Crohn’s disease:Baseline, Week 4, Week 12, Week 24
Method of measurement
Mayo score (for ulcerative colitis): Physician’s as-sessment and colonoscopyHarvey-Bradshaw index (for Crohn’s disease): Phy-sician’s assessment

Intervention groups

1

Description
Intervention group: Tablets of Nupada® (Upadacitinib produced by NanoAlvand Co.) will be prescribed and ingested by patients with a dose and frequency based on the physician’s opinion
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Taleghani Hospital
Full name of responsible person
Dr. Shabnam Shahrokh
Street address
Gastroenterology and Liver Diseases Research Center, Talaghani Hospital Courtyard, Arabi St., Yemen St., Chamran Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1985717413
Phone
+98 21 2303 1678
Email
Shabnamshahrokh@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
NanoAlvand Co.
Full name of responsible person
Dr.nima sepehri
Street address
Unit 52, 5th Floor, Owj Tower, No. 485, between 63rd and 65th Streets, Asadabadi St., Yousef Abad, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1434964744
Phone
+98 21 9107 7339
Email
info@nanoalvand.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
NanoAlvand Co.
Proportion provided by this source
30
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Industry

Person responsible for general inquiries

Contact
Name of organization / entity
Zist Orchid Pharmed Co
Full name of responsible person
Dr. Hamidreza Kafi
Position
Medical Department Manager
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 42. Attar sq, Attar st, Valiasr st, Vanak sq, Tehran, Iran.
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
Kafi.H@orchidpharmed.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Dr.shabnam shahrokh
Position
Associate Professor
Latest degree
Subspecialist
Other areas of specialty/work
Gastroenterology and Hepatology
Street address
Gastroenterology and Liver Diseases Research Center, Talaghani Hospital Courtyard, Arabi St., Yemen St., Chamran Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1985717413
Phone
+98 21 2303 1585
Email
Shabnamshahrokh@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Hamidreza Kafi
Position
Medical Department Manager
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
No 42, Attar St., Vanak Sq, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
Kafi.H@orchidpharmed.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Not applicable
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