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Detecting Postoperative Recurrence in Crohn's Disease

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ClinicalTrials.gov Identifier: NCT00886327
Recruitment Status : Unknown
Verified April 2009 by Johann Wolfgang Goethe University Hospital.
Recruitment status was:  Recruiting
First Posted : April 22, 2009
Last Update Posted : May 31, 2012
Information provided by:
Johann Wolfgang Goethe University Hospital

Brief Summary:

Up to ¾ of patients who have been diagnosed with Crohn's disease (CD) will have to undergo bowel resection during their lifetime despite modern medical therapies. Unfortunately, disease recurrence is common and endoscopic detection of recurring inflammation precedes clinical relapse. Endoscopic investigation is therefore recommended to manage these patients.

This multi center, prospective study compares the conventional endoscopic method, ileo-colonoscopy to a new technique, i.e., colonic capsule endoscopy (CCE). CCE enables investigation of the small bowel and the large intestines by using a double-sided video camera with about 10 hours acquisition time.

This study aims to evaluate the performance of CCE to detect postoperative recurrence of CD and detection rate of colonic and anastomotic recurrence is compared to ileo-colonoscopy. Proximal (small bowel) lesions are additionally recorded and impact on clinical management of the findings is accounted for. Moreover, safety aspects and influence of the findings on progress of the disease are monitored. All consecutive patients who are operated for CD in any of the participating study centers are eligible. Included are patients with segmental small bowel, ileocecal or segmental colonic resection.

In some cases capsule retention has been reported at an average of 2-3% with CD patients at elevated risk. Therefore, patency capsule is performed before application of the video CCE to exclude bowel obstruction.

Sample size estimation results in n = 70, requiring each 140 capsule endoscopes and 140 patency capsules for performance of postoperative screening (ca 4-8 weeks postoperatively) and detection of postoperative recurrence (ca 4-8 months postoperatively).

Condition or disease Intervention/treatment
Crohn's Disease Procedure: Colonic capsule endoscopy

Study Type : Observational
Estimated Enrollment : 70 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Detection of Postoperative Recurrence of Crohn's Disease by Colonic Capsule-Endoscopy
Study Start Date : May 2009
Estimated Primary Completion Date : December 2012
Estimated Study Completion Date : December 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Group/Cohort Intervention/treatment
Postoperative patients
Patients with CD who recently underwent bowel resection
Procedure: Colonic capsule endoscopy

Primary Outcome Measures :
  1. Detection of postoperative recurrence of CD

Secondary Outcome Measures :
  1. Therapeutic intervention due to detection of recurrent CD
  2. Detection of small bowel lesions by CCE
  3. Rate of bowel stenosis as detected by PC
  4. Side effect of CCE and/or colonoscopy

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All consecutive patients who are operated for CD in any of the participating study centers are eligible. Included are patients with segmental small bowel, ileocecal or segmental colonic resection. All patients have to give written informed consent before participating in the study.

Inclusion Criteria:

  • Segmental bowel resection for Crohn's disease

    • Ileocecal resection
    • Small bowel resection
    • Segmental colonic resection
  • Informed consent
  • Age ≥ 18 years

Exclusion Criteria:

  • Intestinal obstruction as suspected by anamnesis or clinical/technical investigation
  • Dysphagia or ileus
  • Non-passage of the intact 'Agile Patency Capsule' within 72 hours
  • Pregnancy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00886327

Contact: Joerg G Albert, MD +49696301 ext 5297 joerg.albert@kgu.de

Klinikum der JW Goethe Universität Frankfurt Recruiting
Frankfurt am Main, Germany
Contact: Joerg Albert, MD       joerg.albert@kgu.de   
Medizinische Hochschule Hannover Not yet recruiting
Hannover, Germany
Universitaetsklnikum Leipzig Not yet recruiting
Leipzig, Germany
Klinikum der Universität München - Campus Grosshadern Not yet recruiting
München, Germany
Sponsors and Collaborators
Johann Wolfgang Goethe University Hospital
Principal Investigator: Joerg G Albert, MD Johann Wolfgang Goethe University Hospital

Responsible Party: Joerg Albert, MD, Medizinische Klinik 1, Klinikum der J. W. Goethe-Universität Frankfurt am Main
ClinicalTrials.gov Identifier: NCT00886327     History of Changes
Other Study ID Numbers: JWGUHMED1-001
First Posted: April 22, 2009    Key Record Dates
Last Update Posted: May 31, 2012
Last Verified: April 2009

Keywords provided by Johann Wolfgang Goethe University Hospital:
Colonic capsule endoscopy
Crohn's disease
Capsule endoscopy

Additional relevant MeSH terms:
Crohn Disease
Inflammatory Bowel Diseases
Gastrointestinal Diseases
Digestive System Diseases
Intestinal Diseases
Disease Attributes
Pathologic Processes