EUCTR2007-003815-30-PT进行中(未招募)不适用
An Open Randomized Multicenter Clinical Investigation to Compare the Efficacy and Safety of Prednisone plus Adacolumn® GMA Apheresis versus Prednisone Alone in the Treatment of Patients with Mild or Moderately Active Steroid Dependent Ulcerative Colitis
GETECCU (Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa)0 个研究点开始时间: 2009年3月5日最近更新:
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •- 18-75 years old
- •- Active ulcerative colit is with documented clinical symptoms and endoscopic findings
- •- Active disease defined as DAI (Mayo score) = 4 and = 10 with at least 1 point in flexible sigmoidoscopy
- •- Steroid dependency as defined by: A. Inability to withdraw corticosteroids within three months of starting treatment, without recurrent active disease; B. Appearance of relapse within 3 months after withdrawal of corticosteroids
- •- Colonic involvement with ulcerative colitis beyond 15cm of the anal verge
- •- Stable doses: A. Aminosalicylates for the last 4 weeks; B. Prednisolone or equivalent dose = 20 mg/day for the last 2 weeks; C. Azathioprine or 6-mercaptopurine at stable dose for the last 12 weeks
- •- Signed informed consent form
- •- Agree to participate in the required follow-up visits
- •- Able to complete the diary
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •- Febrile (= 38ºC)
- •- Evidence of toxic megacolon
- •- Anticipated need for surgery within 24 weeks
- •- Known obstructive diseases of the gastrointestinal system
- •- Proctocolectomy, total colectomy, ileostomy, stoma or ileal pouch-anal anastomosis
- •- A history of allergic reaction to heparin or heparin-induced thrombocytopenia
- •- A history of hypersensitivity reaction associated with an apheresis procedure or intolerance of apheresis procedures
- •- Requires a central venous access catheter for the apheresis treatments
- •- Known infection with enteric pathogens, pathogenic ova or parasites, C. difficile toxin or CMV
- •- Hypotension (systolic blood pressure < 80 mmHg and/or diastolic blood pressure < 50 mmHg) at screening visit only
- •- Uncontrolled hypertension (systolic blood pressure > 180 mmHg or diastolic blood pressure > 120 mmHg) despite medical therapy
- •- A history of myocardial infarction or unstable angina within the past 6 months
- •- A history of coronary artery bypass grafting surgery or angioplasty within the past 6 months
- •- Prosthetic heart valve, pacemaker or other permanent implant
- •- Severe cardiovascular or peripheral vascular disease, severe renal disease
- •- Liver disease defined as levels of SGOT [AST], SGTP [ALT] or alkaline phosphatase > 2.5x the upper limit of the normal range for the laboratory performing test
- •- History of cirrhosis
- •- Known bleeding disorder (PT or PTT > 1.5x the upper limit of the normal range for the laboratory performing the test), or concomitant anticoagulant therapy for purposes other than apheresis treatment
- •- Prior history suggestive of a hypercoagulable disorder, including 1 or more episodes of pulmonary embolism or deep vein thrombosis
- •- Known infection with Hepatitis B or C, or HIV
- •- Abnormal hematology parameters defined as severe anemia with hemoglobin < 8.5g/dL, white blood cell count of < 3,500/µl and a granulocyte count < 2,000/µl
- •- Fibrinogen level > 700 mg/dl
- •- Major surgery within the past 6 months
- •- Infection: Active infections less than 4 weeks from successful completion of antibiotic treatment for routine bacterial infection; Febrile viral infection within 4 weeks of entry into the clinical investigation; Less than 12 weeks from conclusion of therapy for systemic fungal infections
- •- Malignancy within the past 2 years other than surgically cured skin carcinoma or cervical dysplasia (CIN I-II)
- •- History of dysplasia or carcinoma of the colon or lack of a complet colonoscopy in the last 12 months in patients with longstanding UC (> 10 years)
- •- Current drug or alcohol abuse
- •- Pregnant, lactating or planning to become pregnant during the course of the clinical investigation
- •- Used within the last 30 days an investigational drug, biologic or device or 5 half-lifes, if known, for any investigational drug or biologic
- •- Received cyclosporine or tacrolimus within the last 8 weeks
- •- Received either infliximab or adalimumab within the last 8 weeks
- •- Received beclomethasone diproprionato (Clipper), oral budesonide, topical rectal steroids or 5-ASA within the last 2 weeks
- •- Fulminant ulcerative colitis
研究者
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