Mirikizumab Improves Quality of Life and Work Productivity in Moderate to Severe Crohn’s Disease
Findings from the Phase 3 VIVID-1 study show that mirikizumab significantly improves health-related quality of life (HRQoL) and work productivity in patients with moderately to severely active Crohn’s disease (CD), with sustained benefits through 52 weeks of treatment.
A total of 579 patients received mirikizumab and 199 received placebo. HRQoL was assessed using multiple validated tools, including the Inflammatory Bowel Disease Questionnaire (IBDQ), SF-36, and EQ-5D-5L visual analog scale, while work productivity was evaluated using the Work Productivity and Activity Impairment: CD (WPAI:CD) measure.
At weeks 12 and 52, mirikizumab-treated patients showed significantly greater improvements in IBDQ total and domain scores, SF-36 component scores, and EQ-5D-5L scores compared to placebo (all P < 0.001). These improvements were mirrored by enhanced work-related outcomes.
At week 12, mirikizumab significantly reduced absenteeism (P = 0.001), presenteeism (P = 0.005), activity impairment (P < 0.001), and overall work impairment (P = 0.002) compared to placebo.
“Patients with moderately to severely active CD treated with mirikizumab reported clinically meaningful improvements in HRQoL and work productivity vs placebo at week 12, which were maintained at week 52,” the study authors concluded.
The authors also reported that a greater proportion of patients receiving mirikizumab achieved IBDQ response, IBDQ remission, and clinically important improvements in both the physical and mental component summaries of the SF-36 (all P < 0.001).
The findings highlight mirikizumab as a therapeutic option that delivers not only symptom relief but also sustained improvements in quality of life and functional outcomes for patients with moderate to severe CD.
Reference
Lee SD, Vermeire S, Ungaro R, et al. Mirikizumab improves quality of life and work productivity in patients with moderately to severely active Crohn's disease: results from the phase 3 VIVID-1 study. Am J Gastroenterol. Published March 13, 2025. doi:10.14309/ajg.0000000000003410