Testing the Role of Anti-fungal Therapy in Improving the Response to Therapies for Crohn's Disease

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorWeill Medical College of Cornell University

About this trial

The goal of this clinical trial is to learn about the effects of fluconazole in patients who plan to start or are currently undergoing standard of care treatment and plan to dose-escalate an IL-23 therapy for their Crohn's disease.

The main question it aims to assess is whether or not patient response to IL-23 therapies improve when simultaneously treated with fluconazole.

Eligibility criteria

Qualifiers

Patients at least 18 years old

Patients with mild to moderate Crohn's disease as defined by CDAI score of 150-450

Disqualifiers

Antifungal usage within one month prior to initiation of blinded fluconazole usage

Known allergy to fluconazole

Patients with known hepatic disease, cirrhosis, or with elevated liver biochemistries (e.g., transaminase(s) >3X upper limit of normal (ULN), and/or bilirubin levels >1.5X ULN (with exception of confirmed Gilbert's disease) at baseline

Patients taking any medications judged by clinical provider to interact with fluconazole and are known contraindications (refer to section 2.2) and cause serious adverse events, including but not limited to death, cardiac events, serious cardiac dysrhythmias, and prolongation of QTc

Trial design

Treatments tested in this trial

  • Fluconazole
  • Placebo
  • IL-23 Therapy

Treatment groups

120 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Weill Medical College of Cornell University

Lead sponsor

The Leona M. and Harry B. Helmsley Charitable Trust

Collaborator