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
研究概览
详细说明
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.
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Martina e Anwer, Resident
- 电话号码:01229046462
- 邮箱:martinaemad955@aun.edu.eg
参与标准
资格标准
适合学习的年龄
- 孩子
接受健康志愿者
取样方法
研究人群
描述
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
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
|---|
|
Modulen group
Children with Crohn's disease receiving Exclusive Enteral Nutrition followed by Partial Enteral Nutrition with Modulen IBD.
|
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Non-Modulen group
Children with Crohn's disease not receiving Modulen IBD formula.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Clinical remission rate after exclusive enteral nutrition
大体时间: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.
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At week 6-8
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Maintenance of remission
大体时间:At 6 months and at 12 months
|
Proportion of patients remaining in clinical remission (PCDAI <10) at 6 months and 12 months
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At 6 months and at 12 months
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Change in weight
大体时间:From baseline to week 6-8, 6 months, and 12 months
|
Change in body weight (kg) from baseline.
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From baseline to week 6-8, 6 months, and 12 months
|
|
Change in BMI z-score
大体时间: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
|
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Change in inflammatory markers
大体时间:From baseline to week 6-8, 6 months, and 12 months
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Change in C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and fecal calprotectin levels from baseline.
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From baseline to week 6-8, 6 months, and 12 months
|
|
Relapse rate
大体时间:Up to 12 months
|
Proportion of patients experiencing clinical relapse (PCDAI ≥10) during follow-up.
|
Up to 12 months
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合作者和调查者
调查人员
- 学习椅:Osama m El-Asheer, prof、pediatrics Department, Assiut University Hospitals
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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