Crohn DiseasePhase 4STATICNCT03261206
Stopping Aminosalicylate Therapy in Inactive Crohn's Disease
A Phase 4 study testing 5-ASA Withdrawal in people with Crohn Disease and Remission, run by Alimentiv Inc. at 46 sites in 4 countries.
Trial summary
The purpose of this study is to assess whether withdrawal of aminosalicylate (5-ASA) is non-inferior to continuation of 5-ASA therapy in Crohn's disease (CD) subjects in remission. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Crohn Disease, Remission
- What is being tested?
- 5-ASA Withdrawal
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 334 participants
- Where
- 46 sitesin 4 countries
- Study dates
- 20 Nov 2017to 29 Jun 2026
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Documented diagnosis of CD at least 3 months prior to enrollment
- Taking any brand or dosage of an oral aminosalicylate for at least 6 months
- Subject-confirmed compliance with current aminosalicylate therapy (taking at least 75% of prescribed doses)
- CD currently in clinical remission
- Able to participate fully in all aspects of the clinical trial
- Written informed consent obtained and documented
Who cannot join
- A current diagnosis of UC, indeterminate colitis, microscopic colitis, or diverticular disease-associated colitis
- A diagnosis of short-bowel syndrome
- Active perianal disease
- Active fistulizing disease
- A flare of CD within 3 months prior to enrollment requiring initiation/escalation of medical therapy or surgery
- Use of systemic corticosteroids for CD (2 continuous weeks or more) within 3 months prior to enrollment
Show all 12Show fewer
- Any major resective bowel surgery for CD (ileal resection, ileocecal resection, proctocolectomy, colectomy, enterectomy, ostomy formation and repair, anastomosis/reanastomosis) within 6 months prior to enrollment
- Unwillingness to stop taking aminosalicylates for the duration of the trial
- Untreated bile salt malabsorption that, in the opinion of the investigator, may interfere with accurate study HBI assessment
- Serious underlying disease other than CD that, in the opinion of the investigator, may interfere with the subject's ability to participate fully in the study
- History of active alcohol or drug abuse that, in the opinion of the investigator, may interfere with the subject's ability to comply with the study procedures
- Currently participating in another interventional trial, or previous participation within the last 3 months
Trial locations and contacts
46 sites in 4 countries.
46 sites in 4 countries
United Kingdom22 sites
Barnsley Hospital NHS Trust
Barnsley, Yorkshire, S75 2EP
Basildon and Thurrock University Hospitals NHS Foundation Trust
Basildon, Essex, SS16 5NL
Bedford Hospital NHS Trust
Bedford, MK42 9DJ
Royal Blackburn Hospital
Blackburn, Lancashire, BB2 3HH
Southmead Hospital, North Bristol NHS Trust
Bristol, BS10 5NB
Northern Care Alliance NHS Group - Fairfield General Hospital
Bury, BL9 7TD
West Suffolk Hospital
Bury St Edmunds, IP33 2QZ
ESNEFT Colchester Gen Hospital
Colchester, CO4 3JA
Darlington Memorial Hospital
Darlington, Durham, DL3 6HX
Dudley Group NHS Foundation Trust
Dudley, DY1 2HQ
Royal Devon and Exeter NHS Foundation Trust
Exeter, EX2 5DW
St. Marks Hospital
Harrow, Middlesex, HA1 3UJ
University Hospitals of Leicester NHS Trust - Leicester Royal Infirmary
Leicester, LE1 5WW
Royal Free Hospital
London, Nw3 2QG
Guy's and St. Thomas' Hospitals NHS Trust
London, SE1 7EH
Luton and Dustable Hospital Foundation Trust
Luton, LU4 0DZ
Nottingham University Hospitals NHS Trust and University of Nottingham
Nottingham, NG7 2UH
Royal Berkshire NHS Foundation Trust
Reading, RG1 5AN
Salford Ryal NHS Foundation Trust
Salford, M6 8HD
Airedale NHS Foundation Trust
Steeton, BD20 6TD
Sherwood Forest Hospitals NHS Foundation Trust - Kings Mill Hospital
Sutton in Ashfield, Nottinghamshire, NG17 4JL
Warrington and Halton Hospitals NHS Foundation Trust
Warrington, Cheshire, WA5 1QG
Canada12 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
University of Alberta
Edmonton, Alberta, L8S 4K1
Dr. Jesse Siffledeen Professional Medical Corporation
Edmonton, Alberta, T6L 6K3
London Health Sciences Centre - University Hospital
London, Ontario, N6A 5A5
McGill University Healthcare
Montreal, Quebec, N6A 5B6
Scott Shulman Medical Professional Corporation
North Bay, Ontario, P1B2H3
Taunton Surgical Center
Oshawa, Ontario, L1H 7K4
Mount Sinai Hospital
Toronto, Ontario, M5T 3L9
(G.I.R.I.) GI Research Institute
Vancouver, British Columbia, V5Z 2K5
Discovery Clinical Services Ltd.
