ClinicalTrials.gg
Status unknownNCT03434639GutPermUpdated Feb 12, 2020

Fluorescence Spectroscopy for Gut Permeability Assessment

An observational study in Development and Validation of Gut Permeability Sensor, Permeability; Increased and Celiac Disease, sponsored by Imperial College London. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-12.

Sponsored by Imperial College London · Observational

The sponsor has not verified this record recently (last verified Feb 2020), so the status shown — last known as Recruiting — may be out of date.

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Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
50
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 21 studies in Celiac Disease with a site in United Kingdom — 4 open to participants now, 5 under way, none of them phase 3. Celiac Disease · United Kingdom.

Started
2019
the only one that year
Observational
8 of 21
1 open now
Registered
9th of 21
by date
Lead sponsor
1 of 21
Imperial College London

Among the 21 studies in Celiac Disease with a site in United Kingdom, this one is the only one that started in 2019, is one of 8 observational ones, and was the 9th registered.

Celiac Disease

352 studies on the registry are indexed under Celiac Disease; 77 are open to participants now.

Browse Celiac Disease studies →

Open to participants now

4 of the 21 studies in Celiac Disease with a site in United Kingdom are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 48 Celiac Disease studies recruiting now, 24 (50%) set no upper age limit and 19 (40%) stop at 75 or younger; 16 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

This research aims to develop portable devices - known as fluorescence spectrometers - to monitor the leakage of fluorescent dyes out of the gut into the blood stream. These devices will measure the leakiness (permeability) of the gut in a non-invasive manner and will provide an early warning that patients are at risk of infections caused by the unwanted flow of bacteria from the intestine to the rest of the body.

Read the detailed description

"Leaky gut" - or, increased permeability of the intestine - involves the leakage of certain intestinal constituents (e.g. endotoxins or even bacteria) from the gut into the rest of the body. This condition is associated with many widespread diseases including coeliac disease, inflammatory bowel disease, HIV, liver cirrhosis, sepsis and environmental enteric dysfunction (EED). It has a considerable impact on quality of life and, in extreme cases (e.g. sepsis), it can even lead to death. Furthermore, in the developing world (as part of EED), it severely hampers the mental and physical development of young children. Thus, new devices that can help us to learn more about leaky gut and more accurately monitor its effects are urgently needed.

In this project, patients will drink a small dose of a fluorescent dye. Then, by shining light on the patients' skin and recording the color and brightness of the light (fluorescence) that comes back, it will be possible to measure the amount of dye that has leaked into the blood (indicating the likelihood that bacteria are escaping from the gut and causing infections). We refer to this as a "Spectroscopic gut permeability test." We will also ask patients to take a traditional permeability test (known as a PEG permeability test) so that we can validate our new sensor. Overall, this research will deliver vital information that will improve our understanding of leaky gut and help guide the development of treatments for the many diseases in which it occurs.

03

Conditions studied

  • Development and Validation of Gut Permeability Sensor
  • Permeability; Increased
  • Celiac Disease
  • Inflammatory Bowel Diseases
  • Liver Diseases
  • HIV/AIDS

Keywords

  • Gut permeability
  • Fluorescence
  • Spectroscopy
  • Wearable sensor
  • Leaky gut
04

Who can participate

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

Study population

Potential participants will be identified and approached by members of their healthcare/clinical team. They will be identified based on their clinical condition and its potential relevance to the study - i.e. ophthalmology patients due to receive intravenous doses of fluorescein or ICG for Stage 1; GI and non-GI patients exhibiting increased intestinal permeability for Stages 2 and 3.

Healthy volunteers with no indication of increased intestinal permeability will be recruited from Imperial College and St. Mary's Hospital staff. Potential healthy volunteers will be approached in person by members of the research team.

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

  • Ability to give
  • Aged 18 years or above
  • No evidence of prior adverse reactions to fluorescein, ICG, dextran or PEG
  • No evidence of prior adverse reactions to iodine (for ICG experiments only)
  • For healthy volunteers: healthy with no active GI/liver disease (or other condition in which increased gut permeability is expected, e.g. ) and no antibiotics taken within the previous four weeks.
  • For cases: exhibiting symptoms of GI, liver or other diseases (e.g. HIV) in which increased intestinal permeability is expected.
  • For ophthalmology patients recruited in Stage 1: healthy (i.e. as described above for healthy volunteers) and prescribed to have an ophthalmic angiography with an intravenous injection of either fluorescein or ICG.

