Home
Search
Study Topics
Glossary
|
|
|
|
|
|
Sponsors and Collaborators: |
University Hospital Birmingham SHS International Children's Memorial Research Foundation St George's University Hospital Research Foundation |
---|---|
Information provided by: | University Hospital Birmingham |
ClinicalTrials.gov Identifier: | NCT00609752 |
This study will compare two current first-line treatments for childhood Crohn's Disease, steroids versus a liquid diet, and determine the effects of these treatments on bone health, quality of life and treatment efficacy.
Condition | Intervention | Phase |
---|---|---|
Crohn Disease |
Drug: prednisolone Dietary Supplement: Alicalm (polymeric liquid formula) |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment |
Official Title: | Adverse Effects of Glucocorticoid Therapy on Bone in Childhood Crohn's Disease |
Estimated Enrollment: | 80 |
Study Start Date: | February 2008 |
Estimated Study Completion Date: | January 2010 |
Estimated Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
1: Active Comparator |
Drug: prednisolone
Standard treatment regimens based on body weight will be used (approximately 2 mg per kg), with a stepwise dose reduction over a 10-14 week period.
|
2: Active Comparator |
Dietary Supplement: Alicalm (polymeric liquid formula)
Subjects will receive all of their nutritional requirements in the form of a nutritionally balanced polymeric feed, volume based on EAR for age. Duration of 5 to 8 weeks with subjects returning to a "normal" unrestricted diet by 10 weeks.
|
Crohn's Disease is a very serious inflammatory gut disorder that often first presents in childhood. Once present, the underlying condition remains for life. It usually responds well to medical treatment which brings about a disease 'remission' but is inclined to become active again at intervals (relapses). When it is active, children are very unwell with reduced energy, loss of appetite and distressing abdominal symptoms (pain, diarrhea, etc.). Active disease can be treated in two very different ways - either with a 3-month course of steroids (tablets), or with a 6-week course of so called "liquid diet therapy (LDT)." With LDT, children receive all of their nutrition in liquid form. Both treatments have advantages and disadvantages. Both are quite effective, often controlling symptoms within days. Steroids may cause various side effects including thinning of bones (osteoporosis) with increased risk of fractures. LDT is somewhat challenging because normal (solid) foods are not allowed during the period of treatment. Both steroids and LDT are widely used - steroids predominately in the USA and LDT elsewhere. There is controversy as to which is best. This study aims to determine which should be preferred.
In this clinical study, children presenting with Crohn's disease will be randomly assigned to either steroid treatment or LDT and followed up for a period of one year. During that time the assigned treatment will be used for any episodes of active disease. We will study a total of 80 children attending the Paediatric Gastroenterology Units in Birmingham, Bristol, Liverpool, Oxford, Sheffield and St. George's Hospital in London. Various outcomes will be compared in the two groups. We will examine the recovery rates (success in bringing about remission) and the frequency of subsequent relapses. We will compare growth and physical development, because active Crohn's disease and possibly steroids may have adverse effects on these processes. A special focus of the study will be on the effect of the disease and its treatment on bone health. Using special blood and urine tests and bone scans we will compare bone growth and density in the two groups. Finally, it is crucially important that we consider the impact of the disease and its treatment on the young person on the basis of their own individual perspective. To do this we will compare the 'quality of life' of children in the two treatment groups, using a questionnaire specially designed to measure this aspect in young people with Crohn's disease.
This study will thus enable us to undertake a comprehensive comparison of the two major first-line treatments used in childhood Crohn's Disease. This is crucially important, and no such study has previously been undertaken
Ages Eligible for Study: | 7 Years to 17 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: M. Stephen Murphy | +44 (0)121 333 8705 | m.s.murphy@bham.ac.uk |
Contact: Kelly Spencer | +44 (0)121 333 9542 | k.spencer@bham.ac.uk |
United Kingdom | |
Bristol Royal Hospital for Sick Children | Recruiting |
Bristol, United Kingdom, BS2 8BJ | |
Principal Investigator: Christine Spray | |
St George's University Hospital | Recruiting |
London, United Kingdom, SW17 0QT | |
Principal Investigator: Sally Mitton | |
United Kingdom, Merseyside | |
Royal Liverpool Children's Hospital | Recruiting |
Liverpool, Merseyside, United Kingdom, L12 2AP | |
Principal Investigator: Mark Dalzell | |
United Kingdom, Oxfordshire | |
Oxford Children's Hospital | Recruiting |
Oxford, Oxfordshire, United Kingdom, OX3 9DZ | |
Principal Investigator: Astor Rodrigues | |
United Kingdom, South Yorkshire | |
Sheffield Children's Hospital | Recruiting |
Sheffield, South Yorkshire, United Kingdom, S10 2TH | |
Principal Investigator: Christopher Taylor | |
United Kingdom, West Midlands | |
Birmingham Children's Hospital | Recruiting |
Birmingham, West Midlands, United Kingdom, B4 6NH | |
Contact: Kelly Spencer +44 (0)121 333 9542 k.spencer@bham.ac.uk | |
Principal Investigator: M Stephen Murphy |
Study Director: | M. Stephen Murphy | University of Birmingham |
Responsible Party: | University of Birmingham ( Dr M S Murphy ) |
Study ID Numbers: | RG_06_266, EudraCT: 2006-000209-48, CTA: 21761/0213/001 |
Study First Received: | January 24, 2008 |
Last Updated: | December 29, 2008 |
ClinicalTrials.gov Identifier: | NCT00609752 |
Health Authority: | United Kingdom: Research Ethics Committee; United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Crohn Disease Children Bone Density Prednisolone |
Liquid Diet Therapy Quality of Life Metabolic Bone Disease |
Methylprednisolone Gastrointestinal Diseases Inflammatory Bowel Diseases Quality of Life Methylprednisolone acetate Bone Diseases, Metabolic Prednisolone acetate |
Intestinal Diseases Bone Diseases Digestive System Diseases Crohn Disease Prednisolone Gastroenteritis Methylprednisolone Hemisuccinate |
Anti-Inflammatory Agents Antineoplastic Agents, Hormonal Antineoplastic Agents Physiological Effects of Drugs Gastrointestinal Agents Hormones, Hormone Substitutes, and Hormone Antagonists Antiemetics Protective Agents |
Neuroprotective Agents Glucocorticoids Hormones Pharmacologic Actions Autonomic Agents Therapeutic Uses Peripheral Nervous System Agents Central Nervous System Agents |