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Study identifier: NCT04999228 Synced from ClinicalTrials.gov · July 28, 2026
● Recruiting

Top Down Versus Step up in Pediatric Ulcerative Colitis

Condition: Ulcerative Colitis · Infliximab · Children  ·  Sponsor: Children's Hospital of Fudan University

PhasePhase 4
Planned participants40
Who can joinAll sexes, 6 Years to 18 Years
Healthy volunteersNo

About this study

Pediatric Ulcerative Colitis (UC) patients with moderate to severe disease activity at high risk of colectomy. Early use of biologic agents will likely be more effective. But there were no studies identified that compared a strategy of upfront biologic-based therapy versus gradual step-up therapy. In our study, newly diagnosed moderate to severe pediatric UC patients (6-18 years old) will be randomly divided into infliximab (IFX) treatment group (Top down group, TD) and corticosteroids (CS) treatment group (Step-up group, SU). Mucosal healing rate at week 12 will be compared between the two groups. The relapse rates and sustained durations of remission within one year will also be evaluated.

This description comes directly from the study's public registry record.

Talk to the study team

Cui fang Zheng  ·  8615221881022  ·  zhengcuifang2@126.com

Always discuss trial participation with your own doctor first.

Locations (1)

Children's Hospital of Fudan UniversityShanghai, Shanghai Municipality, ChinaRecruiting

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Source record: clinicaltrials.gov/study/NCT04999228