Adalimumab in Combination With Ciprofloxacin/Placebo Treatment of Perianal Fistulas in Crohn's

NCT ID: NCT00736983

Last Updated: 2012-04-17

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

Clinical Phase

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2011-12-31

Brief Summary

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To assess whether a combination of ciprofloxacin and adalimumab is more effective than adalimumab alone for the treatment of perianal fistulas in Crohn's disease

Detailed Description

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Dutch multicenter, randomized, double-blind study with two arms. 146 patients will be included.

Conditions

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Crohn's Disease With Perianal Fistulas

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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1

Adalimumab

Group Type ACTIVE_COMPARATOR

adalimumab

Intervention Type DRUG

24 weeks: 160 mg, 80 mg, and than 40mg every 2 weeks

2

ciprofloxacin

Group Type PLACEBO_COMPARATOR

ciprofloxacin

Intervention Type DRUG

12 weeks; daily 2 x 500mg

Interventions

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adalimumab

24 weeks: 160 mg, 80 mg, and than 40mg every 2 weeks

Intervention Type DRUG

ciprofloxacin

12 weeks; daily 2 x 500mg

Intervention Type DRUG

Other Intervention Names

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Humira Cipro

Eligibility Criteria

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Inclusion Criteria

* proven Crohn's disease
* Single or multiple draining perianal fistulas

Exclusion Criteria

* Abscesses
* Infliximab, cyclosporine, tacrolimus and antibiotics for Crohn's disease within past 3 months
* active viral infection
* significate cardiovascular dysfunction
* Pregnancy, Lactation
* Surgical bowel resection to be expected within 6 months
* Positive stool culture for enteric pathogens
* Total parental nutrition
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation for Liver Research

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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C.J. van der Woude, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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AMC

Amsterdam, , Netherlands

Site Status

VU

Amsterdam, , Netherlands

Site Status

Deventer ziekenhuis

Deventer, , Netherlands

Site Status

Albert Schweitzer ziekenhuis

Dordrecht, , Netherlands

Site Status

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status

UMC Gronigen

Groningen, , Netherlands

Site Status

LUMC

Leiden, , Netherlands

Site Status

AZ Maastricht

Maastricht, , Netherlands

Site Status

St Antonius ziekenhuis

Nieuwegein, , Netherlands

Site Status

UMC Radboud

Nijmegen, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Haga ziekenhuis

The Hague, , Netherlands

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

Countries

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Netherlands

References

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Dewint P, Hansen BE, Verhey E, Oldenburg B, Hommes DW, Pierik M, Ponsioen CI, van Dullemen HM, Russel M, van Bodegraven AA, van der Woude CJ. Adalimumab combined with ciprofloxacin is superior to adalimumab monotherapy in perianal fistula closure in Crohn's disease: a randomised, double-blind, placebo controlled trial (ADAFI). Gut. 2014 Feb;63(2):292-9. doi: 10.1136/gutjnl-2013-304488. Epub 2013 Mar 23.

Reference Type DERIVED
PMID: 23525574 (View on PubMed)

Other Identifiers

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EudraCT#: 2007-005832-10

Identifier Type: -

Identifier Source: secondary_id

IBD 08-01

Identifier Type: -

Identifier Source: org_study_id

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