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Active, not recruitingNCT04088773Updated Jun 13, 2025

Biomarkers of Intestinal Fibrosis in Small Bowel Crohn's Disease

An observational study in Crohn Disease, sponsored by Children's Hospital Medical Center, Cincinnati. Active, not recruiting at 4 sites in United States. Open to participants aged 8 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-13.

Sponsored by Children's Hospital Medical Center, Cincinnati · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
232
Ages
8 Years to 70 Years
Sex
All
01

Study summary

This research study will evaluate if specific blood, stool and MRI tests can tell the difference between bowel wall inflammation without scarring and bowel wall inflammation with scarring that can cause bowel blockages requiring surgery.

Read the detailed description

This multi-center study will test the accuracy of individual and combined MRI and blood-based diagnostic tools in both children and adults with small bowel CD. We will determine the accuracy of a composite tool (including its multiple individual biomarkers) for defining the relative amounts of intestinal inflammation versus scarring in patients at the time of surgery (B2 disease) and in patients at an early stage of disease prior to complications (B1 disease).

02

Conditions studied

  • Crohn Disease

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03

In context

Crohn Disease

1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.

This study's planned enrollment of 232 is above the median of 162 across 608 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 661 studies on the registry; 134 are open to participants now.

Of its 54 completed or terminated interventional studies of FDA-regulated products, 30 (56%) have results posted.

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

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Who can participate

Ages eligible
8 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Aim 1 - Children and adults undergoing surgical small bowel resection for structuring CD; Aim 2 - children and adults that have known uncomplicated inflammatory small bowel CD (B1phenotype) AND healthy non-IBD participants

Inclusion criteria

  • Aim 1 (CD participants)

    1. Aged 8-70 years
    2. Undergoing first surgical distal (ileal) small bowel resection for structuring (B2 phenotype) Crohn's disease as determined by CTE or MRE or ileocolonoscopy
    3. English speaking
  • Aim 2 (CD participants)

    1. Age 8 to 70 years
    2. Uncomplicated inflammatory small bowel CD based on clinical CTE or MRE or ileocolonoscopy performed within 6 months prior to enrollment (CD participants only)
    3. English speaking
  • Aim 2 (Control participants)

    1. Age 8 to 70 years
    2. English speaking

Exclusion criteria

Exclusion Criteria:

  • Aim1 (CD participants)

    1. B1 or B3 (i.e., fistula, abscess, phlegmon/inflammatory mass) CD phenotype
    2. Prior small bowel surgery, including but not limited to surgical resection, stricturoplasty, or endoscopic treatment of a small bowel stricture
    3. Anything to eat or drink within 4 hours of study visit (participants may take their required medications with a little water)
    4. Known pregnancy (Note: Institutional policies/procedures will be followed for pregnancy screening)
    5. Contraindication for MRI (e.g., surgical implant, claustrophobia). Note: To be determined based on local procedures.
  • Aim 2 (CD participants)

    1. Stenotic ileocecal valve at colonoscopy
    2. Prior small bowel surgery, including but not limited to surgical resection, stricturoplasty, or endoscopic treatment of a small bowel stricture
    3. Anything to eat or drink within 4 hours of study visit (participants may take their required medications with a little water)
    4. Known pregnancy (Note: Institutional policies/procedures will be followed for pregnancy screening)
    5. Contraindication for MRI (e.g., surgical implant, claustrophobia). Note: To be determined based on local procedures.
  • Aim 2 (Control participants)

    1. Any known gastrointestinal tract disease
    2. Any known inflammatory/autoimmune disease involving another organ system (e.g., rheumatoid arthritis, scleroderma, multiple sclerosis).
    3. Fecal calprotectin level of ˃100 mcg.gm will be excluded from further analysis and replaced.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
232 participants (estimated)
Patient registry
No

Groups and cohorts

  • Aim 1 Crohn Disease participants (B2 phenotype)

    Crohn's Disease participants scheduled for ileal small bowel resection; No intervention; observational only; collection of blood, stool, and perform MRI; completion of Crohn's Activity Questionnaire

    Diagnostic Test: blood biomarkers · Diagnostic Test: stool biomarkers · Diagnostic Test: MRI imaging

  • Aim 2 Crohn Disease participants (B1 phenotype)

    Crohn's Disease participants with uncomplicated small bowel disease; No intervention; observational only; collection of blood, stool, and perform MRI; completion of Crohn's Activity Questionnaire

    Diagnostic Test: blood biomarkers · Diagnostic Test: stool biomarkers · Diagnostic Test: MRI imaging

  • Aim 2 Healthy Controls

    No intervention; observational only; collection of blood, stool, and completion of Gastrointestinal Symptoms Rating Scale

    Diagnostic Test: blood biomarkers · Diagnostic Test: stool biomarkers

Interventions

  • Diagnostic testblood biomarkers

    biomarkers to distinguish fibrotic vs non-fibrotic CD lesions

  • Diagnostic teststool biomarkers

    fecal biomarkers of inflammation, mucosal inflammation

  • Diagnostic testMRI imaging

    MRI imaging to detect bowel wall fibrosis and to detect inflamed, non-fibrotic from inflamed, fibrotic bowel

06

What researchers measure

Primary outcomes

  1. Magnetization transfer ratio (MTR)

    compare MTR values between Aim 1 and Aim 2 cohorts

    Time frame: Day 1

Secondary outcomes

  1. Correlation between MTR values and bowel wall collagen measurements

    combine all subjects from Aim 1 and Aim 2 that undergo MRI

    Time frame: Day 1

07

Study locations

4 sites
  • Emory/Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
  • Michigan Medicine
    Ann Arbor, Michigan 48109, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2025, 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
NCT04088773
Lead sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
The Leona M. and Harry B. Helmsley Charitable Trust
Responsible party
Sponsor
First posted
Sep 13, 2019
Start date
Nov 1, 2019
Primary completion
Sep 1, 2023
Completion
Jun 2026 (estimated)
Last update
Jun 13, 2025

Study contacts

Jonathan Dillman, MD, MSc
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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