About this trial
The purpose of this study is to evaluate disease progression, in terms of development of symptomatic disease and complications associated with IBD (e.g. fistula, abscess, stricture).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male or female ≥18 years of age at baseline.
New diagnosis of IBD during a CRC screening colonoscopy, based on the criteria from the European Crohn's and Colitis Organization (33, 34).
Presence of a chronic inflammatory infiltrate and histological diagnosis compatible with IBD.
The patient must be asymptomatic at diagnosis and without previous symptoms suggestive of IBD.
Disqualifiers
Identification of any enteropathogen in the stool culture.
Isolated findings of acute inflammatory infiltrate without signs of chronicity.
Previous or current diagnosis of microscopic colitis.
Alteration in biomarkers in blood or stool will not constitute an exclusion criterion.
Trial population
All patients with a new diagnosis of IBD
Trial design
Cohort
Prospective
Treatments tested in this trial
bioespecimen samples
Procedure/SurgeryBlood, serum, plasma, urine, stools, small/large bowel tissue.
Treatment groups
Trial outcomes
Primary outcomes
Disease progression
Development and type of new-onset symptoms during follow-up (mainly diarrhea, abdominal pain, and rectal bleeding).
Disease progression
Time to development of symptomatic disease during follow-up.
- IBD characteristics
* Type (CD or UC) * Disease extent (CD or UC) according to Montreal classification * CD phenotype at diagnosis (Montreal classification) * Endoscopic characteristics at diagnosis (both CD and UC): type of lesions, distribution, and extent * Presence and type (simple, complex fistula or abscess) of perianal disease at diagnosis and during follow-up
Omic findings
proteomic, transcriptomic, serologic, microbiota, and tissue data
Secondary outcomes
IBD characteristics:
* Development and time to development of changes in CD disease location, according to Montreal classification. * Development and time to development of new-onset or stricturing, penetrating or perianal complications, defined as changes in CD phenotype (Montreal classification) * Development of proximal disease extension in UC * Laboratory parameters: FOBT levels at diagnosis, and CRP, hemoglobin, albumin, fecal calprotectin at diagnosis and during follow-up.
Changes in endoscopic features during follow-up
Microscopic characteristics at diagnosis
Clinical disease activity during follow-up
Sponsors and contacts
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