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CompletedNCT01859299Updated Nov 4, 2026

Intestinal Bacteria and Ocular Inflammatory Disease

An observational study in Uveitis, sponsored by National Eye Institute (NEI). Completed at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by National Eye Institute (NEI) · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
131
Ages
18 Years to 120 Years
Sex
All
01

Study summary

Background:

- Uveitis is a general term describing a group of inflammatory diseases of the eye. The causes of uveitis are not fully understood. Researchers want to look at bacteria in the body that might be related to the inflammation. They will study the natural bacteria present in the gut and intestines of people with and without uveitis to understand their potential role in these diseases.

Objectives:

- To study the intestinal bacteria in people with and without uveitis or ocular inflammatory disease.

Eligibility:

  • Individuals at least 18 years of age who have uveitis or ocular inflammatory disease.
  • Individuals at least 18 years of age without uveitis or ocular inflammatory disease to serve as healthy controls.

Design:

  • Participants may have more than one study visit (approximately 2-4) to assess possible changes in microbiome composition associated with treatment or disease activity.
  • At each visit, participants will have a full eye examination, including vision and eye pressure tests. They will provide blood samples for testing. Participants will also be provided a stool collection kit to take home. The samples may be sent or brought back to the clinic.
  • Treatment will not be provided as part of this study.
Read the detailed description

Objective: What precipitates ocular inflammatory episodes remains unknown, but a possible potentiating factor is the microbiome. The microbiome has become increasingly studied with the advent of new techniques, but these have not been applied to uveitis. We wish to evaluate microbiome composition in patients with the ocular inflammatory diseases uveitis who may be on standard therapy or receiving orally-administered tolerizing antigen therapy.

Study Population: A total of 200 participants may be enrolled in this study. Of those participants, the goal is to enroll 50 healthy controls and 150 with various types of uveitis.

Design: This is an observational, prospective, single-center study. Participants will receive a complete ocular examination with clinical testing as determined clinically and will provide stool and blood samples using a standardized method. Participants may have multiple visits and may provide multiple samples in order to evaluate changes in microbiota composition with disease status or treatment.

Outcome Measures: Alterations in bacterial diversity, microbiota composition and changes in relative abundance of various taxa or species will be analyzed between healthy volunteers and participants and between various types of uveitis. In addition, comparisons will be made between these findings and the immunome and metabolome.

02

Conditions studied

  • Uveitis

Browse trials for

Keywords

  • Oral Tolerance
  • Uveitis
  • AMD
  • Natural History
03

In context

Uveitis

299 studies on the registry are indexed under Uveitis; 32 are open to participants now.

This study's enrollment of 131 is above the median of 107 across 104 observational studies indexed under Uveitis.

Browse Uveitis studies →

Lead sponsor

National Eye Institute (NEI) is the lead sponsor of 272 studies on the registry; 17 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 8 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

200 participants: 150 with uveitis; 50 healthy controls

Eligibility criteria

  • INCLUSION CRITERIA:

Inclusion Criteria for Uveitis Participants

  1. Participant must be 18 years of age or older.
  2. Participant must have a diagnosis of:

    Uveitis (or ocular inflammatory disorder)

  3. Participant must be able to undergo slit lamp biomicroscopy.
  4. Participant must understand and sign the protocol s document.

Inclusion Criteria for Healthy Volunteers

  1. Participant must be 18 years of age or older.
  2. Participant must be able to undergo slit lamp biomicroscopy.
  3. Healthy controls will be age-and sex-matched individuals with no personal history of uveitis or other rheumatologic/ diseases (such as arthritis, inflammatory bowel disease, type 1 diabetes mellitus, psoriasis, Sjorgren s syndrome or multiple sclerosis) and no current use of , disease modifying antirheumatic drugs (DMARDs) including those with antibiotic properties (e.g., gold salts, sulfasalazine, hydroxychloroquine, minocycline) or any immunomodulatory drugs.
  4. Participant must understand and sign the protocol s informed consent document.

EXCLUSION CRITERIA:

Exclusion Criteria for Uveitis Participants

  1. Participants who are unable to provide informed consent.
  2. Recent (\<3 months prior) use of any antibiotic therapy
  3. Current consumption of probiotics
  4. Current extreme diet (parenteral nutrition, macrobiotic diet, etc.)
  5. Known gastrointestinal (GI) tract neoplasm
  6. Recent GI tract infection (gastroenteritis, colitis, diverticulitis, appendicitis) within the last month
  7. Chronic unexplained diarrhea
  8. Participant has or had a significant active infection (an infection requiring treatment as determined by the investigator) that required systemic antibiotic treatment within the past three months
  9. Participant has any GI tract surgery leaving permanent residua (e.g., gastrectomy; bariatric surgery; colectomy)
  10. Participant has inflammatory bowel disease (IBD)
  11. Participant is pregnant or lactating.

