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Su2092 Clinical Risk Stratification Predicts Development of Endoscopic Recurrence After Crohn's Disease Surgery: Early Results From the POCER Study

Authors :
Amy L. Hamilton
Richard B. Gearry
Rupert W. Leong
William Connell
H.S. Debinski
Alexandra Gorelik
R. Brouwer
Warwick Selby
Mark Lust
Peter R. Gibson
Lani Prideaux
Ross Elliott
Simon Jakobovits
Kathryn J. Ritchie
Finlay A. Macrae
Graham L. Radford-Smith
James L. Keck
Peter A. Bampton
Sally Bell
Miles P. Sparrow
Peter De Cruz
Susan J. Connor
Ian C. Lawrance
Rodney Woods
Michael J. Johnston
Danny Liew
Jane M. Andrews
Steven J. Brown
Paul V. Desmond
Ian Kronborg
Michael A. Kamm
Timothy H. Florin
Source :
Gastroenterology. 142:S-568
Publication Year :
2012
Publisher :
Elsevier BV, 2012.

Abstract

G A A b st ra ct s ulcerations at ileocolonoscopy and a history of positive clinical response followed by secondary failure and/or intolerance to at least one TNFα antagonist. Patients randomized in the TNF-K group were receiving TNF-K at days 0, 7, 28, 84 and placebo at days 91 and 112. Patients randomized in the control group were receiving placebo at days 0, 7, 28, and TNFK at days 84, 91 and 112. TNF-K was injected intramuscularly at the dose of 180 mcg per injection. The primary end point was CDAI clinical remission (CDAI≤150) at week 8. Other efficacy end-points included mucosal healing at week 12 and evolution of calprotectin and C-reactive protein. Immune responses were evaluated through titration of anti-TNFα and anti-KLH antibodies. Results: All patients have been recruited. Fewmild or moderate transient local and systemic reactions have been recorded following immunizations. The only serious adverse event reported by the investigator as potentially related to the study drug was a deterioration of CD one month following administration of blinded treatment. There were no other safety concerns. Full analysis is ongoing. Conclusions: Active immunization with TNF-K in patients with Crohn's disease is safe. Full immunogenicity and clinical efficacy results will be presented.

Details

ISSN :
00165085
Volume :
142
Database :
OpenAIRE
Journal :
Gastroenterology
Accession number :
edsair.doi...........696d099308339c793fa2da17523479f6
Full Text :
https://doi.org/10.1016/s0016-5085(12)62180-5