Unique ID issued by UMIN | UMIN000006882 |
---|---|
Receipt number | R000008130 |
Scientific Title | Evaluation of Concomitant Adalimumab and Cytapheresis in Patients who lose Response to Adalimumab Therapy |
Date of disclosure of the study information | 2012/01/01 |
Last modified on | 2014/05/08 15:13:27 |
Evaluation of Concomitant Adalimumab and Cytapheresis in Patients who lose Response to Adalimumab Therapy
Supplement cytapheresis improve response of adalimumab; SAPPHIRE study
Evaluation of Concomitant Adalimumab and Cytapheresis in Patients who lose Response to Adalimumab Therapy
Supplement cytapheresis improve response of adalimumab; SAPPHIRE study
Japan |
Crohn's disease
Gastroenterology |
Others
NO
Aiming to evaluate the efficacy and safety of concomitant adalimumab and Cytapheresis (GMA) in patients with Crohn's disease who lose response to adalimumab therapy.
Safety,Efficacy
Confirmatory
Pragmatic
Phase IV
Remission rate in week12 (remission:CDAI<150)
Time course of CDAI during each observation period
Time course of CRP during each observation period
Mucosal healing rate at 12 weeks
Incidence of adverse events
etc.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Device,equipment |
Adalimumab therapy (40 mg/dose, every other week) combined with Granulocyte/ Monocyte Apheresis (GMA), once weekly for 5 comsecutive weeks. If responses are noted, GMA is applied for another 5 sessions (once weekly).
15 | years-old | <= |
Not applicable |
Male and Female
Patients with Crohn's disease having large bowel lesions showing temporary clinical remission (CDAI less than 150) in response to uncombined adalimumab therapy but poorly responding (CDAI over 150) to subsequent maintenance adalimumab therapy (40 mg/dose, every other week)
(1) Cases that are contraindicated for GMA
Granulocyte count below 2000/mm3
Complication by infection present or suspected
(2) Patients with small intestine type Crohn's disease (no large bowel lesion)
(3) Patients with colostomy
(4) Patients younger than 15
(5) Patients who do not submit informed consent
(6) Patients with malignant tumor
(7) Patients within 3 months of post intestinal surgery
(8) Patients with short bowel syndrome
(9) Other patients judged as inappropriate by the physician
20
1st name | |
Middle name | |
Last name | Shiro Nakamura |
Hyogo College of Medicine
Department of Lower Gastroenterology
1-1 Mukogawa, Nishinomiya, Hyogo Pref.
0798-45-6660
shiro@hyo-med.ac.jp
1st name | |
Middle name | |
Last name | Fukunaga, Ken |
Hyogo College of Medicine
Department of Lower Gastroenterology
1-1 Mukogawa, Nishinomiya, Hyogo Pref.
0798-45-6662
kebe@hyo-med.ac.jp
Department of Lower Gastroenterology, Hyogo College of Medicine
Department of Lower Gastroenterology, Hyogo College of Medicine
Self funding
Hyogo College of Medicine (Hyogo, Japan), Osaka City Univ. (Osaka, Japan), Osaka Medical College (Osaka, Japan), Kyoto Univ. (Kyoto, Japan), Shiga University of Medical Science (Shiga, Japan)
NO
兵庫医科大学(兵庫)、大阪市立大学(大阪)、大阪医科大学(大阪)、京都大学(京都)、滋賀医科大学(滋賀)
2012 | Year | 01 | Month | 01 | Day |
Unpublished
Completed
2011 | Year | 11 | Month | 26 | Day |
2012 | Year | 02 | Month | 01 | Day |
2014 | Year | 01 | Month | 01 | Day |
2014 | Year | 01 | Month | 31 | Day |
2014 | Year | 02 | Month | 28 | Day |
2014 | Year | 03 | Month | 31 | Day |
2011 | Year | 12 | Month | 13 | Day |
2014 | Year | 05 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008130