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CompletedNCT02694588Phen_IBDUpdated Jul 1, 2022

Clinical and Molecular Phenotyping in IBD

An interventional study of Infliximab and Vedolizumab in IBD, sponsored by University Hospital Schleswig-Holstein. Completed at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-07-01.

Sponsored by University Hospital Schleswig-Holstein · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

Inflammatory bowel disease (IBD) and psoriasis (Ps) are common, chronic, immune- mediated barrier diseases with shared inflammatory pathways. Current therapeutic interventions with anti-cytokine antibodies (TNF-α, IL-23/IL-12) reflect the intent to disrupt specific pathways of inflammatory immunopathology. Individual responses to biological treatment can be thereby be exploited in a systems biology approach that employs a targeted mechanism of action (MOA) to decipher molecular signatures of therapeutic responses in the context of a distinct disease entity. Using a translational approach to investigate clinical and molecular phenotypes during therapeutic interference with cytokine signaling and leukocyte trafficking, the investigators aim to trace common and unique signatures of drug- and therapy-specific responses.

Patients will undergo endoscopic evaluation of the mucosal surface and gastrointestinal wall by conventional HD-colonoscopy, endoscopic ultrasound and confocal laser endomicroscopy prior to and during specific therapies with biologicals. In parallel, mucosa samples will be obtained to define molecular phenotypes during the course of therapy.

02

Conditions studied

  • IBD

Keywords

  • Vedolizumab
  • Infliximab
03

In context

Lead sponsor

University Hospital Schleswig-Holstein is the lead sponsor of 157 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • inflammatory bowel disease
  • indication for biological therapy

Exclusion criteria

Exclusion Criteria:

  • pregnancy, breast feeding
  • no written informed consent to participate in the study
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
90 participants (actual)

Study arms

  • Active comparator
    Infliximab

    5 mg/kg body weight, week 0/2/6, then every 8 weeks

    Drug: Infliximab

  • Active comparator
    Vedolizumab

    300 mg, week 0/2/6, then every 8 weeks

    Drug: Vedolizumab

Interventions

  • DrugInfliximab

    HD-endoscopy, CLE, endoscopic ultrasound after application of TNF alpha antibody

    Also known as: Endoscopic assessment after Infliximab

  • DrugVedolizumab

    HD-endoscopy, CLE, endoscopic ultrasound after application of Anti-Integrin antibody

    Also known as: Endoscopic assessment after Vedolizumab

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What researchers measure

Primary outcomes

  1. Mucosal healing week 2

    Scoring of mucosal healing according to endoscopic Mayo score at week 2 after initiation of therapy

    Time frame: week 2

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Study locations

1 site
  • Medical Department I, University Hospital Schleswig-Holstein
    Kiel, 24105, Germany
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References and documents

Publications

  • Zeissig S, Rosati E, Dowds CM, Aden K, Bethge J, Schulte B, Pan WH, Mishra N, Zuhayra M, Marx M, Paulsen M, Strigli A, Conrad C, Schuldt D, Sinha A, Ebsen H, Kornell SC, Nikolaus S, Arlt A, Kabelitz D, Ellrichmann M, Lutzen U, Rosenstiel PC, Franke A, Schreiber S. Vedolizumab is associated with changes in innate rather than adaptive immunity in patients with inflammatory bowel disease. Gut. 2019 Jan;68(1):25-39. doi: 10.1136/gutjnl-2018-316023. Epub 2018 May 5. PubMed 29730603 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02694588
Lead sponsor
University Hospital Schleswig-Holstein
Responsible party
Mark Ellrichmann (Head of Interdisciplinary Endoscopy, University Hospital Schleswig-Holstein) — Principal investigator
First posted
Feb 29, 2016
Start date
Jun 2014
Primary completion
Oct 2018
Completion
Dec 2021
Last update
Jul 1, 2022

Study contacts

Stefan Schreiber, MD, PhD
principal investigator · 00494315971272

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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