MedPath

Therapeutic Optimization Study Based on MR Enterocolonography in Patients With Crohn's Disease

Phase 3
Active, not recruiting
Conditions
Crohn Disease
Interventions
Registration Number
NCT02332356
Lead Sponsor
Tokyo Medical and Dental University
Brief Summary

This randomized, controlled study aims to evaluate the impact of therapeutic intervention (step up) for the patients who are clinical remission with Magnetic Resonance Enterocolonography (MREC) active. In addition, to evaluate the impact of therapeutic step down for the patients who archived clinical and MREC remission. The primary endpoint is the rate of clinical remission at 104 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Clinical diagnosis of Crohn's and proven history of disease with clinical remission (CDAI<150)
  • Signed written consent form to enroll the study (Need agreement from deputy for patients under 20years old)
Exclusion Criteria
  • Contraindication for infliximab, adalimumab, or azathioprine
  • Lactating woman
  • Presence of malignancy
  • Within 3 month from intestinal surgery
  • Presence of an end stoma
  • Planned surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
step upazathioprine or adalimumab and infliximabProcedure: MREC patients receive therapeutic step up
step downazathioprine or adalimumab and infliximabProcedure: MREC patients receive therapeutic step down
Primary Outcome Measures
NameTimeMethod
The rate of clinical remission at 104 weeks.104 weeks
Secondary Outcome Measures
NameTimeMethod
The rate of hospitalization and operation104 weeks

Trial Locations

Locations (1)

Gastroenterology and Hepatology, Tokyo Medical and Dental UNIV

🇯🇵

Tokyo, Japan

© Copyright 2025. All Rights Reserved by MedPath