Project Overview

Inflammatory bowel disease is marked by unpredictable flares that disrupt remission and reduce quality of life, yet current tools offer limited ability to anticipate them. This project builds a machine learning model trained on data from over 4,000 IBD patients at Sheba Medical Center, integrating electronic medical records with microbiome and metabolomics profiles to predict flares and model overall disease course. Causal inference methods assess which factors actively drive flare pathogenesis — moving beyond correlation to actionable insight. The work aims to produce a personalized flare prevention recommendation system and identify novel metabolite-based therapeutic targets, with clinical implementation anticipated within 3–5 years.

Impact & Innovation

From reactive to predictive IBD care.

 

By combining EMR data from 4,000+ patients with microbiome and metabolomics profiles, this project builds a machine learning framework that anticipates flares, identifies therapeutic targets, and moves IBD management from reactive to proactive.

  • Uncovers novel biological mechanisms governing IBD disease course through causal inference applied to integrated clinical and omic data
  • Generates IP potential through a personalized flare prediction algorithm and a large-scale multi-modal IBD data repository
  • Advances the Consortium’s Integrated Data and Discovery Platforms pillar by establishing a replicable model for EMR-omic integration in chronic autoimmune disease management
Research Approach

A framework designed for discovery

This project integrates machine learning, multi-omic profiling, and causal inference methods to build and validate a comprehensive predictive framework for IBD flare prediction and disease course modeling. The approach combines large-scale real-world clinical data with molecular datasets to move from prediction to mechanistic insight and therapeutic target discovery.

Machine learning model development using EMR data from over 4,000 IBD patients at Sheba Medical Center, with treatment switching as a flare proxy; integration of microbiome and metabolomics data to identify molecular markers associated with flares; and application of causal inference methods to assess the role of specific factors in flare pathogenesis.

Electronic medical records from 4,000+ IBD patients at Sheba Medical Center, molecular datasets including microbiome and metabolomics profiles, and integrated EMR-omic datasets analyzed using state-of-the-art causal inference and machine learning frameworks.

Development of a validated, clinically deployable prediction and recommendation system for personalized IBD flare prevention, identification of novel metabolite-based therapeutic targets, and discovery of causal mechanisms underlying IBD disease course — with translational implementation anticipated within 3–5 years, contingent on additional funding for data generation and development.

Investigators & Institutions

Powering the science

Principal Investigators

Yael Haberman, MD PhD, Colton Consortium Member

Professor, Gray Faculty of Medical and Health Sciences, Sheba Medical Center, Tel Aviv University

Elhanan Borenstein, PhD, Colton Consortium Affiliate

Professor, School of Computer Science and AI, Tel Aviv University

Research Outputs

From insight to impact

Publications

Differences in disease characteristics and treatment exposures between paediatric and adult-onset inflammatory bowel disease using a registry-based cohort

Alimentary Pharmacology & Therapeutics
Granot, M; Kopylov, U; Loberman-Nachum, N; Krauthammer, A; Abitbol, CM; Ben-Horin, S; Weiss, B; Haberman, Y September 2024
Autoimmune EpidemiologyData-Driven & QuantitativeDisease SubtypingExperimental Platforms & ModelsHuman CohortsPopulation & Patient-CenteredPrecision MedicineReal-world EvidenceTranslational & ClinicalCrohn's DiseaseCross-Cutting & Special PopulationsGastrointestinal DiseasesPediatric Autoimmune DiseasesUlcerative ColitisTel Aviv University

Fecal metabolic signals are associated with changes in microbiota and systemic metabolic pathways in Crohn’s disease

Scientific Reports
Levhar, N; Hadar, R; Braun, T; Shacham, H; Algavi, Y; Naamneh, R; Efroni, G; Agranovich, B; Abramovich, I; Talan Asher, A; Picard, O; Yavzori, M; Lahat, A; Yab…Levhar, N; Hadar, R; Braun, T; Shacham, H; Algavi, Y; Naamneh, R; Efroni, G; Agranovich, B; Abramovich, I; Talan Asher, A; Picard, O; Yavzori, M; Lahat, A; Yablecovitch, D; Kopylov, U; Denson, L; Borenstein, E; Eliakim, R; Ben-Horin, S; Amir, A; Haberman, Y February 2026
Tel Aviv University