Clinical trial Recruiting at 1 site Observational Ages 18 to 75

Fecal Biomarker Response to Biologics in Ulcerative Colitis

Official title: Dynamic Changes of Fecal Calprotectin and Fecal Immunochemical Test for Early Prediction of Biologic Treatment Efficacy in Ulcerative Colitis: A Multicenter, Prospective Cohort Study

Run by Qilu Hospital of Shandong University · NCT07111572 · Data updated 2026-11-12

This study tests whether early changes in fecal calprotectin and FIT after starting vedolizumab or infliximab can predict later response and healing in adults with moderate-to-severe ulcerative colitis.

More Ulcerative Colitis (UC) trials

Quick facts

Study typeObservational
Ages18 Years to 75 Years
SexAll
Enrollment100 (estimated)
SponsorQilu Hospital of Shandong University
Academic / other
Drugs / interventionsvedolizumab, infliximab
Locations1 site (Jinan, Shandong)
StatusRecruiting
StartedAugust 1, 2025
Main results expectedAugust 1, 2026
Study endsDecember 1, 2026
Registry record updatedJuly 28, 2026
Trial IDNCT07111572 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18-75 with moderate-to-severe UC starting vedolizumab or infliximab, biologic-naïve or previously exposed to only one TNF-α inhibitor.

Probably not a fit

Patients who do not show early biomarker changes or who do not achieve remission may see limited predictive value from this approach.

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

What this trial studies

This multicenter, prospective cohort follows adults with moderate-to-severe UC who are beginning a biologic therapy (vedolizumab or infliximab). It examines whether combined week 2 and week 4 changes in fecal calprotectin and FIT can forecast clinical remission at week 14 and mucosal healing at week 52. The primary outcome is clinical remission at week 14, with mucosal healing at week 52 as a key secondary endpoint. Participants will provide stool samples for FC and FIT measurements, with results correlated to clinical and endoscopic outcomes. The study is observational and aims to refine early-response testing to guide treatment decisions.

Why it matters

Potential benefit: If successful, the approach could help clinicians identify early whether a biologic is likely to work for a patient.

How similar studies have gone: Previous work suggests fecal biomarkers can reflect disease activity, supporting the potential usefulness of this approach, though this specific early-predictive strategy is still being evaluated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:\*\*

* Age 18-75 years, UC diagnosis with endoscopic Mayo score (MES) ≥2
* Moderate-to-severe activity (Full Mayo Score ≥6)
* Initiating vedolizumab or infliximab within 7 days after baseline
* Biologic-naïve or prior exposure to only one TNF-α inhibitor

\*\*Exclusion Criteria:\*\*

* Pregnancy/lactation
* Contraindications to biologics (e.g., active TB, severe infection)
* Experimental drug use within 4 weeks prior to baseline

Where it's running

  • Qilu Hospital of Shandong University
    Jinan, Shandong, China
    Recruiting

Study contacts

Similar studies

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

  • Early biomarker changes after standard UC therapy predict relapse in biologic-naive patients

    This study tests whether a >50% drop or normalization in qFIT and fecal calprotectin within 2 weeks of starting conventional UC therapy can predict relapse or need for biologic/JAK therapy within a year in biologic-naive patients.

    Recruiting Qilu Hospital of Shandong University · Jinan, Shandong · NCT07111273

  • MGT-006 safety and dosing study for ulcerative colitis

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

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    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

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  • Familial IBD Early Risk

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

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.