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What CDPATH Could Mean for Crohn’s Disease Patients with Dr. Corey Siegel
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What CDPATH Could Mean for Crohn’s Disease Patients
Corey Siegel, M.D.
Co-Founder, MiTest Health
Initial Co-Creator, CDPATH
Co-Director of the IBD Center at the Dartmouth-Hitchcock Medical Center
Dr. Siegel is a paid consultant for Takeda
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What does this mean for Patients?
We need to better understand the individual potential risk for CD related serious complications1
Line graph showing hypothetical progression of Crohn’s disease over time.
The above image is a hypothetical representation of a potential CD disease course.2,3 Individual CD patient time from diagnosis to experiencing potential complications and types of complications may vary
Note: Concept established in rheumatoid arthritis; further evidence in IBD is needed; Adapted from Pariente et al, 2011.
We need to Partner with Patients4
Line drawing of doctor and patient shaking hands.
CDPATH is here5!
Predicted Risk of Complications from Crohn’s Disease Over 3 Years (Example Report)
Line graph showing a hypothetical patient’s predicted risk of complications from Crohn’s disease over 3 years.
CDPATH is intended to be used in combination with your clinical assessment and supports a personalized approach to CD management4,5
CDAI=Crohn’s Disease Activity Index; CDEIS=Crohn’s Disease Endoscopic Index of Severity; CRP=C-reactive protein; IBD=inflammatory bowel disease.
The Lémann index is a tool under evaluation designed to assess bowel damage with respect to cumulative damage, progression of damage, and identification of patients at risk of damage progression and determination of treatment response.8
1. Lichtenstein GR, Loftus EV, Isaacs KL, Regueiro MD, Gerson LB, Sands BE. Am J Gastroenterol 2018; 113:481–517; doi: 10.1038/ajg.2018.27; published online 27 March 2018. Accessed May 2021. 2. Pariente B, Cosnes J, Danese S, et al. Inflamm Bowel Dis. 2011;17(6):1415-1422. 3. Colombel J-F, Narula N, Peyrin-Biroulet L. Gastroenterology. 2017;152(2):351-361.e5. 4. Siegel CA, Lofland JH, Naim A, et al. Dig Dis Sci. 2015;60(9):2636-2645. 5. Data on file. Takeda Pharmaceuticals USA, Inc.
CDPATH is only validated in, and can only be performed on, adult Crohn’s disease patients (≥18 years old) diagnosed within the past ten (10) years, who have not experienced a Crohn’s disease complication, defined as any fistulas or strictures in the bowels or non-perianal (area other than in or around the anus) surgery (removal of portions of small and/or large intestine or repair of strictures).
Due to the nature of clinical testing, there are limitations to consider for CDPATH. See CDPATH.com for more information.
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So at the end of the day, what does this mean for patients?
In my opinion, it means that we need to better understand the individual potential risk for Crohn’s disease–related serious complications.
We need to partner with patients in a way that they understand, using tools that are clear.
The CDPATH risk assessment tool was developed and validated by Prometheus Laboratories Inc., a partner of Takeda, and has received approval from the New York State Department of Health (NYS DoH) as a Laboratory Developed Test (LDT). Test results are provided via Prometheus Laboratories Inc. to physicians.
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CDPATH allows us to do just that for adult Crohn’s disease patients 18 years or older who are within 10 years of diagnosis and have yet to experience serious complications.3
We can now use CDPATH to better understand a patient’s individualized potential risk of serious complications within 3 years.
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The CDPATH results can be shared with patients to help facilitate shared decision-making discussions between patients and providers for a more personalized approach for their care management.
Healthcare Providers should not rely primarily on the risk predictions from CDPATH to make a clinical diagnosis or treatment decision regarding an individual patient. CDPATH should only be considered an additional piece of information in combination with a doctor’s evaluation of a patient’s CD.
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CDPATH is intended to be used in combination with your clinical assessment, and providers should not rely primarily on the risk predictions from CDPATH to make a clinical diagnosis or treatment decision regarding an individual patient.2,3
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For more information, contact Client Services at 1-877-556-8766 or ask your CDPATH representatives.
Hours of Operation:
Monday-Friday
6:00 am-4:30 pm PST
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TERMS AND CONDITIONS: CDPATH is only validated in, and can only be run on, adult Crohn’s disease patients (≥18 years old) diagnosed within the past ten (10) years, who have not experienced a Crohn’s disease complication such as blockages, strictures, or fistulas. Beneficiaries of any state or federal health insurance program (including, but not limited to, Medicare, Medicaid, Department of Veterans Affairs, Coast Guard, Public Health Service, or Department of Defense) are excluded from participating in this program. No insurance claims should be collected or processed, and no charges should be billed to the patient for CDPATH and shipping. Takeda has made arrangements with the processing laboratory to directly cover these charges. Void where prohibited by law. Takeda reserves the right to change or end CDPATH at any time without notice, and other terms and conditions may apply. This test cannot be substituted for or combined with any other test and is only offered for a one-time use.
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Development, Validation, and Limitations of the CDPATH Model
CDPATH™ is a trademark of Takeda Pharmaceuticals U.S.A., Inc.
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All rights reserved. Contact CDPATH Client Services at 1-877-556-8766.
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