ClinicalTrials.gg
CompletedNCT02351635Updated Jan 18, 2019

BÜHLMANN fCAL™ ELISA - Aid in Differentiation of IBD From IBS

An observational study in Inflammatory Bowel Disease and Irritable Bowel Syndrome, sponsored by Bühlmann Laboratories AG. Completed at 7 sites in United States. Open to participants aged 22 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-18.

Sponsored by Bühlmann Laboratories AG · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
478
Ages
22 Years and older
Sex
All
01

Study summary

The purpose of this study is to confirm the sensitivity and specificity of the BÜHLMANN fCAL™ ELISA as an aid in diagnosis to differentiate between Inflammatory Bowel Disease (IBD; Crohn's Disease (CD), Ulcerative Colitis (UC), or indeterminate colitis) and Irritable Bowel Syndrome (IBS).

To estimate the predictive value of a positive test (positive predictive value (PPV)) and the predictive value of a negative test (Negative Predictive Value (NPV)) using the proposed test outcomes for BÜHLMANN Calprotectin Test results when used in patients referred for diagnostic evaluation with signs and symptoms suggestive of either IBS or IBD.

To confirm the inter-laboratory consistency of test results for the BÜHLMANN fCAL™ ELISA.

To provide exploratory observations of test results in patients between the age of 2 and 21 years.

To provide a sample set from normal subjects with no symptoms or signs of gastrointestinal disease for use in Expected Value Testing.

02

Conditions studied

  • Inflammatory Bowel Disease
  • Irritable Bowel Syndrome

Keywords

  • Calprotectin
  • Diagnosis
03

In context

Inflammatory Bowel Diseases

1,550 studies on the registry are indexed under Inflammatory Bowel Diseases; 426 are open to participants now.

This study's enrollment of 478 is above the median of 140 across 626 observational studies indexed under Inflammatory Bowel Diseases.

Browse Inflammatory Bowel Diseases studies →

Lead sponsor

Bühlmann Laboratories AG is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

100 adult subjects with Inflammatory Bowel Disease or Irritable Bowel Syndrome each have provided a stool sample. In addition, 50 pediatric subjects, age 2 years to 21 years, 25 subjects in each diagnostic group (IBD, IBS) will be enrolled. Recruitment of 120 normal subjects who will provide samples.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults or pediatric patients evaluated by a gastroenterological service for investigation of possible inflammatory intestinal disease or IBS. Patients are referred for sub-specialty evaluation of symptoms such as abdominal pain, diarrhea, altered appetite, weight loss, or anemia.

    • IBD: Eligible subjects will be analyzed as patients with IBD after a confirmed diagnosis of Inflammatory Bowel Disease (CD, UC, or Indeterminate Colitis), based on endoscopy and confirmed by histology of taken during endoscopy.
    • IBS: Eligible candidate subjects can also include patients who are self-referred with the relevant constellation of complaints. Eligible subjects will be enrolled after having a diagnosis of IBS based on the Rome III criteria confirmed by negative endoscopy including the colon and terminal ileum.
    • other GI Disorders: Eligible subjects will be enrolled after having a diagnosis of a gastrointestinal disorder other than IBD or IBS, confirmed by endoscopy results and other appropriate diagnostic studies.
    • Healthy Controls: Adults (≥22) with no abdominal complaints and no history of IBS, IBD or other chronic intestinal disorder, confirmed by medical history and physical examination at enrolment.
  2. Individuals of either gender, ≥22 years of age (adult samples) or 2 to -21 years of age (pediatric samples).
  3. IBD patients whose diagnostic endoscopy occurred within the previous month.
  4. Individuals able to understand the study and the tasks required, and who sign the Form (adult subjects; ICF) or whose parent/guardian provides consent (ICF) and, if age 7-to-18 years of age, who provide assent (pediatric subjects).

Exclusion criteria

Exclusion Criteria:

  1. Individuals unable or unwilling to provide a stool specimen.
  2. Individuals with known intestinal cancer, intestinal infection, upper gastrointestinal disease
  3. Individuals receiving chemotherapy or systemic drugs.
  4. Individuals who have taken, within the previous 2 weeks, protein pump inhibitors or H2-receptor antagonists.
  5. Individuals with previously diagnosed Inflammatory Bowel Disease managed with immunomodulators, 5-ASA (5-aminosalicylic acid) or biologic therapies or who have undergone a surgical resection or diversion procedure.
  6. Individuals who have taken NSAIDs (nonsteroidal anti-inflammatory drugs), including aspirin, on 7 or more days during the 2 weeks before providing the sample.
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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
478 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • IBD

    Adult subjects with inflammatory bowel disease, confirmed by endoscopy and histologic support. Fecal calprotectin Level.

