Brain Activity and Oxygenation Inflammatory Bowel Disease (IBD) Patients
NCT04733456 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2021-04-28
Summary
Symptoms such as fatigue, sleep disturbances, anxiety and depression are common in patients with IBD, but the cause is unknown. Understanding how these behaviors occur in IBD and their role in symptoms may help improve management of IBD. How IBD leads to changes in brain function remains unclear. Inflammation and dysfunction of blood flow may occur in patients with IBD, which may be linked to these symptoms. Patients with IBD also have an alteration or imbalance of gut bacteria which may play a role in the development of the disease, but the exact mechanism remains poorly understood;as a result, there are limited therapeutic options available clinically to address this issue. An approved therapy, anti-TNF α, may be useful in improving brain and gut activity as well as quality of life. The purpose of this research study is to better understand brain and gut activity in the context of IBD to possibly improve treatments for the disease. In patients taking anti-TNFα therapy as prescribed clinically as standard of care, the investigators will measure brain activity using NIRS; gut microbiome using stool analysis and quality of life using various questionnaires.
Conditions
- IBD
- Maladaptive Behavior Associated With Physical Illness
Interventions
- BEHAVIORAL
-
Quality of life questionnaires
Mayo Clinic Score (UC) or HBI score (CD), short IBDQ73, \*EQ5D-5L, \*GAD-774, \*PHQ-975, \*PROMIS (Gastrointestinal Belly Pain), Multidimensional Assessment of Interoceptive Awareness (MAIA)77, \*Pain Catastrophizing Scale, Pittsburg Sleep Quality Index (PSQI) and Fatigue Severity Scale (FSS) at baseline and 16 weeks after the start of anti-TNF therapy
- DEVICE
-
NIRS
A TechEn NIRSOptix continuous-wave fNIRS system will be used to record changes in cerebral oxygenation, at a sampling rate of 25 Hz
- OTHER
-
Stool Collection
For assessment of the known biomarker fecal calprotectin, in addition to fecal bacterial and fungal microbiome
- OTHER
-
Blood and urine collection
for inflammatory markers and metabolomic \[IMC\] analysis
Sponsors & Collaborators
-
University of Calgary
lead OTHER
Principal Investigators
-
Mark Swain, MD · University of Calgary
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-26
- Primary Completion
- 2025-01-05
- Completion
- 2026-01-05
Countries
- Canada
Study Locations
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