Safety of Accelerated Infliximab Infusions in Patients With Inflammatory Bowel Disease (IBD)

July 11, 2016 updated by: Suk-Kyun Yang, Asan Medical Center

Safety of Accelerated Infliximab Infusions in Patients With Inflammatory Bowel Disease: A Prospective, Randomized, Double-Blind, Controlled Trial

This study aims to test the hypothesis that the accelerated infusion of infliximab is not inferior to the conventional 2 hour infusion with respect to the frequency of infusion reaction.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The standard protocol of infliximab administration is the infusion for 2 hours. However, due to the discomfort of patients and limitation of medical resources, the accelerated infusion is more desirable if accelerated infusion does not increase the frequency of infusion reaction. Recent observational studies showed that the accelerated infusion of infliximab for 1 hour or 30 minutes did not increase the frequency of infusion reaction if patients had not shown infusion reactions during previous 4 infusions for 2 hours. However, there are no randomized trials comparing the safety of accelerated infusion protocol and standard infusion protocol yet.

Study Type

Interventional

Enrollment (Actual)

145

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 80 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients receiving infliximab for Crohn's disease or ulcerative colitis
  • Ethnicity: Korean
  • Patients who did not show any infusion reactions during 4 times of infliximab (5mg/kg) infusions for 2 hours
  • Informed consents

Exclusion Criteria:

  • Sever cardiopulmonary diseases

  • Allergic diseases

    • Bronchial asthma
    • Allergic rhinitis
    • Atopic dermatitis
    • Other allergic diseases determined not suitable for study participation by investigators
  • Severe liver disease
  • Severe renal disease
  • Body weight over 100 kg
  • Other medical or surgical disease determined not suitable for study participation by investigators

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 2 hours-infusion group
Number of patients: 57 (Standard 2 hours-infusion group)
Drug: Standard 2 hours-infusion

Patients without any infusion reactions during more than 4 infusions for 2 hours are randomized to one of three study groups.

After randomization to 2 hours-infusion group, patients get 5 mg/kg infliximab infusion for 2 hours. Total infusion number after randomization is 7.

Other Names:
  • Infliximab (Remicade, Centocor, Malvern, Philadelphia, PA)
Experimental: 1 hour-infusion group
Number of patients: 59 (1 hour-infusion group)
Drug: Accelerated 1 hour-infusion

Patients without any infusion reactions during more than 4 infusions for 2 hours are randomized to one of three study groups.

After randomization to 1 hour-infusion group, patients get 5 mg/kg infliximab infusion for 1 hour. Total infusion number after randomization is 7.

Other Names:
  • Infliximab (Remicade, Centocor, Malvern, Philadelphia, PA)
Experimental: 30 minutes-infusion group
Number of patients: 59 (30 minutes-infusion group)
Drug: Accelerated 30 minutes-infusion

Patients without any infusion reactions during more than 4 infusions for 2 hours are randomized to one of three study groups.

After randomization to 30 minutes-infusion group, patients get 5 mg/kg infliximab infusion for 1 hour. If any infusion reactions do not develop during 2 infusions for 1 hour, patients get further 5 mg/kg infliximab infusion for 30 minutes. The total number of 30 minutes-infusion is 5.

Other Names:
  • Infliximab (Remicade, Centocor, Malvern, Philadelphia, PA)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Total numbers of infusion reactions related with infliximab infusion
Time Frame: Within14 days after infliximab infusion
Total numbers of infusion reactions (including acute and delayed reactions) related with infliximab infusion
Within14 days after infliximab infusion

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numbers of severe infusion reactions related with infliximab infusion
Time Frame: Within14 days after infliximab infusion
Numbers of severe infusion reactions (Systolic blood pressure < 80 mmHg with severe symptoms and signs necessiating stopping of infliximab infusion) related with infliximab infusion
Within14 days after infliximab infusion

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Asan Medical Center

Investigators

  • Principal Investigator: Suk-Kyun Yang, MD, PhD, Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2011

Primary Completion (Actual)

October 1, 2015

Study Completion (Actual)

April 1, 2016

Study Registration Dates

First Submitted

May 2, 2011

First Submitted That Met QC Criteria

May 2, 2011

First Posted (Estimate)

May 3, 2011

Study Record Updates

Last Update Posted (Estimate)

July 12, 2016

Last Update Submitted That Met QC Criteria

July 11, 2016

Last Verified

July 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2011-0181

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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