UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005146
Receipt number R000006111
Scientific Title Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)
Date of disclosure of the study information 2011/02/25
Last modified on 2016/02/25 09:47:12

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Basic information

Public title

Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)

Acronym

Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)

Scientific Title

Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)

Scientific Title:Acronym

Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)

Region

Japan


Condition

Condition

Crohn's disease

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the efficacy and safety of combination of Adalimumab and Azathioprine

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Remission(CDAI<150) rate at 26 weeks.

Key secondary outcomes

Remission rate at each observational period, Clinical Response70 (CR70) and Clinical Response100 (CR100).
Mucosal healing rate at 26 weeks and 52 weeks.
Deep remission rate at 26 weeks and 52 weeks
Loss of response(Exacerbation) rate
Adalimumab blood concentration and AAA Incidence rate at 26 weeks.
Incidence of adverse events.
Others.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of Adalimumab 160 mg at baseline, 80 mg at 2 weeks and 40 mg every 2 weeks.

Interventions/Control_2

In addition to Adalimumab Therapy, co-administration of 25-100mg Azathioprine once a day.Fixed dosage of Azathioprine up to 4 weeks and not increase in dosage later

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

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Moderate or severe (CDAI220-450) patients with CD who has not ever received anti-TNF antibodies or immunomodulators before.

Key exclusion criteria

(1)Adalimumab contraindication
1)Patients with severe infection (Sepsis, etc)
2)Patients with active tuberculosis
3)Patients with history of hypersensitivity to any of the other ingredients of Adalimumab
4)Patients with demyelinating disease (Multiple sclerosis, etc) or with history of demyelinating disease
5)Patients with congestive heart failure
(2)Azathioprine contraindication
1)Patients with history of hypersensitivity to any of the other ingredients of Azathioprine
2)Patients with the number of leukocytes &#8804; 3000/mm3
3)Pregnant or likely to be pregnant women
(3)Pregnant or lactating women
(4)Patients < 20 years of age
(5)Patients not approving the study consent
(6)Patients who have ever received anti-TNF antibodies before
(7)Patients who have received immunomodulators like Azathioprine, 6-mercaptopurine, Tacrolimus and Methotrexate
(8)Patients with malignancy
(9)Patients in 6 months after surgery
(10)Patients with short bowel syndrome
(11)Patients judged as inadequate at the discretion of physicians

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshifumi Hibi

Organization

School of Medicine, Keio University

Division name

Internal Medicine(Gastroenterology)

Zip code


Address

Shinanomachi 35, Shinjyuku-ku, Tokyo

TEL

0334446161

Email

thibi@instikitasato-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takayuki Matsumoto

Organization

Iwate Medial University

Division name

Division of Gastroenterology, Department of Medicine

Zip code


Address

Uchimaru 19-1, Morioka City, Iwate 020-8505, Japan

TEL

019-651-5111

Homepage URL


Email

tmatsumo@iwate-med.ac.jp


Sponsor or person

Institute

Department of Internal Medicine, School of Medicine, Keio University

Institute

Department

Personal name



Funding Source

Organization

Department of Internal Medicine(Gastroenterology), School of Medicine, Keio University and Self funding of each Institusions

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

札幌厚生病院(北海道)、札幌東徳州会病院(北海道)、北海道大学(北海道)、旭川医科大学(北海道)、弘前大学(青森県)、東北大学(宮城県)、筑波大学(茨城県)、獨協医科大学(栃木県)、東邦大学医療センター佐倉病院(千葉県)、千葉大学(千葉県)、埼玉医科大学医療センター(埼玉県)、慶應義塾大学医学部(東京都)、東京医科歯科大学(東京都)、社会保険中央総合病院(東京都)、東京女子医科大学、北里大学東病院(神奈川県)、横浜市立大学市民総合医療センター(神奈川県)、大船中央病院(神奈川)、昭和大学藤が丘病院(神奈川)、新潟市民病院(新潟県)、信州大学(長野)、藤田保健衛生大学(愛知県)、愛知医科大学(愛知県)、名古屋市立大学(愛知県)、静岡県立総合病院(静岡県)、浜松南病院(静岡県)、金沢大学(石川県)、富山大学(富山)、富山県立中央病院(富山)、京都大学(京都府)、京都府立医科大学(京都)、滋賀医科大学(滋賀県)、大阪市立大学(大阪府)、錦秀会インフュージョンクリニック(大阪府)、大阪大学(大阪府)、大阪医科大学(大阪府)、関西医科大学(大阪府)、ベルランド病院(大阪)、兵庫医科大学(兵庫県)、和歌山医科大学(和歌山県)、岡山大学(岡山県)、倉敷中央病院(岡山県)、広島大学(広島)、島根大学(島根県)、松山赤十字病院(愛媛県)、九州大学(福岡県)、福岡大学筑紫病院(福岡県)、久留米大学(福岡県)、長崎大学(長崎県)、大分赤十字病院(大分県)、宮崎大学(宮崎県)、宮崎医療センター(宮崎県)、鹿児島大学(鹿児島県)、琉球大学(沖縄県)、大阪市立総合医療センター(大阪府)、杏林大学(東京都)


Other administrative information

Date of disclosure of the study information

2011 Year 02 Month 25 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

2011 Year 02 Month 18 Day

Date of IRB


Anticipated trial start date

2011 Year 03 Month 01 Day

Last follow-up date

2015 Year 06 Month 30 Day

Date of closure to data entry

2015 Year 07 Month 31 Day

Date trial data considered complete

2015 Year 09 Month 01 Day

Date analysis concluded

2015 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 02 Month 25 Day

Last modified on

2016 Year 02 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006111


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name