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Stool test strategy aims to prevent UC Flare-Ups
NCT ID NCT07402135
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether using stool biomarkers (fecal calprotectin and fecal immunochemical test) to guide treatment adjustments can prevent relapses in people with ulcerative colitis. About 240 adults in remission will be randomly assigned to either biomarker-guided therapy or usual care. The goal is to see if early treatment changes based on stool test results can reduce the risk of flare-ups, hospitalizations, or surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fecal biomarker-guided therapy escalation (procedure)
- What this could lead to
- If successful, this approach could help doctors adjust treatment earlier based on stool test results, potentially preventing flare-ups and reducing hospitalizations.
- What could go wrong
- This is an early-stage strategy trial with no direct treatment benefit. The approach may not improve outcomes over usual care, and the open-label design could introduce bias.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Confirmed UC diagnosis ≥6 months. 2. Clinical remission: Partial Mayo Score (pMS) ≤2, with stool frequency and rectal bleeding subscores ≤1. 3. Endoscopic remission (MES ≤1) confirmed by colonoscopy within 12 weeks pre-screening. 4. Stable maintenance therapy (5-ASA, immunomodulators, biologics, or JAK inhibitors) ≥8 weeks. 5. Written informed consent. Exclusion Criteria: 1. Indeterminate colitis or Crohn's disease. 2. History of toxic megacolon, symptomatic colonic stricture, or dysplasia. Prior colectomy. 3. Systemic/local corticosteroid use within 8 weeks. 4. Active gastrointestinal infection or chronic diarrhea from non-UC causes. 5. Pregnancy, lactation, or concurrent interventional trial participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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