Precise Infliximab Exposure and Pharmacodynamic Control
NCT05660746 · Status: RECRUITING · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2026-05-05
Summary
Approximately 3 million people in the United States are living with inflammatory bowel disease, which includes Crohn's Disease (CD). There are limited treatment options approved for use in children and adults with Crohn's disease. Physicians need better ways to inform decisions on treatment.
The main reason for this research study is to determine if a computer program that calculates an individualized dose based on a patient's blood testing results (precision dosing) can better achieve the best possible response to infliximab compared to standard dosing (conventional dosing).
Conditions
- Crohn Disease
Interventions
- DEVICE
-
RoadMAB
The RoadMAB Dashboard is a real-time decision support system that incorporates PK model-informed Bayesian estimation to provide precision dosing at the point of care.
- DRUG
-
Conventional dosing. Induction: 5-7.5 mg/kg at 0, 2, and 6 weeks. Maintenance: 5-10 mg/kg at every 4-8 weeks based on results of drug concentration monitoring for a flat target of 5-10 μg/mL. Precision dosing. Induction: 5-12.5 mg/kg at 0, 2, and 6 weeks to target a week6 concentration of 18-24 μg/mL with dosing support provided by the RoadMABTM clinical decision support tool. Maintenance: 5-15 mg/kg every 4-8 weeks to achieve apriori pharmacokinetic and pharmacodynamic targets (CRP, disease activity scores and fecal calprotectin) with dosing support provided by the RoadMABTM clinical decision support tool.
Sponsors & Collaborators
-
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH -
Janssen Scientific Affairs, LLC
collaborator INDUSTRY -
Children's Hospital Medical Center, Cincinnati
lead OTHER
Principal Investigators
-
Phillip Minar, MD,MS · Children's Hospital Medical Center, Cincinnati
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Years
- Max Age
- 22 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-01
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Treatment With Infliximab in a Medical Setting (Study P05587)
NCT00752622 ·Status: TERMINATED ·Phase: PHASE4
-
Open Label Study for Adults With Pyoderma Gangrenosum and Inflammatory Bowel Disease
NCT00791557 ·Status: COMPLETED ·Phase: NA
-
Precision IFX: Using a Dashboard to Individualize Infliximab Dosage
NCT02624037 ·Status: COMPLETED ·Phase: NA
-
An Efficacy and Safety Study of Infliximab Dose Escalation in Pediatric Participants With Inflammatory Bowel Disease
NCT02566889 ·Status: TERMINATED ·Phase: PHASE4
-
Post-marketing Registry Study of Infliximab for Injection in Chinese Pediatric Crohn's Disease Patients
NCT05906576 ·Status: RECRUITING ·Phase: PHASE4
-
Safety and Efficacy of Natalizumab in the Treatment of Crohn's Disease
NCT00032799 ·Status: COMPLETED ·Phase: PHASE3
-
Individualized Infiximab Dosing-Proof of Concept Study
NCT02027727 ·Status: UNKNOWN
-
Safety and Efficacy of Natalizumab in Combination With Remicade in the Treatment of Crohn's Disease
NCT00055536 ·Status: COMPLETED ·Phase: PHASE2
-
Pharmacokinetic Infliximab Data in Pediatric Crohn's Disease
NCT05552287 ·Status: RECRUITING ·Phase: PHASE4
-
Efficacy and Safety of Two Regimens of Maintenance Therapy in Children With Crohn Disease
NCT01559142 ·Status: UNKNOWN ·Phase: PHASE3
-
Evaluate if Response to Infliximab or Adalimumab May be Regained With an Immunomodulator
NCT02413047 ·Status: TERMINATED ·Phase: NA
-
Biomarkers to Predict and Monitor Response to Infliximab
NCT04655729 ·Status: UNKNOWN
-
Open-label Extension Study of Brazikumab in Crohn's Disease
NCT03961815 ·Status: TERMINATED ·Phase: PHASE3
-
A Study of Infliximab in the Treatment of Chinese Children With Crohn's Disease
NCT04312659 ·Status: COMPLETED
-
Safety, Tolerability and Effectiveness of Natalizumab in Adolescents With Active Crohn's Disease
NCT00055367 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Natalizumab in the Treatment of Crohn's Disease
NCT00032786 ·Status: COMPLETED ·Phase: PHASE3
-
Stop Infliximab in Patients With Crohn's Disease
NCT00571337 ·Status: COMPLETED ·Phase: PHASE3
-
A Phase II Efficacy Study in Fistulizing Crohn's Disease Patients
NCT01355614 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Guselkumab in Pediatric Participants With Moderately to Severely Active Crohn's Disease
NCT05923073 ·Status: RECRUITING ·Phase: PHASE3
-
Top-down Infliximab Study in Kids With Crohn's Disease
NCT02517684 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Increased Dose of TA-650 (Infliximab) in Patients With Crohn's Disease (CD)
NCT00805766 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of Top-down Therapy in Pediatric Crohn's Disease
NCT01752790 ·Status: WITHDRAWN ·Phase: PHASE4
-
Infliximab, Regulatory T Cells, IL2 and Crohn's Disease
NCT01266785 ·Status: WITHDRAWN ·Phase: NA
-
Fecal Microbiota Transplantation in Crohn's Disease as Relay After Anti-TNF Withdrawal
NCT04997733 ·Status: RECRUITING ·Phase: PHASE3
-
InDuctIon TREatment with SubCuTaneous Infliximab for Crohn's Disease
NCT06059989 ·Status: RECRUITING ·Phase: PHASE3