Status:

NOT_YET_RECRUITING

Utility of Low Intensity Pulsed Ultrasound Stimulation (LIPUS) to Modulate the Release of Mediators Capable of Reflecting the Inflammatory State in the Affected Colonic Tract of Ulcerative Colitis Patients

Lead Sponsor:

Istituto Clinico Humanitas

Collaborating Sponsors:

Innovative Medicines Initiative

Ospedale San Raffaele

Conditions:

Ulcerative Colitis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to learn whether Low Intensity Pulsed Ultrasound (LIPUS) is capable of promoting the release of extracellular vesicles from the gut into the bloodstream of Ulcerativ...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • For Phase A:
  • male and female patients ≥ 18 years of age (at the time of signing the Informed Consent) -signed written Informed Consent
  • established diagnosis of UC with a minimum disease duration of 3 months
  • moderate, moderate to severe active UC, defined by partial Mayo Score
  • indication to start any targeted therapy, yet not initiated
  • in case of treatment with corticosteroid: stabile dose for at least 3 weeks prior to baseline, dosage ≤ 20 mg prednisone
  • indication for colonoscopy for the assessment of disease activity as for standards of care and current guidelines
  • able to comply with the study procedures
  • BMI \<23.
  • For Phase B:
  • male and female patients ≥ 18 years of age (at the time of signing the Informed Consent)
  • signed written Informed Consent
  • established diagnosis of UC and in clinical remission defined by partial Mayo Score with any targeted therapy
  • able to comply with the study procedures
  • BMI \<23.
  • Exclusion Criteria for both phases:
  • diagnosis of indeterminate colitis, Crohn's colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis
  • absolute contraindications to colonoscopy procedures, complication during previous endoscopy
  • bleeding disorders
  • indication for surgery for UC
  • legal incapacity
  • rectal topical therapy (enemas or suppositories) ≤ 2 weeks prior to baseline
  • treatment with \> 20 mg prednisone within 3 weeks prior to baseline
  • anemia (hemoglobin \< 10 g/dl) at baseline
  • pregnant or breastfeeding women
  • women with implanted contraceptive device
  • BMI\>23
  • patients diagnosed with cancer (especially attention goes to colon-rectal neoplasty)
  • high turnover osteoporosis
  • presence of metal fragments
  • joint prostheses
  • varicous veins
  • phlebitis and thrombophlebitis
  • presence of pacemaker
  • obliterating arteriopathy
  • menstruation
  • neoplastic tissues and surrounding areas
  • tuberculosis
  • individuals in the growing phase (children and adolescents)
  • individuals not capable of communicating sense of pain
  • any circumstances which could contradict a study participation and lead the Investigator to assess the patient as unsuitable for study participation for any other reason.

Exclusion

    Key Trial Info

    Start Date :

    November 1 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    June 30 2026

    Estimated Enrollment :

    90 Patients enrolled

    Trial Details

    Trial ID

    NCT06569888

    Start Date

    November 1 2024

    End Date

    June 30 2026

    Last Update

    August 26 2024

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