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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 137 (estimated) |
| Sponsor | Mahidol University Academic / other |
| Locations | 1 site (Bangkok) |
| Status | Recruiting |
| Started | March 25, 2026 |
| Main results expected | February 2028 |
| Study ends | March 2028 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07775352 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
- Principal investigator: Julajak Limsrivilai, MD — Mahidol University
- Study coordinator: Thanaboon Chaemsupaphan, MD
- Email: ping_tnt@hotmail.com
- Phone: +66 86 896 4889
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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.