Crohn'
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who are treated with 40mg of adalimumab biweekly 2. CDAI more than 150, massive intestinal lesion, or refractory perianal disease 3. Patients who do not correspond to the warning or contraindication of the package insert of adalimumab 4. Dose escalation of adalimumab is possible under health insurance 5. Aged 15 and over
Exclusion criteria
Exclusion criteria: 1. Patients without intestinal mucosal lesion 2. Patients with active tuberculosis 3. Patients with demyelinating disease 4. Patients with chronic heart failure 5. Serum creatinine more than 2 mg/dl 6. Total bilirubin more than 2 mg/dl 7. AST or ALT more than 50 IU/l 8. Patients under pregnancy or breast-feeding 9. Patients who wishes to become pregnant 10. Less than 15 years old 11. Patients who has neoplasm 12. Patients who have psychoneurotic disorder 13. Patients who do not agree to join this study 14. When the doctor in charge feel that the patients are not suitable for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The relationships between adalimumab trough levels before dose escalation and clinical remission rate at 12 weeks or mucosal healing in 24 weeks | — |
Countries
Japan
Contacts
Shiga University of Medical Science Division of Gastroenterology