Victoria, British Columbia, V8T 5G4
Dr. O. Tarabain Medicine Professional Corporation
Windsor, Ontario, N8W 1E6
University of Manitoba - Health Sciences Centre
Winnipeg, Manitoba, R3A 1R9
Italy8 sites
IRCCS De Bellis
Castellana Grotte, Via Turi, 27-70013
Luigi Vanvitelli of Campania
Catania, 95123
Ospedale San Raffaele S.r.I.
Milan, Milan, 20132
Intituto Clinico Humanitas
Milan, 20089
Azienda Ospedale-Universita Padova
Padova, 35128
UOC Gastroenterologic UOS Malattie Infiammatorie Intestinali, Ospedali
Roma, Rome, 00135
Campus Bio-Medico University of Rome
Roma, 00128
IRCCS Policlinico San Donato
San Donato Milanese, Milan Italy, 20097
Ukraine4 sites
BYK - Kyiv
Kyiv, 01030
Danylo Halytsky Lviv National Medical University
Lviv, 79059
Odesa Regional Clinical Hospital
Odesa, 65025
Ternopil University Hospital
Ternopil, 46002
About this study
Official title: Stopping Aminosalicylate Therapy in Inactive Crohn's Disease (STATIC) Study: A Randomized, Open-label, Non-inferiority Trial
The purpose of this study is to assess whether withdrawal of aminosalicylate (5-ASA) is non-inferior to continuation of 5-ASA therapy in Crohn's disease (CD) subjects in remission.
Read the detailed description
Aminosalicylate (5-ASA) agents have proven effective for inducing and maintaining remission in mild to moderate ulcerative colitis (UC) and thus are commonly used as first-line agents for patients with Crohn's disease (CD) in remission. However, there is uncertainty regarding their effectiveness for CD.
In this open-label, randomized study, participants with CD in remission will be allocated to either continue their 5-ASA therapy or withdraw their 5-ASA. The purpose is to investigate if withdrawal of 5-ASA therapy is not unacceptably less effective than continuing on 5-ASA in maintaining CD remission over a 24 month period.
- Conditions
- Crohn Disease, Remission
- Being tested
- 5-ASA Withdrawal
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
5-ASA WithdrawalOther
Withdrawal of 5-ASA therapy
| Study group | Role | What they receive |
|---|---|---|
| 5-ASA Continuation | No intervention | Half of the subjects will continue on aminosalicylate therapy using the same dose and brand for the duration of the study |
| 5-ASA Withdrawal | Experimental | Half of the subjects will discontinue their aminosalicylate therapy Receives: Other: 5-ASA Withdrawal |
What is being measured
The primary outcome is the main question the study is designed to answer.
