Crohn's disease Inflammatory bowel disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Active Crohn's disease with CDAI > 150 * Elevated serum CRP (> 5 mg/l) and fecal calprotectin (> 200 ng/mg) * Prior documentation of colonic involvement by Crohn's disease in at least one segment of the colon and more severe than only aphthous lesions * Colonoscopy clinically indicated
Exclusion criteria
Exclusion criteria: * Any contraindication for colonoscopy or colon capsule examination including swallowing disorders, severe congestive heart failure, renal insufficiency * More than 1 resectional surgery for CD * Subtotal or total colectomy * Severely active fistulising disease * Jejunal Crohn's disease * HIgh suspicion of small bowel strictures * Short bowel syndrome or stoma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Diagnostic yield of PCCE 2 findings with attention to the type, size and location of lesions caused by Crohn's disease 2. Comparison of findings at PCCE 2 Pillcam recording and optical colonoscopy and validation of a Pillcam "inflammation score" using endoscopic scores as comparator | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Safety and tolerability of the preparation procedure, the Pillcam examination and the optical colonoscopy 2. Determine inter-observer variability by serial readings of Pillcam recordings 3. Examine sensitivity and specificity of colonic Pillcam to detect mucosal healing in Crohn's patients before and after treatment with Infliximab or Adalimumab 4. Correlation of PCCE 2 findings and "inflammatory burden" measured by serum CRP and fecal Calprotectin | — |
Countries
Netherlands