Anti Tumor Necrosis Factor Alpha Agents and Surgical Stress Response

NCT ID: NCT01974869

Last Updated: 2017-02-07

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

47 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-03-31

Study Completion Date

2016-08-31

Brief Summary

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Background: The immunologic response to stress is regulated by the cytokines. Anti-Tumor Necrosis Factor-α agents are antibodies directed against a key cytokine in the process angiogenesis and collagen synthesis. It is not known whether they intervene with surgical stress response increasing the rate of postoperative complications.

Method: Un-blinded prospective, non-interventional cohort single centre study including all the patients with Crohn's disease and Ulcerative Colitis undergoing abdominal surgery. Immunological and endocrinological parameters will measured in blood samples taken from these patients before and after surgery. Power calculations showed that 17 patients in each arm are needed.

Detailed Description

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The baseline patient characteristics will be evaluated based on pilot tested data extraction sheets. The assessment will include demographics, clinical data as well as laboratory work up. The Charlson morbidity index, will be used to assess co-morbidity, the Nutritional risk score (NRS) to assess nutrition status and the Harvey-Bradshaw index (HBI) to evaluate the activity of Crohn's disease. The duration of surgical procedure, along with the amount of blood transfused, will be recorded in all patients.

Laboratory variables

The following variables will be assessed based on previous evidence about their role in surgical stress response:

1. Immunological parameters: Tumor necrosis factor-alpha, interleukin-1, interleukin-6, interleukin-10, C reactive protein, and white blood cell counts.
2. Endocrinological parameters: plasma cortisol, growth hormone , adrenocorticotropic hormone, epinephrin and norepinephrine

Conditions

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Inflammatory Bowel Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Inflammatory bowel diseases-1

Treatment with anti-tumor necrosis factor alpha agents

Anti-tumor necrosis factor alpha agents

Intervention Type DRUG

Treatment with biologics

Inflammatory bowel diseases-2

Controls

No interventions assigned to this group

Interventions

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Anti-tumor necrosis factor alpha agents

Treatment with biologics

Intervention Type DRUG

Other Intervention Names

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Biologics

Eligibility Criteria

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Inclusion Criteria

Patients with Crohn disease, ulcerative colitis and indeterminate colitis undergoing elective abdominal surgery (laparoscopic or open)

Exclusion Criteria

No patients will be excluded
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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El-Hussuna, Alaa, M.D.

INDIV

Sponsor Role lead

Responsible Party

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Alaa El-Hussuna

Consultant surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alaa El-Hussuna

Role: PRINCIPAL_INVESTIGATOR

Slagelse Hospital

Locations

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Århus University Hospital

Aarhus, , Denmark

Site Status

Slagelse Hospitals

Copenhagen, , Denmark

Site Status

Køge Hospital

Køge, , Denmark

Site Status

OUH

Odense, , Denmark

Site Status

Countries

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Denmark

References

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El-Hussuna A, Qvist N, Zangenberg MS, Langkilde A, Siersma V, Hjort S, Gogenur I. No effect of anti-TNF-alpha agents on the surgical stress response in patients with inflammatory bowel disease undergoing bowel resections: a prospective multi-center pilot study. BMC Surg. 2018 Nov 3;18(1):91. doi: 10.1186/s12893-018-0425-0.

Reference Type DERIVED
PMID: 30390672 (View on PubMed)

Other Identifiers

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a-TNF

Identifier Type: -

Identifier Source: org_study_id

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