Using hyperbaric oxygen therapy to treat ulcerative colitis
Official title: Hyperbaric Oxygen Therapy for Ulcerative Colitis Patients Hospitalized for Moderate to Severe Flares: A Multi-Center, Randomized, Double-Blind, Sham-Controlled Trial
Run by Northwestern University · NCT05987852 · Data updated 2026-11-12
This study is testing whether hyperbaric oxygen therapy can help hospitalized patients with ulcerative colitis feel better and reduce the need for stronger treatments.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 126 (estimated) |
| Sponsor | Northwestern University Academic / other |
| Drugs / interventions | radiation |
| Locations | 13 sites (Birmingham, Alabama and 12 other locations) |
| Status | Recruiting |
| Started | January 9, 2024 |
| Main results expected | September 1, 2027 |
| Study ends | September 1, 2027 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT05987852 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18-85 with known or newly diagnosed ulcerative colitis requiring hospitalization for an acute flare.
✕Probably not a fit
Patients who have previously received hyperbaric oxygen therapy or those with severe complications requiring urgent surgical intervention may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effects of hyperbaric oxygen therapy (HBOT) on patients with ulcerative colitis (UC) who are hospitalized for acute moderate to severe flares. The study aims to confirm previous findings that HBOT can improve remission rates and reduce the need for more aggressive treatments like biologics or colectomy. Participants will receive either HBOT or a sham treatment, and the trial will also explore the immune-microbe mechanisms that may explain the treatment's effectiveness. The goal is to provide a larger dataset to validate the benefits of HBOT in this patient population.
Why it matters
Potential benefit: If successful, this treatment could significantly improve remission rates for patients with ulcerative colitis during acute flares.
How similar studies have gone: Previous smaller trials have shown promising results for hyperbaric oxygen therapy in ulcerative colitis, suggesting potential for success in this larger study.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants with known or newly diagnosed UC who require hospitalization for an acute moderate to severe flare * Age 18-85 * Able to fully participate in all aspects of the trial * Consented and able to receive first HBOT session within first 48 hours of initiation of intravenous steroids * Agreement to not participate in another trial for the duration of the active intervention period Exclusion Criteria: * Received hyperbaric oxygen therapy either as part of standard of care or through a clinical trial prior to enrollment * Complication requiring urgent surgical intervention * Requirement for new start of a biologic or small molecule during the hospitalization prior to randomization and/or anticipated requirement for rescue medical or surgical therapy within 48 hours of randomization * Toxic megacolon * Inability to receive intravenous steroids * Historically failed or been exposed to 4 or more classes of advanced therapeutic options * Known or suspected diagnosis of Crohn's colitis, indeterminate colitis, ischemic colitis, radiation colitis, diverticular disease associated with colitis, microscopic colitis or infectious colitis * Received any investigational drug within 30 days * Clinically significant cardiac, renal, neurological, endocrine, respiratory or hepatic impairment that increases the risk for HBOT toxicity * Women who are pregnant or nursing * Unwillingness to complete course of HBOT
Where it's running
-
University of Alabama Medicine
Birmingham, Alabama, United States Recruiting -
University of Los Angeles Health
Los Angeles, California, United States Recruiting -
University of Miami Health
Miami, Florida, United States Recruiting -
Orlando Health
Orlando, Florida, United States Recruiting -
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, United States Recruiting -
University of Louisville
Louisville, Kentucky, United States Recruiting
Show 7 more locations
-
Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Recruiting -
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States Recruiting -
State University of New York Upstate Medical University
Syracuse, New York, United States Recruiting -
Allegheny Health
Pittsburgh, Pennsylvania, United States Recruiting -
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States Recruiting -
Cornell University Medical Center
New York, New York, United States Active not recruiting
Study contacts
- Principal investigator: Lauren Balmert Bonner, PhD — Northwestern University
- Study coordinator: Yasmin Pina, BS
- Email: yasmin.pina@northwestern.edu
- Phone: 312-503-6459
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Innovative Multidisciplinary and Virtual Care for IBD in Pregnancy
This study tests a dedicated IBD pregnancy care model, including a new virtual approach, to see if it improves access and quality of care for pregnant people with Crohn's disease or ulcerative colitis.
-
A Probiotic Approach to Modulating Gut Microbiota in Mild-to-Moderate Ulcerative Colitis
A specific probiotic given rectally will be tested in adults with mild-to-moderate ulcerative colitis to see if it can help manage symptoms.
-
Advanced therapies for moderately to severely active Crohn's disease or ulcerative colitis in adults
This study tests combinations of risankizumab with either trosunilimab or ABBV-701 in adults with moderately to severely active Crohn's disease or ulcerative colitis.
-
Longitudinal Immunophenotyping of People with Inflammatory Bowel Disease
This study will follow adults with Crohn's disease or ulcerative colitis (and some healthy relatives) over three years to see how their immune cells change over time and how genetics and diet relate to their disease.
-
High Protein, High Fiber Diet for Ulcerative Colitis
This study tests a high-protein, high-fiber diet to see if it helps people with ulcerative colitis by meeting protein needs and lowering harmful hydrogen sulfide production in the gut.
-
Ath-063: Testing a new treatment for moderately to severely active ulcerative colitis in patients who have tried other biologics
This study tests ATH-063 to see if it helps people with moderate to severe ulcerative colitis who did not respond to or relapsed after prior biologic therapy.
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.