Described herein are methods of treating inflammatory bowel disease (I BD) in a patient having IBD using SMAD7 antisense oligonucleotides. In one aspect, provided herein is a method for treating or managing inflammatory bowel disease (IBD) in a patient having IBD, wherein the method comprises (a) administering to the patient a SMAD7 antisense-oligonucleotide (SMAD7 AON) during a first treatment period at a first dose and (b) administering to the patient the SMAD7 antisense-oligonucleotide during a second treatment period at a second dose.