chronic ulcerative colitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Symptimatic ulcerative pan-colitis (affecting the colon to at least the hepatic flexure) for more than 10 years On active ulcerative colitis surveillance colonoscopy programme Age 20-75 Cortico-steroid naive (topical and systemic) for 6 months Able to give informed consent May be on miantenence 5ASA or immunosuppressant treatment which will be continued Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Previous colorectal adenocarcinoma Known dysplasia in the colon Ongoing corticosteroid use Prior colonic surgical resection pregnancy Unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: Identification of other biomarkers, including sFRP1, which may individually or in combination predict methylation response.;Main Objective: The primary outcome meaure is the methylation response of the Wnt antagonist sFRP1 measured as a binary variable (positive, negative); Primary end point(s): This is an open label phase IV randomised study. In this study 50 patients will be randomised between Budenofalk 2mg (Group A) per day for 4 weeks and no intervention (Group B); 25 patients in each group. After 4 and 8 weeks, patients will undergo repeat bowel examination to assess the effect of the treatment on the expression of the chosen epithelial markers of colorectal cancer risk ;Timepoint(s) of evaluation of this end point: - | — |
Countries
United Kingdom