Induction of Advanced Therapy

This IBD clinical care pathway is a guideline for health care providers to ensure a safe start to advanced therapy.

This Clinical Care Pathway was updated from the previous August 2025 version.

Disclaimer
Clinical care pathways are not a substitute for the personalized judgement and care of a trained healthcare professional.

Dr. Neeraj Narula (McMaster University) and Dr. Yvette Leung (University of British Columbia) are the leads for this clinical care pathway, including regular review and maintenance.

Additional resources

For IBD providers

For people with IBD

IBD Journey (Treatment & Medications)

Quick FactFaits en bref

Canada has among the highest incidence rates of Crohn's and colitis in the world.
1 in 140 Canadians lives with Crohn’s or colitis.
Families new to Canada are developing these diseases for the first time.
Incidence of Crohn’s in Canadian kids under 10 has doubled since 1995.
People are most commonly diagnosed before age 30.

Inflammatory Bowel Disease Clinical Care Pathways