Clinical trial Recruiting at 1 site Interventional Ages 3 to 18

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.

More IBD (Inflammatory Bowel Disease) trials

Quick facts

Study typeInterventional
Ages3 Years to 18 Years
SexAll
Enrollment15 (estimated)
SponsorMeyer Children's Hospital IRCCS
Academic / other
Drugs / interventionsinfliximab
Locations1 site (Florence, Italy)
StatusRecruiting
StartedFebruary 13, 2025
Main results expectedFebruary 13, 2028
Study endsAugust 13, 2028
Registry record updatedMarch 13, 2026
Trial IDNCT07470502 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.

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.