Clinical trial Recruiting at 12 sites Interventional Ages 18 to 85

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 typeInterventional
Ages18 Years to 85 Years
SexAll
Enrollment126 (estimated)
SponsorNorthwestern University
Academic / other
Drugs / interventionsradiation
Locations13 sites (Birmingham, Alabama and 12 other locations)
StatusRecruiting
StartedJanuary 9, 2024
Main results expectedSeptember 1, 2027
Study endsSeptember 1, 2027
Registry record updatedOctober 23, 2026
Trial IDNCT05987852 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

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.