Crohn's disease MedDRA version: 8.1 Level: LLT Classification code 10011401 Term: Crohn's disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria -Elevated CRP (>10 mg/L) and strong Gd uptake on baseline MRI -age 16 to 50 yrs. -Ileal Crohn’s disease failing immunomodulators and/or steroids for at least 3 months Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria -Significant prestenotic dilation of the ileum on baseline MRI -Resection of more than 100 cm bowel -Presence of abdominal abscess
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study changes in the inflammatory and the fibrous component of ileal segments in patients with ileal Crohn’s disease treated with infliximab at wk 0,2,6 and q8 wks thereafter. Primary endpoint: Number of patients achieving a clinically significant change in MRI enteroclysis score of severity in Ileal Crohn’s Disease (MICD); defined as an improvement of at least 2 points and at least 50% on the inflammatory subscores. i.e. 4 to 2 or 5 to 2 or 8 to 4 (subscores defined in section 21), as measured with contrast enhanced MRI enteroclysis (procedures defined in the MRI study manual) at week 26 compared to baseline.;Secondary Objective: To study: -Clinical efficacy of infliximab in patients with ileal inflammatory stenosis based on CDAI remission and CDAI response (drop of 100 points or more). -Safety -Quality of life -predictors of response (CRP, Gd enhancement on MRI, duration of disease, con meds) -2 year resection rates ;Primary end point(s): Changes in bowel wall thickness and inflammation on contrast enhanced MRI enteroclysis at 2 weeks and 6 months compared to baseline. | — |
Countries
Belgium, France, Germany, United Kingdom