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CompletedNCT03043677Updated Feb 25, 2019

Ex-vivo Modulatory Effect of Biological Drugs for Inflammatory Bowel Disease on the Mucosa and on Peripheral Blood Mononuclear Cells

An observational study in Inflammatory Bowel Disease, sponsored by Fundación de Investigación Biomédica - Hospital Universitario de La Princesa. Completed. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-25.

Sponsored by Fundación de Investigación Biomédica - Hospital Universitario de La Princesa · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
45
Ages
18 Years to 80 Years
Sex
All
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Study summary

To characterize circulating DC subsets from healthy controls and IBD patients and to assess, following an ex vivo challenge, the effect of anti-TNF (infliximab, adalimumab and golimumab), anti-p40 -IL-12/IL-23- (ustekinumab) and anti-α4β7 (vedolizumab) immunomodulators on both the GI production of soluble immune mediators and the mucosal capacity to alter the recruitment capacity of circulating DC subsets. It is expected that such approach will provide further information on the action mechanisms of such therapies on IBD patients, allowing a better understanding of the pathophysiology of this disease and the identification of tissue-specific therapeutic targets, thus avoiding collateral problems associated with systemic immunomodulation.

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Conditions studied

  • Inflammatory Bowel Disease
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In context

Inflammatory Bowel Diseases

1,487 studies on the registry are indexed under Inflammatory Bowel Diseases; 434 are open to participants now.

This study's enrollment of 45 is below the median of 146 across 659 observational studies indexed under Inflammatory Bowel Diseases.

Browse Inflammatory Bowel Diseases studies →

Lead sponsor

Fundación de Investigación Biomédica - Hospital Universitario de La Princesa is the lead sponsor of 35 studies on the registry; 6 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

healthy controls and patients with active inflammatory bowel disease (ulcerative colitis and Crohn´s disease).

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

Patients with active IBD, and endoscopic and histological diagnosis of CD or UC that attend a colonoscopy with sedation performed by medical criteria.

Patients without an IBD diagnosis, or other types of inflammatory, allergic, malignant or autoimmune diseases, prior to their inclusion in this project. All patients will attend a colonoscopy with sedation at medical judgment with biopsy indication for histopathological study as in cases of diarrhea but also due to changes in the bowel transit, rectal bleeding or screening for gastrointestinal diseases. Patients will be paired in age and gender with the IBD groups. All patients will have no signs of macroscopic or microscopic inflammation hence excluding the presence of microscopic colitis.

Exclusion criteria

Exclusion Criteria:

  1. Age less than 18 years
  2. Chronic disease or any other advanced clinically significant pathology, uncontrolled by investigator judgment.
  3. Should be with medication, this will be unchanged in the 3 months prior to colonoscopy.
  4. Alcohol or drugs.
  5. Pregnancy or lactation
  6. Do not sign the informed consent form (see "Ethical Issues") In any case NO colonoscopies exclusively targeted for sampling for this project will be made
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
45 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Non-inflamed

    Biological: Ex-vivo stimulation of cells with infliximab, golimumab, adalimumab, vedolizumab and ustekinumab

  • Inflamed ulcerative colitis

    Biological: Ex-vivo stimulation of cells with infliximab, golimumab, adalimumab, vedolizumab and ustekinumab

  • inflamed Crohn´s disease

    Biological: Ex-vivo stimulation of cells with infliximab, golimumab, adalimumab, vedolizumab and ustekinumab

Interventions

  • BiologicalEx-vivo stimulation of cells with infliximab, golimumab, adalimumab, vedolizumab and ustekinumab

    Ex-vivo conditioning of lamina propria and peripheral blood mononuclear cells. Here, we will address whether the current available biological therapies for IBD patients (infliximab, golimumab, adalimumab, vedolizumab and ustekinumab) elicit a differential effect on the mucosal capacity to recruit circulating leukocytes on an ex-vivo approach using transwell culture systems.

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What researchers measure

Primary outcomes

  1. Effect of biological drugs on the secretion of gut-chemoattractants by the intestinal mucosa

    To assess, ex-vivo, the capacity of the IBD mucosa to recruit subsets of circulating leukocytes following mucosal conditioning with biological drugs.

    Time frame: 18 months

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Dec 2017, 20 months.

Of 251 non-industry observational studies under Inflammatory Bowel Diseases, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 148. This study's 20 months is below that.

Counting every sponsor, half of 288 studies reached it within 38 months; a quarter within 20 and three quarters within 132.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2017
First posted
Feb 6, 2017
StartActual
Apr 1, 2016
Primary completionActual
Dec 31, 2017
CompletionActual
May 30, 2018
Last update
Feb 25, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03043677
Lead sponsor
Fundación de Investigación Biomédica - Hospital Universitario de La Princesa
Responsible party
Javier P. Gisbert (PhD, MD, Fundación de Investigación Biomédica - Hospital Universitario de La Princesa) — Principal investigator
First posted
Feb 6, 2017
Start date
Apr 1, 2016
Primary completion
Dec 31, 2017
Completion
May 30, 2018
Last update
Feb 25, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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