- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07821645
Modulen IBD for Induction and Maintenance of Remission in Pediatric Crohn's Disease
Effectiveness of a Specially Prepared Medical Milk Formula for Induction and Maintenance of Remission in Pediatric Crohn's Disease
Aperçu de l'étude
Statut
Description détaillée
Exclusive Enteral Nutrition (EEN) is recommended as first-line therapy for induction of remission in mild-to-moderate pediatric Crohn's disease. Modulen IBD is a polymeric formula enriched with TGF-β2.
This observational study will include children and adolescents younger than 18 years with mild-to-moderate active Crohn's disease. Patients receiving Modulen IBD for Exclusive Enteral Nutrition followed by Partial Enteral Nutrition will be compared with those not receiving the formula. Clinical remission, nutritional status, growth parameters, and laboratory markers will be assessed at predefined time points up to 12 months.
Type d'étude
Inscription (Estimé)
Contacts et emplacements
Coordonnées de l'étude
- Nom: Martina e Anwer, Resident
- Numéro de téléphone: 01229046462
- E-mail: martinaemad955@aun.edu.eg
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- - Age younger than 18 years
- Diagnosis of Crohn's disease according to clinical, endoscopic, histopathological, and radiological findings
- Mild to moderate active Crohn's disease
- Newly diagnosed or active patients commencing Exclusive Enteral Nutrition therapy
- Written informed consent from parents or legal guardians
Exclusion Criteria:
- - Age 18 years or older
- Severe complicated Crohn's disease requiring immediate surgery
- Other chronic gastrointestinal diseases
- Severe systemic illnesses affecting nutritional status
- Inability to tolerate enteral nutrition
- Poor compliance with Modulen therapy
- Incomplete follow-up data
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
|---|
|
Modulen group
Children with Crohn's disease receiving Exclusive Enteral Nutrition followed by Partial Enteral Nutrition with Modulen IBD.
|
|
Non-Modulen group
Children with Crohn's disease not receiving Modulen IBD formula.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Clinical remission rate after exclusive enteral nutrition
Délai: At week 6-8
|
Proportion of patients achieving clinical remission defined as Pediatric Crohn's Disease Activity Index (PCDAI) score less than 10 after 6-8 weeks of Exclusive Enteral Nutrition with Modulen IBD.
|
At week 6-8
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Maintenance of remission
Délai: At 6 months and at 12 months
|
Proportion of patients remaining in clinical remission (PCDAI <10) at 6 months and 12 months
|
At 6 months and at 12 months
|
|
Change in weight
Délai: From baseline to week 6-8, 6 months, and 12 months
|
Change in body weight (kg) from baseline.
|
From baseline to week 6-8, 6 months, and 12 months
|
|
Change in BMI z-score
Délai: From baseline to week 6-8, 6 months, and 12 months
|
Change in Body Mass Index z-score from baseline.
|
From baseline to week 6-8, 6 months, and 12 months
|
|
Change in inflammatory markers
Délai: From baseline to week 6-8, 6 months, and 12 months
|
Change in C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and fecal calprotectin levels from baseline.
|
From baseline to week 6-8, 6 months, and 12 months
|
|
Relapse rate
Délai: Up to 12 months
|
Proportion of patients experiencing clinical relapse (PCDAI ≥10) during follow-up.
|
Up to 12 months
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chaise d'étude: Osama m El-Asheer, prof, pediatrics Department, Assiut University Hospitals
Publications et liens utiles
Publications générales
- van Rheenen PF, Aloi M, Assa A, Bronsky J, Escher JC, Fagerberg UL, Gasparetto M, Gerasimidis K, Griffiths A, Henderson P, Koletzko S, Kolho KL, Levine A, van Limbergen J, Martin de Carpi FJ, Navas-Lopez VM, Oliva S, de Ridder L, Russell RK, Shouval D, Spinelli A, Turner D, Wilson D, Wine E, Ruemmele FM. The Medical Management of Paediatric Crohn's Disease: an ECCO-ESPGHAN Guideline Update. J Crohns Colitis. 2021 Feb 1;15(2):jjaa161. doi: 10.1093/ecco-jcc/jjaa161. Epub 2020 Oct 7.
- Trivedi PH, Gadhawe J, Salvi SM, Dodia SM, Pawar D, Patil AS. Stage-specific GWAS identifies a pleiotropic ankyrin repeat locus near GmSALT3 for salinity tolerance in soybean. Plant Cell Rep. 2026 Mar 16;45(4):93. doi: 10.1007/s00299-026-03779-9.
- Zhu X, Chen M, Dong Z, Liu Y, Mu Q, Basit F, Liu J, Hu J, Guan Y. Stress-associated protein OsSAP5 regulates rice heading date through interacting with OsGF14c in rice. Front Plant Sci. 2025 Sep 9;16:1589989. doi: 10.3389/fpls.2025.1589989. eCollection 2025.
- Kaspi E, Frankel D, Roll P. Lipid inclusions accumulation in macrophages from peritoneal effusion of a newborn. EJHaem. 2020 Oct 27;1(2):392-393. doi: 10.1002/jha2.124. eCollection 2020 Nov. No abstract available.
- Brindicci VF, Grieco R, Ruiz RG, Cardile S, Capriati T, Trovato CM, Bolasco G, Knafelz D, Bracci F, Alterio A, Ferretti F, Elia D, Spinetti E, Francavilla R, Diamanti A. Enteral Nutrition in Pediatric Crohn's Disease: New Perspectives. Nutrients. 2025 Sep 30;17(19):3124. doi: 10.3390/nu17193124.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Modulen-Pediatric-CD-Assiut-20
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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