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. 2019 Aug 6;2019(8):CD010233. doi: 10.1002/14651858.CD010233.pub3

NL1344.

Trial name or title Azathioprine maintenance treatment versus infliximab maintenance treatment in Crohn’s disease patients in remission (Azorix trial)
Methods  
Participants Inclusion criteria:
1. Age between 18 and 80 years
 2. For at least 6 months a stable dose of combination therapy with IFX and AZA or with IFX and 6MP
 3. CD in remission for at least 6 months
Exclusion criteria:
1. Failed attempt to quit medication during combination therapy before
2. Abdominal abscesses, fistulas and fluid collections
3. Comorbidity or extra‐intestinal complications that require infliximab treatment
4. Crohn’s disease activity of the upper gastrointestinal tract that requires infliximab treatment
5. Legally incompetent patients
Interventions Two arms. Arm 1:Infliximab consisting of infusions of 5 mg/kg. Patients will receive maintenance therapy at intervals of 6 to 12 weeks
Arm 2: Azathioprine in a dose of 2.5 mg/kg daily; 6‐MP will be continued in a dose of 1.5 mg/kg daily
Outcomes Primary outcome: The occurrence of relapse ‐ defined as a disease activity with a CDAI score greater than 150 ‐ during the 12 months follow‐up period.
Secondary outcome:Mucosal healing at 12 months; Number of treatment failures after 12 months; Time to relapse; HRQOL at 12 months, measured by IBDQ
Starting date 1st August 2008
Contact information Dr. P.C.F. Stokkers; p.stokkers@amc.nl
Notes