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Risk Stratification of Rapid Disease Progression in Children With Crohn's Disease

Completed
Conditions
Crohn's Disease
Registration Number
NCT00790543
Lead Sponsor
Emory University
Brief Summary

The purpose of this study for children with a new diagnosis of Crohn's disease is to identify biomarkers found in the blood or stool to help predict which children are at risk of developing complications.

Detailed Description

It is estimated that between 15-20% of children with Crohn's disease will develop complications that can require surgery within the first three years of diagnosis. The purpose of this study for children with a new diagnosis of Crohn's disease is to identify biomarkers found in the blood or stool to help predict which children are at risk of developing complications.

A total of 2000 children with newly-diagnosed Crohn's disease will be enrolled within 30 days of diagnosis. Up to 28 medical sites in the United States and Canada will participate in the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1813
Inclusion Criteria
  • Males and females younger than 17 years of age (before their 17th birthday). An upper limit of 17 years of age was selected as important inclusion criteria to maximize the number of potential subjects that would be diagnosed and followed by a pediatric gastroenterologist for at least 3 years.
  • Confirmed or suspected diagnosis of Crohn's disease based on standardized diagnostic criteria. The enrollment should occur within 30 days of diagnosis.
  • Able to provide written informed consent or the ability to obtain written informed consent from the parents or patient's legal guardian in conjunction with youth assent.
  • Consented to have specimens tested for genetics and immune responses.
  • Access to follow-up data for a minimum of 36 months after diagnosis.
  • Final eligibility will be determined by the health professionals conducting this clinical trial.
Exclusion Criteria
  • Infectious colitis.
  • Final eligibility will be determined by the health professionals conducting this clinical trial.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Identify demographic, clinical, microbial, genetic, and/or immunologic risk factors influencing the likelihood of rapid development of complicated disease phenotypes manifested as penetrating or stricturing disease and need for surgery.3 years
Secondary Outcome Measures
NameTimeMethod
Develop and validate risk stratification by stratifying patients into different levels of risk at diagnosis based on clinical, demographic, host microbial ecology, immune, and genetic determinants.3 years

Trial Locations

Locations (28)

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

UCLA Medical Center

🇺🇸

Los Angeles, California, United States

University of California at San Francisco

🇺🇸

San Francisco, California, United States

Connecticut Children's Medical Center

🇺🇸

Hartford, Connecticut, United States

Nemours Children's Clinic

🇺🇸

Jacksonville, Florida, United States

Emory-Children's Center - Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

Children's Center for Digestive Healthcare

🇺🇸

Atlanta, Georgia, United States

The University of Chicago

🇺🇸

Chicago, Illinois, United States

Riley Children's Hospital - Indiana University School of Medicine

🇺🇸

Indianapolis, Indiana, United States

Johns Hopkins Children's Center

🇺🇸

Baltimore, Maryland, United States

Scroll for more (18 remaining)
Cedars-Sinai Medical Center
🇺🇸Los Angeles, California, United States

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