Status:

ACTIVE_NOT_RECRUITING

Stopping Aminosalicylate Therapy in Inactive Crohn's Disease

Lead Sponsor:

Alimentiv Inc.

Collaborating Sponsors:

Academic Medical Organization of Southwestern Ontario

Conditions:

Crohn Disease

Remission

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to assess whether withdrawal of aminosalicylate (5-ASA) is non-inferior to continuation of 5-ASA therapy in Crohn's disease (CD) subjects in remission.

Detailed Description

Aminosalicylate (5-ASA) agents have proven effective for inducing and maintaining remission in mild to moderate ulcerative colitis (UC) and thus are commonly used as first-line agents for patients wit...

Eligibility Criteria

Inclusion

  • Documented diagnosis of CD at least 3 months prior to enrollment
  • Taking any brand or dosage of an oral aminosalicylate for at least 6 months
  • Subject-confirmed compliance with current aminosalicylate therapy (taking at least 75% of prescribed doses)
  • CD currently in clinical remission
  • Able to participate fully in all aspects of the clinical trial
  • Written informed consent obtained and documented

Exclusion

  • A current diagnosis of UC, indeterminate colitis, microscopic colitis, or diverticular disease-associated colitis
  • A diagnosis of short-bowel syndrome
  • Active perianal disease
  • Active fistulizing disease
  • A flare of CD within 3 months prior to enrollment requiring initiation/escalation of medical therapy or surgery
  • Use of systemic corticosteroids for CD (2 continuous weeks or more) within 3 months prior to enrollment
  • Any major resective bowel surgery for CD (ileal resection, ileocecal resection, proctocolectomy, colectomy, enterectomy, ostomy formation and repair, anastomosis/reanastomosis) within 6 months prior to enrollment
  • Unwillingness to stop taking aminosalicylates for the duration of the trial
  • Untreated bile salt malabsorption that, in the opinion of the investigator, may interfere with accurate study HBI assessment
  • Serious underlying disease other than CD that, in the opinion of the investigator, may interfere with the subject's ability to participate fully in the study
  • History of active alcohol or drug abuse that, in the opinion of the investigator, may interfere with the subject's ability to comply with the study procedures
  • Currently participating in another interventional trial, or previous participation within the last 3 months

Key Trial Info

Start Date :

November 20 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2026

Estimated Enrollment :

334 Patients enrolled

Trial Details

Trial ID

NCT03261206

Start Date

November 20 2017

End Date

June 1 2026

Last Update

May 20 2025

Active Locations (46)

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Page 1 of 12 (46 locations)

1

University of Calgary

Calgary, Alberta, Canada, T2N 4Z6

2

University of Alberta

Edmonton, Alberta, Canada, L8S 4K1

3

Dr. Jesse Siffledeen Professional Medical Corporation

Edmonton, Alberta, Canada, T6L 6K3

4

(G.I.R.I.) GI Research Institute

Vancouver, British Columbia, Canada, V5Z 2K5