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
Anthony BUISSON
Scientific
Groupe D'etude Therapeutique Des Affections Inflammatoires Du Tube Digestif
Study Sites (6)
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