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NCT06573944

IUS Predicts Upadacitinib Efficacy in Patients With Moderate to Severe Crohn's Disease:a Prospective Study

Status unknown Last updated 27 August 2024
What this trial tests

trial in Crohn's Disease in 34 participants. Status unknown.

Timeline
16 January 2024
Primary endpoint
30 June 2025
30 September 2025

Quick facts

Lead sponsorThe Third Xiangya Hospital of Central South University
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment34
Start date16 January 2024
Primary completion30 June 2025
Estimated completion30 September 2025
Sites1 location across China

Conditions studied

Sponsor

The Third Xiangya Hospital of Central South University

Who can join

Adults 18 to 80, any sex, with Crohn's Disease or Upadacitinib. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Crohn's disease (CD) is a chronic nonspecific inflammatory disease of the intestinal tract whose etiology is not yet fully understood, and can present with serious complications such as intestinal obstruction, perforation, abdominal abscesses, and fistulae. Currently, the main therapeutic drugs for CD include aminosalicylic acid preparations, glucocorticoids, immunosuppressants, and biological agents. With the development of medical technology, small molecule preparations have begun to be applied to moderate-to-severe Crohn's disease. Upadacitinib is a novel oral small molecule agent that is a highly selective JAK-1 inhibitor. A large real-world study showed that in refractory moderate-to-severe CD, upadacitinib showed a clinical response rate of 76.5% and a clinical remission rate of 70.6% at 8 weeks of treatment. Intestinal ultrasound (IUS) is a noninvasive, reproducible, convenient, and inexpensive test that can greatly increase the frequency of assessing treatment response and speed up the clinical decision-making process.The 2019 ECCO-ESGAR guidelines recommend intestinal ultrasound for disease monitoring in patients with CD. There are no validated indicators to predict the efficacy of upatinib treatment in patients with moderate-to-severe CD in the currently available studies. Currently, there are no national or international studies in which intestinal ultrasound predicts the efficacy of upatinib therapy. Therefore, we propose for the first time that intestinal ultrasound be used as a method to predict the response to upadacitinib in CD patients, with the aim of providing evidence to guide the development of individualized treatment plans.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Data sources for this page

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