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. 2014 Aug 1;2014(8):CD010233. doi: 10.1002/14651858.CD010233.pub2
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
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
Outcomes Co‐primary outcomes were endoscopic, histological and clinical recurrence at 12 months
Secondary outcomes: Harvey‐Bradshaw Index, laboratory tests and adverse events
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