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Brief Escalation of Adalimumab Treatment for Prevention of Clinical Relapse in IBD (BEAT-IBD)

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McMaster University

Status and phase

Withdrawn
Phase 4

Conditions

Ulcerative Colitis
Crohn Disease

Treatments

Drug: Adalimumab

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

To examine whether a temporary three month increase in adalimumab dosing will prevent relapse in patients with inflammatory bowel disease in clinical remission who have elevated calprotectin.

Full description

Patients using adalimumab for Crohn's disease or ulcerative colitis who are in clinical remission will be followed with fecal calprotectin monitoring every 3 months. Patients with a sustained rise in calprotectin who maintain clinical remission will be offered an opportunity to have an increase in adalimumab for three months. Patients who use the three months of increased adalimumab dosing will be compared to patients who do not use increased dosing to determine if relapse rates differ between these two groups.

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Adults ages 18 and older with Crohn's disease and ulcerative colitis
  2. Patients are in clinical remission according to the last 'Abbvie Care' clinical symptom assessment (using Partial Mayo score < 2 or Harvey-Bradshaw Index < 4)
  3. Patient using adalimumab at a dose of at least 40mg subcutaneously bi-weekly, and at a maximum dose of 40mg subcutaneously weekly (or 80mg subcutaneously bi-weekly).

Exclusion criteria

  1. Pregnant women or plans for pregnancy within 3 months of study inclusion
  2. Abdominal abscess
  3. Inability or unwillingness to provide informed consent
  4. Any other condition, which, in the opinion of the investigators would impede competence or compliance or possibly hinder completion of the study

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

0 participants in 2 patient groups

Temporary increase in adalimumab
Active Comparator group
Treatment:
Drug: Adalimumab
Continued monitoring as per standard of care
No Intervention group

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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