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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 19 August 2013
Main ID:  EUCTR2009-013890-16-PT
Date of registration: 21/12/2009
Prospective Registration: Yes
Primary sponsor: GEDII - Grupo de Estudo da Doença inflamatória Intestinal
Public title: Herica - Histological and Endoscopic evaluation of Remission induced by Infliximab in moderately to severely active ulcerative Colitis Patients - Herica
Scientific title: Herica - Histological and Endoscopic evaluation of Remission induced by Infliximab in moderately to severely active ulcerative Colitis Patients - Herica
Date of first enrolment: 28/05/2010
Target sample size: 20
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2009-013890-16
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: no Randomised: Open: Single blind: Double blind: Parallel group: Cross over: Other: If controlled, specify comparator, Other Medicinial Product: Placebo: Other:  
Phase: 
Countries of recruitment
Portugal
Contacts
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Key inclusion & exclusion criteria
Inclusion criteria:
1- Must be eligible to start infliximab treatment according to the Portuguese approved Summary of Product Characteristics
2- Patients older than 18 years of age up to 65 years of age at the time of informed consent, of both gender and any race.
3- Patients with moderate to severe UC - Mayo Score (6-12); endoscopic subscore =2
4.1 Patients must have responded inadequately to corticosteroids at least a dose of 40mg/day with or without 5-ASA or patients steroid-dependent
4.2- Patients must have responded inadequately to azathioprine or 6-MP (treatment with thiopurines must be at least 3 months in duration) or be intolerant to these agents.
5- Patients must be naïve to infliximab or other anti-TNF agents
6- No history of latent or active TB prior to screening. No signs or symptoms suggestive of active TB upon medical history and/or physical examination.
7- Patients must be capable of providing written informed consent prior to trial entry.
8- Subjects must be willing and able to adhere to visit protocol schedule and procedures.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion criteria:
1- Any "Contraindication" as specified in the Portuguese infliximab approved Summary of Product Characteristics (See Supplement 15.3)
2- Patients with severe anemia (haemoglobin<8.0 g/dL)
3- Any malignancy in the past 5 years, including lymphoproliferative disorders
4- Existence of not removed adenomatous polyps
5- History of opportunistic infections in the last 6 months
6- Subjects who have a known viral infection such as CMV, HIV, HBV or HCV
7- Patients with a history of demyelinating diseases
8- Pregnant or breastfeeding women
9- Topical treatment with 5-ASA and steroids
10-Patients with only rectal involvement



Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
This national, multi-centre, open-label pilot study will assess the histologic remission in patients with moderate to severe active ulcerative colitis under infliximab treatment who have had an inadequate response to conventional therapy. Biopsies will be analyzed throughout the study in order to assess histological disease modifying effects in those patients.
MedDRA version: 16.0 Level: LLT Classification code 10045365 Term: Ulcerative colitis System Organ Class: 100000004856
Intervention(s)

Trade Name: Remicade
Product Name: Remicade
Pharmaceutical Form: Powder for concentrate for solution for infusion

Primary Outcome(s)
Main Objective: 1-To assess if infliximab is able to induce histological remission in patients with moderately to severely active ulcerative colitis who have had an inadequate response to conventional therapy, including corticosteroids and 6-MP/AZA or who are intolerant or have medical contraindications for such therapies using Geboes criteria at week 8.
2- To assess the clinical response in the above patients assessed by Mayo Score at week 8.
Primary end point(s): Clinical response was defined as a decrease from baseline in the total Mayo score of at least 3 points and at least 30 percent from the baseline value, with an accompanying decrease in the subscore for rectal bleeding of at least 1 point or an absolute subscore for rectal bleeding of 0 or 1. Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point.
Secondary Objective: 1- Assess time of first documented histological remission
2- Correlate histological remission with:
2.1 Mucosal healing
2.2 Faecal calprotectin and lactoferrin levels
2.3 Number of colectomies up to week 52
2.4 Number of hospitalizations up to week 52
2.5 Number of clinical relapses up to week 52
Secondary Outcome(s)
Secondary ID(s)
P06120
Source(s) of Monetary Support
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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