Treatment of Crohn's Disease With an Antibiotic Regimen Directed Against Mycobacterium Avium Paratuberculosis

• Status: Withdrawn
• Trial end date: 2007-07-01
• Target enrollment: 0
• Participant gender: All

Summary

Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract. The origin of Crohn's disease remains unknown and there is no curative therapy, either medical or surgical, for this gut disorder.

It is believed that an infectious agent is important in the development of Crohn's disease. The similarity of Crohn's disease to the animal form of ileitis, termed Johne's disease, supports the possibility that both disorders are caused by exposure to Mycobacterium avium paratuberculosis or MAP. Multiple investigators have demonstrated good clinical responses of patients with Crohn's disease to treatment with triple antibiotic therapy directed against mycobacterial infection.

The hypothesis of this protocol is that triple antibiotic therapy is useful as a medical therapy for patients with Crohn's disease. The aim of this study is to examine the response of patients with Crohn's disease who are not receiving therapy with biological agents to triple antibiotic therapy.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Medstar Health Research Institute
• Treatments: Anti-Bacterial Agents; Clarithromycin; Clofazimine; Rifabutin

Criteria

Inclusion Criteria:

• This study will only include patients capable of providing informed consent, ages 18 and older.

• Patients must have a documented diagnosis of Crohn's disease and have had a colonoscopy with photographs within 3 months prior to randomization.

• All patients must have a CDAI of 220 or greater at enrollment.

• All females must be post-menopausal, surgically sterilized, or either abstain from sexual intercourse or use a non-hormonal method of birth control other than or in addition to oral contraceptive during the study and for 6 weeks after the end of the study.

Exclusion Criteria:

• Any patient with ulcerative colitis

• All women of child-bearing age must have a negative urine pregnancy test within 1 week prior to the initial clinic visit.

• Patients receiving a biological therapy for Crohn's disease including remicade

• Patients with a known allergy to any of the three antibiotics used in this protocol.