    Other: fecal calprotectin level

  • IBS

    Adult subjects with Irritable Bowel Syndrome meeting the Rome III criteria. Fecal calprotectin Level.

    Other: fecal calprotectin level

  • other GI disorders

    Adult subjects with gastrointestinal disorders other than IBD or IBS. Fecal calprotectin Level.

    Other: fecal calprotectin level

  • pediatric

    Pediatric patients (2-21 y) diagnosed with IBD, IBS, or other gastrointestinal disorders. Fecal calprotectin Level.

    Other: fecal calprotectin level

  • healthy controls

    Normal adult subjects with no abdominal complaints. Fecal calprotectin Level.

    Other: fecal calprotectin level

Interventions

  • Otherfecal calprotectin level

    Stool sample collected by the subject, sent study laboratories where fecal calprotectin levels are quantified.

06

What researchers measure

Primary outcomes

  1. Clinical value of in vitro diagnostic (IVD) device

    Sensitivity, specificity; Positive predictive value (PPV), negative predictive value (NPV) and likelihood ratios (positive and negative)

    Time frame: End of Study

Secondary outcomes

  1. normal Calprotectin values

    Calprotectin values from normal healthy donors will be calculated

    Time frame: End of Study

  2. Clinical value of IVD device in pediatric population

    Results of the pediatric population will be used as preliminary and exploratory evidence that calprotectin test can be used in this population

    Time frame: End of Study

Other outcomes

  1. IVD Device performance

    The inter-laboratory precision of the device will be investigated across the study laboratories involved.

    Time frame: 2 months

07

Study locations

7 sites
  • Stanford Center for Clinical & Translational Research & Education
    Palo Alto, California 94304, United States
  • Gastro Health
    Miami, Florida 33173, United States
  • Gastroenterology Assocaites of Central Georgia
    Macon, Georgia 31201, United States
  • Carle Foundation, Center for Digestive and Liver Disease
    Urbana, Illinois 61801, United States
  • Beth israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Great Lakes Gastroenterology Research, LLC.
    Mentor, Ohio 44060, United States
  • Gastroenterology Associates of Tidewater
    Chesapeake, Virginia 23320, United States
08

References and documents

Publications

  • Manz M, Burri E, Rothen C, Tchanguizi N, Niederberger C, Rossi L, Beglinger C, Lehmann FS. Value of fecal calprotectin in the evaluation of patients with abdominal discomfort: an observational study. BMC Gastroenterol. 2012 Jan 10;12:5. doi: 10.1186/1471-230X-12-5. PubMed 22233279 ↗
  • Occhipinti K, Smith JW. Irritable bowel syndrome: a review and update. Clin Colon Rectal Surg. 2012 Mar;25(1):46-52. doi: 10.1055/s-0032-1301759. PubMed 23449495 ↗
  • Kappelman MD, Moore KR, Allen JK, Cook SF. Recent trends in the prevalence of Crohn's disease and ulcerative colitis in a commercially insured US population. Dig Dis Sci. 2013 Feb;58(2):519-25. doi: 10.1007/s10620-012-2371-5. Epub 2012 Aug 29. PubMed 22926499 ↗
  • Burri E, Beglinger C. Faecal calprotectin -- a useful tool in the management of inflammatory bowel disease. Swiss Med Wkly. 2012 Apr 5;142:w13557. doi: 10.4414/smw.2012.13557. eCollection 2012. PubMed 22481443 ↗
  • van Rheenen PF, Van de Vijver E, Fidler V. Faecal calprotectin for screening of patients with suspected inflammatory bowel disease: diagnostic meta-analysis. BMJ. 2010 Jul 15;341:c3369. doi: 10.1136/bmj.c3369. PubMed 20634346 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02351635
Lead sponsor
Bühlmann Laboratories AG
Collaborators
ICON Clinical Research
Responsible party
Sponsor
First posted
Jan 30, 2015
Start date
Jan 2015
Primary completion
Mar 2018
Completion
Apr 2018
Last update
Jan 18, 2019

Study contacts

Allison Gorman
study director · ICON Clincal Research

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion