Induction of Advanced Therapy

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

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.

Last reviewed and updated in January 2026.

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

Additional resources

For IBD providers

Harvey Bradshaw Index
Partial Mayo Scoring Index
Loss of response OR partial response IBD clinical care protocol
Health Maintenance

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