Status:
UNKNOWN
Efficacy of Mesalazine Combined With Biologics in the Treatment of Moderate to Severe Ulcerative Colitis
Lead Sponsor:
Sixth Affiliated Hospital, Sun Yat-sen University
Conditions:
Ulcerative Colitis
Efficacy, Self
Eligibility:
All Genders
18-80 years
Phase:
PHASE4
Brief Summary
Endocopic remission rates of moderate to severe ulcerative colitis are low. Biologics including Vedolizumab, infliximab, and adalimumab are effective in induction and maintainence of ulcerative coliti...
Eligibility Criteria
Inclusion
- Patients with moderate and severe ulcerative colitis;
- Subjects were above 18 years old and below 80 years;
- Indications of 5-ASA or biological treatment;
- According to the clinical symptoms, ulcerative colitis was diagnosed by endoscopic changes, pathological manifestations. The disease activity of UC was assessed according to the modified Mayo scoring system (modified Mayo: 6\~12 for patients with moderate to severe ulcerative colitis);
- If the subject is a woman, a pregnancy test at baseline is needed to exclude pregnancy. Female patients must follow the contraceptive recommendations of the project;
- Subjects must be able and willing to provide written informed consent and comply with the requirements of this study protocol.
Exclusion
- No indications of 5-ASA or biological treatment;
- ulcerative colitis patients who had previously undergone a partial colectomy;
- Patients who are unable to use 5-ASA for a long time;
- Patients with severe, progressive, or uncontrolled kidney, liver, blood, or endocrine diseases or symptoms;
- Presence of infected persons, Patients with a contraindication to the use of biological agents such as C. difficile infection or other intestinal pathogens, active tuberculosis or intestinal tuberculosis infection, human immunodeficiency virus (HIV) infection, active hepatitis B or hepatitis C (defined as: ① HBV: hepatitis B surface antigen (HBs Ag) positive (+), Or patients with positive for hepatitis B core antibody (HBcAb) and the qualitative test results of HBV deoxyribonucleic acid (DNA) polymerase chain reaction (PCR) meet the detection criteria; ② HCV: Any patient with an anti-HCV antibody (HCV Ab) -positive patient with a detectable HCV ribonucleic acid (RNA);
- Patients with a history of gastrointestinal dysplasia, or dysplasia on any biopsy performed on endoscopy, excluding low-grade dysplasia lesions; known history of lymphoproliferative disease (including lymphoma), or signs and symptoms (e. g., lymphadenopathy and / or splenomegaly); patients with current or previous malignancy;
- Has been involved in other clinical studies.
Key Trial Info
Start Date :
January 15 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 15 2025
Estimated Enrollment :
438 Patients enrolled
Trial Details
Trial ID
NCT05205603
Start Date
January 15 2022
End Date
January 15 2025
Last Update
December 5 2023
Active Locations (11)
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1
People's Hospital of Chongqing
Chongqing, Chongqing Municipality, China
2
the Sixth Affiliated Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, China, 501655
3
First People's Hospital of Foshan
Guangzhou, Guangdong, China
4
Guangzhou Panyu Central Hospital
Guangzhou, Guangdong, China