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Status unknownNCT06603298Updated Dec 24, 2024

Evaluation of the Efficacy and Safety of Endoscopic Dilatation and Biological Therapy in Intestinal Stenosis Due to CD

An observational study in Crohn Disease, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Status unknown at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-24.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Observational

The sponsor has not verified this record recently (last verified Sep 2024), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
182
Ages
18 Years and older
Sex
All
01

Study summary

All patients with Crohn\'s disease, already undergoing biological therapy for the treatment of clinically significant intestinal stenosis and/or already undergoing endoscopic balloon dilatation during the period January 2016 - June 2024 will be enrolled.

Read the detailed description

All patients meeting all inclusion criteria and no exclusion criteria will be offered participation in the study upon presentation of the information form and signing of the informed consent for participation in the study. Each patient will be assigned a progressive identification number (ID).

All clinical data will be recorded for all patients:

  • Demographic data (age, sex, smoking habits)
  • Montreal classification;
  • Duration of disease;
  • History of previous surgery;
  • Past and current drug therapy.

All available data on stenosis characteristics will be recorded:

  • Localisation (ileal, ileo-caecal, colic, anastomotic);
  • Extent (mm);
  • Evidence of concurrent endoscopic disease activity locally

All data related to the endoscopic procedure will also be recorded:

  • Size of device used;
  • Maximum dilatation achieved (mm);
  • Technical success, assessed by endoscopic clearance of the stenosis after the dilation procedure;
  • Consensual local steroid injection;
  • Possible multiple endoscopic dilation sessions;

The occurrence of episodes of intestinal sub-occlusion or occlusion will be recorded, the introduction of steroid therapy and the need for surgery. Where available radiological and endoscopic re-evaluation data will be recorded.

Any changes in treatment and any adverse events, defined as any adverse event, will also be recorded. as any adverse event without a necessary causal relationship with the endoscopic procedure and the concomitant ongoing biological therapy.

02

Conditions studied

  • Crohn Disease

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03

In context

Crohn Disease

1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.

This study's planned enrollment of 182 is close to the median of 166 across 624 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS is the lead sponsor of 948 studies on the registry; 537 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

patients with Crohn\'s disease

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years,
  • Confirmed diagnosis of Crohn\'s disease;
  • Radiological or endoscopic evidence of Crohn\'s disease complicated by clinically significant intestinal stenosis treated by endoscopic balloon dilatation.
  • Minimum 12-month clinical follow-up at this hospital;
  • Ability to express and give informed consent for participation in the study and to adhere to the timetable of scheduled visits.

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years;
  • Patients with pouch or terminal ileostomy;
  • Any clinical condition that, in the opinion of the investigators, may contraindicate enrolment in the study;
  • Unstable personality or inability to adhere to protocol procedures;
  • Inability to express and give informed consent for study participation and to adhere to the participation in the study and to adhere to the timing of the planned visits.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
182 participants (estimated)
Patient registry
No

Groups and cohorts

  • Medical therapy alone

    It includes patients with Crohn's disease who were only treated with biological therapy for clinically significant intestinal stenosis. These patients underwent drug treatment without any endoscopic procedure.

  • Medical therapy + endoscopic dilatation

    It includes patients who received both endoscopic dilatation (ED) with a balloon and biological therapy. This cohort underwent combined treatment for intestinal stenosis, integrating mechanical and pharmacological intervention.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with transitable colonoscopy at 12 months assessed by endoscopic and radiological documentation

    Measurement of the percentage of patients with Crohn's disease and intestinal stenosis who obtain a transitable colonoscopy after 12 months of follow-up, comparing two interventions: single biological therapy vs. endoscopic dilatation combined with biological therapy. Transitability of the colonoscopy will be determined by the ability of the colonoscope to completely pass through the stenosis as documented in the endoscopic and/or radiological reports. Data will be aggregated as the proportion of patients with transitable colonoscopy in the total number of patients in each treatment group.

    Time frame: 12 months

07

Study locations

1 site
  • Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC CEMAD
    Roma, 00168, Italy
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2024 (actual). Primary completion is estimated for Oct 2025, 12 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2024
First posted
Sep 19, 2024
StartActual
Oct 17, 2024
Primary completionEst.
Oct 17, 2025
CompletionEst.
Oct 17, 2025
Last update
Dec 24, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06603298
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Oct 17, 2024
Primary completion
Oct 17, 2025 (estimated)
Completion
Oct 17, 2025 (estimated)
Last update
Dec 24, 2024

Study contacts

Franco Scaldaferri, PI
principal investigator · Fondazione Policlinico Gemelli, Rome

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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