April 29, 2026 · Gut · DOI: 10.1136/gutjnl-2026-338447

Digital twins in IBD-bridging data, biology and trial innovation

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The authors investigate how digital twins, which are data-driven virtual replicas of individual patients, can revolutionize clinical trials in inflammatory bowel disease (IBD) by addressing challenges such as complexity, costs, and recruitment. They discuss the potential of digital twins to enhance trial design through adaptive randomization and synthetic control arms, while also highlighting the need for rigorous validation, ethical considerations, and data governance to ensure successful integration into IBD research.

Michael Colwill, Sailish Honap, Anna-Mary Young, Fernando Magro, Vipul Jairath, Silvio Danese, Laurent Peyrin-Biroulet

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