Exclusion criteria

Exclusion Criteria:

  • Unable to give
  • Aged \<18 years
  • Previous adverse reaction to fluorescein, ICG, dextran or PEG
  • Known allergy to iodine (for ICG experiments only)
  • Pregnancy (in Stage 1 this will be at the discretion of the patient's ophthalmologist)
  • Breastfeeding (in Stage 1 this will be at the discretion of the ophthalmologist)
Terms in these criteria, in plain language(2)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

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

Groups and cohorts

  • 1 - Ophthalmology patients

    Ophthalmology patients who are receiving an intravenous dose of either fluorescein or indocyanine green (ICG) as part of their routine ophthalmic care (e.g. as part of a fluorescence angiography examination) will be recruited to the first stage of this study. These patients will take part in preliminary studies aimed at determining whether it is possible to detect fluorescein and ICG in the blood using transcutaneous fluorescence measurements.

    Diagnostic Test: Spectroscopic gut permeability test

  • 2a - Healthy subjects

    Healthy subjects with no known issues of increased gut permeability. These subjects will act as negative controls in all gut permeability studies.

    Diagnostic Test: Spectroscopic gut permeability test

  • 2b - Healthy subjects (gastric emptying)

    A subset of healthy volunteers will be recruited to take part in experiments to help in understanding the impact of gastric emptying rate as a confounding factor in measurements of gut permeability.

    Diagnostic Test: Spectroscopic gut permeability test

  • 3 - Increased permeability

    Gastro-intestinal (GI) and non-GI patients who are expected to exhibit increased gut permeability (e.g. patients with celiac disease, inflammatory bowel disease (IBD), liver disease, HIV or another condition in which increased intestinal permeability is common). The more extreme cases in this group will act as positive controls.

    Diagnostic Test: Spectroscopic gut permeability test

Interventions

  • Diagnostic testSpectroscopic gut permeability test

    The spectroscopic gut permeability test first involves patients receiving an oral dose of one or more fluorescent dyes. A wearable sensor will then be attached to the patients' skin and this will be used to monitor the leakage of the fluorescent dyes from the intestine into the blood stream in a non-invasive manner. In this way, a measure of the permeability of the intestine will be obtained. Note that patients in Group 1 (ophthalmology patients) will not receive oral doses of contrast agents. Instead, the wearable sensor will simply be used to detect the presence of fluorescent dyes that were administered intravenously as part of planned ophthalmic procedures. Complete details of the spectroscopic gut permeability test can be found in the attached protocol.

06

What researchers measure

Primary outcomes

  1. Blood concentration from intravenous injection

    Where the blood concentration of fluorescent dye is known - for example, in ophthalmology patients who have received a direct intravenous dose of contrast agent - a direct comparison will be made between these values and the results of the spectroscopic gut permeability test without the need for further measurements.

    Time frame: 1 day (study visit)

  2. Blood concentration from samples

    In subjects receiving an oral dose of contrast agent, blood samples will be taken alongside the spectroscopic measurements in order to permit accurate ex vivo quantification of the serum concentration in the laboratory. These values will be compared with the spectroscopic findings.

    Time frame: 1 day (study visit)

  3. PEG permeability assay

    In patients who are also undergoing polyethylene glycol (PEG)-based permeability assays, spectroscopic permeability measurements will be compared to the results of this more traditional approach.

    Time frame: 1 week (after study visit)

  4. Histology

    Finally, in patients for whom intestinal biopsy and histology data is available, spectroscopic permeability measurements will be compared against histological measures of epithelial damage and permeability.

    Time frame: 1 day (study visit)

07

Study locations

1 of 1 sites recruiting
  • IMPERIAL COLLEGE Healthcare Trust
    London, W2 1NY, United Kingdom
    Recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Anonymized participant data will be made available to other researchers once the final results of the study have been published.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data will be made available once the final results of the study have been published. Data relevant to publications will be available indefinitely through a data repository. Additional data will be held on secure servers at Imperial College London for 10 years from the completion of the study.

Access criteria: Data relevant to publications will be made available in an open access manner through data repositories. Additional data will be stored securely at Imperial College London for 10 years. Other researchers can request access to this data through the study chief investigator. This will be granted assuming that appropriate ethical approvals have been obtained.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2019 (actual). Primary completion is estimated for Sep 2021, 30 months after the start.

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

Registered
Feb 9, 2018
First posted
Feb 15, 2018
StartActual
Mar 29, 2019
Primary completionEst.
Sep 30, 2021
CompletionEst.
Sep 30, 2021
Last update
Feb 12, 2020
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 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03434639
Responsible party
Alexander Thompson (Dr Alex Thompson (Imperial College Research Fellow), Imperial College London) — Principal investigator
First posted
Feb 15, 2018
Start date
Mar 29, 2019
Primary completion
Sep 30, 2021 (estimated)
Completion
Sep 30, 2021 (estimated)
Last update
Feb 12, 2020

Study contacts

Alex J Thompson, PhD
Contact
alex.thompson08@imperial.ac.uk
+442033125035
Ruth Nicholson
Contact
jrco@imperial.ac.uk
+442075941862
Alex J Thompson, PhD
principal investigator · Imperial College London

Oversight

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

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This study is status unknown, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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