Infliximab level monitoring in children with inflammatory bowel disease
Official title: Single-center Pilot Study for Proactive Monitoring of Infliximab in Patients With Chronic Inflammatory Bowel Disease Starting Biologic Therapy: Comparative Assessment of Plasma and Salivary Levels
Run by Meyer Children's Hospital IRCCS · NCT07470502 · Data updated 2026-11-12
This project will test whether measuring infliximab levels in saliva and leftover blood during the first infusions helps monitor and personalize treatment for children and teens (ages 3–18) with Crohn's disease or ulcerative colitis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 3 Years to 18 Years |
| Sex | All |
| Enrollment | 15 (estimated) |
| Sponsor | Meyer Children's Hospital IRCCS Academic / other |
| Drugs / interventions | infliximab |
| Locations | 1 site (Florence, Italy) |
| Status | Recruiting |
| Started | February 13, 2025 |
| Main results expected | February 13, 2028 |
| Study ends | August 13, 2028 |
| Registry record updated | March 13, 2026 |
| Trial ID | NCT07470502 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents aged 3–18 with confirmed Crohn's disease or ulcerative colitis who are about to start infliximab therapy and can provide consent/assent.
✕Probably not a fit
Patients who are not starting infliximab, lack a confirmed IBD diagnosis, refuse participation, or are outside the 3–18 age range are unlikely to receive benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a monocentric, non-profit prospective cohort at Meyer Children's Hospital in Florence enrolling patients aged 3–18 with confirmed Crohn's disease or ulcerative colitis who are starting infliximab. During the first four infliximab infusions (three induction and one maintenance), two saliva samples (pre- and post-infusion) and one plasma sample (pre-infusion) will be collected at four routine clinical visits, using leftover blood from routine care so no extra blood draws are required. The induction regimen (standard or accelerated) is chosen by the treating physician and will not be influenced by study participation. Collected samples will be analyzed for infliximab levels to explore pharmacokinetic patterns during induction.
Why it matters
Potential benefit: If successful, this could enable earlier, less invasive infliximab level monitoring to inform dosing decisions and reduce treatment failure in pediatric IBD.
How similar studies have gone: Plasma therapeutic drug monitoring for infliximab has demonstrated clinical utility in IBD, while saliva-based monitoring is an emerging approach with limited but growing evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age between 3 and 18 years * diagnosis of Crohn's disease or ulcerative colitis * starting biological therapy with infliximab; * Signed informed consent. Exclusion Criteria: * Patients in whom the diagnosis of IBD has not been confirmed according to standardized endoscopic and histological criteria; * Patients who refuse to participate in the study.
Where it's running
-
Meyer Children's Hospital, IRCCS - Gastroenterology and Nutrition Unit
Florence, Italy, Italy Recruiting
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Maternal and infant microbiome links to infant gut inflammation and pregnancy outcomes in people with IBD
This project will see if mothers' microbiomes, diets, and breastmilk are linked to infant gut inflammation (measured by fecal calprotectin) in pregnant people with and without IBD.
-
Infliximab plus the Crohn's Disease Exclusion Diet for children with Crohn's disease
This will test whether starting a Crohn's Disease Exclusion Diet at the same time as infliximab helps children with moderate-to-severe Crohn's disease get better and stay in remission.
-
SMART-IBD app for teens with inflammatory bowel disease
This will test whether the SMART-IBD smartphone app helps adolescents ages 13–17 with IBD take their medicines and manage symptoms better than completing daily diaries alone.
-
Single-dose MT-201 with Infliximab in healthy adults
This early phase study tests a single dose of MT-201 given with infliximab in healthy adults to see if it is safe and how the body handles it.
-
Melatonin to improve sleep quality in adults with inflammatory bowel disease in remission
This study tests whether melatonin can improve sleep quality in adults with IBD who are in clinical remission.
-
Infliximab plus prednisone vs prednisone alone for ICI-associated AKI
This study tests whether adding infliximab to prednisone helps adults with kidney injury caused by cancer immunotherapy recover kidney function faster than standard prednisone alone.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.