| Methods | Open‐label, single‐centre, randomised, controlled pilot study | |
| Participants | Consecutive Crohn's disease patients who underwent a curative ileocolonic resection and were considered to be at 'high risk' of postoperative recurrence (N = 22) Exclusion criteria: active perianal disease, presence of stoma, adverse events during previous therapy with infliximab or azathioprine, age > 70 years, surgical complications, active infectious diseases, history of cancer, renal, cardiac or hepatic failure, history of acute or chronic pancreatitis, severe leucopenia and pregnancy |
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| Interventions | Infliximab 5 mg/kg at weeks 0, 2 and 6 weeks and then every 8 weeks for 1 year (n = 11) Azathioprine 2.5 mg/kg/day for 1 year (n =11) All patients received oral metronidazole (500 mg twice daily) for 2 weeks after surgery Treatment was started within 2 to 4 weeks of surgery No other drugs were allowed |
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| Outcomes | Co‐primary outcomes were endoscopic, histological and clinical recurrence at 12 months Secondary outcomes: Harvey‐Bradshaw Index, laboratory tests and adverse events |
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| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Not described |
| Allocation concealment (selection bias) | Unclear risk | Not described |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | One patient in the azathioprine group withdrew due to adverse events (severe nausea and epigastric pain), no other patients withdrew |
| Selective reporting (reporting bias) | Low risk | Appropriate data reported |
| Other bias | Low risk | None apparent |