Crohn Disease Clinical Trials

189 recruitingLast updated: June 17, 2026

There are 189 actively recruiting crohn disease clinical trials across 43 countries. Studies span Not Applicable, Phase 2, Phase 4, Phase 1, Phase 3, Early Phase 1. Top locations include Amiens, France, Paris, France, Los Angeles, California, United States. Updated daily from ClinicalTrials.gov.


Crohn Disease Trials at a Glance

189 actively recruiting trials for crohn disease are listed on ClinicalTrialsFinder across 6 cities in 43 countries. The largest study group is Not Applicable with 65 trials, with the heaviest enrollment activity in Amiens, Paris, and Los Angeles. Lead sponsors running crohn disease studies include Massachusetts General Hospital, Assistance Publique - Hôpitaux de Paris, and Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives.

Browse crohn disease trials by phase

Treatments under study

Understanding Crohn Disease Clinical Trials

Infliximab (Remicade), approved in 1998 after groundbreaking clinical trials, was the first biologic therapy for Crohn disease and revolutionized treatment by demonstrating that targeting the inflammatory protein TNF-alpha could heal the intestinal lining, not just reduce symptoms. Since then, trials have delivered additional biologics including adalimumab, vedolizumab, and ustekinumab, as well as the newer oral JAK inhibitor upadacitinib. Despite this growing treatment arsenal, approximately one-third of Crohn disease patients do not respond adequately to available therapies, and many who initially respond lose efficacy over time, making ongoing clinical trial research essential.

Why Consider a Clinical Trial?

Crohn disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract and often requires lifelong management. While current treatments can control inflammation in many patients, the experience of cycling through medications as they lose effectiveness is common. Patients may also develop antibodies to biologic drugs, experience intolerable side effects, or have disease in locations (such as the upper GI tract or perianal area) that responds poorly to standard therapies. Clinical trials offer access to treatments with novel mechanisms that may work where existing drugs have not. Beyond drug therapies, Crohn disease trials are also advancing our understanding of mucosal healing — the goal of not just controlling symptoms but fully repairing the intestinal lining, which is associated with better long-term outcomes. Trials are testing drugs that target new inflammatory pathways, combination strategies pairing biologics with other agents, diet-based interventions with scientific rigor, and even stem cell therapies for patients with complex fistulizing disease. For patients who feel they have exhausted their treatment options, trials frequently represent a meaningful next step.

Frequently Asked Questions

Common questions about Crohn Disease clinical trials

Some trials specifically enroll patients in remission to study maintenance strategies or to compare long-term outcomes between treatments. However, most trials for new therapies require that you have active disease, typically confirmed by endoscopy and elevated inflammatory markers. Your current disease status determines which trials are appropriate.

Most treatment trials for active Crohn disease require a recent colonoscopy or ileocolonoscopy to confirm inflammation and establish a baseline endoscopic score. This is typically performed within four to six weeks before enrollment. Some trials accept flexible sigmoidoscopy or capsule endoscopy depending on your disease location.

Yes. Pediatric Crohn disease trials exist, though they are fewer in number than adult trials. These trials have additional safety protections and ethical oversight specific to minors. Pediatric gastroenterology centers at academic hospitals are the best resource for finding trials open to younger patients.

Trial protocols have predefined plans for managing flares, which may include corticosteroid rescue therapy or dose adjustments. If the study treatment is not controlling your disease after a defined period, the protocol will typically allow you to exit the trial and return to standard care. Your safety and disease management remain the priority.

Several rigorous clinical trials are studying specific dietary interventions, including the Crohn Disease Exclusion Diet (CDED) and variations of exclusive enteral nutrition. These trials use standardized protocols and objective endpoints like endoscopic healing. While results are promising, dietary approaches are being studied as complements to, not replacements for, medical therapy.

Showing 120 of 189 trials

Recruiting

Impact of Advanced Crohn's Disease Therapies on Sleep Quality

Crohn Disease (CD)
Shmuel Kivity, MD30 enrolled1 locationNCT07649408
Recruiting

Individualizing Anti-TNF Therapy in Patients With Inflammatory Bowel Disease

IBD (Inflammatory Bowel Disease)Ulcerative Colitis (UC)Crohn Disease (CD)
Shmuel Kivity, MD40 enrolled1 locationNCT07644117
Recruiting
Phase 1

Testing an Immunotherapy Anti-cancer Drug, Nivolumab, for Advanced Cancers in Patients With Autoimmune Disorders, AIM-NIVO

Malignant Solid NeoplasmHematopoietic and Lymphoid Cell NeoplasmRheumatoid Arthritis+11 more
National Cancer Institute (NCI)300 enrolled52 locationsNCT03816345
Recruiting

