Study for the Treatment of Crohn's Disease With Adacolumn

NCT ID: NCT00162942

Last Updated: 2009-04-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

235 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2007-12-31

Brief Summary

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The purpose of this study is to evaluate the safety and effectiveness of the Adacolumn Apheresis System as a treatment for the signs and symptoms of Crohn's disease.

Detailed Description

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Trial Features:

* Medical device (Non-drug option)
* Most patients can remain on current treatment regimen throughout the study

Components of the Study:

* Study length is 24 weeks, which includes a screening visit, ten treatment visits over nine weeks and 4 follow-up appointments
* Physical exams, laboratory tests and disease assessments conducted at no charge to the patient
* 2:1 Randomization (treatment:sham)
* Open-Label extension offered to eligible patients

Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Adacolumn

Adacolumn, ten apheresis sessions within 9 weeks

Group Type ACTIVE_COMPARATOR

Adacolumn

Intervention Type DEVICE

Ten apheresis sessions:

One hour of Adacolumn Apheresis System procedure per visit. Patient had two procedures per week for the first two weeks followed by one apheresis session per weeks for two weeks (Weeks 1-4). then a week break occurs for rest followed by one apheresis session per week for 4 weeks (weeks 6-9).

Sham

Sham, ten apheresis sessions within 9 weeks

Group Type SHAM_COMPARATOR

Sham

Intervention Type DEVICE

Sham, ten apheresis sessions within 9 weeks

Interventions

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Adacolumn

Ten apheresis sessions:

One hour of Adacolumn Apheresis System procedure per visit. Patient had two procedures per week for the first two weeks followed by one apheresis session per weeks for two weeks (Weeks 1-4). then a week break occurs for rest followed by one apheresis session per week for 4 weeks (weeks 6-9).

Intervention Type DEVICE

Sham

Sham, ten apheresis sessions within 9 weeks

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Moderate to severe Crohn's disease
* Adequate peripheral venous access
* Agree to participate in the required follow-up visits
* Able to complete a diary
* Signed written informed consent document and authorization for use of protected health information

Exclusion Criteria

* Extremely severe Crohn's disease
* Known obstructive symptoms within the past 3 months
* Presence of toxic megacolon
* Major surgery within the past 6 weeks or anticipated need for surgery within 12 weeks
* Total colectomy, ileostomy, stoma or 100 cm of resected small bowel
* Requiring in-patient hospitalization
* 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
* A history of severe cardiovascular or peripheral arterial diseases
* A history of cerebral vascular diseases
* Liver diseases
* Renal insufficiency
* Known bleeding disorder or use of concomitant anticoagulant therapy for purposes other than apheresis treatment
* Any hypercoagulable disorder
* Known infection with Hepatitis B or C, or HIV
* Severe anemia
* Leukopenia or granulocytopenia
* Evidence of current systemic infection
* Malignancy
* Pregnant, lactating or planning to become pregnant during the course of the investigational study
* Used within the last 30 days, an investigational drug, biologic or device or 5 half-lives, if known, for any investigational drug or biologic
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Otsuka America Pharmaceutical

INDUSTRY

Sponsor Role lead

Responsible Party

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Otsuka America Pharmaceutical, Inc

Principal Investigators

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Yosuke Komatsu, MD, PhD

Role: STUDY_DIRECTOR

Otsuka America Pharmaceutical

Locations

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Mayo Clinic Scottsdale

Phoenix, Arizona, United States

Site Status

Capitol Gastroenterology Consultants Medical Group

Roseville, California, United States

Site Status

UCSF Mount Zion Medical Center

San Francisco, California, United States

Site Status

Rocky Mountain Gastroenterology Associates, PC

Wheat Ridge, Colorado, United States

Site Status

Medical Research Institute of Connecticut

Hamden, Connecticut, United States

Site Status

Venture Research Institute, LLC

North Miami Beach, Florida, United States

Site Status

Atlanta Gastroenterology Associates

Atlanta, Georgia, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

University of Kentucky Medical Center

Lexington, Kentucky, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Metropolitan Gastroenterology Group

Chevy Chase, Maryland, United States

Site Status

Massachusetts General Hospital, GI Unit

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute of Michigan

Clinton Township, Michigan, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Long Island Clinical Research Associates

Great Neck, New York, United States

Site Status

University of North Carolina, Division of Digestive Disease & Nutrition

Chapel Hill, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Consultants for Clinical Research

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Columbia Gastroenterology Associates

Columbia, South Carolina, United States

Site Status

Memphis Gastroenterology Group

Germantown, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Texas Medical Branch

Galveston, Texas, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Medical College of Wisconsin

Madison, Wisconsin, United States

Site Status

University of Wisconsin-Madison

Madison, Wisconsin, United States

Site Status

Walter Mackenzie Health Sciences Centre

Edmonton, Alberta, Canada

Site Status

Gastroenterology & Hematology Clinic

Abbotsford, British Columbia, Canada

Site Status

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Hotel-Dieu Hospital

Kingston, Ontario, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

Mount Sinai Hospital

Toronto, Ontario, Canada

Site Status

Jewish General Hospital

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Sands BE, Katz S, Wolf DC, Feagan BG, Wang T, Gustofson LM, Wong C, Vandervoort MK, Hanauer S. A randomised, double-blind, sham-controlled study of granulocyte/monocyte apheresis for moderate to severe Crohn's disease. Gut. 2013 Sep;62(9):1288-94. doi: 10.1136/gutjnl-2011-300995. Epub 2012 Jul 3.

Reference Type DERIVED
PMID: 22760005 (View on PubMed)

Other Identifiers

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512-04-206

Identifier Type: -

Identifier Source: org_study_id

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