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A single-center, randomized, controlled study on the effect of proactive therapeutic drug monitoring on the efficacy and cost of adamumab in the treatment of Crohn's disease

A single-center, randomized, controlled study on the effect of proactive therapeutic drug monitoring on the efficacy and cost of adamumab in the treatment of Crohn's disease

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2000036845
Enrollment
Unknown
Registered
2020-08-25
Start date
2021-01-01
Completion date
Unknown
Last updated
2020-09-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Crohn's disease

Interventions

Proctive treatment drug monitoring group:In the proactive TDM group, adamumab is 160mg at week 0, 80mg at week 2, and 40mg once every two weeks from week 4 until week 8. Adalimumab serum trough concen
Reactive treatment drug monitoring group:In the reactive TDM group, adamumab is 160mg at week 0, 80mg at week 2, and 40mg once every two weeks from week 4 until week 8. Clinical response is assesed a

Sponsors

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18-70 years old; 2. Diagnosed as CD for at least 3 months before week 0; 3. The Crohn's disease activity index (CDAI) 220 to 450 after treatment with oral glucocorticoids and/or immunosuppressive agents; 4. The tuberculosis screening results of the subjects were negative; 5. Subjects are able and willing to provide written informed consent and comply with the requirements of this study protocol; 6. No biological agents were used within 8 weeks before enrollment.

Exclusion criteria

Exclusion criteria: 1) Subjects with ulcerative colitis or uncertain colitis; 2) Subjects who have had a surgical bowel resection in the past 6 months or plan to have any resection at any time in the future; 3) Subjects with short bowel syndrome; 4) Subjects with known symptoms of obstructive stenosis; 5) Pregnant women and lactating women; 6) Subjects who are in the period of acute or chronic infection of the whole body, or have a history of active tuberculosis or hepatitis; 7) Subjects with malignant tumors; 8) Subjects with severe heart, liver, kidney and other organs and systemic diseases; 9) When other researchers consider that the experimental drug is not suitable for use.

Design outcomes

Primary

MeasureTime frame
The proportion of patients in clinical remission at 52 week;

Countries

China

Contacts

Public ContactWensong Ge

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

gewensong@126.com+86 15801873708

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026