Adalimumab on Preventing Post-chirurgic Recurrence on Crohn´s Disease

NCT ID: NCT01564823

Last Updated: 2015-03-17

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2015-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The present study objective is evaluate Adalimumab efficacy versus Azathioprine efficacy on prevention of endoscopic recurrence (Rutgeerts Index= 2b, 3 or 4) in Crohn´s Disease patients after 52 weeks of treatment.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Crohn´s Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Metronidazole + Azathioprine.

Metronidazole, oral intake. 250 mg/8h. 3 months. Azathioprine, 2.5 mg/weight kg/day, oral intake. All study.

Group Type EXPERIMENTAL

Metronidazole

Intervention Type DRUG

Metronidazole: 250 mg/8h. 3 months.

Azathioprine

Intervention Type DRUG

Azathioprine: 2.5 mg/kg of weight/day. 3 months.

Metronidazole + Adalimumab

Metronidazole Oral Intake. 250 mg/8h. During 3 months. Adalimumab Subcutaneous 160 mg and 80 mg 2wk. Then 40 mg during 2wk as maintenance.

Group Type ACTIVE_COMPARATOR

Metronidazole

Intervention Type DRUG

Metronidazole 250 mg/8h 3 months

Adalimumab

Intervention Type DRUG

Adalimumab 160 mg then 80 mg. After 2 wk: 40 mg as maintenance.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Metronidazole

Metronidazole: 250 mg/8h. 3 months.

Intervention Type DRUG

Metronidazole

Metronidazole 250 mg/8h 3 months

Intervention Type DRUG

Azathioprine

Azathioprine: 2.5 mg/kg of weight/day. 3 months.

Intervention Type DRUG

Adalimumab

Adalimumab 160 mg then 80 mg. After 2 wk: 40 mg as maintenance.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Flagyl (Metronidazole) Flagyl (Metronidazole) Imurel (Azathioprine) Humira (Adalimumab)

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age ≥ 18 years of age at the time of signing informed consent.
* Patients with Crohn's disease who have undergone an ileocecal/ileocolic resection (L1 or L3). The study and the treatment must be initiated within the two first weeks after the resection (+/- 5 days).
* Patients with surgical reconstruction by ileocolic anastomosis.
* Women of childbearing age must not be breastfeeding and must have a negative urine pregnancy test and must agree to use contraceptive methods with a \<1% failure rate (e.g., sexual abstinence, oral contraceptives, double barrier methods, intrauterine devices), unless they only have one partner who is sterile.
* Patients who have signed and dated the informed consent form before performing any specific screening study procedure.

Exclusion Criteria

* Resection that requieres Temporal ileostomy.
* Urgency resection which doesn´t permit the initial assessment protocol completion.
* Resection due to inactive short indolent stenosis (\<10 cm).
* Resection with mucosal macroscopic residual disease in anastomosis.
* Previous intolerance or adverse reaction (moderate or severe) to adalimumab or azathioprine.
* Any contraindications or unwillingness to perform the scheduled colonoscopies or resonances.
* Contraindications to Adalimumab treatment, among which the following are included: active tuberculosis, severe infections such as sepsis or opportunistic infections, moderate or severe heart failure (NYHA class III or IV), central nervous system demyelinating diseases, history of malignant neoplasm or autoimmune diseases.
* Severe associated Extraintestinal manifestations.
* Previous postoperative recurrence prevention treatments with adalimumab, asathiprine o mercaptopurine which resulted in failure.
* Any other disease or patient condition that according to investigator criteria, inadequates patient´s participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Effice Servicios Para la Investigacion S.L.

INDUSTRY

Sponsor Role collaborator

Grupo Espanol de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Pilar Nos, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari i Politecnic La Fe (Valencia, Spain)

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Hospital Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital de Bellvitge

Barcelona, Barcelona, Spain

Site Status

Hospital del Mar

Barcelona, Barcelona, Spain

Site Status

Hospital Parc Tauli

Sabadell, Barcelona, Spain

Site Status

Hospital Mutua de Terrasa

Terrassa, Barcelona, Spain

Site Status

Hospital General Dr. Negrín

Las Palmas de Gran Canaria, Canary Islands, Spain

Site Status

Hospital Puerto Real

Puerto Real, Cádiz, Spain

Site Status

Hospital Reina Sofía

Córdoba, Córdoba, Spain

Site Status

Hospital Arquitecto Marcide

Ferrol, La Coruña, Spain

Site Status

Hospital de Fuenlabrada

Fuenlabrada, Madrid, Spain

Site Status

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Site Status

Hospital Doce de Octubre

Madrid, Madrid, Spain

Site Status

Hospital Gregorio Marañón

Madrid, Madrid, Spain

Site Status

Hospital La Paz

Madrid, Madrid, Spain

Site Status

Hospital La Princesa

Madrid, Madrid, Spain

Site Status

Hospital Puerta de Hierro

Madrid, Madrid, Spain

Site Status

Hospital Ramón y Cajal

Madrid, Madrid, Spain

Site Status

Hospital Virgen de la Macarena

Seville, Sevilla, Spain

Site Status

Hospital de Manises

Manises, Valencia, Spain

Site Status

Hospital Universitari i Policlinic La Fe

Valencia, Valencia, Spain

Site Status

Hospital Clínico

Valencia, Valencia, Spain

Site Status

Hospital Río Hortega

Valladolid, Valladolid, Spain

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Spain

References

Explore related publications, articles, or registry entries linked to this study.

Lopez-Sanroman A, Vera-Mendoza I, Domenech E, Taxonera C, Vega Ruiz V, Marin-Jimenez I, Guardiola J, Castro L, Esteve M, Iglesias E, Ceballos D, Martinez-Montiel P, Gisbert JP, Minguez M, Echarri A, Calvet X, Barrio J, Hinojosa J, Martin-Arranz MD, Marquez-Mosquera L, Bermejo F, Rimola J, Pons V, Nos P; Spanish GETECCU group [APPRECIA study]. Adalimumab vs Azathioprine in the Prevention of Postoperative Crohn's Disease Recurrence. A GETECCU Randomised Trial. J Crohns Colitis. 2017 Oct 27;11(11):1293-1301. doi: 10.1093/ecco-jcc/jjx051.

Reference Type DERIVED
PMID: 28402454 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

APPRECIA

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Control Crohn Safe Trial
NCT03917303 RECRUITING PHASE4