Cyclic Exclusive Enteral Nutrition as Maintenance Therapy for Pediatric Crohn's Disease
CD-HOPE
Randomised Trial Comparing 12 Months of Cyclic Enteral Nutrition to Supplementary Enteral Nutrition as Maintenance Therapy for Pediatric Crohn's Disease
2 other identifiers
interventional
100
1 country
1
Brief Summary
The purpose of this study is to compare the rate of first relapse at 12 months between maintenance therapy with cyclic exclusive enteral nutrition (EEN) (at least 100% daily calories) and maintenance therapy with supplementary enteral nutritional support (25% daily calories).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 17, 2014
CompletedFirst Posted
Study publicly available on registry
July 28, 2014
CompletedStudy Start
First participant enrolled
December 12, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 2, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 2, 2019
CompletedMarch 30, 2026
March 1, 2026
4.8 years
July 17, 2014
March 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The first relapse
Assessed with wPCDAI
12 months
Secondary Outcomes (8)
Clinical remission
12 months
Time to the first relapse
until month 12
Variation of wPCDAI,
until month12
Endoscopic remission
month 12
Transmural healing
Month 12
- +3 more secondary outcomes
Study Arms (2)
Cyclic exclusive MODULEN IBD
EXPERIMENTALCyclic exclusive MODULEN IBD for 2 weeks every 8 weeks
MODULEN IBD supplementation (25% of caloric requirements)
EXPERIMENTALMODULEN IBD supplementation (25% of caloric requirements) alone A Physician not involved in the study design and blinded to the treatment arm will perform the evaluation of the patients during each study visit.
Interventions
2 week ON / 6 weeks OFF treatment every 8 weeks covering at least 100% of daily caloric requirement (approx. 2-2.5L/day).
Eligibility Criteria
You may qualify if:
- years
- Confirmed Crohn's disease (L1, L2, L3+/- L4a/b)
- new-onset disease or acute relapse treated with enteral nutrition
- completed cycle of induction therapy of at least 6 weeks (6-12 weeks)
- ASA and derivates have to be stopped at least at screening visit
- Informed and signed consent
You may not qualify if:
- Patients with B2 or B3 disease behavior (intestinal/colonic stenosis (including ileo-caecal valve), intrabdominal abscess, fistulizing disease)
- Patients not in remission on induction therapy (wPCDAI\>12.5)
- Patients with isolated and severe perianal disease
- Ongoing steroid medication
- Ongoing immunosuppressor or biologics therapy
- No informed consent
- Currently participating or having participated in another interventional clinical trial during the last 4 weeks prior to the beginning of this study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- GETAID Pediatriccollaborator
- Assistance Publique - Hôpitaux de Parislead
- URC-CIC Paris Descartes Necker Cochincollaborator
Study Sites (1)
Hôpital Necker - Enfants Malades
Paris, 75015, France
Related Publications (1)
Pigneur B, Martinez-Vinson C, Bourmaud A, Dabadie A, Duclaux-Loras R, Hugot JP, Roman C, Dumant C, Spyckerelle C, Guinard-Samuel V, Willot S, Dupont C, Breton A, Caron N, Chaillou E, Rebouissoux L, Bertrand V, Triolo V, Pages J, Djeddi D, Bonneton M, Uhlen S, Catteau N, Coopman S, Lepage P, Viala J, Ruemmele FM. Cyclic exclusive enteral nutrition versus partial enteral nutrition to maintain long-term drug-free remission in paediatric Crohn's disease (CD-HOPE): an open-label, endpoint-blinded, randomised controlled trial. Lancet Gastroenterol Hepatol. 2026 Mar;11(3):204-217. doi: 10.1016/S2468-1253(25)00262-6. Epub 2026 Jan 19.
PMID: 41570843DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Franck RUEMMELE, MD, PhD
Assistance Publique - Hôpitaux de Paris
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 17, 2014
First Posted
July 28, 2014
Study Start
December 12, 2014
Primary Completion
October 2, 2019
Study Completion
October 2, 2019
Last Updated
March 30, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share