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A Study of the Safety and Efficacy of Infliximab (Remicade) in Subjects With Fistulizing Crohn's Disease

Phase 3
Completed
Conditions
Crohn Disease
Registration Number
NCT00207766
Lead Sponsor
Centocor, Inc.
Brief Summary

A study of infliximab in patients with Fistulizing Crohn's Disease

Detailed Description

This is a medical research study for patients with Crohn's disease who have one or more draining enterocutaneous fistula (fistula from the bowel to the skin). Fistulas are a common complication of Crohn's disease. Fistulas rarely close spontaneously but they may get better with treatment of the underlying Crohn's disease. This study will investigate the safety and efficacy of maintenance dosing of an anti-TNF (anti-tumor necrosis factor) antibody (a protein), called infliximab, compared to a placebo (inactive substance) in providing sustained reductions in the number of draining fistulas.

Subjects will receive infliximab at weeks 0, 2 and 6 followed by infusions of infliximab 5 mg/kg or placebo at weeks 14 and every 8 weeks until week 46. Patients who lose response are eligible for increasing treatment by 5 mg/kg of infliximab.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
306
Inclusion Criteria
  • Single or multiple draining fistulas
  • Crohn's disease of at least 3 months' duration,
Exclusion Criteria
  • Crohn's disease complications for which surgery might be indicated
  • Positive stool culture

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Reduction in the number of draining fistulas
Secondary Outcome Measures
NameTimeMethod
Complete fistula response (no draining fistula).
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