Fecal Noninvasive Biomarkers Oriented Control Versus Usual Care Strategy in Ulcerative Colitis
NCT07402135 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2026-02-11
Summary
Design: Multicenter, Open-Label, Randomized, Parallel Controlled Allocation: 1:1 Randomization Masking: Open-label (outcome assessors blinded for endoscopy) Primary Purpose: Treatment Strategy Evaluation Phase: Phase IV (Post-Marketing Surveillance)
Conditions
- Noninvasive Biomarkers
- Ulcerative Colitis (UC)
Interventions
- PROCEDURE
-
Preemptive therapy escalation based on preset thresholds (FC >250 μg/g or FIT >100 ng/mL) using the FOCUS-UC Ladder:
Preemptive therapy escalation based on preset thresholds (FC \>250 μg/g or FIT \>100 ng/mL) using the FOCUS-UC Ladder: Level 0: Current maintenance therapy. Level 1: Optimize current therapy (e.g., dose increase, TDM-guided adjustment). Level 2: Add combination therapy (e.g., biologics + immunomodulators). Level 3: Switch to advanced therapy (different mechanism). Level 4: Study withdrawal (treatment failure).
- PROCEDURE
-
Therapy adjustment only upon clinical relapse (pMS increase ≥2 + rectal bleeding score ≥1).
Therapy adjustment only upon clinical relapse (pMS increase ≥2 + rectal bleeding score ≥1).
Sponsors & Collaborators
-
Qilu Hospital of Shandong University (Qingdao)
collaborator OTHER -
Dezhou Hospital Qilu Hospital of Shandong University
collaborator OTHER -
Weihai Municipal Hospital
collaborator OTHER -
Jining First People's Hospital
collaborator OTHER -
Zaozhuang Municipal Hospital
collaborator OTHER -
Liaocheng People's Hospital
collaborator OTHER -
Weifang People's Hospital
collaborator OTHER -
Qilu Hospital of Shandong University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-10
- Primary Completion
- 2026-08-30
- Completion
- 2026-12-31
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