IPAA Pouchitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with IPAA, who have had a functioning pouch without ileostomy for at least 6 months. - A stool frequency of 7 or more loose stools in 24 hrs. for at least 7 consecutive days prior to inclusion. - Stable dose of loperamide or antibiotics for at least 7 days prior to inclusion. 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: - Evidence of ongoing or recent (within 14 days) enteritis or positive stool culture for enteric pathogens or C difficile toxin positivity. - Short bowel syndrome. - Pouch related fistula or stenosis of pouch outlet. - Female patients who are pregnant or lactating, or are of childbearing potential and not practicing a medically acceptable method for birth control. - Known allergy to Sandostatin? or one of its compounds. - Symptomatic cholelithiasis - Poorly controlled Diabetes Mellitus : Hba1c > 10 %.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the efficacy and safety of subcutaneous Sandostatin and intramuscular Sandostatin LAR in the treatment of diarrhea in patients with IPAA.;Secondary Objective: -Proportion of patients with clinical response after 14 days in the induction phase and after 3 months and 6 months in the maintenance phase. - Proportion of patients with durable response over 3 months and 6 months. -Change in quality of life index (SF-36). -Tolerance and safety of Sandostatin® in the induction and maintenance treatment. -Changes in Cleveland Clinic pouchitis activity score including endoscopic appearance. ;Primary end point(s): The proportion of patients responding to the induction treatment at day 7. Response is defined • as a decrease in stool frequency with 3 or more bowel movements per 24 hrs (if the daily number of stools at inclusion was 9 or less) or • as a decrease in stool frequency with at least 30% of the daily number of stools at inclusion (if the daily number of stools at inclusion was 10 or more). | — |
Countries
Belgium