NCT07686757Enrolling by invitationPhase 4
INSIGHT-IBD Pragmatic Study
INSIGHT-IBD Pragmatic Study: Investigation of Mirikizumab in Real World Settings for Mirikizumab
Source: ClinicalTrials.gov · Last updated 29 Oct 2026
Brief summary (registry, in English)
The goal of this study is to evaluate the real-world effectiveness of treatments for inflammatory bowel disease (IBD) within routine clinical practice. The study population includes adult patients (≥21 years) with ulcerative colitis (UC) or Crohn's disease (CD) receiving care in community gastroenterology practices in the United States. The main questions it aims to answer are: * Does treatment with mirikizumab reduce the proportion of patients requiring an increase in IBD disease management (e.g., unplanned visits, dose escalation, therapy switch, emergency department visits, or hospitalization)? * Does treatment with mirikizumab improve clinical outcomes, including disease activity, clinical remission, and patient-reported outcomes, compared to standard biologic therapy? * Researchers will compare patients treated with mirikizumab within the IBD Clinical Care Pathway versus patients receiving standard biologic therapies to see if mirikizumab leads to improved disease control and reduced healthcare utilization. Participants will: * Receive either mirikizumab or standard biologic therapy as part of routine clinical care * Attend follow-up visits at approximately 3, 6, 12, and 18 months * Have clinical data collected from electronic health records and healthcare utilization sources * Complete patient-reported outcome questionnaires assessing symptoms, quality of life, and daily functioning * Undergo routine laboratory tests and clinical assessments as part of standard care
- Status (registry)
- Enrolling by invitation
- Phase (registry)
- Phase 4
- Study type
- Interventional
- Enrollment
- 400 (estimated)
- First submitted
- 18 Jun 2026
- Start date
- 12 Aug 2026
- Primary completion date
- 30 Jun 2028
- Lead sponsor
- Specialty Networks Research.
- Diseases
- Crohn's disease, Ulcerative colitis
- NCT number
- NCT07686757
What you commit to
- Study type: Interventional · Phase 4
- Planned participants: 400
- From 12 Aug 2026 to the primary completion date, 30 Jun 2028
- 13 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Prior exposure to IL-23p19 antagonists (e.g., mirikizumab, risankizumab, guselkumab)
- Prior exposure to small molecule targeted therapies for IBD (e.g., JAK inhibitors or S1P receptor modulators)
- Participation in an interventional clinical trial within 90 days prior to enrollment
- Surgical removal of two or more intestinal segments (for CD)
Other illness
- History of extensive colorectal resection, including:
- Any condition that, in the investigator's judgment, may compromise patient safety, data integrity, or ability to participate in the study
Other
- Total proctocolectomy (for UC), or
Who the study is looking for
- Age ≥21 years at the time of enrollment
- Confirmed diagnosis of ulcerative colitis (UC) or Crohn's disease (CD)
- Eligible for treatment with biologic therapy for IBD, as per the IBD Clinical Care Pathway
- No prior exposure to mirikizumab and no contraindications to mirikizumab
- Ability to provide informed consent
- Willingness to comply with study procedures and follow-up requirements
Age in the registry: 21 years to - · Sex: All · Does not accept healthy volunteers
Sites (13)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Texas Digestive Disease Consultants Coordinator of this site? Confirm its status | Cedar Park | United States | Unknown status |
| Texas Digestive Disease Consultants Coordinator of this site? Confirm its status | Fort Worth | United States | Unknown status |
| GI Alliance of Illinois Coordinator of this site? Confirm its status | Glenview | United States | Unknown status |
| Lake Shore Gastro-Gurnee Research Coordinator of this site? Confirm its status | Gurnee | United States | Unknown status |
| Digestive Health Associates Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| Indianapolis Gastroenterology & Hepatology Coordinator of this site? Confirm its status | Indianapolis | United States | Unknown status |
| Texas Digestive Disease Consultants: Plano Coordinator of this site? Confirm its status | Plano | United States | Unknown status |
| GI Alliance Richmond Coordinator of this site? Confirm its status | Richmond | United States | Unknown status |
| Gastroenterology Group of Rochester Coordinator of this site? Confirm its status | Rochester | United States | Unknown status |
| Texas Digestive Disease Consultants: San Antonio Coordinator of this site? Confirm its status | San Antonio | United States | Unknown status |
| Texas Digestive Disease Consultants - San Marcos Coordinator of this site? Confirm its status | San Marcos | United States | Unknown status |
| Arizona Digestive Health Coordinator of this site? Confirm its status | Sun City | United States | Unknown status |
| AZ Digestive Health-Tucson Coordinator of this site? Confirm its status | Tucson | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.