Ulcerative Colitis Patient-Reported Outcomes (UC-PRO)

Expand the efficacy profile of your product with patient-reported outcomes in six critical measures

Gain critical insight into treatment efficacy in adult ulcerative colitis (UC) patients. The UC-PRO is a self-administered patient-reported outcome (PRO) measure developed in accordance with the U.S. Food and Drug Administration (FDA) Guidelines for Content Validity and Instrument Performance. This measure is intended for use in clinical trials evaluating treatment efficacy in adult patients (at least 18 years old) with moderate to severe UC treated in an outpatient setting. 

The UC-PRO is conceptually designed as a collection of separate and distinct modules that assess the signs, symptoms and impacts of UC:

The UC-PRO Signs and Symptoms (CD-PRO/SS) is a nine-item daily diary designed to quantify the effects of treatment on patient-reported signs and symptoms of UC. The UC-PRO/SS includes two scales — Bowel Signs and Symptoms (six items) and Functional Symptoms (three items). Each scale is scored separately; there is no total score for the CD-PRO/SS. 

This measure uses a 24-hour recall and was designed and tested as an e-diary on a handheld device. Electronic administration is strongly recommended. The paper format was used in the cognitive interviewing phase of instrument development only and is available upon request. 

The UC-PRO/SS measure is currently under review by the FDA as part of the FDA Qualification Program (DDT COA 000040). In addition, international health authority qualification advice was sought by the European Medicines Agency (EMA) and a letter of support was received. 

It is the user’s responsibility to select and contract with the ePRO vendor and ensure that the proper licenses are in place. 

The Systemic Symptoms measure includes five items, scored as a single scale, to address the presence and severity of systemic symptoms, including pain, fatigue, lack of appetite, weakness and thirst. 

This measure uses a 24-hour recall and was designed and tested as an e-diary on a handheld device. Electronic administration is strongly recommended. The paper format was used in the cognitive interviewing phase of instrument development only and is available upon request. 

It is the user’s responsibility to select and contract with the ePRO vendor and ensure that the proper licenses are in place. 

The Coping Strategies measure includes six items, scored as a single score, to address coping strategies such as scheduling activities, eating to control bowel movements, avoiding foods, not going out unless toilets are nearby, carrying a change of clothes and staying home due to UC.  

This measure uses a 24-hour recall and was designed and tested as an e-diary on a handheld device. Electronic administration is strongly recommended. The paper format was used only in the cognitive interviewing phase of instrument development and is available upon request. 

It is the user’s responsibility to select and contract with the ePRO vendor and ensure that the proper licenses are in place. 

The Daily Life Impact measure includes nine items, scored as a single scale, to address interference with work /school, chores, activities for enjoyment, sleep, ability to concentrate, leaving home, ability to travel, sex and planning activities due to UC. 

This measure uses a one-week recall and was designed and tested in a paper format. The ePRO format (i.e., screenshots) is available upon request.  

The Emotional Impact measure includes eight items, scored as a single scale, to address feeling alone, embarrassed, worried, scared, having no control in life, angry, frustrated and depressed due to UC. 

This measure uses a one-week recall and was designed and tested in a paper format. The ePRO format (i.e., screenshots) is available upon request.  

clinical trial doctor with tablet

Licensing information

As the contracted agency approved by the UC-PRO copyright holder (Amgen Inc., Genentech Inc., and the University of Michigan) to license and distribute the UC-PRO, we uphold our responsibility to protect the integrity of the UC-PRO as it is distributed for use, including development of translations.

A user agreement is required for all requests to use the UC-PRO in research, and use is granted for a single study only. Fees for licensure vary depending on the type of user making the request and the nature of the research. To inquire about terms and fees for licensure to use the UC-PRO, please choose the appropriate affiliation below to submit your interest, and you will be contacted by a COA expert with information relevant to your needs.

Translations available

Scroll the table below to view all of the available translations.

