Safety of Celecoxib in Patients With Crohn's Disease
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Purpose
The investigators will select 60 people who are 18-70 years of age with Crohn's disease and randomly assign them to receive an 8-week trial of celecoxib and an 8-week trial of a placebo. There will be a 1-week interval or "wash-out" between trials when the participant does not take any study medication. The investigators will monitor the participants for 18 weeks after they start the medication and observe their Crohn's disease activity, assessing for flare-ups or exacerbations in the disease and other possible side effects of celecoxib. Based on these observations, a determination will be made by the investigators as to the safety of celecoxib. If celecoxib is found to be safe, then it may provide physicians with a medication that they can prescribe for people who have Crohn's disease and experience chronic pain from arthritis and arthralgia.
| Condition | Intervention | Phase |
|---|---|---|
|
Crohn's Disease |
Drug: Celebrex Drug: placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | The Safety of Celecoxib (Celebrex) in Patients With Crohn's Disease |
- Change in Crohn's Disease Activity Index (CDAI) scores in response to treatment [ Time Frame: completion of all study participants ] [ Designated as safety issue: Yes ]
- Change in Short Inflammatory Bowel Disease Questionnaire (SIBDQ) scores in response to treatment [ Time Frame: completion of all study participants ] [ Designated as safety issue: Yes ]
| Enrollment: | 28 |
| Study Start Date: | December 2003 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A Placebo or Celebrex
either placebo PO BID for the first eight weeks or Celebrex 200 mg PO BID for the first eight weeks
|
Drug: Celebrex
Celebrex 200 mg PO BID for the first 8 weeks, followed by a 1 week "washout period" then placebo PO BID for the remaining 8 weeks - or - placebo PO BID for the first 8 weeks, followed by a 1 week "washout period" then Celebrex 200 mg PO BID for the remaining 8 weeks.
Other Name: Celecoxib (brand name)
|
|
Placebo Comparator: B Placebo or Celebrex
either placebo PO BID for the last eight weeks or Celebrex 200 mg PO BID for the last eight weeks
|
Drug: placebo
placebo PO BID for either the first eight weeks or the last eight weeks of the study.
|
Detailed Description:
Please refer to brief summary (above).
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Greater than 18 years of age or less than 70 years of age
- Confirmed diagnosis of Crohn's disease
- Inactive disease (CDAI scores at baseline <150) or active disease (CDAI scores at baseline <200).
Exclusion Criteria:
- Pregnant, nursing mothers and women of childbearing potential who are not using reliable contraception (i.e.: oral contraceptive pill [OCP], intrauterine device [IUD], Norplant)
- Enrolled in any other study involving non-steroidal anti-inflammatory drug (NSAID) medications
- NSAID use at time of study
- Baseline moderate to severe Crohn's disease activity (CDAI > 200)
- Current treatment of less than 6 months with mercaptopurine (6 MP) or immuran.
- Treatment with current Crohn's medication for a period of less than 3 months
- Surgery for Crohn's disease (within 1 month)
- Known sensitivity to celecoxib, NSAIDs, or sulfonamides
- History of gastritis, gastrointestinal bleeding, or peptic ulcer disease
- Advanced kidney disease
- Severe hepatic impairment
- Subjects currently taking angiotensin-converting enzyme (ACE) inhibitors, furosemide, fluconazole, lithium, corticosteroids, and warfarin
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Mary Beaves, Clinical Research Coordinator, University of Pittsburgh |
| ClinicalTrials.gov Identifier: | NCT00177866 History of Changes |
| Other Study ID Numbers: | 0312013 |
| Study First Received: | September 13, 2005 |
| Last Updated: | June 17, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Crohn Disease Inflammatory Bowel Diseases Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Intestinal Diseases Celecoxib Cyclooxygenase 2 Inhibitors Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Therapeutic Uses Central Nervous System Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on June 17, 2013