engthening Adalimumab Dosing Interval in IBD patients in long term remission, the LADI study.
- Conditions
- Inflammatory bowel disease10017969
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 80
Age 18 or older
Written informed consent.
Previous diagnosis of ileocolonic Crohn*s disease or ulcerative colitis
In sustained clinical remission for at least 6 months whilst being treated with adalimumab
Adalimumab dosed at 40mg, once every 2 weeks
Full clinical response and disease control, defined as
-Absence of intestinal or extra-intestinal symptoms, as judged by both patient and physician
-Fecal calprotectin < 200 µg/g and CRP within normal range
-Full endoscopic remission (no ulcera) assessed at least within 12 months before inclusion
Permitted concomitant therapy: aminosalicylates, azathioprine, 6-mercatopurine and methotrexate at stable dose for 12 weeks
Concomitant corticosteroid usage
Imminent need for IBD-related surgery
Actively draining perianal fistula
Pregnancy or lactation
Other significant medical illness that might interfere with this study (such as current malignancy, immunodeficiency syndromes and psychiatric illness)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Non-inferiority, defined as no significant difference in HBI and SCCAI scores<br /><br>between control and intervention groups</p><br>
- Secondary Outcome Measures
Name Time Method <p>adherence to therapy<br /><br>quality of life<br /><br>cost-effectiveness</p><br>