About this trial
This combined retrospective-prospective cohort study aims to evaluate the effectiveness, safety, and adverse events of conventional versus biologic therapy in children and adolescents with inflammatory bowel disease at Assiut University Children Hospital.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
- Confirmed diagnosis of Crohn's disease, ulcerative colitis, or IBD-unclassified according to revised Porto criteria
Age at diagnosis less than 18 years
Receipt of conventional therapy and/or biologic therapy for a minimum evaluable treatment duration
Availability of adequate medical records
Disqualifiers
- Incomplete medical records precluding assessment of primary endpoints
Age more than 18 years
Discontinuation of follow-up before a minimum evaluable treatment period
Trial population
Children and adolescents up to 18 years of age with confirmed inflammatory bowel disease receiving conventional and/or biologic therapy at Assiut University Children Hospital and the Health Insurance IBD Committee, Assiut Branch.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Clinical remission rate
Proportion of patients achieving clinical remission at week 8-12, 6 months, and 12 months, defined as PCDAI ≤ 10 for Crohn's disease or PUCAI \< 10 for ulcerative colitis.
Secondary outcomes
Clinical response rate
Proportion of patients achieving clinical response, defined as a decrease from baseline of ≥12.5 points in PCDAI (Crohn's disease) or ≥20 points in PUCAI (ulcerative colitis).
Steroid-free remission rate
Proportion of patients in clinical remission without systemic corticosteroid use.
Incidence of adverse events
Proportion of patients experiencing adverse events (infusion/injection reactions, infections, hematologic abnormalities, hepatotoxicity), graded according to CTCAE-adapted criteria
Change in growth parameters
Change in height z-score, weight z-score, and BMI z-score from baseline.
Locations
Sponsors and contacts
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