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临床试验/EUCTR2019-004219-29-NL
EUCTR2019-004219-29-NL进行中(未招募)1 期

Personalized AZithromycin/metronidAZole, in combination with standard induction therapy, to achieve a fecal microbiome community structure and metagenome changes associated with sustained remission in pediatric Crohn’s Disease (CD): a pilot study” - PAZAZ

Amsterdam UMC0 个研究点目标入组 20 人开始时间: 2020年2月4日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
20

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

  • 1. Provision of signed and dated informed consent form (and assent form, as applicable)
  • 2. Stated willingness to comply with all study procedures and availability for the duration of the study
  • 3. Male or female, aged 3 to 17 years
  • 4. Diagnosed with CD according to standard clinical and histological criteria, within 36 months of week 0
  • 5. Exhibiting mild to moderate symptoms of active disease, as determined by a PCDAI score >10 (or >7.5 excluding the height item) and =37.5
  • 6. Evidence of active inflammation based on either: fecal calprotectin level >=250 microgram/g (local laboratory or pre-arranged sponsor testing) within 30 days prior to week 0 visit; or according to accepted endoscopic and histologic evidence obtained during an endoscopy procedure completed within 30 days prior to Week 0 Visit.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 20
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range 0
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range 0

排除标准

  • 1.Current or previous use of anti-TNF or other biologic therapy
  • 2.Presence of stricturing, penetrating (intestinal or perianal) and/or fistulizing CD.
  • 3.Pregnancy or lactation
  • 4.Have undergone intestinal resection
  • 5.Laboratory diagnosis of Clostridium Difficile Infection (CDI), if performed for clinical indication
  • 6.Treatment with another investigational drug or other intervention within 30 days before week 0
  • 7.Risk factors for arrhythmia including history of prolonged QTc, hypokalemia or hypomagnesemia, resting bradycardia, or concurrent treatment with other drugs with potential for QT prolongation.
  • 8.History of Cockayne syndrome
  • 9.Prior diagnosis of any hematologic condition/blood dyscrasia which may result in leukopenia (even if leukocyte count is normal at screening)
  • 10.Known allergy or intolerance to azithromycin or metronidazole
  • 11.Subjects who received IV anti-infective within 35 days prior to week 0 visit or oral anti-infectives within 14 days prior to the week 0 visit.
  • 12.Subject on oral aminosalicylates who has not been on stable doses for greater than, or discontinued within, at least 14 days prior to week 0.
  • 13.Subject on cyclosporine, tacrolimus or mycophenolate mofetil. Stable doses (no change within 14 days prior to week 0) of Azathioprine, 6-mercaptopurine or MTX are not a reason for exclusion.
  • 14.Subject who received fecal microbial transplantation within 35 days prior to week 0 visit.
  • 15.Screening laboratory and other analyses show any of the following abnormal results:
  • o AST, ALT > 2 X upper limit of the reference range (as determined locally at each site)
  • o Urea, Creatinine > 1.5X upper limit of the reference range (as determined locally at each site)
  • o White blood cell (WBC) count < 3.0 X 109/L
  • o Total bilirubin >= 20 micromol/liter (1.17mg/dl); except for subjects with isolated elevation of indirect bilirubin relating to Gilbert syndrome
  • o Hemoglobin < 80 gram/liter
  • o Platelets < 100,000/µL

研究者

发起方
Amsterdam UMC

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