Induction Optimization with Stelara for Crohn s Disease
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Crohn’s Disease
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Age: Between 18 years - 70 years
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Gender: Male or Female
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Other Inclusion Criteria:
- History of Crohn’s disease for at least 3 months confirmed by colonoscopy and/or cross sectional imaging reviewed by the PI
- Moderate to Severe Crohn’s disease
- Either a C-reactive protein (CRP)>8mg/L or a fecal calprotectin > 250ug/g within 4 weeks of starting ustekinumab
- Stable Concomitant medications (prior to first dose of ustekinumab):
- Stable dose of 6-MP, azathioprine, or methotrexate for at least 4 weeks
- Stable dose of oral mesalamine for at least 2 weeks
- Stable dose of prednisone of 20mg or less or budesonide 9mg daily for at least 2 weeks
- Female participants must be postmenopausal
- Must use highly effective method of birth control
- Must not be pregnant
You may not be eligible for this study if the following are true:
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- Past Stelara or anti-IL 23 use
- Active infection
- Has any known malignancy or has a history of malignancy
- Indeterminate colitis
- Active perianal fistula as the primary symptom
- Fibrostenotic disease with primarily obstructive symptoms
- Hospitalization within the past 2 weeks
- Bowel resection within the past 4 weeks
- Subtotal colectomy
- Permanent Ileostomy
- Is infected with human immunodeficiency virus (HIV; positive serology for HIV antibody)
- Has a concomitant diagnosis or any history of congestive heart failure or demyelinating disease
- Has current signs or symptoms, or a history of severe, progressive, or uncontrolled renal, hepatic, hematologic, endocrine, pulmonary, cardiac, neurologic, systemic lupus erythematosus, or psychiatric diseases.
- Has a transplanted organ
- Has a history of lymphoproliferative disease
- Has previously undergone allergy immunotherapy for prevention of anaphylactic reactions
- Is unable or unwilling to undergo multiple venipunctures because of poor tolerability or lack of easy access to veins
- Has known allergies, hypersensitivity, or intolerance to ustekinumab or excipients
- Has a clinically significant substance abuse problem
- Any biologic or small molecule therapy within 4 weeks of start of ustekinumab
- Positive quantiferon gold that is not being treated and followed by Infectious Disease
- Tests positive for HBV surface antigen (HBsAg)
- Have immune deficiency syndrome
- Is seropositive for antibodies to hepatitis C (HCV)
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.