ClinicalTrials.gg
RecruitingNCT06610760Updated Dec 5, 2025

Efficacy and Safety of Ursodeoxycholic Acid in Reversing Gastric Intestinal Metaplasia

A Phase 4 interventional study of Ursodeoxycholic Acid and Placebo in Gastric Intestinal Metaplasia, sponsored by Yongquan Shi. Recruiting at 6 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-12-05.

Sponsored by Yongquan Shi · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 1 year 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
196
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to investigate the efficacy of ursodeoxycholic acid in treating gastric intestinal metaplasia in Helicobacter pylori-negative adults. It will also learn about the safety of ursodeoxycholic acid. The main questions it aims to answer are:

Does ursodeoxycholic acid promote the regression of IM in individuals without Helicobacter pylori infection? What medical problems do participants experience when taking ursodeoxycholic acid? Researchers will compare ursodeoxycholic acid to a placebo (a look-alike substance that contains no drug) to see if ursodeoxycholic acid is effective in treating gastric intestinal metaplasia.

Participants will:

Take ursodeoxycholic acid or a placebo every day for 6 months. Visit the clinic once every 4 weeks for checkups and tests.

02

Conditions studied

  • Gastric Intestinal Metaplasia

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03

In context

Metaplasia

45 studies on the registry are indexed under Metaplasia; 11 are open to participants now.

This study's planned enrollment of 196 is above the median of 100 across 26 interventional studies indexed under Metaplasia.

Browse Metaplasia studies →

Lead sponsor

Yongquan Shi is the lead sponsor of 9 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

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 aged from 18 to 75 years old.
  • patients with OLGIM stage Ⅱ-Ⅳ diagnosed by upper gastrointestinal endoscopy and histopathological examination within the last 3 months.
  • patients without Helicobacter pylori infection, including patients who had successful Helicobacter pylori eradication before enrollment.

Exclusion criteria

Exclusion Criteria:

  • a history of regular use (defined as at least once per week) of non-steroidal anti-inflammatory drugs (NSAIDs) and/or statins.
  • a history of stomach surgery (including endoscopic submucosal dissection and endoscopic mucosal resection) or previously diagnosed malignant tumor.
  • a history of heart failure, renal failure, liver cirrhosis or chronic hepatic failure; patients with or allergies to the drugs in this study.
  • breastfeeding or pregnancy.
  • a history of substance abuse or alcohol abuse within the past one year.
  • patients with severe mental illness.
  • refusal to undergo drug treatment.
  • refusal to sign .
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
196 participants (estimated)

Study arms

  • Experimental
    The ursodeoxycholic acid group

    Patients in the ursodeoxycholic acid group will receive oral ursodeoxycholic acid at a dosage of 250 mg three times daily for 6 months.

    Drug: Ursodeoxycholic Acid

  • Placebo comparator
    The placebo group

    Patients in the placebo group will receive oral placebo at a dosage of 250 mg three times daily for 6 months.

    Drug: Placebo

Interventions

  • Subjects will be instructed to take one capsule (250mg) of ursodeoxycholic acid three times daily, and visit the hospital every 4 weeks for evaluation of the subjective symptoms and to receive a new supply of medication.

  • DrugPlacebo

    Subjects will be instructed to take one capsule (250mg) of placebo three times daily, and visit the hospital every 4 weeks for evaluation of the subjective symptoms and to receive a new supply of medication.

06

What researchers measure

Primary outcomes

  1. The regression rate of gastric intestinal metaplasia based on OLGIM stage in different groups.

    Regression was defined as a OLGIM stage decreased at least one grade.

    Time frame: From enrollment to the end of treatment at 6 months

  2. The progression rate of gastric intestinal metaplasia based on OLGIM stage in different groups.

    Progression was defined as a OLGIM stage increased at least one grade.

    Time frame: From enrollment to the end of treatment at 6 months

Secondary outcomes

  1. The regression rate of gastric atrophy based on OLGA stage in different groups.

    Regression was defined as a OLGA stage decreased at least one grade.

    Time frame: From enrollment to the end of treatment at 6 months

  2. The progression rate of gastric atrophy based on OLGA stage in different groups.

    Progression was defined as a OLGA stage increased at least one grade.

    Time frame: From enrollment to the end of treatment at 6 months

07

Study locations

6 of 6 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2024 (actual). Primary completion is estimated for Oct 2026, 23 months after the start.

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

Registered
Sep 19, 2024
First posted
Sep 24, 2024
StartActual
Nov 12, 2024
Primary completionEst.
Oct 31, 2026
CompletionEst.
Oct 31, 2026
Last update
Dec 5, 2025
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 Dec 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06610760
Lead sponsor
Yongquan Shi
Responsible party
Yongquan Shi (Professor, Xijing Hospital of Digestive Diseases) — Sponsor-investigator
First posted
Sep 24, 2024
Start date
Nov 12, 2024
Primary completion
Oct 31, 2026 (estimated)
Completion
Oct 31, 2026 (estimated)
Last update
Dec 5, 2025

Study contacts

Yongquan Shi
Contact
shiyquan@fmmu.edu.cn
0086 + 02984771515
Yongquan Shi, PhD
study chair · Air Force Military Medical University, China
Xinzhao Wang
principal investigator · 989 Hospital of PLA Joint Logistics Support Force
Kun Zhuang
principal investigator · Xi'an Central Hospital
Zhufang Ma
principal investigator · Hanzhong 3201 Hospital
Yuan Gao
principal investigator · Ankang Central Hospital
Long Zou
principal investigator · Shangluo Central Hospital

Oversight

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

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