A Prospective Randomised Study of Treatment Selection Based on Epigenetic Markers Versus Standard of Care Treatment Selection in Adults With CROHN's Disease
NCT07363044 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 378
Last updated 2026-01-23
Summary
This is a multicentre, prospective, randomised, controlled, open-label study to assess the efficacy, safety, and cost-effectiveness of epigenome-guided treatment selection compared to usual standard-of-care (SOC) treatment selection in patients initiating biologic therapy for the treatment of their active Crohn's Disease (CD).
Conditions
- Crohn Disease (CD)
Interventions
- DEVICE
-
Epigenome-Guided Treatment Arm
Participants will receive UST or VDZ biologic therapy as indicated by an epigenome read-out of peripheral blood using a hybrid capture-based methylation assay. The assay and EpiPredict software will indicate the probability of response to VDZ and UST. The biologic with the predicted highest likelihood of success will be communicated to the investigator and the biologic initiated using standard dosing regimens.
- OTHER
-
Investigator-Guided Treatment Arm
Assigned to UST or VDZ per conventional SOC and without the use or knowledge of epigenome results.
Sponsors & Collaborators
-
The Leona M. and Harry B. Helmsley Charitable Trust
collaborator OTHER -
Horizon Europe
collaborator UNKNOWN -
Stichting Amsterdam UMC
collaborator UNKNOWN -
Alimentiv Inc.
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2027-06-30
- Completion
- 2029-01-31
Countries
- Belgium
- Italy
- Netherlands
- United Kingdom
Study Locations
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