CountryLanguageSigns & symptomsSystemic symptomsCoping strategiesDaily life impactEmotional impact
AlbaniaAlbanianX
Argentina Spanish X X X X X 
Australia English X X X X X 
Austria German X X X X X 
Belarus Russian X X    
Belgium Dutch X X X X X 
Belgium English X X X X X 
Belgium French X X X X X 
Bosnia & Herzegovina Bosnian X     
Bosnia & Herzegovina Croatian X     
Bosnia & Herzegovina Serbian-Latin X     
Brazil Portuguese X X X X X 
Bulgaria Bulgarian X X X X X 
Canada English X X X X X 
Canada French X X X X X 
Chile Spanish X     
China Chinese-Simplified X     
Colombia Spanish X     
Croatia Croatian X     
Czech Republic Czech X X X X X 
Denmark Danish X X X X X 
Egypt Arabic X     
Estonia Estonian X     
Estonia Russian X     
Finland Finnish X X X X X 
Finland Swedish X X X X X 
France French X X X X X 
Georgia Georgian X X    
Georgia Russian X     
Germany German X X X X X 
Greece Greek X X X X X 
Hong Kong Chinese-Traditional X     
Hungary Hungarian X X X X X 
India Bengali X     
India English X     
India Gujarati X     
India Hindi X     
India Kannada X     
India Malayalam X     
India Marathi X     
India Odia X     
India Punjabi X     
India Tamil X     
India Telugu X     
India Urdu X     
Israel Arabic X X X X X 
Israel Hebrew X X X X X 
Israel Russian X X X X X 
Italy Italian X X X X X 
Japan Japanese X X X X X 
Jordan Arabic X     
Latvia Latvian X X X X X 
Latvia Russian X X X X X 
Lebanon Arabic X     
Lebanon French X     
Lithuania Lithuanian X     
Lithuania Russian X X X X X 
Malaysia Chinese-Simplified X     
Malaysia English X     
Malaysia Malay X     
Malaysia Tamil X     
Mexico Spanish X X X X X 
Moldova Romanian X     
Moldova Russian X     
Netherlands Dutch X X X X X 
New Zealand English X     
Norway Norwegian X     
Philippines Cebuano X     
Philippines English X     
Philippines Hiligaynon X     
Philippines Tagalog X     
Poland Polish X X X X X 
Portugal Portuguese X X    
Puerto Rico Spanish X     
Romania Romanian X X X X X 
Russia Russian X X X X X 
Saudi Arabia Arabic X     
Serbia Serbian-Cyrillic X     
Serbia Serbian-Latin X X X X X 
Singapore Chinese-Simplified X     
Singapore Malay X     
Slovakia Slovak X X X X X 
Slovenia Slovene X X X X X 
South Africa Afrikaans X X    
South Africa English X X    
South Africa Sesotho X     
South Africa Xhosa X     
South Africa Zulu X     
South Korea Korean X X X X X 
Spain Catalan X X X X X 
Spain Galician X X X X X 
Spain Spanish X X X X X 
Sweden Swedish X X X X X 
Switzerland French X X X X X 
Switzerland German X X X X X 
Switzerland Italian X X X X X 
Taiwan Chinese-Traditional X X X X X 
Thailand Thai X     
Turkey Turkish X X X X X 
UK English X X X X X 
Ukraine Russian X X X X X 
Ukraine Ukrainian X X X X X 
USA Spanish X X X X X 

While the list of available translations is extensive, the process for any additional translations needed is outlined below:

  • We must conduct all translation work using our preferred vendors who have a history with this COA
  • Standardized methods for COA translation are followed and certification letters are provided
  • Please provide your language needs on your submission form, and you will be provided with a cost estimate and timeline with our reply to the details of your project

Available resources

Higgins PDR, Harding G, Revicki DA, Globe G, Patrick DL, et al. Development and validation of the Ulcerative Colitis patient-reported outcomes signs and symptoms (UC-PRO/SS) diary. JPRO. May 2018;2:26.

Pulley J, Galloway D, Devine J, Oh YS, Petrek H, Kadva A, Mastui A. Minimal Clinically Important Difference (MCID) for the Ulcerative Colitis Patient-Reported Outcomes Signs and Symptoms (UC-PRO/SS) Tool. Poster presented at: 16th Congress of the European Crohn’s and Colitis Organisation (ECCO) Congress; July 2-3 & 8-10, 2021; Virtual.

Higgins PDR, DeBusk K, Pulley J, Scalori A, Oh YS, Matsui A. Responder Definitions for the Ulcerative Colitis Patient-Reported Outcomes Signs and Symptoms (UC-PRO/SS) Tool Using Patients With Ulcerative Colitis Treated With Etrolizumab. Poster presented at: Digestive Disease Week; May 18-21, 2019; San Diego, CA.

Higgins PDR, DeBusk K, Pulley J, Scalori A, Oh YS, Matsui A. Responder Definitions for the Ulcerative Colitis Patient-Reported Outcomes Signs and Symptoms (UC-PRO/SS) Tool Using Patients With Ulcerative Colitis Treated With Etrolizumab. Poster presented at: 14th Congress of European Crohn’s and Colitis Organisation; March 6–9, 2019; Copenhagen, Denmark.

Higgins PD, Harding G, Patrick DL, Revicki D, Chen WH, Globe G, Viswanathan HN, Fitzgerald K, Trease S, Borie D, Ortmeier BG, Leidy NK. Psychometric Evaluation of the Coping, Daily Life Impact, and Emotional Impact Modules of the Ulcerative Colitis Patient-Reported Outcomes (UC-PRO) Measure. Poster presented at: UEG Week 2014; October 18–22, 2014; Vienna, Austria.

Higgins PD, Harding G, Patrick DL, Revicki D, Chen WH, Globe G, Viswanathan HN, Fitzgerald K, Trease S, Borie D, Ortmeier BG, Leidy NK. Psychometric Evaluation of the Signs and Symptoms Modules of the Ulcerative Colitis Patient-Reported Outcomes Measure (UC-PRO/SS). Poster presented at: UEG Week 2014; October 18–22, 2014; Vienna, Austria.

Higgins PDR, Harding G, Patrick DL, Revicki D, Globe G, Viswanathan HN, Trease S, Fitzgerald K, Borie D, Ortmeier BG, Leidy N. Development of the Ulcerative Colitis Patient-Reported Outcomes (UC-PRO) Questionnaire. Poster presented at: Digestive Disease Week 2013; May 18–21, 2013; Orlando, FL.

The CD-PRO User Manual provides an overview of the development and validation studies for the five modules and describes the scoring method.

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