Exclusion Criteria for Healthy Volunteers

  1. Recent (\<3 months prior) use of any antibiotic therapy
  2. Current consumption of probiotics
  3. Current extreme diet (parenteral nutrition, macrobiotic diet, etc.)
  4. Known gastrointestinal (GI) tract neoplasm
  5. Recent GI tract infection (gastroenteritis, colitis, diverticulitis, appendicitis) within the last month
  6. Chronic unexplained diarrhea
  7. Participant has or had a significant active infection (an infection requiring treatment as determined by the investigator) that required systemic antibiotic treatment within the past three months
  8. Participant has any GI tract surgery leaving permanent residua (e.g., gastrectomy; bariatric surgery; colectomy)
  9. Participant has inflammatory bowel disease (IBD)
  10. Participant is pregnant or lactating.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
131 participants (actual)

Groups and cohorts

  • Affected

    Participants with various types of uveitis

  • Healthy controls

    Participants without uveitis

06

What researchers measure

Primary outcomes

  1. The primary outcome is principal component analysis using the unweighted UniFrac distance metric of microbial composition; the significance between groups will be tested by the Adonis method (http://qiime.org/tutorials/category_comparison.html).

    The primary outcome is principal component analysis using the unweighted UniFrac distance metric of microbial composition; the significance between groups will be tested by the Adonis method (http://qiime.org/tutorials/category\_comparison.html).

    Time frame: ongoing

Secondary outcomes

  1. Abundance differences between groups at the level of individual phylotypes

    Abundance differences between groups at the level of individual phylotypes (at different taxonomic levels, from phylum to species); the significance between groups will be tested using ANOVA

    Time frame: ongoing

  2. Abundance of microbial modules

    abundance of microbial modules, constructed from microbial abundance co-occurrence networks and weighted gene co-expression network analysis (WGCNA) methodology, using the module eigenvector as the quantitative metric and statistically tested by ANOVA

    Time frame: ongoing

  3. Differences in lymphocyte and monocyte activation by different bacterial populations from the human microbiome results

    Differences in lymphocyte and monocyte activation by different bacterial populations from the human microbiome results

    Time frame: ongoing

07

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
08

References and documents

Publications

  • Nussenblatt RB, Gery I, Weiner HL, Ferris FL, Shiloach J, Remaley N, Perry C, Caspi RR, Hafler DA, Foster CS, Whitcup SM. Treatment of uveitis by oral administration of retinal antigens: results of a phase I/II randomized masked trial. Am J Ophthalmol. 1997 May;123(5):583-92. doi: 10.1016/s0002-9394(14)71070-0. PubMed 9152063 ↗
  • Presley LL, Ye J, Li X, Leblanc J, Zhang Z, Ruegger PM, Allard J, McGovern D, Ippoliti A, Roth B, Cui X, Jeske DR, Elashoff D, Goodglick L, Braun J, Borneman J. Host-microbe relationships in inflammatory bowel disease detected by bacterial and metaproteomic analysis of the mucosal-luminal interface. Inflamm Bowel Dis. 2012 Mar;18(3):409-17. doi: 10.1002/ibd.21793. Epub 2011 Jun 22. PubMed 21698720 ↗
  • Caporaso JG, Lauber CL, Walters WA, Berg-Lyons D, Lozupone CA, Turnbaugh PJ, Fierer N, Knight R. Global patterns of 16S rRNA diversity at a depth of millions of sequences per sample. Proc Natl Acad Sci U S A. 2011 Mar 15;108 Suppl 1(Suppl 1):4516-22. doi: 10.1073/pnas.1000080107. Epub 2010 Jun 3. PubMed 20534432 ↗

Individual participant data

Plan to share: Undecided

09

Updates

2 registry updates since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
2 updates, last Nov 4, 2026
Show all 2 updates
  1. Nov 4, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 27, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT01859299
Responsible party
Sponsor
First posted
May 21, 2013
Start date
Aug 27, 2013
Primary completion
Jun 29, 2022
Last update
Nov 4, 2026

Study contacts

Emily Y Chew, M.D.
principal investigator · National Eye Institute (NEI)

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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