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engthening Adalimumab Dosing Interval in IBD patients in long term remission, the LADI study.

Phase 4
Conditions
Inflammatory bowel disease
10017969
Registration Number
NL-OMON40962
Lead Sponsor
Erasmus MC, Universitair Medisch Centrum Rotterdam
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
80
Inclusion Criteria

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

Exclusion Criteria

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
NameTimeMethod
<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
NameTimeMethod
<p>adherence to therapy<br /><br>quality of life<br /><br>cost-effectiveness</p><br>
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