A Study to Assess Real-world Outcomes for Long-Term Use of Guselkumab

Crohn DiseaseInflammatory Bowel DiseaseColitis Ulcerative
Janssen-Cilag A.G., Switzerland50 enrolled1 locationNCT07532213
Recruiting

Decoding the Clinical Impact of Host and Microbial Intestinal Proteomic Landscape in Crohn's Disease

Crohn Disease
Weizmann Institute of Science40 enrolled1 locationNCT06494826
Recruiting
Phase 4

TNFi Plus Low-Dose Upadacitinib vs TNFi Intensification in Crohn's Disease With Suboptimal Response

Crohn Disease (CD)
Sixth Affiliated Hospital, Sun Yat-sen University312 enrolled1 locationNCT07510191
Recruiting
Phase 4

A Study to Evaluate the Efficacy of Guselkumab in Chinese Participants With Crohn's Disease (CD)

Crohn Disease
Xian-Janssen Pharmaceutical Ltd.78 enrolled5 locationsNCT07310095
Recruiting
Phase 3

A Study of Guselkumab Versus Risankizumab in Participants With Moderately to Severely Active Crohn's Disease

Crohn Disease
Janssen Research & Development, LLC530 enrolled30 locationsNCT07499232
Recruiting
Phase 2Phase 3

A Study of Icotrokinra in Participants With Moderately to Severely Active Crohn's Disease

Crohn Disease
Janssen Research & Development, LLC1,092 enrolled363 locationsNCT07196722
Recruiting
Phase 3

A Study of JNJ-78934804 in Participants With Moderately to Severely Active Crohn's Disease

Crohn Disease
Janssen Research & Development, LLC460 enrolled5 locationsNCT07577843
Recruiting
Not Applicable

Evaluation of Therapeutic Strategy to Prevent Crohn's Disease Endoscopic poSToperatIve recurreNce Based on earlY Dosage of Faecal Calprotectin

Crohn Disease (CD)Ileocolic ResectionPost-endoscopic Operative Reccurence
University Hospital, Clermont-Ferrand42 enrolled8 locationsNCT06972901
Recruiting
Phase 2

A Study of LY4395089 and Mirikizumab (LY3074828) Given Together and Mirikizumab (Alone) in Adults With Crohn's Disease

Crohn Disease
Eli Lilly and Company60 enrolled72 locationsNCT07483099
Recruiting
Phase 2

Moving Beyond Inflammation as a Therapeutic Target for Crohn's Disease

Crohn Disease (CD)
Washington University School of Medicine60 enrolled3 locationsNCT06976853
Recruiting
Phase 2

A Master Protocol (IIBD): A Study of Multiple Drugs in Adults With Ulcerative Colitis or Crohn's Disease

Crohn DiseaseColitis Ulcerative
Eli Lilly and Company60 enrolled72 locationsNCT07483073
Recruiting
Phase 1Phase 2

Tolerance of Local Administration of Cryopreserved Autologous Stromal Vascular Fraction Combined With Micrograft for the Treatment of Refractory Ano-perineal Fistulas in Crohn's Disease

Crohn Disease (CD)
Assistance Publique Hopitaux De Marseille25 enrolled1 locationNCT07629245
Recruiting

Leucine-rich α2-glycoprotein Correlation With Clinical, Endoscopic and Histological Disease Activity of IBD in a EuRopean Context

Ulcerative Colitis (UC)Crohn Disease (CD)
Imelda GI Clinical Research Center100 enrolled1 locationNCT07621783
Recruiting
Not Applicable

Partial Enteral Nutrition to Prevent Weight Loss and Sarcopenia in IBD Patients at Nutritional Risk - SIMBA

Crohn DiseaseMalnutrition or Risk of MalnutritionIBD+1 more
Lionhealth Srl Società Benefit146 enrolled4 locationsNCT07433946
Recruiting
Phase 4

Open-label Single-arm Study to Assess the Efficacy of Mirikizumab in Patients With Inflammatory Strictures Due to CD

Crohn Disease
Alimentiv Inc.60 enrolled2 locationsNCT06997965
Recruiting
Not Applicable

A Prospective Randomised Study of Treatment Selection Based on Epigenetic Markers Versus Standard of Care Treatment Selection in Adults With CROHN's Disease

Crohn Disease (CD)
Alimentiv Inc.378 enrolled39 locationsNCT07363044
Recruiting
Phase 4

Clinical, Imaging, and Endoscopic Outcomes of Children Newly Diagnosed With Crohn's Disease

Crohn Disease
Connecticut Children's Medical Center900 enrolled26 locationsNCT05781152