About this trial
This observational study aims to identify genes that may affect how patients with inflammatory bowel disease respond to anti-TNF treatment and why some patients lose response to treatment over time. The study will examine whether genetic markers can help predict which patients are more likely to respond to anti-TNF therapy.
Participants who have not previously received anti-TNF treatment and are about to start advanced therapy will provide a blood sample to test for the genetic markers. Participants will also undergo regular assessments of current treatment, disease activity, and inflammatory markers during follow-up.
Eligibility criteria
Qualifiers
Established IBD: Crohn's disease (CD) or ulcerative colitis (UC)
Anti-TNF naïve
Clinically active disease (HBI>5 for CD, p-MS≥ 3 for UC)
Elevated inflammatory indices CRP>10 or fecal calprotectin>250
Disqualifiers
Unable to provide informed consent
Anti-TNF experienced
Unable to complete the study protocol
Trial design
Treatments tested in this trial
- This is an observational study with no intervention. Patients will receive anti- TNF therapy as part of their standard care
Treatment groups
Sponsors and collaborators
Shmuel Kivity, MD
Lead sponsor
Tel-Aviv Sourasky Medical Center
Sponsor institution