CD-related complications at 2 years
CD-related complications include either a CD-related or CD treatment-related surgery, hospitalization, or other complication
Measured: 24 months
Secondary outcomes (23)
CD-related complications at 1 year
CD-related complications include either a CD-related or CD treatment-related surgery, hospitalization, or other complication
Measured: 12 months
CD-related or CD-treatment related surgeries at 1 year
Measured: 12 months
CD-related or CD-treatment related surgeries at 2 years
Measured: 24 months
CD-related or CD-treatment related hospitalizations at 1 year
Measured: 12 months
CD-related or CD-treatment related hospitalizations at 2 years
Measured: 24 months
Other CD-related or CD-treatment related complications at 1 year
Other complication excludes surgeries or hospitalizations
Measured: 12 months
Other CD-related or CD-treatment related complications at 2 years
Other complication excludes surgeries or hospitalizations
Measured: 24 months
Proportion of patients who require the use of systemic corticosteroids for treatment of CD flares at 1 year
Measured: 12 months
Proportion of patients who require the use of systemic corticosteroids for treatment of CD flares at 2 years
Measured: 24 months
Time to first CD-related complication
CD-related complications include either a CD-related or CD treatment-related surgery, hospitalization, or other complication
Measured: up to 24 months
Change in disease activity at 6 months
Disease activity assessed by HBI score
Measured: 6 months
Change in disease activity at 12 months
Disease activity assessed by HBI score
Measured: 12 months
Change in disease activity at 24 months
Disease activity assessed by HBI score
Measured: 24 months
Change in self-assessed quality of life at 6 months
Quality of life assessed with the Crohn's and Ulcerative Colitis Questionnaire 32-item
Measured: Base line and 6 months
Change in self-assessed quality of life at 1 year
Quality of life assessed with the Crohn's and Ulcerative Colitis Questionnaire 32-item
Measured: Base line and 12 months
Change in self-assessed quality of life at 2 years
Quality of life assessed with the Crohn's and Ulcerative Colitis Questionnaire 32-item
Measured: Base line and 24 months
Change in C-reactive protein concentration at 6 months
Measured: Base line and 6 months
Change in C-reactive protein concentration at 1 year
Measured: Base line and 12 months
Change in C-reactive protein concentration at 2 years
Measured: Base line and 24 months
Change in fecal calprotectin concentration at 1 year
Measured: Base line and 12 months
Change in fecal calprotectin concentration at 2 years
Measured: Base line and 24 months
Change in CD-related drug treatment costs at 2 years
Estimated drug treatment costs before and after enrollment
Measured: 12 months prior to enrollment and 24 months after enrollment
Change in CD-related and total healthcare costs at 2 years
Estimated costs before and after enrollment
Measured: 12 months prior to enrollment and 24 months after enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2017
- Study start20 Nov 2017
- Primary completion29 Jun 2026
- Study completion29 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Crohn DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 334 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alimentiv Inc.
- Sponsor type
- University, hospital or other
- Collaborators
- Academic Medical Organization of Southwestern Ontario
- Responsible party
- Sponsor
- Investigators
- Vipul Jairath, MD, Principal investigator, Western University; London Health Sciences CentreGordon Moran, MD, Principal investigator, University of Nottingham
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03261206
- Sponsor's protocol ID
- RP1610
- Acronym
- STATIC
- Status last verified
- Oct 2026
- First submitted
- 22 Aug 2017
- Last updated
- 2 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Stopping Aminosalicylate Therapy in Inactive Crohn's Disease (STATIC) Study: A Randomized, Open-label, Non-inferiority Trial
- ClinicalTrials.gov ID
- NCT03261206
- Acronym / sponsor ID
- STATIC / RP1610
- Conditions
- Crohn Disease, Remission
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 334 participants (actual)
- Lead sponsor
- Alimentiv Inc.University, hospital or other
- Collaborators
- Academic Medical Organization of Southwestern Ontario
- Study start
- 20 Nov 2017 (actual)
- Primary completion
- 29 Jun 2026 (actual)
- Study completion
- 29 Jun 2026 (actual)
- First posted
- 24 Aug 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess whether withdrawal of aminosalicylate (5-ASA) is non-inferior to continuation of 5-ASA therapy in Crohn's disease (CD) subjects in remission.
