Crohn'
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients who is diagnosed as ileocolonic or ileal Crohn's disease 2.Patients who are considering starting or changing treatment with biologics (infliximab, adalimumab, ustekinumab, vedolizumab) 3. Patients who have small bowel ulceration on Balloon-assisted enteroscopic examination
Exclusion criteria
Exclusion criteria: 1.Patients with purely colonic Crohn's disease 2.Patients who had undergone colostomy or ileostomy. 3.Patients who could not underwent balloon enteroscopy because of strictures 4.Patients expected to undergo small bowel surgery in the near future 5.Current gastrointestinal infection 6.History of malignant disease 7.Patients suffering from tuberculosis, hepatitis B or C. 8.Pregnancy 9.Unable to sign informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endoscopic remission (mSES-CD<4) at week 26 | — |
Secondary
| Measure | Time frame |
|---|---|
| Complete mucosal healing at week 26 Endoscopic response (reduction in mSES-CD by 50% or more) at week 26 Risk factor for the primary outcome measures PK of biologics Clinical remission and Biological remission at week 26 | — |
Countries
Japan
Contacts
Tokyo Medical and Dental University Gastroenterology and Hepatology