Study to Determine Relationship Between Serum Infliximab and Efficacy in Luminal Crohn's Disease Patients

NCT ID: NCT00676988

Last Updated: 2012-06-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

327 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-05-31

Study Completion Date

2011-04-30

Brief Summary

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To assess the relationship between the change in Crohn's Disease Activity Index (CDAI) scores and trough serum infliximab concentration in subjects who are scheduled to receive infliximab infusions at an interval of 8 weeks.

Detailed Description

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This cross sectional study will evaluate a sample of 360 subjects with luminal Crohn's disease who are receiving infliximab in 15-20 Canadian infusion centres. The sample will be stratified by disease activity \[mild = CDAI \<150, moderate/severe = CDAI ≥150\] and whether or not subjects are on concomitant immunosuppressive therapy. Thus 4 strata will be created consisting of 90 subjects each. Consent will be obtained prior to or at Visit 1, subjects will retrospectively complete a CDAI diary card for the preceding 7 days and blood work will be drawn prior to infliximab infusion. Four weeks thereafter at Visit 2, subjects will provide an additional blood sample to measure serum infliximab concentrations and CRP levels. Between Visits 1 and 3, subjects will complete daily CDAI diary entries. Visit 3 will take place at the next scheduled infusion, 8 weeks after Visit 1 (+/- 7 days ).

Conditions

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Crohn's Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Observation

Subjects with Luminal Crohn's Disease receiving infliximab

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Adult subjects (18 years of age or older at time of consent)
* Confirmed diagnosis of inflammatory luminal Crohn's Disease
* Receive infliximab therapy and have received a minimum of 5 consecutive infusions at prescribed intervals (minimum of 24 weeks and maximum of 156 weeks on infliximab therapy)
* Plan to receive the next 2 infliximab infusions at 8-weekly intervals (+/- 7 days)
* Able to provide written consent

Exclusion Criteria

* Active draining fistulizing Crohn's Disease
* Presence of an ostomy
* Diagnosis of ulcerative colitis
* Infliximab dose of \>5mg/kg
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Schering-Plough

INDUSTRY

Sponsor Role collaborator

University of Western Ontario, Canada

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brian G Feagan, MD

Role: PRINCIPAL_INVESTIGATOR

Director Clinical Trials

Gordon R Greenberg, MD

Role: PRINCIPAL_INVESTIGATOR

co-principal investigator

Locations

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MedEmerg Infusion Clinics

Mississauga, Ontario, Canada

Site Status

CIM - Centre d'Intervention Medicales Inc.

Pointe-Claire, Quebec, Canada

Site Status

Countries

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Canada

References

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Levesque BG, Greenberg GR, Zou G, Sandborn WJ, Singh S, Hauenstein S, Ohrmund L, Wong CJ, Stitt LW, Shackelton LM, King D, Lockton S, Ducharme J, Feagan BG. A prospective cohort study to determine the relationship between serum infliximab concentration and efficacy in patients with luminal Crohn's disease. Aliment Pharmacol Ther. 2014 May;39(10):1126-35. doi: 10.1111/apt.12733. Epub 2014 Apr 1.

Reference Type DERIVED
PMID: 24689499 (View on PubMed)

Other Identifiers

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RP0701

Identifier Type: -

Identifier Source: org_study_id

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