NCT07082231

Brief Summary

Ulcerative colitis (UC) is a chronic disease characterized by acute episodes of bloody diarrhea with varying degrees of severity. The most feared event, acute severe UC, can lead to life-threatening and systemic complications. Little is known about the determinants of severity in UC. The investigators hypothesize that distinct severity phenotypes of UC arise from intricated host-microbiota mechanisms influencing repair mechanisms. Our first and main objective is to study the natural history of UC during a one-year time period in a cohort of patients.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
16mo left

Started Sep 2025

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress34%
Sep 2025Sep 2027

First Submitted

Initial submission to the registry

March 12, 2025

Completed
4 months until next milestone

First Posted

Study publicly available on registry

July 24, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

September 1, 2025

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2027

Last Updated

July 24, 2025

Status Verified

July 1, 2025

Enrollment Period

2 years

First QC Date

March 12, 2025

Last Update Submit

July 21, 2025

Conditions

Keywords

Acute severe ulcerative colitisUlcerative colitisInflammatory bowel diseaseBiobank

Outcome Measures

Primary Outcomes (6)

  • Mayo clinical activity score

    Evolution of Mayo clinical activity score between inclusion and last visit. There is 4 items and for each item is rated from 0 to 3 and total score that varies from 0 to 12

    Baseline, Month 12

  • UCEIS endoscopic activity score

    Evolution of UCEIS endoscopic activity score between inclusion and last visit. There is 3 items. Each item is rated from 0 to 2 or 0 to 3 and total score that varies from 0 to 8

    Baseline, Month 12

  • Nancy histological activity score

    Evolution of Nancy histological activity score between inclusion and last visit. The Nancy index is defined by a 5-level classification ranging from grade 0 (absence of significant histological disease activity) to grade 4 (severely active disease).

    Baseline, Month 12

  • Advanced therapy (biologics or small molecules)

    Number of new advanced therapy (biologics or small molecules) between inclusion visit and last visit

    Baseline, Month 12

  • Hospitalization due to disease flare

    Number of hospitalization due to disease flare between inclusion visit and last visit

    Baseline, Month 12

  • Colectomy

    Number of colectomy between inclusion and last visit

    Baseline, Month 12

Study Arms (2)

Ulcerative Colitis Group

ACTIVE COMPARATOR
Other: Blood sampleProcedure: biopsy

Non-Ulcerative Colitis with Polyps Group

PLACEBO COMPARATOR
Other: Blood sampleProcedure: biopsy

Interventions

3 blood samples

Non-Ulcerative Colitis with Polyps GroupUlcerative Colitis Group
biopsyPROCEDURE

3 pairs of biopsy realised during the coloscopy

Non-Ulcerative Colitis with Polyps GroupUlcerative Colitis Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients covered by a social security system.
  • French-speaking patients.
  • Patients aged ≥18 years.
  • Patients diagnosed with ulcerative colitis (UC) according to the European Crohn's and Colitis Organisation (ECCO) guidelines.
  • Patients undergoing lower gastrointestinal endoscopy or rectocolic surgery.
  • Non-UC Patients with Polyps Group:
  • Patients undergoing colonoscopy with resection of hyperplastic polyps in the rectum, sessile serrated lesions, or adenomas \>2 cm.

You may not qualify if:

  • Patients with perianal, ileal lesions, or endoscopic features of colonic lesions suggestive of Crohn's disease.
  • Pregnant or breastfeeding women.
  • Patients under legal protection or unable to provide informed consent.
  • Patients deprived of liberty by judicial or administrative decision, hospitalized without consent, or admitted to a healthcare or social institution for reasons unrelated to the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHU de Bordeaux

Pessac, 33604, France

Location

MeSH Terms

Conditions

Colitis, UlcerativeInflammatory Bowel Diseases

Interventions

Blood Specimen CollectionBiopsy

Condition Hierarchy (Ancestors)

ColitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesColonic DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative TechniquesCytodiagnosisCytological TechniquesDiagnostic Techniques, Surgical

Study Officials

  • Pauline RIVIERE, MD

    University Hospital, Bordeaux

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 12, 2025

First Posted

July 24, 2025

Study Start

September 1, 2025

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

September 1, 2027

Last Updated

July 24, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations