RecruitingNot ApplicableNCT07363044

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


Sponsor

Alimentiv Inc.

Enrollment

378 participants

Start Date

Feb 1, 2025

Study Type

INTERVENTIONAL

Conditions

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).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is exploring whether a blood test that measures epigenetic markers (chemical tags on DNA) can help doctors choose the best biologic medication for people with Crohn's disease, compared to the usual approach of doctor-guided treatment selection. **You may be eligible if...** - You are 18 years or older - You have a confirmed diagnosis of Crohn's disease affecting the small intestine and/or colon - Your Crohn's disease is currently active based on symptom scores and a colonoscopy score - You are eligible to start one of two biologic medications (vedolizumab or ustekinumab) as part of your treatment **You may NOT be eligible if...** - You have already been treated with vedolizumab or ustekinumab - You have an active serious infection (including HIV, tuberculosis, hepatitis B or C) - You have had cancer in the past 5 years (except certain skin cancers) - You are pregnant or planning to become pregnant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICEEpigenome-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.

OTHERInvestigator-Guided Treatment Arm

Assigned to UST or VDZ per conventional SOC and without the use or knowledge of epigenome results.


Locations(30)

Imeldahospital

Bonheiden, Belgium

AZ Klina

Brasschaat, Belgium

H.U.B. - Hôpital Erasme

Brussels, Belgium

Universitair Ziekenhuis Antwerpen (UZA)

Edegem, Belgium

AZ Maria Middelares

Ghent, Belgium

AZ Sint Lucas

Ghent, Belgium

UZ Gent

Ghent, Belgium

UZ Leuven

Leuven, Belgium

Centre Hospitalier Universitaire (CHU) de Liege

Liège, Belgium

Groupe sante CHC/Clique du MontLegia

Liège, Belgium

AZ Oostende

Ostend, Belgium

AZ Delta VZW

Roeselare, Belgium

CHU UCL Namur asbl Site Godinne

Yvoir, Belgium

IRCCS Ospedale San Raffaele

Milan, Italy

Amsterdam UMC

Amsterdam, Netherlands

OLVG Oost

Amsterdam, Netherlands

Maastricht UMC

Maastricht, Netherlands

Radboudumc

Nijmegen, Netherlands

Elisabeth-TweeSteden Ziekenhuis (ETZ)

Tilburg, Netherlands

Universitair Medisch Centrum Utrecht

Utrecht, Netherlands

Northern Care Alliance - Fairfield General Hospital

Bury, United Kingdom

Cambridge University Hospitals NHS Trust

Cambridge, United Kingdom

Hull University Teaching Hospital NHS Trust

Cottingham, United Kingdom

The Dudley Group NHS Foundation Trust

Dudley, United Kingdom

Cardiff & Vale UHB

Llandough, United Kingdom

Guy's and St. Thomas' NHS Foundation Trust

London, United Kingdom

King's College Hospital NHS Foundation Trust

London, United Kingdom

Oxford University Hospitals NHS Foundation Trust

Oxford, United Kingdom

University Hospital Southampton NHS Foundation Trust

Southampton, United Kingdom

Hampshire Hospital NHS Foundation Trust

Winchester, United Kingdom

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NCT07363044


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