Quantitative Assessment of Intestinal Motility on Bowel Ultrasound in Patients With Inflammatory Bowel Disease: a Feasibility, Observational, Cross-sectional, Monocentric Study
MOTUS
1 other identifier
observational
100
1 country
1
Brief Summary
Inflammatory bowel diseases (IBD), such as ulcerative colitis (UC) and Crohn's disease (CD), are chronic, relapsing and destructive inflammatory disorder of the intestinal wall. A treat-to-target approach with tight monitoring of intestinal inflammatory lesions is recommended to prevent organ damage and impaired quality of life. Because clinical scores and laboratory assessments have shown poor correlation with intestinal inflammation, endoscopic investigation has to be performed frequently as a reference standard. Due to the fact that colonoscopy (CS) is poorly accepted by patients, expensive, time consuming and harbors the risk of complications, new imaging strategies are required to overcome invasive procedures. The aim of this non-interventional prospective cross-sectional observational study is to investigate the feasibility of using intestinal motility quantified by intestinal ultrasound (US) to evaluate disease activity. The outcomes of intestinal motility detected by ultrasound will be compared with endoscopic and histopathological reference standards in adult patients with IBD
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 15, 2022
CompletedFirst Submitted
Initial submission to the registry
January 27, 2023
CompletedFirst Posted
Study publicly available on registry
February 9, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 25, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2024
CompletedFebruary 9, 2023
January 1, 2023
12 months
January 27, 2023
January 30, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
outcomes of intestinal motility detected by ultrasound will be compared with endoscopic and histopathological reference standards in adult patients with IBD.
outcomes of intestinal motility detected by ultrasound will be compared with endoscopic and histopathological reference standards in adult patients with IBD.
1 DAY
Interventions
to investigate the feasibility of using intestinal motility quantified by intestinal ultrasound (US) to evaluate disease activity. The outcomes of intestinal motility detected by ultrasound will be compared with endoscopic and histopathological reference standards in adult patients with IBD
Eligibility Criteria
100 adult IBD patients (established diagnosis since at least 3months) at the Gastroenterology Department of the San Raffaele Hospital requiring colonoscopy, US and histologic evaluation of tissue biopsies according to ECCO international guidelines
You may qualify if:
- \> 18 years
- established diagnosis since at least 3 months requiring colonoscopy, US and histologic evaluation of tissue biopsies according to ECCO international guidelines 3-5
- CD ileo-colonic patients, 25 in endoscopic activity (as defined by a SES-CD \> 2), 25 in endoscopic remission (as defined by a SES-CD \< 2), independently from treatment;
- UC patients, 25 in endoscopic activity (as defined by a Mayo endoscopic score \> 2), 25 in endoscopic remission (as defined by a Mayo endoscopic score \< 2), independently from treatment.
You may not qualify if:
- Patients with inflammation restricted to the rectum (≤ 15 cm from the anal verge);
- UC patients without involvement of sigmoid colon or inability to reach the sigmoid colon by CS;
- CD patients without ileal involvement or inability to reach the ileum by CS;
- Patients with severe UC (defined as a Mayo global score \> 12, requiring hospitalization);
- Pregnancy;
- Previous intestinal surgery;
- Concomitant intestinal infection (e.g. Clostridium difficile);
- Cirrhosis or intra-abdominal ascites.
- Patients not able to comply with any study procedure;
- Patients not able to understand and give informed consent form;
- Patients with any contraindication to any study procedure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mariangela Allocca
Milan, 20132, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mariangela Allocca
IRCCS San Raffaele
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Gastroenterologist
Study Record Dates
First Submitted
January 27, 2023
First Posted
February 9, 2023
Study Start
December 15, 2022
Primary Completion
November 25, 2023
Study Completion
November 25, 2024
Last Updated
February 9, 2023
Record last verified: 2023-01