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CompletedNCT04621006Updated Feb 25, 2025

The Contact Activation System and Ulcerative Colitis

An observational study in Ulcerative Colitis, sponsored by Esbjerg Hospital - University Hospital of Southern Denmark. Completed at 1 site in Denmark. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-25.

Sponsored by Esbjerg Hospital - University Hospital of Southern Denmark · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
102
Ages
18 Years and older
Sex
All
01

Study summary

The study aims to describe alterations in the contact activation system during active and inactive ulcerative colitis.

Contact activation system measures are compared in a cross sectional (healthy controls vs. active disease) and longitudinal (active diasese vs. inactive disease) fashion.

Read the detailed description

We include and follow up on 102 adults with active ulcerative colitis. Visits are week 0 (inclusion), 6, 12 and 26 (end of study). We obtain plasma and fecal samples at each visit. Whereas we obtain colonic tissue samples only at inclusion and end of study.

Registered data are:

  • Demographics realate to UC and general wellbeing.
  • Clinical parametres used for UC evaluation are PRO2, SCCAI, CRP, fecal calprotectin, Mayo endoscopic subscore and Nancy index.
  • The contact activation system is characterised by FXII, prekallikrein, kallikrein generation, HK, cHK (specific to plasma kallikrein), cHK (specific to tissue kallikrein), C1 inhibitor and Kallistatin.
  • Polymerized alpha-1-antitrypsin is characterised by the degree of polymerization and the capacity to activate the contact activation system.
02

Conditions studied

  • Ulcerative Colitis

Keywords

  • Misfolded protein
  • Coagulation Factor XII
  • Kallikrein
  • High Molecular Weight Kininogen
  • The contact activation system
  • Endoplasmatic reticulum stress
  • Misfolded alpha-1-antitrypsin
  • Inflammatory bowel disease
  • Inflammation
03

In context

Colitis, Ulcerative

1,530 studies on the registry are indexed under Colitis, Ulcerative; 407 are open to participants now.

This study's enrollment of 102 is below the median of 158 across 404 observational studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

Esbjerg Hospital - University Hospital of Southern Denmark is the lead sponsor of 49 studies on the registry; 16 are open to participants now.

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

04

Who can participate

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

Study population

Patients are enrolled from the Department of Medical Gastroenterology at the Hospital of Southwest Jutland, Region of Southern Denmark, Denmark

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

  • Fulfill diagnostic criteria of ulcerative colitis
  • SCCAI score ≥ 5
  • Mayo Endoscopic Subscore ≥ 1
  • Age ≥ 18 years
  • Most understand written and oral information in Danish
  • Informed consent must be given

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Infection at inclusion
  • Any existing disease at inclusion:

    • liver disease or defect in CAS
    • inflammatory rheumatologic or dermatologic disease
    • cardiovascular or renal disease
    • immunodeficiency or hematologic diseases
    • malignancies
  • Medication with

    • Systemic corticosteroids at inclusion
    • ACE-inhibitor
    • Acetylsalicylic acid/NSAID
    • Warfarin, Phenprocoumon, NOAC and heparins
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
102 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • UC group

    Patients with active ulcerative colitis

    Diagnostic Test: Continuously assessment of disease activity

Interventions

  • Diagnostic testContinuously assessment of disease activity

    Continuous measures of disease activity and activity in the contact activation system.

06

What researchers measure

Primary outcomes

  1. Clinical disease activity.

    PRO2 score, 0-6 points. A score of one or more defines active disease.

    Time frame: End of study (August 28th, 2024)

  2. Endoscopic disease activity.

    Mayo endoscopic score, 0-3 points. A score of one or more defines active disease.

    Time frame: End of study (August 28th, 2024)

  3. Kallikrein generation

    The assay reflects the downstream activation of the contact activation system which allows us to determine the amount of kallikrein generated in each sample.

    Time frame: End of study (August 28th, 2024)

  4. Polymerised alpha-1-antitrypsin in participants

    A Western blot verifies the present of polymerised alpha-1-antitrypsin.

    Time frame: End of study (August 28th, 2024)

  5. Polymerised alpha-1-antitrypsin as an activator of the contact activation system

    We add polymerised alpha-1-antitrypsin to our kallikrein generation. If kallikrein is generated the polymers activated the system.

    Time frame: End of study (August 28th, 2024)

  6. Localisation of contact activation system components in tissue samples

    Immunhistochemical methods locate FXII, PK, cHK (specific to plasma kallikrein and tissue kallikrein), C1 Inhibitor, and Kallistatin in biopsies.

    Time frame: End of study (August 28th, 2024)

07

Study locations

1 site
  • Department of Medical Gastroenterology, University Hospital of Southern Denmark
    Esbjerg, 6700, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04621006
Lead sponsor
Esbjerg Hospital - University Hospital of Southern Denmark
Responsible party
Morten Lee Halling (Principal Investigator, Esbjerg Hospital - University Hospital of Southern Denmark) — Principal investigator
First posted
Nov 9, 2020
Start date
May 1, 2021
Primary completion
Nov 30, 2023
Completion
Nov 30, 2023
Last update
Feb 25, 2025

Study contacts

Morten L Halling, M.D.
principal investigator · Department of Medical Gastroenterology, University Hospital of Southern Denmark - Esbjerg

Oversight

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

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This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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