Multimodal Ultrasound in Inflammatory Bowel Diseases
CELESTIAL
Prospective Study to Evaluate the Role of Contrast-enhanced Ultrasound (CEUS) and Elastography in Predicting Clinical and Endoscopic Remission (Deep Remission) in Inflammatory Bowel Disease
1 other identifier
interventional
50
1 country
1
Brief Summary
The role of intestinal ultrasound in treatment monitoring has recently gained increasing interest thanks to its non-invasiveness, cost-effectiveness and largely availability. Moreover, new ultrasonographic tools, particularly dynamic contrast-enhanced ultrasound (D-CEUS) and shear wave elastography (SWE) can provide further useful information, such as a quantitative estimation of bowel intramural microvacularization and tissue stiffness. Aim of this study is to evaluate the role of D-CEUS and SWE in predicting deep remission at 12 months from treatment induction in IBD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Dec 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2019
CompletedFirst Submitted
Initial submission to the registry
March 16, 2023
CompletedFirst Posted
Study publicly available on registry
August 14, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedAugust 14, 2023
August 1, 2023
4.5 years
March 16, 2023
August 3, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
predicting treatment response
to quantify peak enhancement intensity in Arbitray Units AU (measured by analysing D-CEUS time-intensity curves) in patients with inflammatory bowel diseases undergoing biological treatment, stratified according to 12-months response to treatment (responders vs non-responders)
12 months after treatment induction
Secondary Outcomes (2)
predicting treatment response
12 months after treatment induction
predicting treatment response
12 months after treatment induction
Study Arms (1)
Patients
EXPERIMENTALpatients with Crohn's disease or Ulcerative Colitis needing to begin biologic treatment
Interventions
Contrast enhanced ultrasound and shear wave elastography on target intestinal loop are perfomed before and at different timepoints after treatment induction
Eligibility Criteria
You may qualify if:
- written informed consent
- diagnosis of Crohn's disease or Ulcerative Colitis
- indication to start biologic treatment according to international guidelines
- affected intestinal segment detectable in B-mode ultrasound
You may not qualify if:
- induction of biologic therapy in prophylaxis after surgery in Crohn's disease
- lack of visualization of affected intestinal tract (eg. obesity)
- diagnosis of undetermined colitis
- hearth failure
- known allergy to ultrasound contrast agents
- pregnancy
- lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Fondazione Policlinico Gemelli IRCCS
Roma, 00168, Italy
Related Publications (1)
Ainora ME, Liguori A, Mignini I, Cintoni M, Galasso L, Laterza L, Lopetuso LR, Garcovich M, Riccardi L, Gasbarrini A, Scaldaferri F, Zocco MA. Multimodal dynamic ultrasound approach as predictor of response in patients with Crohn's disease treated with ustekinumab. Therap Adv Gastroenterol. 2024 Jun 22;17:17562848241259289. doi: 10.1177/17562848241259289. eCollection 2024.
PMID: 38912296DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof
Study Record Dates
First Submitted
March 16, 2023
First Posted
August 14, 2023
Study Start
December 1, 2019
Primary Completion
June 1, 2024
Study Completion
December 1, 2024
Last Updated
August 14, 2023
Record last verified: 2023-08