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RECRUITINGPhase 4INTERVENTIONAL

Subcutaneous Infliximab After A Previous Intravenous Dose Optimization

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this clinical trial is to learn about the treatment with subcutaneous infliximab in patients with inflammatory bowel disease (IBD) that were previously treated with an optimized dose of intravenous infliximab. The main question it aims to answer is: \- Is switching to a weekly dose of subcutaneous infliximab (120 mg) associated with a better outcome compared to the standard fortnightly administration of 120 mg subcutaneous infliximab in patients who received an optimized intravenous dosing schedule? Participants will switch from intravenous infliximab to subcutaneous infliximab and will be randomized to the intervention arm (Subcutaneous infliximab weekly) or the interventional comparison arm (subcutaneous infliximab bi-weekly). Participants will follow daily clinical practice in the monitoring for clinical and biological remission. The participants that are willing to switch to subcutaneous infliximab will be compared to a group of participants not willing to switch. These participants will continue to be treated with their optimized intravenous dose of infliximab.

Who May Be Eligible (Plain English)

Who May Qualify: - Voluntary written willing to sign a consent form of the participant or their legally authorized representative has been obtained prior to any Screening procedures. - Patients with a previously documented CD, UC, IBDU diagnosis confirmed by clinical, endoscopic, histological, and/or radiological criteria - Males and females ≥18 years old. - Patients must be in steroid-free clinical remission at Screening defined as a rectal bleeding score of 0 and a stool frequency score of ≤1 for patients with UC / IBDU, or an average daily abdominal pain score ≤1 and a liquid stool frequency score ≤2.8 for patients with CD (based on the 3 days before the screening visit, excluding the day of or the day before an eventual endoscopy with bowel preparation) and this without the need for any type of steroids in the previous eight weeks. - Patients must be in biological remission at screening defined as a CRP \<10 mg/L and a fecal calprotectin \<250 µg/g. - Patients receiving IV infliximab for at least 26 consecutive weeks. - Patients receiving a stable IV infliximab dosing schedule for at least 20 weeks. - Patients receiving an average IV infliximab dose per 8 weeks based on the two most recent IV administration of more than 8 mg/kg, but not more than 22 mg/kg - Patients who speak and read fluently Dutch, French or English. Who Should NOT Join This Trial: - Male or female ≤ 18 years - Patients with an ileorectal anastomosis, an ileal pouch-anal anastomosis or an ostomy - Patients participating in an interventional clinical trial with an Investigational Medicinal Product (IMP) or device - Patients previously treated with SC infliximab - Patients with active perianal fistulizing disease - Patients with microscopic colitis Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any Screening procedures. * Patients with a previously documented CD, UC, IBDU diagnosis confirmed by clinical, endoscopic, histological, and/or radiological criteria * Males and females ≥18 years old. * Patients must be in steroid-free clinical remission at Screening defined as a rectal bleeding score of 0 and a stool frequency score of ≤1 for patients with UC / IBDU, or an average daily abdominal pain score ≤1 and a liquid stool frequency score ≤2.8 for patients with CD (based on the 3 days before the screening visit, excluding the day of or the day before an eventual endoscopy with bowel preparation) and this without the need for any type of steroids in the previous eight weeks. * Patients must be in biological remission at screening defined as a CRP \<10 mg/L and a fecal calprotectin \<250 µg/g. * Patients receiving IV infliximab for at least 26 consecutive weeks. * Patients receiving a stable IV infliximab dosing schedule for at least 20 weeks. * Patients receiving an average IV infliximab dose per 8 weeks based on the two most recent IV administration of more than 8 mg/kg, but not more than 22 mg/kg * Patients who speak and read fluently Dutch, French or English. Exclusion Criteria: * Male or female ≤ 18 years * Patients with an ileorectal anastomosis, an ileal pouch-anal anastomosis or an ostomy * Patients participating in an interventional clinical trial with an Investigational Medicinal Product (IMP) or device * Patients previously treated with SC infliximab * Patients with active perianal fistulizing disease * Patients with microscopic colitis

Treatments Being Tested

DRUG

Infliximab

Weekly administration of subcutaneous infliximab.

DRUG

Infliximab

Bi-weekly administration of subcutaneous infliximab.

DRUG

Infliximab

Optimized dosing schedule of intravenous infliximab.

Locations (15)

AZ Maria Middelares
Ghent, Oost-Vlaanderen, Belgium
AZ Oostende
Ostend, West-Vlaanderen, Belgium
Universitair ziekenhuis Antwerpen
Antwerp, Belgium
Imeldaziekenhuis
Bonheiden, Belgium
AZ Sint-Jan Brugge
Bruges, Belgium
Erasme
Brussels, Belgium
Ziekenhuis Oost-Limburg
Genk, Belgium
AZ Sint-Lucas Gent
Ghent, Belgium
Universitair ziekenhuis Gent
Ghent, Belgium
Universitair ziekenhuis Leuven
Leuven, Belgium
Heilig Hart ziekenhuis Lier
Lier, Belgium
CHU Liège - Sart Tilman
Liège, Belgium
VITAZ
Sint-Niklaas, Belgium
AZ Vesalius
Tongeren, Belgium
CHwapi
Tournai, Belgium