Clinical trial Recruiting at 1 site Observational Ages 18 and up

Choosing continued advanced medicines or colectomy for ulcerative colitis

Official title: TRIOCOL - The Study of Continued Advanced Medical Therapy or Colectomy in Patients With Ulcerative Colitis

Run by Region Stockholm · NCT07347834 · Data updated 2026-11-12

This project will see if people with ulcerative colitis who have failed at least two advanced medicines have better quality of life and satisfaction when they continue medical therapy versus when they have a colectomy.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorRegion Stockholm
Government
Locations1 site (Solna, Stockholm County)
StatusRecruiting
StartedOctober 22, 2024
Main results expectedDecember 31, 2028
Study endsDecember 2038
Registry record updatedJanuary 21, 2026
Trial IDNCT07347834 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with active ulcerative colitis who have failed at least two advanced medical therapies and are judged eligible for both continued medical therapy and colectomy.

Probably not a fit

Patients with diagnostic uncertainty, impaired cognitive function, non‑residency/language in the study setting, those who have not yet tried two advanced therapies, or those already post‑colectomy are unlikely to gain from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective observational cohort comparing patients with active ulcerative colitis who opt for continued advanced medical therapy to those who choose colectomy after failing at least two lines of advanced treatments. Participants eligible for both options will be followed with standardized quality-of-life, functional outcome, and patient satisfaction measures, along with clinical data from medical records. The design captures real-world decision-making and outcomes rather than randomizing treatment, aiming to reflect typical patient and clinician choices. Findings will be used to inform shared decision-making between patients and providers.

Why it matters

Potential benefit: If successful, the results could help patients and clinicians choose the option—continued medicines or colectomy—that is most likely to lead to better quality of life and satisfaction.

How similar studies have gone: Previous registry and retrospective studies indicate colectomy can restore disease control for many patients, but prospective comparisons focused on quality of life after multiple advanced therapy failures are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with UC with active disease
* failed at least two lines of advanced medical therapies
* are eligible for both continued AMT and colectomy

Exclusion Criteria:

* diagnostic uncertainty
* diagnosis of impaired cognitive function
* non-domestic and non-English speaking

Where it's running

  • Karolinska University Hospital
    Solna, Stockholm County, Sweden
    Recruiting

Study contacts

  • Principal investigator: Caroline Nordenvall, Ass. professor — Karolinska Institutet
  • Study coordinator: Carl Kördel, MD, PhD-student
  • Email: carl.kordel@ki.se
  • Phone: +46702545871

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • MGT-006 safety and dosing study for ulcerative colitis

    This study tests an oral microbiome capsule called MGT-006 to see if it is safe and tolerable in adults with moderately active ulcerative colitis, and whether the gut bacteria engraft after treatment.

    Recruiting at 9 sites Phase 1/2 Metagen Therapeutics, Inc. · Naples, Florida and 11 other locations · NCT07913347

  • PALI-2108 vs placebo for moderate to severe ulcerative colitis

    A phase 2 study to see if PALI-2108 helps people with moderate to severe ulcerative colitis more than a placebo.

    Recruiting at 28 sites Phase 2 Palisade Bio · Sun City, Arizona and 114 other locations · NCT07845487

  • Nitazoxanide as an add-on therapy for mild-to-moderate ulcerative colitis

    A study tests whether adding nitazoxanide to standard UC treatment helps people with mild-to-moderate ulcerative colitis see more relief.

    Recruiting at 2 sites Phase 2/3 Tanta University · Tanta and 1 other locations · NCT07820046

  • Fecal Transplants from Dai vs Han Donors for Ulcerative Colitis

    This study tests whether fecal microbiota transplantation from healthy Dai donors improves symptoms in adults with ulcerative colitis more than transplantation from healthy Han donors.

    Recruiting Phase 2 First Affiliated Hospital of Kunming Medical University · Kunming, Yunnan · NCT07814456

  • Familial IBD Early Risk

    This study tests whether clinical, environmental, and immune factors in first-degree relatives of people with Crohn’s disease or ulcerative colitis can predict who will develop IBD.

    Recruiting Seattle Children's Hospital · Seattle, Washington · NCT07791862

  • Probiotics and Trace Elements Added to Infliximab in Ulcerative Colitis

    This trial tests whether adding a Lactobacillus probiotic or trace elements to infliximab helps people with ulcerative colitis stay in remission.

    Recruiting Phase 4 National Hepatology & Tropical Medicine Research Institute · Cairo · NCT07758335

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.