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RecruitingNCT07501078Updated Nov 2, 2026

Aquamin® for Prevention of Ulcerative Colitis J-Pouch-associate Intestinal Inflammation

A Phase 2 interventional study of Aquamin in Ulcerative Colitis and Ileal Pouch, sponsored by Muhammad N Aslam, MD. Recruiting at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Muhammad N Aslam, MD · Phase 2, Interventional, and Treatment

Updated Nov 2, 2026Primary outcomes revisedInterventions changed+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Ulcerative colitis (UC) is a disease that causes long-term inflammation in the digestive tract, and many people with this condition require surgery to remove the colon and create a new J-pouch for stool. Some patients develop a problem called pouchitis, where this pouch becomes inflamed. Current treatments are limited, and there are no known ways to prevent pouchitis from starting. This study is being done to find out if a natural mineral supplement called Aquamin® can help reduce inflammation and protect the gut lining in people with a J-pouch, and may reduce the risk of pouchitis. By understanding whether Aquamin® is safe and helpful, the study team hopes to find a new and better way to prevent inflammation and improve the long-term health of people with UC.

02

Conditions studied

  • Ulcerative Colitis
  • Ileal Pouch

Browse trials for

Keywords

  • J-pouch without an ileostomy
  • Surveys
  • Sample collection
  • Placebo
  • Aquamin®
  • Randomization
03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's planned enrollment of 52 is below the median of 70 across 1,236 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

Muhammad N Aslam, MD is the lead sponsor of 2 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
18 Years to 80 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

  • Must be able to give written (or assent as appropriate)
  • Must have the following: UC with ileal pouch-anal anastomosis (IPAA) using a J-pouch without an ileostomy within the last nine months
  • For pre-menopausal women 18 years of age and older with intact reproductive organs, a negative pregnancy test is required within two weeks prior to the baseline visit. Participants in this age group must agree to use an acceptable form of throughout the study per protocol.

Exclusion criteria

Exclusion Criteria:

  • Female subjects must not be pregnant or lactating; and female of unwilling to use acceptable throughout the study.
  • Must not be participating in any other interventional trial using an drug.
  • Subjects likely to be uncooperative or unable to comply with study procedures
  • History or diagnosis of Crohn's disease
  • History or diagnosis of hereditary gastrointestinal (GI) syndromes, Severe gastrointestinal bleeding/complications, (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin-secreting tumors).
  • History or diagnosis of any gastrointestinal
  • Kidney disease, including kidney "stones" or hypercalcemia. acute renal failure (past 12 weeks). (Note: A doubtful stone passed in the urine more than three years ago is not considered evidence of current renal stone disease.)
  • Congenital coagulopathies or hereditary hemorrhagic disorders; treatment with therapeutic doses of warfarin or heparin
  • Participants will be excluded if they have used any of the following within the past 30 days or are unwilling to withdraw for 30 days prior to entering into the study:

    • Calcium, Magnesium, including multivitamins that have low amounts of Calcium/Magnesium and fiber supplements. (Multivitamins without any minerals are allowed).
    • Non-steroidal anti-inflammatory medications (NSAIDs), such as Naproxen or Ibuprofen (except for occasional pain control or low dose aspirin for cardiovascular disease prevention) per protocol.
    • Oral or rectal (a type of steroid drug such as prednisone or cortisol that helps the body to regulate stress response, immune response and inflammation) and antibiotics (except these can be used briefly during a flare-up once the study treatment has begun after the subject enrolled, if prescribed by the personal physician). Inhaled and skin corticosteroids preparations are ok and not an exclusion criteria.
Terms in these criteria, in plain language(6)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Aquamin

    Drug: Aquamin

Interventions

  • Participants will take 2400 milligrams of Aquamin (containing approximately 800 milligrams calcium/day) per day (2 capsules in the morning, two capsules in the evening, or all 4 at one time), oral administration, for up to 365 days. If participants cannot swallow capsule whole, the capsule may be opened and mixed into liquid or soft food (e.g., water or applesauce) to be consumed. Participants will also take lactulose and mannitol on days day 0, day 180, and day 365 to measure the lactulose:mannitol ratio to assess gastrointestinal permeability.

06

What researchers measure

Primary outcomes

  1. Changes in Intestinal permeability assessed by urinary Lactulose/mannitol urinary ratio

    Lactulose/mannitol excretion after oral load.

    Time frame: Baseline, Approximately Days 180 and 365

Secondary outcomes

  1. Changes in Serum C-reactive protein (CRP) as marker of inflammation

    Blood samples will be drawn for C-reactive protein (CRP) levels.

