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Genetic markers that may predict response to anti-TNF treatment in inflammatory bowel disease

Looks at whether genes predict anti-TNF response in adults with Crohn disease or ulcerative colitis.

Plain-language title generated from the registry record
Registry title: Individualizing Anti-TNF Therapy in Patients With Inflammatory Bowel Disease

Key facts

Where
Tel Aviv, IsraelSee the site

Where in Israel

  • Dep. of Gastroenterology, Tel Aviv Sourasky Medical CenterTel Aviv, IsraelTaking people

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Trial details

Who runs it
Shmuel Kivity, MD
Trial code
NCT07644117
Record updated
12 June 2026
Original description
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.Read full original descriptionShow less

Individualizing Anti-TNF Therapy in Patients With Inflammatory Bowel Disease: Pre-Treatment Prediction of Immunogenicity and Response. A Prospective Observational Study.

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.

Inclusion: 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.

Exclusion: Unable to provide informed consent; Anti-TNF experienced; Unable to complete the study protocol.

ClinicalTrials.gov NCT07644117