UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002604
Receipt number R000003157
Scientific Title Combined therapy of infliximab with surgery in maintenance of remission in Crohn's disease
Date of disclosure of the study information 2009/11/01
Last modified on 2014/04/09 18:24:11

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Basic information

Public title

Combined therapy of infliximab with surgery in maintenance of remission in Crohn's disease

Acronym

Combined therapy of infliximab with surgery in Crohn's disease

Scientific Title

Combined therapy of infliximab with surgery in maintenance of remission in Crohn's disease

Scientific Title:Acronym

Combined therapy of infliximab with surgery in Crohn's disease

Region

Japan


Condition

Condition

Crohn's disease

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The study is a prospective randomized study to investigate therapeutic effects of the combined therapy of infliximab with surgery in Crohn's disease.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

Presense or absense of endoscopic recurrence at the anastomotic site after 24 months.

Key secondary outcomes

Endoscopic grade evaluated with Rutgeerts's grading scale after 24 months.
Crohn's disease activity index point after 24 months.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients are randomly divided into two groups, groups treated with or without infliximab by staffs of Keio Clinical Research Center at 2 to 4 weeks after surgery.
Patients receive infliximab 5 mg/kg at 0, 2, 6 weeks, followed by every 8 weeks for 2 years. Alternatively, patients continue to receive infliximab with intervals of 8 weeks if they received infliximab within 8 weeks from the time point 0.

Interventions/Control_2

Patients without infliximab receive maintenance therapy without immunomodulators.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients are enrolled within 4 weeks of resection of macroscopically diseased bowel with anastomosis between normal ileum and colon (ileocolonic anastomosis) or colon and colon (colocolonic anastomosis). Any type of anastomosis is permitted. Surgeons are required to confirm that no macroscopic lesion is left in the remnant intestine except for the strictureplasty sites. Number of strictureplasty must be less than three and the type of plasty is restricted to Heineke-Mickulicz type.

Key exclusion criteria

Exclusion criteria include 1) 3 or more surgeries in the past, 2) presence of the stoma, 3) multiple anastomosis, 4) 4 or more strictureplasties, or 5) other types of strictureplasty excepting Heineke-Mickulicz type. A patient is also excluded when doctors in charge of the patient consider that exclusion of the patient is preferable.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Sasaki Iwao

Organization

Tohoku University Graduate School of Medicine

Division name

Division of Biological Regulation, Department of Surgery

Zip code


Address

1-1, Seiryo-machi, Aoba-ku, Sendai

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Haneda Sho

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Surgery, Division of Biological Regulation

Zip code


Address


TEL

022-717-7205

Homepage URL


Email



Sponsor or person

Institute

Clinical Research Group of inflammatory bowel disease in Japan

Institute

Department

Personal name



Funding Source

Organization

nothing particular

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

関西医科大学(大阪府)、関西医科大学付属枚方病院(大阪府)、京都大学病院(京都府)、慶応大学病院(東京都)、岩手医科大学病院(岩手県)、札幌厚生病院(北海道)、北里大学病院(神奈川県)、広島大学病院(広島県)、大腸肛門病センター家田病院(愛知県)、東京女子医科大学病院(東京都)、金沢大学病院(石川県)、四日市社会保険病院(三重県)、医療法人健生会土庫病院(奈良県)、鹿児島大学病院(鹿児島県)、京都府立医科大学病院(京都府)、神戸大学病院(兵庫県)、東北大学病院(宮城県)、富山県立中央病院(富山県)、福岡大学筑紫病院(福岡県)、弘前大学病院(青森県)、名古屋大学病院(愛知県)、横浜市立大学附属市民総合医療センター(神奈川県)、杏林大学病院(東京都)、北野病院(大阪府)、帝京大学病院(東京)、東邦大学医療センター佐倉病院(千葉)、兵庫医科大学病院(兵庫)、東北労災病院(宮城県)、横浜市民病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2009 Year 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 02 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 05 Month 01 Day

Last follow-up date

2014 Year 03 Month 01 Day

Date of closure to data entry

2014 Year 04 Month 30 Day

Date trial data considered complete

2014 Year 06 Month 30 Day

Date analysis concluded

2014 Year 07 Month 31 Day


Other

Other related information



Management information

Registered date

2009 Year 10 Month 08 Day

Last modified on

2014 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003157


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name