    Time frame: Baseline, Approximately Days 180 and 365

  2. Changes in Fecal calprotectin (FCAL) as marker of inflammation

    Time frame: Baseline, Approximately Days 180 and 365

  3. Time to clinical onset of pouchitis using the Modified Pouchitis Disease Activity Index (mPDAI) clinical symptoms section

    The Modified Pouchitis Disease Activity Index was developed for diagnosing active pouchitis and quantifying the severity of pouchitis. The index includes the clinical criteria of 1) stool frequency 2) rectal bleeding 3) Fecal Urgency/Abdominal Cramps and 4) presence or absence of fever. Scores range from 0-6 (without endoscopic measures). The higher the score, the worse the disease activity.

    Time frame: Baseline up to day 365

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

3 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Start is estimated for Nov 2026; primary completion for Aug 2029, 33 months later.

Of 44 non-industry phase 2 interventional studies under Colitis, Ulcerative, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 62. This study's planned 33 months is below that.

Counting every sponsor, half of 153 studies reached it within 28 months; a quarter within 22 and three quarters within 43.

Start moved twice since we started tracking on Sep 25, 2026: Sep 2026 → Nov 2026, last on Oct 20, 2026.

Primary completion moved twice since we started tracking on Sep 25, 2026: Jun 2029 → Aug 2029, last on Oct 20, 2026.

Completion moved twice since we started tracking on Sep 25, 2026: Jun 2029 → Aug 2029, last on Oct 20, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Mar 24, 2026
First posted
Mar 30, 2026
StartEst.
Nov 2026was Sep 2026
Primary completionEst.
Aug 2029was Jun 2029
CompletionEst.
Aug 2029was Jun 2029
Last update
Nov 2, 2026
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.
Start date
Sep 2026→Nov 2026
moved 2 times, Oct 2, 2026 – Oct 20, 2026
Primary completion
Jun 2029→Aug 2029
moved 2 times, Oct 2, 2026 – Oct 20, 2026
Study completion
Jun 2029→Aug 2029
moved 2 times, Oct 2, 2026 – Oct 20, 2026
Interventions
Removed Drug: Placebo. Arms removed: Placebo
Nov 2, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Time to clinical onset of pouchitis using the Modified Pouchitis Disease Activity Index (mPDAI) clinical symptoms sectionNow Changes in Intestinal permeability assessed by urinary Lactulose/mannitol urinary ratioTime frame: Baseline up to day 365 → Baseline, Approximately Days 180 and 365
Nov 2, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore Changes in Intestinal permeability assessed by urinary Lactulose/mannitol urinary ratioNow Time to clinical onset of pouchitis using the Modified Pouchitis Disease Activity Index (mPDAI) clinical symptoms sectionTime frame: Baseline, Approximately Days 180 and 365 → Baseline up to day 365
Nov 2, 2026
Show all 3 updates
  1. Nov 2, 2026
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Time to clinical onset of pouchitis using the Modified Pouchitis Disease Activity Index (mPDAI) clinical symptoms sectionNow Changes in Intestinal permeability assessed by urinary Lactulose/mannitol urinary ratioTime frame: Baseline up to day 365 → Baseline, Approximately Days 180 and 365
    Secondary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore Changes in Intestinal permeability assessed by urinary Lactulose/mannitol urinary ratioNow Time to clinical onset of pouchitis using the Modified Pouchitis Disease Activity Index (mPDAI) clinical symptoms sectionTime frame: Baseline, Approximately Days 180 and 365 → Baseline up to day 365
    Interventions Removed Drug: Placebo. Arms removed: Placebo
    + 2 other changes: index terms and design details
  2. Oct 20, 2026
    Start date Oct 2026→Nov 2026
    Primary completion Jul 2029→Aug 2029
    Study completion Jul 2029→Aug 2029
    + 1 other change: verification date
  3. Oct 2, 2026
    Start date Sep 2026→Oct 2026
    Primary completion Jun 2029→Jul 2029
    Study completion Jun 2029→Jul 2029

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07501078
Lead sponsor
Muhammad N Aslam, MD
Collaborators
Crohn's and Colitis Foundation
Responsible party
Muhammad N Aslam, MD (Associate Research Scientist, University of Michigan) — Sponsor-investigator
First posted
Mar 30, 2026
Start date
Nov 2026 (estimated)
Primary completion
Aug 2029 (estimated)
Completion
Aug 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Lauren Manning
Contact
lbadish@med.umich.edu
734-615-7236
Muhammad N Aslam, MBBS, MD
principal investigator · University of Michigan

Oversight

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

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