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临床试验/EUCTR2011-003038-14-BE
EUCTR2011-003038-14-BE进行中(未招募)不适用

A RANDOMIZED CONTROLLED TRIAL INVESTIGATING TAILORED TREATMENT WITH INFLIXIMAB FOR ACTIVE LUMINAL CROHN'S DISEASE - TAILORIX

GETAID0 个研究点目标入组 120 人开始时间: 2012年1月3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
GETAID
入组人数
120

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

  • ?Age > 18 years
  • Active CD (CDAI>220) and signs of active inflammation as evidenced by elevated serum hsCRP levels (>5 mg/L) and/or elevated fecal calprotectin levels (>250 µg/g) and endoscopically visible ulcers.
  • Patients must be naïve to biologics with indication for starting anti-TNF therapy in accordance with national reimbursement criteria.
  • Patients must be naïve to thiopurines or have failed therapy with 1 thiopurine; in which case AZA or 6MP will be continued: Patients previously intolerant to Azathioprine or 6-MP can start with the other thiopurine or with Methotrexate (MTX) per investigators discretion. Patient intolerant to standard doses of AZA or 6-MP can start at a lower dose per investigators discretion. However, the dose should remain stable for the duration of the trial, except if intolerance leading to discontinuation. ?
  • Patients failing MTX can continue on MTX with infliximab ?
  • Ongoing steroids are allowed if dose remains stable for at least 2 weeks, prior to screening until inclusion then tapered as per protocol and at a maximum of prednisone 40 mg/d or budesonide 9 mg/day?
  • Patients who consent to receiving Infliximab 5 mg/kg at week 0, 2 and 6 and further on every 8 weeks in conjunction with their current Azathioprine, 6-MP or MTX.
  • Adequate contraception for women of childbearing potential or their partner who must use adequate contraception to prevent pregnancy and continue its use for at least 6 months after the last IFX treatment.
  • 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 110
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 10

排除标准

  • Absence of endoscopically visible ulcers
  • Ongoing steroid therapy at doses > 40 mg/d prednisolone equivalent
  • Previous intolerance to Azathioprine and /or 6-MP or intolerance to one or both with impossibility to use the other drug or MTX (e.g. pancreatitis, severe leucopenia, hypersensitivity).
  • Ongoing infections
  • Prior use of biologic therapies
  • Serious other diseases including cancer in the 5 years prior to inclusion excluding non-melanoma skin cancer
  • Indication for immediate surgery
  • Critical gastrointestinal stricture with obstructive symptoms and/or presence of abscess.
  • Pregnant or breast-feeding woman.
  • Positive fecal culture for Salmonella, Shigella, Yersinia and Campylobacter and/or presence of Clostridium difficile B toxin in the stools
  • Active tuberculosis. Positive tuberculosis screen per local guidelines
  • Untreated latent tuberculosis (see national recommendations. Appendix 2), latent TB is allowed if treated for at least 6 months
  • Patients with moderate or severe heart failure
  • Patients with a history of hypersensitivity to infliximab, other murine proteins, or to any of the excipients.
  • HIV, HBV viral infection (except the presence of positive anti-HBs antibodies) with serology not older than 3 months.
  • Azathioprine or 6-MP in combination with allopurinol or with other myelotoxic therapy (a washout period of 7 days is required for allopurinol or other myelotoxic therapy)
  • Non-compliant subjects.
  • Participation in another therapeutic study

研究者

发起方
GETAID

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