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临床试验/NCT02883296
NCT02883296已完成不适用

Long-term Follow-up of Anal Fistulae in Crohn's Disease Treated With Anti-TNFalpha and Interest of New MRI Sequences

Central Hospital, Nancy, France0 个研究点目标入组 15 人开始时间: 2011年4月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
15
主要终点
Evaluation of severity of Crohn's disease with Van Assche MRI score

研究概览

简要总结

Main purposes of this study are :

  • Analysis of relapse risk of anal fistulae with prospective follow-up of patients undergoing pelvic MRI every 6 months for one year. This monitoring also determines if the presence of path of fistulae visible on MRI during inclusion visit is associated to increased risk of perianal abscess under infliximab or adalimumab treatment.
  • Evaluation of interest of new magnetic resonance imaging sequences for detection of persistent anal fistulae under infliximab or adalimumab treatment.

Secondary purposes are:

  • Description of patients with one or more paths of fistulae visible with MRI after at least one year of treatment with infliximab or adalimumab administered for anal fistulae and showing a complete healing of fistulae at clinical examination of inclusion visit.
  • Identification of predictive factors (included the presence of paths of fistulae visible with MRI during inclusion visit) of relapse of anal fistulae during the 1-year-follow-up after inclusion visit.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
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

  • Aware and cooperative, giving written consent
  • Crohn's disease diagnosed with clinical, biological, endoscopic and/or radiologic criteria
  • Patient treated with infliximab or adalimumab for perianal fistulizing Crohn's disease since at least one year
  • Absence of drainage seton at inclusion
  • Absence of active perianal lesions at inclusion: absence of suggestive symptoms and normal proctologic clinical examination without general anesthesia
  • Patient with MRI monitoring for perianal fistulizing Crohn's disease

排除标准

  • Patient under juridical protection or without affiliation to social security
  • Refusal or impossibility of giving informed consent
  • Patient not followed-up by MRI or having a contraindication for MRI, especially the presence of cardiac stimulators or implantable defibrillators, cochlear implants, neurosurgical clips, intra-orbital or encephalic metallic foreign bodies, endo-prostheses placed since at least 4 weeks or osteosynthesis material placed since less than 6 weeks or gadolinium intolerance history
  • Surgery for Crohn's disease already planned at inclusion visit, individual participating to another study evaluating efficacy and/or tolerance of medical or surgical treatment for perianal fistulae of Crohn's disease
  • Patient treated with anti-TNF for luminal Crohn's disease
  • Patient having active perineal lesions

结局指标

主要结局

Evaluation of severity of Crohn's disease with Van Assche MRI score

时间窗: 1 year

次要结局

  • Evaluation of severity of perianal injury with PDAI score(1 year)
  • Evaluation of activity of Crohn's disease with CDAI score(1 year)

研究者

发起方
Central Hospital, Nancy, France
申办方类型
Other
责任方
Sponsor

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