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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.
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

Full criteria on ClinicalTrials.gov

Sites (13)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Texas Digestive Disease Consultants
Coordinator of this site? Confirm its status
Cedar ParkUnited StatesUnknown status
Texas Digestive Disease Consultants
Coordinator of this site? Confirm its status
Fort WorthUnited StatesUnknown status
GI Alliance of Illinois
Coordinator of this site? Confirm its status
GlenviewUnited StatesUnknown status
Lake Shore Gastro-Gurnee Research
Coordinator of this site? Confirm its status
GurneeUnited StatesUnknown status
Digestive Health Associates
Coordinator of this site? Confirm its status
HoustonUnited StatesUnknown status
Indianapolis Gastroenterology & Hepatology
Coordinator of this site? Confirm its status
IndianapolisUnited StatesUnknown status
Texas Digestive Disease Consultants: Plano
Coordinator of this site? Confirm its status
PlanoUnited StatesUnknown status
GI Alliance Richmond
Coordinator of this site? Confirm its status
RichmondUnited StatesUnknown status
Gastroenterology Group of Rochester
Coordinator of this site? Confirm its status
RochesterUnited StatesUnknown status
Texas Digestive Disease Consultants: San Antonio
Coordinator of this site? Confirm its status
San AntonioUnited StatesUnknown status
Texas Digestive Disease Consultants - San Marcos
Coordinator of this site? Confirm its status
San MarcosUnited StatesUnknown status
Arizona Digestive Health
Coordinator of this site? Confirm its status
Sun CityUnited StatesUnknown status
AZ Digestive Health-Tucson
Coordinator of this site? Confirm its status
TucsonUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.