Hepatic histology of IBD patients following one year of combination therapy with allopurinol and low-dose conventional thiopurines
Phase 4
Completed
- Conditions
- hepatotoxicityliver injury1001796910019654
- Registration Number
- NL-OMON37756
- Lead Sponsor
- Vrije Universiteit Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 22
Inclusion Criteria
Combination therapy of allopurinol and low dose thiopurine therapy for more than 1 year
Crohn's disease or ulcerative colitis
Adult patients
Exclusion Criteria
Anaemia (Hb< 6.5 mmol/l), thrombopenia (<50x10*9/l), contra-indications to undergo a liver biopsy
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Histological assessed nodular regenerative hyperplasia of the liver</p><br>
- Secondary Outcome Measures
Name Time Method <p>Histological changes after at least 1 year of combination therapy of<br /><br>allopurinol and low dose azathioprine and 6-mercaptopurine<br /><br>Endosonographically determined liver and spleen size and liver appearance<br /><br>Standard laboratory variables, including liver tests and full blood count<br /><br>Thiopurine metabolites: 6-TGN and 6-MMP determined in erythrocytes</p><br>
Related Research Topics
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What molecular mechanisms underlie allopurinol-thiopurine synergy in mitigating IBD-related hepatotoxicity?
How does the allopurinol-thiopurine combination in NL-OMON37756 compare to standard thiopurine monotherapy for IBD-related liver injury?
Which biomarkers correlate with improved hepatic histology outcomes in IBD patients treated with allopurinol plus AZA/6MP?
What are the potential adverse events of allopurinol-thiopurine combination therapy in IBD and strategies for hepatotoxicity management?
Are there alternative xanthine oxidase inhibitors combined with thiopurines for IBD-related liver injury management?