About this trial
The purpose of this study is to determine the safety and maximum effective dose (MED) of Interleukin-2 in subjects with moderate-to-severe crohn's disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 12-80 years. Maximum age limit for subjects recruited at BCH will be 30 years.
A diagnosis of CD made by standard clinical, radiological, endoscopic and histological criteria.
Adult subjects with moderate-to-severe CD (CDAI score 220-450)
Evidence of endoscopic inflammation accessible via ileocolonoscopy or ileoscopy
Disqualifiers
A diagnosis of ulcerative colitis or indeterminate colitis.
Requirement for immediate surgical, endoscopic or radiological intervention for perforation, sepsis, or intra-abdominal or perianal abscess.
History of colorectal cancer or dysplasia.
Positive stool test for Clostridium difficile via GDH/EIA two step testing method. PCR only testing will not be accepted. If patient is GDH positive and EIA negative, enrollment will be permitted.
Trial design
Single group
Treatments tested in this trial
Interleukin-2 (aldesleukin).
DrugDescription of intervention is covered in "Arm", above.
Treatment groups
Trial outcomes
Primary outcomes
Number of subjects with serious and non-serious adverse events.
Enumeration of the serious and non-serious adverse events seen in the study. Enumeration of any dose limiting toxicity seen in the study.
Maximum effective dose
Identification of the dose cohort at which the MED occurs.
Secondary outcomes
Clinical Response
This is a composite endpoint. CDAI scores will be used to assess clinical activity. Moderate to severe CD, denoted by a CDAI score 220-450, is an inclusion criterion. Definition of Clinical Response. CDAI-100 response (≥100-point decrease in the CDAI score) at week 8 Composite Outcome: Clinical response and at least a 50% decrease in fecal calprotectin or CRP
Immunological Response
Enumeration of the number of subjects with a change in the absolute number of immune cells in the peripheral blood and lamina propria of subjects during the 8 weeks of treatment, and during the 4 weeks following cessation of treatment.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Boston Children's Hospital
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
Brigham and Women's Hospital
Collaborator