Detailed description
Aminosalicylate (5-ASA) agents have proven effective for inducing and maintaining remission in mild to moderate ulcerative colitis (UC) and thus are commonly used as first-line agents for patients with Crohn's disease (CD) in remission. However, there is uncertainty regarding their effectiveness for CD.
In this open-label, randomized study, participants with CD in remission will be allocated to either continue their 5-ASA therapy or withdraw their 5-ASA. The purpose is to investigate if withdrawal of 5-ASA therapy is not unacceptably less effective than continuing on 5-ASA in maintaining CD remission over a 24 month period.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 5-ASA Continuation | No intervention | –Half of the subjects will continue on aminosalicylate therapy using the same dose and brand for the duration of the study |
| 5-ASA Withdrawal | Experimental | Other: 5-ASA WithdrawalHalf of the subjects will discontinue their aminosalicylate therapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Documented diagnosis of CD at least 3 months prior to enrollment
- Taking any brand or dosage of an oral aminosalicylate for at least 6 months
- Subject-confirmed compliance with current aminosalicylate therapy (taking at least 75% of prescribed doses)
- CD currently in clinical remission
- Able to participate fully in all aspects of the clinical trial
Key exclusion criteria (12 listed)
- A current diagnosis of UC, indeterminate colitis, microscopic colitis, or diverticular disease-associated colitis
- A diagnosis of short-bowel syndrome
- Active perianal disease
- Active fistulizing disease
- A flare of CD within 3 months prior to enrollment requiring initiation/escalation of medical therapy or surgery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 5-ASA WithdrawalWithdrawal of 5-ASA therapy | Other | 5-ASA Withdrawal |
Primary outcome
CD-related complications at 2 years
Time frame: 24 months
CD-related complications include either a CD-related or CD treatment-related surgery, hospitalization, or other complication
23 secondary outcomes
CD-related complications at 1 year
Time frame: 12 months
CD-related or CD-treatment related surgeries at 1 year
Time frame: 12 months
CD-related or CD-treatment related surgeries at 2 years
Time frame: 24 months
CD-related or CD-treatment related hospitalizations at 1 year
Time frame: 12 months
CD-related or CD-treatment related hospitalizations at 2 years
Time frame: 24 months
Other CD-related or CD-treatment related complications at 1 year
Time frame: 12 months
Other CD-related or CD-treatment related complications at 2 years
Time frame: 24 months
Proportion of patients who require the use of systemic corticosteroids for treatment of CD flares at 1 year
Time frame: 12 months
Proportion of patients who require the use of systemic corticosteroids for treatment of CD flares at 2 years
Time frame: 24 months
Time to first CD-related complication
Time frame: up to 24 months
Change in disease activity at 6 months
Time frame: 6 months
Change in disease activity at 12 months
Time frame: 12 months
Change in disease activity at 24 months
Time frame: 24 months
Change in self-assessed quality of life at 6 months
Time frame: Base line and 6 months
Change in self-assessed quality of life at 1 year
Time frame: Base line and 12 months
Change in self-assessed quality of life at 2 years
Time frame: Base line and 24 months
Change in C-reactive protein concentration at 6 months
Time frame: Base line and 6 months
Change in C-reactive protein concentration at 1 year
Time frame: Base line and 12 months
Change in C-reactive protein concentration at 2 years
Time frame: Base line and 24 months
Change in fecal calprotectin concentration at 1 year
Time frame: Base line and 12 months
Change in fecal calprotectin concentration at 2 years
Time frame: Base line and 24 months
Change in CD-related drug treatment costs at 2 years
Time frame: 12 months prior to enrollment and 24 months after enrollment
Change in CD-related and total healthcare costs at 2 years
Time frame: 12 months prior to enrollment and 24 months after enrollment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Vipul Jairath, MD principal investigator
Western University; London Health Sciences Centre
Gordon Moran, MD principal investigator
University of Nottingham
46 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing 5-ASA Withdrawal in people with Crohn Disease and Remission, run by Alimentiv Inc. at 46 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 46 sites in United Kingdom, Canada, Italy, Ukraine. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
CD-related complications at 2 years (time frame: 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2026.