Crohn's disease MedDRA version: 12. Level: LLT Classification code 10013099 Term: Disease Crohns
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) patients aged 8 to 17 years 2) diagnosis of Crohn’s disease by established clinical, endoscopic, histological and radiological criteria 3) clinically active disease defined as a paediatric Crohn’s disease activity index (PCDAI) score of >15 4) clinical decision made to commence oral prednisolone 5) parental and child consent to participate in the study. Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) severe CD requiring intravenous corticosteroids or likely to require surgery, 2) having received systemic corticosteroids during the preceding 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: To collect preliminary data on: a. disease activity, quality of life b. biochemical markers of bone formation and bone resorption, c. insulin-like growth factor-I (IGF-1) d. adrenal responsiveness to ACTH e. adverse effects (such as hyperglycaemia, hypertension, infections, peptic ulcer, moon face, obesity, hirsutism, and acne) ; Main Objective: To investigate the feasibility of a RCT to compare an alternate-day prednisolone regimen with a daily-dose regimen: a. to assess whether the research protocol is realistic and workable b. to identify logistical problems which might occur using the proposed protocol c. to assess the likely success of recruitment and determine period of recruitment d. to determine if there is likely to be significant attrition e. to determine what resources (finance, staff) will be needed for the main study f. to test the outcome measures and their suitability, practicality, statistical properties and utility. ;Primary end point(s): Clinical Remission | — |
Countries
United Kingdom