Enhanced Algorithm for Crohn's Treatment Incorporating Early Combination Therapy

PHASE4CompletedINTERVENTIONAL
Enrollment

1,095

Participants

Timeline

Start Date

March 28, 2014

Primary Completion Date

April 16, 2020

Study Completion Date

April 16, 2020

Conditions
Crohn's Disease
Interventions
OTHER

Enhanced Treatment Algorithm

The Enhanced algorithm features the early use of combined antimetabolite/adalimumab therapy, and treatment intensification based on ileocolonoscopic findings. Failure to achieve or sustain Deep Remission, which includes sustained normalization of the imaging studies, will result in treatment intensification, according to the steps outlined in the algorithm, irrespective of symptoms.

OTHER

Conventional Step-care Algorithm

Step-care algorithm that specifies treatment escalation solely on the basis of symptoms quantified using the Harvey Bradshaw Score.

Trial Locations (22)

10825

Praxis fur Gastroenterologie am Bayerischen Platz, Berlin

20007

Georgetown University Hospital, Washington D.C.

20249

Gastroenterologie Eppendorfer Baum, Hamburg

26123

Verein fur Wissenschaft und Fortbildung, Oldenburg

28801

Asheville Gastroenterology Associates, PA, Asheville

61801

Carle Foundation Hospital, Urbana

71105

Louisiana Research Center, LLC, Shreveport

76508

Scott and White Memorial Hospital, Temple

B2Y 4G8

Duane Sheppard, GI Inc., Dartmouth

B4N 0A3

The Office of Dr. Bruce Musgrave, Kentville

B1P 1P3

Dr. Fashir Medical Inc., Sydney

P3C 5K6

Sudbury Endoscopy Center, Greater Sudbury

P1B 2H3

S. and T. Shulman Medicine Professional Corporation, North Bay

L1J 2J9

Oravec Medicine Professional Corporation, Oshawa

J6E 2C3

The Office of Dr. Pierre Laflamme, Saint-Charles-Borromée

RG1 5AN

Royal Berkshire NHS Foundation Trust, Reading

BH7 7DW

The Royal Bournemouth Hospital, Bournemouth

SO2 5DG

The Royal Hampshire County Hospital, Winchester

OX3 9DU

Oxford University Hospitals NHS Foundation - John Radcliffe Hospital, Headington

CV2 2DX

University Hospital Coventry, Coventry

WV1 0QP

New Cross Hospital - Royal Wolverhampton NHS Trust, Wolverhampton

D1406

Nottingham University Hospitals NHS Trust, Nottingham

Sponsors

Lead Sponsor

All Listed Sponsors
lead

Alimentiv Inc.

OTHER