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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Qilu Hospital of Shandong University Academic / other |
| Drugs / interventions | vedolizumab, infliximab |
| Locations | 1 site (Jinan, Shandong) |
| Status | Recruiting |
| Started | August 1, 2025 |
| Main results expected | August 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | July 28, 2026 |
| Trial ID | NCT07111572 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
- Study coordinator: Yan Zhang, M.D
- Email: qlzhangyan@sdu.edu.cn
- Phone: +86 18560089821
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.