Crohn's blockage showdown: drugs or surgery for better quality of life?
NCT ID NCT05584228
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial compares two approaches for people with Crohn's disease who have a narrowed section of the small bowel causing symptoms. One group receives a combination of two drugs (azathioprine and infliximab), while the other group undergoes surgery to remove the narrowed segment. The goal is to see which treatment leads to a better quality of life over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- azathioprine and infliximab
- What this could lead to
- If one approach proves better, it could guide treatment decisions for people with Crohn's disease who have bowel blockages.
- What could go wrong
- This is a mid-sized trial, and results may not apply to all Crohn's patients. Both treatments have risks, including infection or surgical complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 18 and 70 years * Male or female * Documented small bowel CD with intestinal stricture(s) identified on CT, MRI or endoscopy, AND responsible for obstructive symptoms * CREOLE score \> 2 Exclusion Criteria: * Adults under guardianship, safeguard justice or trusteeship * Pregnant or breastfeeding female * Acute bowel obstruction requiring urgent surgical intervention * Suspected or confirmed gastrointestinal perforation * Concurrent active perianal sepsis * Internal fistulizing disease in association with strictures * Colonic stenosis and/or colonic active disease at screening endoscopy * Contra-indication to surgery, general anesthesia, anti-TNF, thiopurines * Use of corticosteroids (prednisolone \> 20 mg daily or equivalent) within 4 weeks prior to visit V0 * Treatment with any biologics within 8 weeks before visit V0 * Presence of a stoma * HIV/HCV/HBV infection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Nantes
Nantes, 44093, France
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