Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Intestinal ultrasound-guided management for inflammatory bowel disease

Official title: A Randomized Controlled Trial Comparing Standard of Care With and Without Intestinal Ultrasound Guidance in Patients With Inflammatory Bowel Diseases

Run by Mahidol University · NCT07775352 · Data updated 2026-11-12

This study tests if adding point-of-care intestinal ultrasound at every visit changes treatment decisions for adults with Crohn’s disease or ulcerative colitis undergoing disease assessment.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment137 (estimated)
SponsorMahidol University
Academic / other
Locations1 site (Bangkok)
StatusRecruiting
StartedMarch 25, 2026
Main results expectedFebruary 2028
Study endsMarch 2028
Registry record updatedOctober 14, 2026
Trial IDNCT07775352 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with Crohn’s disease or ulcerative colitis undergoing endoscopy for disease assessment.

Probably not a fit

Patients whose disease activity remains stable or who do not require treatment changes despite IUS findings may not experience additional benefit.

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

What this trial studies

This randomized controlled trial compares standard care alone to standard care plus intestinal ultrasound (IUS) performed at every visit in adults with inflammatory bowel disease. Patients undergoing endoscopy for disease assessment are assigned 1:1 to receive IUS in addition to routine care or to continue with standard care only, and are followed for 48 weeks with visits every 2 months if active disease and every 4 months if in remission. IUS measures bowel wall thickness, Doppler signal, and mesenteric fat, with ultrasound operators blinded to concurrent lab results. The primary outcome is the proportion of participants whose treatment changes during the follow-up period. The study is conducted at Siriraj Hospital, Mahidol University, with inclusion criteria focusing on adults with IBD and undergoing endoscopy, and excluding pregnancy, unstable conditions, distal disease only, or prior biologic failure.

Why it matters

Potential benefit: If successful, patients could receive more timely or tailored treatment changes leading to better disease control.

How similar studies have gone: Previous work suggests IUS can influence management decisions in IBD, but this trial tests its impact in a structured, treat-to-target framework.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of inflammatory bowel disease for more than 2 months
* Age 18 years or older
* Undergoing endoscopy at enrollment for assessment of disease severity

Exclusion Criteria:

* Pregnancy
* Unstable underlying medical conditions
* Inflammatory bowel disease limited to the distal rectum (within 10 cm of the anal verge) or perianal disease only
* Biologic failure

Where it's running

  • Faculty of Medicine Siriraj Hospital, Mahidol University
    Bangkok, Thailand
    Recruiting

Study contacts

Similar studies

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

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.