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The course of Crohn's disease (CD) varies considerably between patients, but reliable prognostic markers are not available in clinical practice. Even though several parameters have been associated with prognosis in CD-including clinical features, serology and genetic variants-none are sufficient to guide therapy in clinical practice. Trying to find out the mechanisms influencing the effectiveness of treatments and develop a personalized therapy is an urgent problem in the era of biologics as the investigators now have a growing armamentarium of IBD therapies. Several scientists found that the levels of T cells subsets ratio and inflammation cytokines were significantly increased in the intestinal mucosa and serum in active IBD patients, whereas mucosal innate lymph cells had specific effects in inflammation. However the studies about the differences of lymph cell levels between subgroups of IBD patients and their relationships with effectiveness of treatments are relatively rare. Based on above, the investigators plan to recruit patients diagnosed and suspicious of Crohn's disease and a group of diseases in differential diagnosis of CD to keep track of their disease characteristics, therapy and response, collect their blood sample at specific points of time, to investigate the mechanisms of heterogeneity of therapy effectiveness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CD group | no interventions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| no interventions | Other | no interventions |
|
| Measure | Description | Time Frame |
|---|---|---|
| time to first treatment escalation | time to first treatment escalation | 6 months to 1 year |
| bowel surgery | time to receive bowel surgery after diagnosis | 1 month to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| side effects of medications | side effects of medications including infection and malignancy etc. | 1 month to 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged 14-80 years old, newly diagnosed or previously diagnosed of Crohn's disease according to 2010 WGO criteria for Crohn's disease were recruited from a specialist IBD clinic.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yan Chen, MD | Contact | +8613757118653 | 1254499542@qq.com | |
| Wen Hu, MD | Contact | +8613819105384 | huwen_mc@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Chongqing Hospital of the University of Chinese Academy of Sciences (Chongqing People's Hospital) | Recruiting | Chongqing | Chongqing Municipality | China |
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| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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Peripheral Blood Mononuclear Cell(PBMCs) were collected from patients and volunteers using Ficoll-PaqueTM PLUS medium (GE Healthcare, Uppsala, Sweden), and total RNA was extracted using TRIzol reagent (Ambion, Carlsbad, CA).
| Nanjing Drum Tower Hospital (Nanjing Gulou Yi Yuan), the Affiliated Hospital of Nanjing University Medical School | Recruiting | Nanjing | Jiangsu | China |
|
| 2nd Affiliated Hospital, School of Medicine | Recruiting | Hangzhou | Zhejiang | 310000 | China |
|
| Huadong Hospital affiliated to Fudan University | Recruiting | Shanghai | China |
|
| D007410 | Intestinal Diseases |