Do extra biopsies during colonoscopy help IBD patients? major study aims to find out
NCT ID NCT06560021
First seen Jun 27, 2026 · Last updated Aug 18, 2026 · Updated 2 times
Summary
This study looks at whether taking extra random biopsies during a colonoscopy helps find precancerous growths in people with inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis. About 1,600 participants will be randomly assigned to one of two biopsy methods and followed for up to 15 years. The goal is to improve cancer prevention while reducing unnecessary procedures.
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 1,642 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Jun 2029
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 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of left-sided (greater than 15 cm of disease but not beyond the splenic flexure) or extensive (extending beyond the splenic flexure) ulcerative colitis or IBD-U or colonic Crohn's disease involving at least 1/3 of the colon (defined as 2 segments of the remaining colon; segments include right colon, transverse colon, left colon and rectum). * Disease duration must meet one of the following criteria: 1. onset of symptoms of IBD at least 8 years prior 2. diagnosis of IBD at least 8 years prior 3. diagnosis of IBD for any duration if other risk factors for colon cancer are present including: concomitant diagnosis of primary sclerosing cholangitis, personal history of dysplasia, sessile serrated adenoma or right sided hyperplastic polyps greater than 10mm in diameter, or a family history of colon cancer in a first degree relative or two second degree relatives. * Scheduled to undergo colonoscopy as part of routine care * At least one indication for the index colonoscopy must be to perform dysplasia surveillance. Exclusion Criteria: * Any condition that the endoscopist feels is a contraindication to random biopsies * History of visible (high or low grade) dysplasia not completely removed * History of sessile serrated adenoma not completely removed * History of colorectal cancer * Any condition for which the endoscopist feels that pancolonic contrast or virtual chromoendoscopy is mandatory * Less than 2 segments of the remaining colon have ever been involved with IBD * Colonoscopy\* in the last 11 months unless the colonoscopy: 1. was determined by the endoscopist to be insufficient for dysplasia surveillance and, 2. did not include a diagnosis of dysplasia or sessile serrated adenoma. \*Does not include sigmoidoscopy * Inability to provide informed consent
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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 places running it
21 sites. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
Contacts and locations
Locations
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AdventHealth
Orlando, Florida, 32804, United States
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Allegheny Health Network
Pittsburgh, Pennsylvania, 15224, United States
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Houston Methodist Hospital
Houston, Texas, 77030, United States
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Mayo Clinic Jacksonville
Jacksonville, Florida, 32224, United States
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Mayo Clinic Rochester
Rochester, Minnesota, 55905, United States
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Mercy Medical Center
Baltimore, Maryland, 21202, United States
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NYU Langone Health
New York, New York, 10016, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Scripps Health
San Diego, California, 92121, United States
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University of Alabama Birmingham
Birmingham, Alabama, 35233, United States
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University of California, Los Angeles
Los Angeles, California, 90095, United States
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University of Colorado
Aurora, Colorado, 80045, United States
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University of Miami
Miami, Florida, 33136, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of North Carolina
Chapel Hill, North Carolina, 27599, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
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University of Rochester
Rochester, New York, 14642, United States
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University of Utah
Salt Lake City, Utah, 84112, United States
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Weill Cornell Medicine
New York, New York, 10021, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Mini-Guts in a dish: scientists probe why IBD tissue struggles to heal
- Can immune aging blood tests predict which older IBD patients thrive on advanced therapies?
- Ulcerative colitis drugs put under the microscope for hidden clot risk
- Can a cheap Anti-Inflammatory drug calm ulcerative colitis?
- Can early symptom relief predict who stays on IBD biologic?
- Can a liquid diet calm Crohn's in kids?