inflammatory bowel disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients ¡Ý 18 years old 2. Diagnosis of IBD, based on a combination of history, physical examination, family history, laboratory tests, endoscopy tests including histopathologic examination of mucosal biopsies, imaging studies and occasionally intraoperative findings 3. Written informed consent 4. The clinical indication for a colonoscopy, independent of this study 5. Active disease, defined by either clinical or biochemical AND endoscopic signs: 5.1 Clinical OR biochemical signs of active disease 5.1.1 Clinical: 5.1.1.1 CD: Harvey Bradshaw index (HBI) [21] > 4 5.1.1.2 UC: simple clinical colitis activity index (SCCAI) [22] ¡Ý 5 5.1.2 Biochemical: 5.1.2.1 CRP > 5 mg/L or fecal calprotectin (FC) > 250 mcg/g) AND 5.2 Endoscopic signs of active disease 5.2.1 CD: ¡Ý 1 ulcer ¡Ý 0.5 cm 5.2.2 UC: Mayo score [7] ¡Ý 1
Exclusion criteria
Exclusion criteria: 1. Age < 18 years at inclusion 2. Ongoing use of anticoagulants that may increase the risk of bleeding when biopsies are taken 3. Currently ongoing malignancy 4. Serious concomitant inflammatory diseases and/or anti-inflammatory treatment(s) that may impair the interpretability of the protein analysis, per investigators¡¯ interpretation (e.g. microscopic colitis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the correlation of protein profiles between intestinal tissue and serum in patients with IBD | — |
Secondary
| Measure | Time frame |
|---|---|
| To identify the source matrix that has the highest chance to yield clinically relevant IBD biomarkers in future research To identify putative candidate biomarkers that are able to: o differentiate between IBD and non-IBD controls o differentiate between CD and UC o identify subgroups within the patients groups of CD or UC in alignment with endoscopic severity. To identify possible targets for the future development of therapeutic compounds | — |
Contacts
Academic Medical Center Amsterdam, Department of gastroenterology and hepatology, C2-231