NAZA - Nottingham/Astra ZenecA Prospective IBD Cohort Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorUniversity of Nottingham

About this trial

The goal of this observational study is to learn about the comparisons of inflammatory markers between IBD and non-IBD (control) participants.

The main question it aims to answer is:

Are there differences in inflammatory markers between IBD and non-IBD (control) participants.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

Inability to give informed consent

Any positive result from previous screening for serum hepatitis B surface antigen, hepatitis C or human immunodeficiency virus (HIV)

An ongoing infection requiring treatment

Clinical evidence of active COVID infection and/or evidence of active COVID determined by local standard care procedures

Trial population

A cohort study in patients with moderate to severely active Crohn's Disease (CD) and Ulcerative Colitis (UC) who are switching to new targeted biologic therapy (with a different mode of action) - onto either anti-TNFα therapy or vedolizumab for UC or onto anti-TNFα therapy or ustekinumab or upadacitinib for CD and undergoing routine endoscopic assessments as part of normal clinical practice. We will also recruit participants without these conditions (controls) who are due for a lower GI colonoscopy as part of the UK national bowel cancer screening programme or on any hospital/ medical/ clinical screening list or any other appropriate list with no pathology found on examination.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

240 Participants
are grouped into 6 trial groups

6

Trial groups

See each trial group below.

Group A: Crohn's Disease - anti-TNFα therapy
Group B: Crohn's Disease - ustekinumab
Group C: Crohn's Disease - upadacitinib
Group D: Ulcerative Colitis - anti-TNFα therapy
Group E: Ulcerative Colitis - vedolizumab
Group F: Control non-IBD

Trial outcomes

Primary outcomes

1

The comparison of the IL-23/Th17 inflammatory axis between IBD and healthy control samples

Time frame
Baseline, Month 3 and Month 12

Secondary outcomes

1

Characterisation of IL-23/Th17 inflammatory axis within IBD biosamples stratified by prior biologic exposure

Time frame
Baseline, Month 3 and Month 12
2

Comparison of mRNA sequencing readouts, characterisation of tissue and immune cell populations, characterisation of protein expression and characterisation of microbial species in the stool and tissue

The above will be stratified by disease type and status, demographic features of the participant, biologic exposure, clinical and endoscopic response to treatment

Time frame
Baseline, Month 3 and Month 12

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Nottingham

Lead sponsor

Nottingham University Hospitals NHS Trust

Collaborator