E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Crohn’s ileal disease |
maladie de Crohn iléale |
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E.1.1.1 | Medical condition in easily understood language |
Crohn’s ileal disease |
maladie de Crohn iléale |
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E.1.1.2 | Therapeutic area | Body processes [G] - Digestive System and Oral Physiological Phenomena [G10] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
to evaluate the intraoperative use of Cellvizio (using the CelioFlex microsonde) with an intravenous injection of fluorescein to determine the best ileal resection margins in Crohn disease. |
est d’évaluer l’intérêt du Cellvizio avec injection par voie intra-veineuse de fluorescéine en peropératoire pour déterminer le site de section muqueuse grêlique pour les maladies de Crohn iléales terminales (concordance avec l’anatomopathologie). |
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E.2.2 | Secondary objectives of the trial |
Evaluate the interest of Cellvizio with the intravenous injection of fluorescein intraoperatively (concordance with the anatomopathology): - for the study of the ileal serosa for (search for transmural Crohn's disease) - to assess whether or not the resected mesentery is inflammatory Assess the additional bowel length that would need to be resected to be microscopically healthy at the margin. To constitute a video collection of the different healthy and pathological aspects of the hail (mucosa, serosa) but also of the mesentery |
Évaluer l’intérêt du Cellvizio avec l'injection par voie intra-veineuse de fluorescéine en peropératoire (concordance avec l’anatomopathologie) : - pour l’étude de la séreuse iléale pour (recherche d’une atteinte crohnienne transmurale) - pour évaluer le caractère inflammatoire ou non du mésentère réséqué Évaluer la longueur de grêle supplémentaire qu’il faudrait réséquer pour être en marge microscopiquement saine. De constituer une collection vidéo des différents aspects sains et pathologiques du grêle (muqueuse, séreuse) mais aussi du mésentère
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Adult patient ≥ 18 years old Patient with end-stage ileal Crohn's disease (regardless of phenotype) requiring ileocaecal resection
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Patient majeur ≥ 18 ans Patient ayant une maladie de Crohn iléale terminale (quel que soit le phénotype) nécessitant une résection iléocæcale
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E.4 | Principal exclusion criteria |
- Patients with Crohn's disease operated on urgently for peritonitis - Patient with a contraindication to the injection of fluorescein (allergy to fluorescein, severe allergy to a drug, moderate to severe renal insufficiency, hepatic insufficiency, history of cardiopulmonary disease, diabetes, concomitant treatments (in particular beta-blockers , including beta-blockers in eye drops)).
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- Patients ayant une maladie de Crohn opérée en urgence pour péritonite - Patient ayant une contre-indication à l’injection de fluorescéine (allergie à la fluorescéine, allergie sévère à un médicament, insuffisance rénale modérée à sévère, Insuffisance hépatique, antécédents de maladie cardio-pulmonaire, diabète, traitements concomitants (notamment bêta-bloquants, y compris les bêtabloquants en collyre)).
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E.5 End points |
E.5.1 | Primary end point(s) |
is the microscopically healthy or inflammatory character of the ileal mucosal section margin for Cellvizio and pathology. |
est le caractère microscopiquement sain ou inflammatoire de la marge de section muqueuse iléale pour le Cellvizio et l’anatomopathologie. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
The day of surgery |
Le jour de l'intervention chirurgicale |
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E.5.2 | Secondary end point(s) |
The concordance between the Cellvizio with an intravenous injection of fluorescein and the pathology for the inflammation of the serosa (transmural inflammation) and of the mesentery and the length of ileum (in cm) between the surgical margin and the theorical resection site to be in a non-inflammatory area at the Cellvizio (on the mucosa and on the serosa).. |
Caractère microscopiquement sain ou inflammatoire de la séreuse (atteinte transmurale) pour le Cellvizio et pour l’anatomopathologie Caractère microscopiquement sain ou inflammatoire du mésentère pour le Cellvizio et l’anatomopathologie La longueur de grêle comprise entre la marge de section chirurgicale iléale et la marge théorique au cellvizio (sur le versant muqueux et sur la séreuse et sur le mésentère) en cm
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
The day of surgery |
Le jour de l'intervention chirurgicale |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The last visit of the last subject undergoing the trial ● |
La dernière visite du dernier patient inclus |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 24 |
E.8.9.1 | In the Member State concerned days | |