About this trial
This prospective observational study aims to evaluate early changes in blood-based inflammatory indices during the first 4 weeks after treatment initiation or escalation and their relation to endoscopic and histological healing at 12 to 16 weeks in adult patients with inflammatory bowel disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older
Confirmed diagnosis of ulcerative colitis or Crohn's disease
Objective evidence of active disease at baseline
Planned initiation or escalation of IBD treatment
Disqualifiers
Active infection
Recent major surgery
Malignancy
Hematological malignancy or disorder substantially altering leukocyte or platelet counts
Trial population
Adult patients with ulcerative colitis or Crohn's disease starting or escalating medical therapy at the Gastroenterology and Hepatology Unit, Assiut University.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Proportion of patients with endoscopic healing
Proportion of patients achieving endoscopic healing at follow-up, defined as Mayo Endoscopic Score = 0 in ulcerative colitis or SES-CD \< 3 in Crohn's disease.
Secondary outcomes
Proportion of patients with histological healing
Proportion of patients achieving histological healing based on histopathological assessment of mucosal biopsies.
Mean change in neutrophil-to-lymphocyte ratio
Mean change in neutrophil-to-lymphocyte ratio (NLR) from baseline to 4 weeks.
Mean change in C-reactive protein
Mean change in C-reactive protein (CRP) level from baseline to 4 weeks.
Mean change in CRP-to-albumin ratio
Mean change in CRP-to-albumin ratio (CAR) from baseline to 4 weeks.
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: