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RecruitingNCT05043870Updated Mar 19, 2026

Combined Immunosuppression for Pediatric Crohn's Disease

A Phase 4 interventional study of Infliximab and immunosuppressives and Infliximab in Crohn Disease, Infliximab and Immunosuppression, sponsored by Children's Hospital of Fudan University. Recruiting at 1 site in China. Open to participants aged 6 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Children's Hospital of Fudan University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2022; still recruiting 3 years 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
6 Years to 18 Years
Sex
All
01

Study summary

This is a randomized controlled trial to compare the efficacy and safety of infliximab and immunosuppressives therapy alone or in combination for pediatric Crohn's disease.

02

Conditions studied

  • Crohn Disease
  • Infliximab
  • Immunosuppression
  • Children, Only

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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 128 is above the median of 66 across 1,188 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Children's Hospital of Fudan University is the lead sponsor of 262 studies on the registry; 92 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. 6-18 years old
  2. diagnosis of Crohn's Disease
  3. Pediatric Crohn's disease Activity Index (PCDAI)>30 or The Simple Endoscopic Score for Crohn Disease (SES-CD) >10 before treatment
  4. receiving exclusive enteral nutrition or corticosteroids as first-line treatment, Pediatric Crohn's disease Activity Index (PCDAI)>10 or The Simple Endoscopic Score for Crohn Disease (SES-CD)≥3 after exclusive enteral nutrition or corticosteroids
  5. The patient or legal guardian sign the informed consent documents

Exclusion criteria

Exclusion Criteria:

  1. history of biological agents targeting at tumor necrosis factor (TNF)
  2. Crohn's Disease-related surgery
  3. infections
  4. tumors
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
128 participants (estimated)

Study arms

  • Experimental
    infliximab and immunosuppressives therapy

    the infusion of infliximab (IFX) (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks, the immunomodulatory agent was azathioprine 1-2mg/kg per day or methotrexate 10-25 mg/m2 week

    Drug: Infliximab and immunosuppressives

  • Active comparator
    infliximab therapy

    the infusion of infliximab (IFX) (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks

    Drug: Infliximab

Interventions

  • DrugInfliximab and immunosuppressives

    the infusion of IFX (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks, the immunomodulatory agent was azathioprine 1-2mg/kg per day or methotrexate 10-25 mg/m2 week

    Also known as: IFX, IMMs, AZA, MTX

  • DrugInfliximab

    the infusion of IFX (5mg/kg) were given at 0, 2, 6 weeks and then every 8 weeks

    Also known as: IFX

06

What researchers measure

Primary outcomes

  1. clinical remission

    The clinical remission rate at week 54

    Time frame: week 54

  2. endoscopic remission

    The endoscopic remission rate at week 54

    Time frame: week 54

Secondary outcomes

  1. Pediatric Crohn's disease Activity Index score

    The Pediatric Crohn's disease Activity Index (PCDAI) was assessed at each infusion point. PCDAI score ranges from 0 to 100, the higher means the worse outcome.

    Time frame: week0, week2, week6, week14, week22, week30, week38, week46, week54

Other outcomes

  1. infliximab concentration

    The infliximab (IFX) concentration and anti-infliximab antibodies (ATI) were measured before the infusion of week 14, 38.

    Time frame: week 14, 38

  2. adverse events

    The rate of the potential adverse events were monitored during the intervention.

    Time frame: within one year

07

Study locations

1 of 1 sites recruiting
  • Children's Hospital of Fudan University
    Shanghai, Shanghai Municipality 201102, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05043870
Lead sponsor
Children's Hospital of Fudan University
Responsible party
Ying HUANG (Head of department of gastroenterology, Children's Hospital of Fudan University) — Principal investigator
First posted
Sep 14, 2021
Start date
Oct 10, 2022
Primary completion
Oct 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Mar 19, 2026

Study contacts

Lin Wang
Contact
wanglin546974055@163.com
+8613817510412
Ying Huang
study director · Children's Hospital of Fudan University

Oversight

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

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