About this trial
This multicenter prospective cohort aims to evaluate whether combined changes in fecal calprotectin (FC) and fecal immunochemical test (FIT) at \*\*Week 2 and Week 4\*\* after initiating biologic therapy (vedolizumab or infliximab) can predict clinical response at \*\*Week 14\*\* and mucosal healing at \*\*Week 52\*\* in moderate-to-severe ulcerative colitis (UC) patients. Primary outcome: clinical remission rate at Week 14.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-75 years, UC diagnosis with endoscopic Mayo score (MES) ≥2
Moderate-to-severe activity (Full Mayo Score ≥6)
Initiating vedolizumab or infliximab within 7 days after baseline
Biologic-naïve or prior exposure to only one TNF-α inhibitor
Disqualifiers
Pregnancy/lactation
Contraindications to biologics (e.g., active TB, severe infection)
Experimental drug use within 4 weeks prior to baseline
Trial population
UC patinets accept biologics
Trial design
Cohort
Prospective
Treatments tested in this trial
fecal calprotectin
Diagnostic testpatients will accpet test of FC combine FIT
Treatment groups
Trial outcomes
Primary outcomes
Proportion achieving **clinical remission** (Full Mayo Score ≤2, no subscore >1) at **Week 14**
Secondary outcomes
Mucosal healing (MES=0) at W52
Clinical response rate (W14) * Endoscopic improvement (MES ≤1) at W14 * Steroid-free clinical remission at W52 * Mucosal healing (MES=0) at W52 * ROC analysis of FC/FIT for predicting outcome
Sponsors and contacts
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Qilu Hospital of Shandong University
Lead sponsor
Qilu Hospital of Shandong University (Qingdao)
Collaborator
Dezhou Hospital Qilu Hospital of Shandong University
Collaborator
Weihai Municipal Hospital
Collaborator
Liaocheng People's Hospital
Collaborator
Jining First People's Hospital
Collaborator