Adalimumab in the Treatment of Chronic Pouchitis

NCT ID: NCT01670240

Last Updated: 2016-01-28

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

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2016-01-31

Brief Summary

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This study wants to investigate the efficiency of biological treatment for chronic pouchitis. Chronic pouchitis is inflammation in a reconstruction after removal of the colon, a pouch. It is examined in patients with ulcerative colitis.

The primary objective evaluation is to evaluate the clinically effect of biological therapy (adalimumab) in patients with chronic pouchitis.

Secondary objective is to evaluate the effect of biological therapy on the endoscopical and histological inflammatory activity.

It is a double-blinded randomized placebo controlled study.

Detailed Description

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Conditions

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Ulcerative Colitis Pouchitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Adalimumab

Every second week, mg: 160-80-40-40-40-40 12 weeks in all

Group Type ACTIVE_COMPARATOR

Adalimumab

Intervention Type DRUG

Placebo

Given as the active comparator, every second week

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Adalimumab

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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Humira

Eligibility Criteria

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Inclusion Criteria

* Operated with proctocolectomy and construction of an IPAA
* Prior to surgery diagnosed with ulcerative colitis according to established clinically, radiologic, endoscopic and histological criteria.
* Diagnosed with chronic pouchitis as defined above
* PDAI ≥ 7, with the clinically part of PDAI \>2 and the endoscopic part of PDAI \>3
* Age \>18 years
* Negative stool cultures for bacterial bowel pathogens and negative stool microscopy for parasites
* Serology negative for chronic hepatitis B
* Negative examination for tuberculosis (including x-ray of thorax and a interferon gamma test)
* Signed informed consent

Exclusion Criteria

* Treatment with glucocorticoids within the last 4 weeks
* Diagnosed with Crohn's disease
* Need of an interpreter or if patients do not understand oral or written information.
* Surgical complications as anal stenosis, leak of the anastomosis, or fistula arising from the pouch
* Abuse of medicine, alcohol or drugs
* Ongoing treatment with NSAID (non steroid anti inflammatory drug)
* Pregnancy or nursing
* A diverting stoma
* Malignancy or other severe chronic disease or expected longevity less than one year
* Patients diagnosed with immune deficiency
* Ongoing infectious disease
* Contraindications against treatment with tumor necrosis factor-alpha antibody, such as heart disease, former cancer disease, in vivo vaccination within the last 4 weeks
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Southern Denmark

OTHER

Sponsor Role collaborator

Hvidovre University Hospital

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

AbbVie

INDUSTRY

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mie Dilling Kjaer

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jens Kjeldsen, Phd

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Locations

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Odense University Hospital

Odense, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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2011-004268-31

Identifier Type: -

Identifier Source: org_study_id

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