跳至主要内容
临床试验/NCT04129723
NCT04129723撤回不适用

Stopping Biological Therapy in Perianal Crohn's Disease Patients With Radiologically Healed Fistulas: a Prospective Cohort Study

Chinese University of Hong Kong1 个研究点 分布在 1 个国家开始时间: 2022年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
试验地点
1
主要终点
Rate of perianal Crohn's disease relapse within 12 months after stopping

研究概览

简要总结

The purpose of this which studied the biological therapy can be safely withdrawn in perianal Crohn's disease patients with radiologically healed fistula on MRI pelvis.

详细描述

This clinical trial in perianal Crohn's disease patients with radiologically healed fistula on MRI pelvis which studied the biological therapy can be safely withdrawn.

The primary endpoint is clinical relapse at 12 months.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • At least 18 years old
  • Have a confirmed diagnosis of perianal Crohn's disease according to established clinical, endoscopic, radiological and histologic criteria
  • On biological therapy (anti-tumour necrosis factor, anti-integrin, anti-IL12/23) for at least 6 months
  • Confirmation of radiologically healed perianal Crohn's fistulas on MRI pelvis within the past 12 months by experienced radiologists
  • In steroid-free clinical remission for at least 6 months with fecal calprotectin <250 μg/g
  • Stable doses of immunosuppressants for at least 3 months if immunosuppressants are used
  • Written informed consent

排除标准

  • History of severe acute or delayed infusion reaction to biological therapy
  • Fistulising Crohn's disease to organs other than perianal Crohn's fistula (fistulation to skin, intestines, bladder etc.)
  • Prior history of diverting ileostomy, colostomy, proctocolectomy or proctectomy
  • Known pregnancy
  • Terminal illness

结局指标

主要结局

Rate of perianal Crohn's disease relapse within 12 months after stopping

时间窗: 12 months

Relapse rate of patient will be calculated

次要结局

  • Efficacy of re-treatment with biological therapy after luminal Crohn's disease relapse(12 months)
  • Factors associated with relapse of perianal Crohn's disease after stopping biological therapy(12 months)
  • Rate of luminal Crohn's disease relapse within 12 months after stopping biological therapy(12 months)
  • Factors associated with relapse of luminal Crohn's disease after stopping biological therapy(12 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mak Wing Yan

Assistant Professor

Chinese University of Hong Kong

研究点 (1)

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