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CHANGE TO: A PILOT RANDOMISED STUDY TO COMPARE COMBINATION ANTIBIOTIC THERAPY (CIPROFLOXACIN AND DOXYCYCLINE) WITH STANDARD THERAPY (BUDESONIDE) IN THE TREATMENT OF ACTIVE CROHN'S DISEASE - Combination antibiotic therapy in treatment of active Crohn's disease

Phase 1
Conditions
Crohn's Disease
MedDRA version: 14.1 Level: PT Classification code 10011401 Term: Crohn's disease System Organ Class: 10017947 - Gastrointestinal disorders
Registration Number
EUCTR2008-001137-99-GB
Lead Sponsor
Royal Liverpool & Broadgreen University Hospitals Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

Inclusion Criteria
(i)Patient is willing to participate in the study and has signed the informed consent
(ii)Patients aged 18 or over with Crohn’s disease diagnosed by conventional clinical, radiological and histological criteria.
(iii)Crohn’s disease involving small bowel, colon or both.
(iv)Active Crohn’s disease: Crohn’s Disease Activity Index (CDAI)> 200 and CRP>10mg/l.
(v)Patients receiving mesalazine (5ASA) must have had a stable dose for at least one month.
(vi)Patients receiving azathioprine or 6-mercaptopurine (who will be separately stratified) must have had a stable dose for at least 3 months.
(vii)Women of child bearing potential must have a negative urine pregnancy test prior to the start of study medication

Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 0
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

Exclusion Criteria
(i)Patients under 18 or unable to give informed consent.
(ii)Any antibiotic use within the previous 4 weeks
(iii)Know sensitivity to Ciprofloxacin, Doxycyclineor Budesonide
(iv) Patients with a history of tendon disorders related to fluroquinoline administration
(v)Any change to immunosuppressive therapy (azathioprine, 6-mercaptopurine or methotrexate) within the previous 3 months.
(vi)Use of infliximab or adalimumab (anti-TNF antibody) within the previous 3 months
(vii)Concurrent use of systemic corticosteroids in excess of oral prednisolone 5 mgs/day or budesonide 3mg/day)
(viii)Any change to medication for Crohn’s disease in previous 4 weeks.
(ix)Patients with complications requiring surgery (significant intestinal obstruction, perforation or abscess)
(x)CDAI >450
(xi)Participation in other trials in the last 3 months.
(xii)Serious intercurrent infection or other clinically important active disease (including renal and hepatic disease)
(xiii)Pregnant, post partum (<3months) or breast feeding females
(xiv)Women of Child Bearing Potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period (double barrier methods such as condoms or diaphragms with spermicidal gel or foam), and for up to 4 weeks after the study
(xv)Patients who need to continue to receive oral contraceptives (if unwilling to use double barrier methods), oral anticoagulants tricyclic antidepressants, non-steroidal anti-inflammatory drugs (NSAIDs), anticonvulsants, sucralfate, cyclosporine.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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