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Clinical Trials/2025-521889-95-00
2025-521889-95-00RecruitingPhase 4

Efficacy of MIrikizumab to achieve traNsmural healing in patiENTs with Crohn’s Disease : EMINENT CD

Groupe D'etude Therapeutique Des Affections Inflammatoires Du Tube Digestif6 sites in 1 country110 target enrollmentStarted: February 5, 2026Last updated:
Conditions

Trial Snapshot

Phase
Phase 4
Status
Recruiting
Sponsor
Enrollment
110
Locations
6
Primary Endpoint
Transmural response (TR25): decrease of at least (>=) 25% of C-score in each and all active segment from baseline to week 24

Study Overview

Brief Summary

To describe the efficacy of mirikizumab therapy to achieve transmural response in patients with CD.

Study Design

Allocation
Not Applicable
Primary Purpose
Experimental arm - mirikizumab
Masking
None

Eligibility Criteria

Ages
18 years to 65+ years (65+ Years, 18-64 Years)
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients with CD
  • ≥ 18 years-old ≤ 75 years old
  • Symptomatic CD according to PRO-2 (stool > 3 or abdominal pain score > 1)
  • Transmural inflammation on baseline MRI (C-score > 0.5 in at least one segment)

Exclusion Criteria

  • Prior exposure to anti-p19 biological therapy
  • No health insurance
  • Pregnant or lactating women
  • Patients already included in biomedical research other than an observational study (e.g., registry, cohort)
  • Concomitant Clostridioides difficile infection
  • HIV infection
  • Patient under guardianship, curatorship or safeguard of justice
  • Exposure to more than 1 class of advanced therapies at a dose approved for the treatment of Crohn's disease (janus kinase [JAK] inhibitors, infliximab, adalimumab, certolizumab pegol, vedolizumab, ustekinumab, or approved biosimilars for these agents
  • Contra-indication to mirikizumab
  • Definitive ostomy
  • Colectomy with IPAA
  • Isolated or uncontrolled perianal lesions
  • Severe obstructive symptoms
  • Intra-abdominal abscess
  • Contra-indication to MRI

Outcomes

Primary Outcomes

Transmural response (TR25): decrease of at least (>=) 25% of C-score in each and all active segment from baseline to week 24

Transmural response (TR25): decrease of at least (>=) 25% of C-score in each and all active segment from baseline to week 24

Secondary Outcomes

  • Composite endpoint combining clinical remission and transmural response (TR25) at 6 months
  • Clinical remission will be defined according to PRO-2
  • Transmural response will be defined as a decrease of at least 25% of C-score in each active segment at baseline
  • Improvement or normalization of bowel urgency according to UNRS and Urgent score BU clinical meaningful improvement was defined as decrease of >=3 points
  • BU Remission was defined as UNRS =<2
  • Transmural response (TR50): decrease of at least 50% of C-score in each active segment at baseline
  • Transmural healing: C-score < 0.5 in each active segment at baseline/TRENCH definition
  • Complete transmural healing: C-score = 0 in each active segment at baseline
  • MaRIA at 6 months
  • IUS transmural response/healing at week 4,8, 12 and 24
  • Bowel damage (Lemann Index) at 6 and 18 months
  • Clinical response and remission at week 4,8, 12 and 24
  • Biochemical remission at week 4,8, 12 and 24
  • Drug retention
  • IBD-disability index
  • IBDQ
  • 10 points-Acceptability numerical scale (ANS)
  • Adverse events and severe adverse events

Investigators

Sponsor
Groupe D'etude Therapeutique Des Affections Inflammatoires Du Tube Digestif
Sponsor Class
Laboratory/Research/Testing facility
Responsible Party
Principal Investigator
Principal Investigator

Anthony BUISSON

Scientific

Groupe D'etude Therapeutique Des Affections Inflammatoires Du Tube Digestif

Study Sites (6)

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