IBDVit1 - Active Crohn's Disease IBDVit2 - Active Crohn's Disease IBDVit3 - Crohn's Disease in remission / Ulcerative Colitis in remission MedDRA version: 9.1 Level: LLT Classification code 10011401 Term: Crohn's disease MedDRA version: 9.1 Level: LLT Classification code 10045365 Term: Ulcerative colitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: IBDVit1/IBDVit2: 1) Age 18 year or older. 2) Active Crohn’s Disease Activity (CDAI) Score >200 to 450. 2) The diagnosis of IBD and distribution of disease will have been confirmed during the course of their diagnostic investigations including endoscopic and histological parameters compatible with this diagnosis. 3) The participant must be able to fully understand patient information sheet and sign an informed consent form 4) Patients will be on a stable dose of the following medications prior to inclusion - 5-aminosalicylates (=4 weeks) - Thiopurines (=8 weeks). - No corticosteroids (=4 weeks) - No biological agents (=8 weeks) IBDVit3:- As IBDVit 1 and 2 plus; 1) Remission in Crohn's Disease (CDAI =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) Patients unable to give informed written consent; 2) Co-existence of any other chronic inflammatory condition e.g. rheumatoid arthritis; 3) Failure to meet above inclusion criteria medication regime as described above; 4) Hypercalcaemia (Corrected serum calcium > 2.66 mmol/L) or history of vitamin D hypersensitivity (e.g. Primary hyperparathyroidism); 5) Diagnosis of any of the flowing: active tuberculosis, sarcoidosis, hyperparathyroidism, nephrolithiasis, silicosis, liver failure, renal failure or malignancy,active TB, sarcoidosis or lymphoma or other granbulomatous disease; 6) Known intolerance or contraindication to vitamin D or trial medication (i.e. corticosteroids / infliximab); 7) Biochemical disturbance at enrolment: serum corrected calcium > 2.66 mmol/L) or serum creatinine >250 micromol/L; 8) Pregnancy or breast-feeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: IBDVit1 - Demonstrate efficacy of colecalciferol (Vitamin D) as an adjuvant treatment to corticosteroids in the induction of clinical remission in active Crohn’s Disease. IBDVit2 - Demonstrate efficacy of colecalciferol (Vitamin D) as an adjuvant treatment to Infliximab in the induction of clinical remission in active Crohn’s Disease. IBDVit3 - Demonstrate efficacy of colecalciferol (Vitamin D) as an adjuvant treatment to standard maintenance therapy in preventing the relapse in Inflammatory Bowel Disease. ; Secondary Objective: Secondary research objectives include: 1) Demonstration of the ability of vitamin D to improve symptoms in active Crohn's Disease; 2) Demonstration of the ability of vitamin D to reduce the overall use of steroids and escalation of standard maintenance theapy in relapsing patients. ; Primary end point(s): IBDVit1 - Clinical Remission at end of week 4 based on CDAI score <150. IBDVit2 - Clinical Remission at end of week 8 based on CDAI score <150. IBDVit3 - Maintenance of clinical remission at 26 weeks, defined as no requirement for systemic steroids or infliximab during this period. | — |
Countries
United Kingdom