UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016014
Receipt number R000018617
Scientific Title Magnifying endoscopy trial to evaluate the effects of adalimumab on mucosal healing in Crohn's disease with special reference to Peyer's patches
Date of disclosure of the study information 2015/01/01
Last modified on 2021/01/15 16:44:16

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Basic information

Public title

Magnifying endoscopy trial to evaluate the effects of adalimumab on mucosal healing in Crohn's disease with special reference to Peyer's patches

Acronym

Magnifying endoscopy, adalimumab and mucosal healing

Scientific Title

Magnifying endoscopy trial to evaluate the effects of adalimumab on mucosal healing in Crohn's disease with special reference to Peyer's patches

Scientific Title:Acronym

Magnifying endoscopy, adalimumab and mucosal healing

Region

Japan


Condition

Condition

Crohn's disease

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study patients who achieved endoscopic remission (mucosal healing) at week 12 of adalimumab treatment will be followed up with the conventional endoscopy and magnifying endoscopy by week 52. The percentage of patients who achieved mucosal healing at week 52 will be compared between patients with mucosal healing on the basis of conventional endoscopy ("CE-remission group") and those with normalized mucosa on the basis of magnifying endoscopy ("ME-remission Group") at week 12.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Percentage of patients who achieved endoscopic remission
The percentage of patients who achieved CE remission at week 52 will be calculated for subgroups of patients who achieved ME remission and CE remission at week 12.

Key secondary outcomes

Percentages of patients who achieved ME remission at weeks 12 and 52
Percentages of patients who achieved CE remission at weeks 12 and 52
Percentages of patients who achieved ME remission and a CDAI score of <150 at weeks 12 and 52
Endoscopic assessment of colonic segments other than terminal ileum (SES-CD) at weeks 12 and 52
Rates of all-cause hospitalization and CD-related hospitalization by week 52 in patients who achieved ME remission and those who achieved CE remission only.
Correlations between clinical remission (CDAI/HBI), inflammatory response (CRP, etc.) and ME remission (normalization of PP structure).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

Patients achieving mucosal healing with magnifying endoscopy

Interventions/Control_2

Patients achieving mucosal healing with conventional endoscopy

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

16 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Male and female patients ranging 16 to 75 years of age who have active Crohn's disease that is indicated for the treatment with Humira using the recommended dosing regimens.
Patients who have or not undergone anti-TNF alpha antibody therapy.
Patients who can undergo the conventional and magnifying endoscopy at baseline and weeks 12 and 52.

Key exclusion criteria

severe infection
active tuberculosis
demyelinating disease
congestive heart failure
enteral nutrition with more than 1200 kcal
primary failure with infliximab
administration of investigational new drug within 24 weeks
unsettled treatment with antibiotics, azathioprine, mercaptoprine, methotrexate within 28 days and with steroids within 14 days
treatment with prednisolone at more than 40 mg dose, cyclosporine, tacrolimus, alkylating agaents
leukocytoapheresis within 8 weeks
aritifical anus and ileoanal pouch
severe stricture, fistula and abcess
total parenteral or entral nutrition
exclusion by responsible persons

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Hajime
Middle name
Last name Isomoto

Organization

Nagasaki University Hospital

Division name

Endoscopy

Zip code

8528501

Address

1-7-1 Nagasaki

TEL

095-819-7336

Email

hajimei2002@yahoo.co.jp


Public contact

Name of contact person

1st name Hajime
Middle name
Last name Isomoto

Organization

Nagasaki University Hospital

Division name

Endoscopy

Zip code

8528501

Address

1-7-1 Nagasaki

TEL

095-819-7336

Homepage URL


Email

hajimei2002@yahoo.co.jp


Sponsor or person

Institute

Nagasaki University Hospital

Institute

Department

Personal name



Funding Source

Organization

Nagasaki University Hospital

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

Nagasaki university hospital

Address

1-7-1 Sakamoto, Nagasaki

Tel

0958197481

Email

kmatsu@nagasaki-u.ac.jp


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



Other administrative information

Date of disclosure of the study information

2015 Year 01 Month 01 Day


Related information

URL releasing protocol

http://www.mh.nagasaki-u.ac.jp/research/rinsho/patients/open_gastro.html

Publication of results

Unpublished


Result

URL related to results and publications

http://www.mh.nagasaki-u.ac.jp/research/rinsho/patients/open_gastro.html

Number of participants that the trial has enrolled

1

Results

none

Results date posted

2021 Year 01 Month 12 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

none

Participant flow

none

Adverse events

none

Outcome measures

none

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 01 Month 01 Day

Date of IRB

2014 Year 11 Month 06 Day

Anticipated trial start date

2015 Year 01 Month 01 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 12 Month 20 Day

Last modified on

2021 Year 01 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018617


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name