Unique ID issued by UMIN | UMIN000005146 |
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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 |
Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)
Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)
Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)
Study of Combination Therapy of Adalimumab and an Immunomodulator for Crohn's Disease(Diamond study)
Japan |
Crohn's disease
Gastroenterology |
Others
NO
To clarify the efficacy and safety of combination of Adalimumab and Azathioprine
Safety,Efficacy
Exploratory
Pragmatic
Phase IV
Remission(CDAI<150) rate at 26 weeks.
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.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine |
Administration of Adalimumab 160 mg at baseline, 80 mg at 2 weeks and 40 mg every 2 weeks.
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
15 | years-old | <= |
Not applicable |
Male and Female
Moderate or severe (CDAI220-450) patients with CD who has not ever received anti-TNF antibodies or immunomodulators before.
(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 ≤ 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
200
1st name | |
Middle name | |
Last name | Toshifumi Hibi |
School of Medicine, Keio University
Internal Medicine(Gastroenterology)
Shinanomachi 35, Shinjyuku-ku, Tokyo
0334446161
thibi@instikitasato-u.ac.jp
1st name | |
Middle name | |
Last name | Takayuki Matsumoto |
Iwate Medial University
Division of Gastroenterology, Department of Medicine
Uchimaru 19-1, Morioka City, Iwate 020-8505, Japan
019-651-5111
tmatsumo@iwate-med.ac.jp
Department of Internal Medicine, School of Medicine, Keio University
Department of Internal Medicine(Gastroenterology), School of Medicine, Keio University and Self funding of each Institusions
Self funding
NO
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)
2011 | Year | 02 | Month | 25 | Day |
Unpublished
Completed
2011 | Year | 02 | Month | 18 | Day |
2011 | Year | 03 | Month | 01 | Day |
2015 | Year | 06 | Month | 30 | Day |
2015 | Year | 07 | Month | 31 | Day |
2015 | Year | 09 | Month | 01 | Day |
2015 | Year | 12 | Month | 01 | Day |
2011 | Year | 02 | Month | 25 | Day |
2016 | Year | 02 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006111
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