National Cooperative Crohn's Disease Study: results of drug treatment

Gastroenterology. 1979 Oct;77(4 Pt 2):847-69.


The response of active and quiescent Crohn's disease to prednisone, sulfasalazine, or azathioprine has been studied in 569 patients in a placebo-controlled, randomized, multicenter cooperative trial. The response of active symptomatic disease to prednisone or sulfasalazine was significantly better than to placebo. Response to azathioprine was better than to placebo, but the difference did not reach conventional levels of statistical significance. Patients with colonic involvement were especially responsive to sulfasalazine, and those with small bowel involvement were especially responsive to prednisone. Patients' drug therapy immediately before entry to the study significantly affected subsequent response. For patients with quiescent disease, none of the drugs was superior to placebo in prophylaxis against flare-up or recurrence. There is less than a 5% risk that a clinically significant prophylactic effect of any of the drug regimens was missed.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Azathioprine / therapeutic use
  • Clinical Trials as Topic
  • Crohn Disease / diagnosis
  • Crohn Disease / drug therapy*
  • Crohn Disease / prevention & control
  • Double-Blind Method
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Prednisone / therapeutic use
  • Recurrence
  • Statistics as Topic
  • Sulfasalazine / therapeutic use


  • Sulfasalazine
  • Azathioprine
  • Prednisone