Combining Nutritional Therapy and Anti-TNFα Treatment in Pediatric Patients With Crohn's Disease
NCT07314606 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 140
Last updated 2026-05-01
Summary
Children with Crohn's disease (CD), a type of Inflammatory Bowel Disease (IBD), often face serious health challenges, including poor growth, frequent hospital stays, and long-term medication use. Although biologic drugs like infliximab, an anti-TNFα (Tumor necrosis factor α) medication, have improved treatment, they don't work for everyone: many children still experience symptoms or disease flare-ups. Nutritional therapies, especially the Crohn's Disease Exclusion Diet (CDED), may help improve treatment outcomes. This study will assess whether starting CDED at the same time as infliximab leads to better responses to treatment. The goal of this study is to improve how well children respond to therapy, reduce drug exposure, and support better long-term health.
Conditions
- Crohn Disease (CD)
- IBD (Inflammatory Bowel Disease)
- IBD - Inflammatory Bowel Disease
Interventions
- OTHER
-
IFX + mCDED
modified Crohn's Disease Exclusion Diet (mCDED) ; Diet intervention
Sponsors & Collaborators
-
University of British Columbia
lead OTHER
Principal Investigators
-
Kevan Jacobson, MBBCh, FRCP, FRCPC, AGAF, CAGF · The University of British Columbia
-
Genelle Lunken, BSc, PhD, RD · The University of British Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 9 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-22
- Primary Completion
- 2029-10-01
- Completion
- 2029-10-01
Countries
- Canada
Study Locations
More Related Trials
-
Clinical, Imaging, and Endoscopic Outcomes of Children Newly Diagnosed With Crohn's Disease
NCT05781152 ·Status: RECRUITING ·Phase: PHASE4
-
The Feasibility of Following the Crohn's Diet
NCT03691155 ·Status: COMPLETED ·Phase: NA
-
Bacteriotherapy in Pediatric Inflammatory Bowel Disease
NCT01757964 ·Status: COMPLETED ·Phase: PHASE1
-
Resistant Starch in Pediatric Inflammatory Bowel Disease (Crohn's Disease or Ulcerative Colitis)
NCT04522271 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Real World Evidence Study With Restrictive Diet and Otral Nutritional Supplementation on Pediatric Patients With Active Chron Disease
NCT07211789 ·Status: COMPLETED
-
Impact of Exclusion Diet in Addition to Anti-TNF Therapy in Crohn's Disease and Ulcerative Colitis: a Prospective, Randomized, Double-arm, Open-label Study
NCT06896305 ·Status: RECRUITING ·Phase: NA
-
Protein and Energy Metabolism in Pediatric Crohn's Disease
NCT00583232 ·Status: COMPLETED ·Phase: PHASE1
-
PediCRaFT: Pediatric Crohn's Disease Fecal Transplant Trial
NCT03378167 ·Status: COMPLETED ·Phase: PHASE1
-
Prospective Cohort Establishment and Clinical Observation of Children With Crohn's Disease
NCT06673134 ·Status: ACTIVE_NOT_RECRUITING
-
Impact of Therapeutic Strategies in the Pediatric Inflammatory Bowel Disease: a Population Based Study (1988-2011).
NCT02392221 ·Status: COMPLETED
-
Growth Hormone and Exclusion Diet Therapy in Juvenile Crohn's Disease
NCT01647412 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Study of the Safety and Efficacy of Infliximab (Remicade) in Pediatric Patients With Crohn's Disease
NCT00207675 ·Status: COMPLETED ·Phase: PHASE3
-
Top-down Infliximab Study in Kids With Crohn's Disease
NCT02517684 ·Status: COMPLETED ·Phase: PHASE4
-
Pharmacokinetic Infliximab Data in Pediatric Crohn's Disease
NCT05552287 ·Status: RECRUITING ·Phase: PHASE4
-
Cyclic Exclusive Enteral Nutrition as Maintenance Therapy for Pediatric Crohn's Disease
NCT02201693 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Efficacy of Local Budesonide Treatment in Children with Crohn's Disease Located in the Esophagus And/or Stomach And/or Duodenum
NCT06719622 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2/PHASE3
-
Efficacy and Safety of CDED With Anti-TNF-α Biologics in Crohn's Disease
NCT07344428 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
FMT in Pediatric Crohn's Disease
NCT03194529 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Whole-Food, Plant-Based Diet for Active Crohn's Disease
NCT04982666 ·Status: WITHDRAWN ·Phase: NA
-
Fecal Microbiota Transplantation as the First-line Treatment in Active Pediatric Crohn's Disease
NCT05321758 ·Status: RECRUITING ·Phase: NA
-
Exclusive Enteral Nutrition vs. Infliximab in Chinese CD Patients
NCT04530877 ·Status: WITHDRAWN ·Phase: PHASE4
-
Anti-TNF Therapy for Refractory Colitis in Hospitalized Children
NCT02799615 ·Status: COMPLETED
-
Diet as Essential Therapy (DIET) for Inflammatory Bowel Disease
NCT03012542 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Top-down Therapy in Pediatric Crohn's Disease
NCT01752790 ·Status: WITHDRAWN ·Phase: PHASE4
-
Implementing a Multimodal RCT Intervention to Improve the Transition of Patients With Crohn's Disease From Pediatric to Adult Care
NCT05221281 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA