The Therapy Effect of Azathioprine Initial or 14 Weeks After Combined With Infliximab on CD

NCT ID: NCT03393247

Last Updated: 2018-01-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-01

Study Completion Date

2019-07-01

Brief Summary

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This study aim to identify the therapeutic effect of azathioprine during infliximab(IFX) treatment in Crohn's disease (CD).Half of patients will receive azathioprine and infliximab combination therapy at the same time. The other half patients will be given infliximab therapy first and then receive azathioprine 14 weeks later.

Detailed Description

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Anti-tumor necrosis factor agents were widely used for many years and were proved to be most reliable drugs in Crohn's disease (CD). About one-third of the patients would develop a secondary lost of response after initiating IFX therapy in one year follow-up. Immunosuppressor was thought to be a useful agent to reduce loss of response rate of infliximab.But It remain unclear when should us add immunosuppressor during infliximab therapy.This study aim to find the most valuable timepoint to initiate combination therapy to maximize therapeutic effect and minimize the adverse effect.

Conditions

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Crohn Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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infliximab and azathioprine at week 0

infliximab and azathioprine combination at week 0

Group Type ACTIVE_COMPARATOR

infliximab and azathioprine combination at week 0

Intervention Type DRUG

All enrolled CD patients will schedule on IF X (week 0, 2, 6 and then every 8 weeks at 5mg/kg).Experimental group will receive azathioprine at week 0.

infliximab and azathioprine at week 14

infliximab and azathioprine combination at week 14

Group Type ACTIVE_COMPARATOR

infliximab and azathioprine combination at week 14

Intervention Type DRUG

All enrolled CD patients will schedule on IF X (week 0, 2, 6 and then every 8 weeks at 5mg/kg).Control group will receive azathioprine at week 14.

Interventions

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infliximab and azathioprine combination at week 0

All enrolled CD patients will schedule on IF X (week 0, 2, 6 and then every 8 weeks at 5mg/kg).Experimental group will receive azathioprine at week 0.

Intervention Type DRUG

infliximab and azathioprine combination at week 14

All enrolled CD patients will schedule on IF X (week 0, 2, 6 and then every 8 weeks at 5mg/kg).Control group will receive azathioprine at week 14.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

\- CD patients need infliximab and azathioprine combination therapy

Exclusion Criteria

\- patients had lost response to infliximab or azathioprine previously patients intolerable to infliximab or azathioprine patients need to use 5-Aminosalicylates(5-ASA) patients had participated to other clinical study in two months
Minimum Eligible Age

14 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sixth Affiliated Hospital, Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiang Gao, doctor

Role: STUDY_CHAIR

the 6th affiliated hospital of Sun Yat-sen university

Locations

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The Sixth Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jian Tang, master

Role: CONTACT

8613751879964

Facility Contacts

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Xiang Gao, MD, PhD

Role: primary

020-38663423

Other Identifiers

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ZSLY-XHNK-03

Identifier Type: -

Identifier Source: org_study_id

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