Status:

COMPLETED

Early MRI Prediction of Crohns

Lead Sponsor:

Children's Hospital Medical Center, Cincinnati

Conditions:

Crohn Disease

Eligibility:

All Genders

11-25 years

Brief Summary

The investigators plan a prospective study designed to optimize and translate noncontrast, novel Magnetic Resonance Imaging (MRI) techniques for detecting and measuring intestinal inflammation as well...

Detailed Description

The investigators plan to evaluate novel MRI techniques to measure: 1) mesenteric/intestinal blood flow using phase-contrast cine MRI, 2) intestinal motility (peristalsis) using dynamic cine MRI, and ...

Eligibility Criteria

Inclusion

  • Healthy Control Group
  • Be able to tolerate up to 45 minutes in an MRI scanner
  • Newly Diagnosed Crohns Group
  • Newly diagnosed, pathology-confirmed diagnosis of small bowel Crohn's disease,
  • Expected to receive infliximab (Remicade; Janssen Biotech, Inc.) or other anti-Tumor Necrosis Factor (anti-TNF) medical therapy,
  • Between 11 to 25 years of age and able to assent/consent,
  • Be available for follow-up MRI at 4-weeks and 6-months after the initiation of treatment,
  • Be able to tolerate up to 45 minutes in an MRI scanner.

Exclusion

  • Healthy Control Group
  • Inability to obtain assent/consent,
  • Inability to tolerate 45 minutes in an MRI scanner,
  • Contraindication to MRI (e.g., MRI incompatible implant or support device),
  • Previous (remote) diagnosis or treatment of inflammatory bowel disease or other intestinal disease,
  • History of intra-abdominal surgery, including surgery on the intestine,
  • Pregnancy. Point-of-care urine pregnancy testing will be performed on all female study participants of reproductive potential (pediatric and adult) prior to each research MRI exam.
  • Newly Diagnosed Crohns Group
  • Inability to obtain assent/consent,
  • Inability to tolerate 45 minutes in an MRI scanner,
  • Contraindication to MRI (e.g., MRI incompatible implant or support device),
  • Previous (remote) diagnosis or treatment of inflammatory bowel disease,
  • History of intra-abdominal surgery, including surgery on the intestine,
  • Known bleeding disorder/coagulopathy (contraindication for adult subjects, as this may increase the risk of research colonoscopy),
  • Pregnancy. Point-of-care urine pregnancy testing will be performed on all female study participants of reproductive potential (pediatric and adult) prior to each research MRI exam.

Key Trial Info

Start Date :

December 17 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 18 2024

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT03340519

Start Date

December 17 2018

End Date

December 18 2024

Last Update

February 13 2025

Active Locations (1)

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Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229