NCT05043870

Brief Summary

This is a randomized controlled trial to compare the efficacy and safety of infliximab and immunosuppressives therapy alone or in combination for pediatric Crohn's disease.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
128

participants targeted

Target at P50-P75 for phase_4

Timeline
7mo left

Started Oct 2022

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress85%
Oct 2022Dec 2026

First Submitted

Initial submission to the registry

September 2, 2021

Completed
12 days until next milestone

First Posted

Study publicly available on registry

September 14, 2021

Completed
1.1 years until next milestone

Study Start

First participant enrolled

October 10, 2022

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

March 19, 2026

Status Verified

March 1, 2026

Enrollment Period

4.1 years

First QC Date

September 2, 2021

Last Update Submit

March 17, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • clinical remission

    The clinical remission rate at week 54

    week 54

  • endoscopic remission

    The endoscopic remission rate at week 54

    week 54

Secondary Outcomes (1)

  • Pediatric Crohn's disease Activity Index score

    week0, week2, week6, week14, week22, week30, week38, week46, week54

Other Outcomes (2)

  • infliximab concentration

    week 14, 38

  • adverse events

    within one year

Study Arms (2)

infliximab and immunosuppressives therapy

EXPERIMENTAL

the infusion of infliximab (IFX) (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks, the immunomodulatory agent was azathioprine 1-2mg/kg per day or methotrexate 10-25 mg/m2 week

Drug: Infliximab and immunosuppressives

infliximab therapy

ACTIVE COMPARATOR

the infusion of infliximab (IFX) (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks

Drug: Infliximab

Interventions

the infusion of IFX (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks, the immunomodulatory agent was azathioprine 1-2mg/kg per day or methotrexate 10-25 mg/m2 week

Also known as: IFX, IMMs, AZA, MTX
infliximab and immunosuppressives therapy

the infusion of IFX (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks

Also known as: IFX
infliximab therapy

Eligibility Criteria

Age6 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • years old
  • diagnosis of Crohn's Disease
  • Pediatric Crohn's disease Activity Index (PCDAI)\>30 or The Simple Endoscopic Score for Crohn Disease (SES-CD) \>10 before treatment
  • receiving exclusive enteral nutrition or corticosteroids as first-line treatment, Pediatric Crohn's disease Activity Index (PCDAI)\>10 or The Simple Endoscopic Score for Crohn Disease (SES-CD)≥3 after exclusive enteral nutrition or corticosteroids
  • The patient or legal guardian sign the informed consent documents

You may not qualify if:

  • history of biological agents targeting at tumor necrosis factor (TNF)
  • Crohn's Disease-related surgery
  • infections
  • tumors

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, 201102, China

RECRUITING

MeSH Terms

Conditions

Crohn Disease

Interventions

InfliximabImmunosuppressive Agents

Condition Hierarchy (Ancestors)

Inflammatory Bowel DiseasesGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Antibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsImmunologic FactorsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and Uses

Study Officials

  • Ying Huang

    Children's Hospital of Fudan University

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of department of gastroenterology

Study Record Dates

First Submitted

September 2, 2021

First Posted

September 14, 2021

Study Start

October 10, 2022

Primary Completion (Estimated)

October 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

March 19, 2026

Record last verified: 2026-03

Locations