Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 6 to 18

Comparing two treatment approaches for children with ulcerative colitis

Official title: First-line Treatment With Infliximab Versus Corticosteroids in Children With Newly Diagnosed Moderate to Severe Ulcerative Colitis

Run by Children's Hospital of Fudan University · NCT04999228 · Data updated 2026-11-12

This study is testing whether a new medicine called infliximab works better than traditional steroids for children with moderate to severe ulcerative colitis to help them feel better and heal faster.

Quick facts

PhasePhase 4
Study typeInterventional
Ages6 Years to 18 Years
SexAll
Enrollment40 (estimated)
SponsorChildren's Hospital of Fudan University
Academic / other
Drugs / interventionsinfliximab
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedNovember 1, 2021
Main results expectedJune 1, 2025
Study endsDecember 31, 2026
Registry record updatedFebruary 28, 2024
Trial IDNCT04999228 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 6 to 18 who have been newly diagnosed with moderate to severe ulcerative colitis.

Probably not a fit

Patients with mild disease activity or those who have previously received corticosteroids or biologic agents for ulcerative colitis may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of two treatment strategies for pediatric patients aged 6 to 18 with newly diagnosed moderate to severe ulcerative colitis. Participants will be randomly assigned to receive either infliximab (a biologic agent) or corticosteroids, with the aim of achieving mucosal healing and assessing clinical response at various time points. The study will compare the mucosal healing rates at week 12, as well as relapse rates and sustained remission durations over one year. This approach seeks to determine whether early biologic therapy is more beneficial than a gradual step-up treatment strategy.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment protocols for pediatric ulcerative colitis, potentially reducing the need for surgery.

How similar studies have gone: While the specific comparison of these two treatment strategies has not been previously studied, early use of biologics has shown promise in other contexts.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. newly diagnosed UC;
2. moderate to severe disease activity
3. Age: 6 to 18 years old

Exclusion Criteria:

1. with mild disease activity
2. Have been treated with Corticosteroid or biological agents for UC

Where it's running

  • Children's Hospital of Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Comparing two drugs and their combination for treating ulcerative colitis

    This study is testing if using a combination of two drugs, infliximab and ustekinumab, can help adults with moderate to severe ulcerative colitis feel better compared to using each drug alone.

    Recruiting Phase 2 Medical University of Lodz · Lodz · NCT06453317

  • Switching to subcutaneous infliximab for IBD treatment

    This study is testing if switching people with inflammatory bowel disease from an intravenous form of infliximab to a subcutaneous version, given weekly or bi-weekly, can lead to better health results.

    Recruiting at 14 sites Phase 4 Belgian Inflammatory Bowel Disease Research and Development (BIRD) VZW · Ghent, Oost-Vlaanderen and 14 other locations · NCT06113913

  • Infliximab treatment for Crohn's disease with drug monitoring

    This study is testing if adjusting infliximab treatment based on drug levels helps people with active perianal fistulizing Crohn's disease feel better compared to standard fixed dosing.

    Recruiting Phase 4 Asan Medical Center · Seoul · NCT06051253

  • Combining treatments for children with Crohn's disease

    This study is testing whether combining two treatments for Crohn's disease can help children feel better compared to using just one of the treatments alone.

    Recruiting Phase 4 Children's Hospital of Fudan University · Shanghai, Shanghai Municipality · NCT05043870

  • High dose vitamin D for young patients with inflammatory bowel disease on biologic therapy

    This study is testing if giving high doses of vitamin D to young people with inflammatory bowel disease who are on biologic treatments can improve their bone health and reduce inflammation.

    Recruiting Boston Children's Hospital · Boston, Massachusetts · NCT04331639

  • Innovative Multidisciplinary and Virtual Care for IBD in Pregnancy

    This study tests a dedicated IBD pregnancy care model, including a new virtual approach, to see if it improves access and quality of care for pregnant people with Crohn's disease or ulcerative colitis.

    Recruiting at 5 sites Austin Health · Hobart and 6 other locations · NCT07916727

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.