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NCT Number: NCT06337565

Safety of IBD Drugs During Pregnancy and Breasfeeding: Mothers and Babies' Outcomes

This is an observational study where pregnant women treated with non-anti-TNF agents or targeted small molecules approved for IBD treatment will be included. Although it is a multicentre, nationwide study, the number of patients to be included is expected to be relatively low (in DUMBO 1, during 5 years of recruitment, 88 patients treated with ustekimunab, 34 treated with vedolizumab, and 2 exposed to tofacitinib were included); however, this registry involved over 60 Spanish centres and it is a paramount study providing with data on the safety of drugs during pregnancy, as patients with this condition are excluded from clinical trials. In this regard, no sample size estimation was made, as we plan to include all patients who meet the inclusion criteria and consent their enrolment.

Recruiting

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Key information

Conditions

Age range

18 year–70 year

Sex eligibility

Female

Study type

Observational

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients over 18 years of age diagnosed with IBD.
  • Confirmed pregnancy.
  • - Treatment with non-anti-TNF biologics or other advanced therapies (i.e JAK inhibitors, S1P receptor modulators and molecules approved in the forthcoming years).

Exclusion criteria

  • Patients who do not accept to participate in the study

Treatment and study plan

Primary outcomes

  1. To assess the safety of new drugs (non-anti-TNF biologics and targeted small molecules) used for IBD treatment both for pregnancy and in offspring, mainly focused on the risk of serious infections (from birth and in the first 4 years of life).

    Time frame: 4 years

    The measure is, number of participants with serious adverse events (all patients included should be treated with the IBD drug). And compare number of mothers with serious adverse event with differents treatments groups.

Secondary outcomes

  1. To know the risk of serious adverse events (including abortions) during pregnancy and delivery associated with new drugs used for the treatment of IBD.

    Time frame: 4 years

  2. To assess the developmental status of children born from IBD mothers treated with new drugs during the first 4 years of life.

    Time frame: 4 years

    The clinicians will complete the ASQ-3 escale. To assess children developmental status.

  3. To compare the relative risk of serious adverse events in children born from mothers with IBD who have been exposed in utero to different new drugs to treat IBD with that of children who were not exposed to these agents.

    Time frame: 4 years

  4. To compare the prevalence of malformations in children exposed to new drugs to treat IBD in utero with that of children who were not exposed to these agents.

    Time frame: 4 years

    To calculate the proportion of children with congenital malformations (based on the definition of the Wordld Health Organization) based on the mothers´treatment.

  5. To evaluate the relative risk of developing neoplasm in children exposed to new drugs to treat IBD.

    Time frame: 4 years

    To calculate the proportion of children with neoplasm based on the mothers´ treatment

Study contacts

Contact information is provided by the study sponsor or research team.

Javier P Gisbert, PhD, MD

CONTACT

[email protected]

913093911

María G Donday, PhD

CONTACT

[email protected]

913093911

Sponsors and collaborators

Lead sponsor

Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

Other

Registry information

Official study title

Safety of IBD Drugs During Pregnancy and Breasfeeding: Mothers and Babies' Outcomes (DUMBO 2 Registry)

Important dates

Study start
2024
Primary completion
2030
Study completion
2030
First posted
Mar 29, 2024
Registry last updated
Sep 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.