Fecal Calprotectin in Pediatric Gastrointestinal Disorders

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age2-18
SponsorAssiut University

About this trial

This prospective cross-sectional study aims to evaluate the diagnostic value of fecal calprotectin as a non-invasive biomarker in children with gastrointestinal disorders and to assess its correlation with endoscopic and histopathological findings at Assiut University Children Hospital.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

- Age 2 to 18 years

Chronic gastrointestinal symptoms of more than 4 weeks duration (chronic diarrhea, recurrent abdominal pain, rectal bleeding, unexplained weight loss, or failure to thrive)

Scheduled for upper gastrointestinal endoscopy and/or ileocolonoscopy with mucosal biopsy

Written informed consent from parents or legal guardians

Disqualifiers

Age below 2 years

Use of NSAIDs, systemic corticosteroids, or antibiotics within 4 weeks before stool sampling

Documented acute gastrointestinal infection, surgical gastrointestinal bleeding, or intestinal parasitic infestation

Previous gastrointestinal surgery, known malignancy, chronic liver disease, chronic kidney disease, or cystic fibrosis

Trial population

Children aged 2 to 18 years presenting with chronic or recurrent gastrointestinal symptoms and scheduled for endoscopic evaluation at the Pediatric Gastroenterology and Endoscopy Units, Assiut University Children Hospital.

Trial design

Design model

Case-only

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

120 Participants
are grouped into 1 trial group
Group A: Single group: Children with gastrointestinal symptoms undergoing endoscopy

Trial outcomes

Primary outcomes

1

Diagnostic performance of fecal calprotectin

Sensitivity, specificity, positive predictive value, negative predictive value, and area under the receiver operating characteristic (ROC) curve of fecal calprotectin for detecting mucosal inflammation, using endoscopic and histopathological findings as the reference standard.

Time frame
Baseline

Secondary outcomes

1

Correlation with endoscopic findings

Correlation between fecal calprotectin concentration (µg/g) and endoscopic severity scores (Mayo Endoscopic Subscore or SES-CD).

Time frame
Baseline
2

Correlation with histopathological findings

Correlation between fecal calprotectin concentration (µg/g) and histopathological grade of mucosal inflammation.

Time frame
Baseline
3

Optimal cutoff value of fecal calprotectin

Optimal cutoff value of fecal calprotectin for detecting mucosal inflammation derived from ROC curve analysis.

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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