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Inflammatory Bowel DiseasesNCT04995224

Mechanism of Chronic Pain in Patients With IBD

An observational study of Inflammatory Bowel Diseases, run by Queen Mary University of London at 1 site in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Abdominal pain is a common symptom in patients with inflammatory bowel disease (IBD). Up to 70 % of IBD patients experience pain when the disease is active. Even when patients with IBD are in remission, 20-50 % experience ongoing pain. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Inflammatory Bowel Diseases
What is being tested?
Assessment of Psychophysiological factors, Assessment of Biological factors and Assessment of Genetics
How many people
25,600 participants
Where
1 siteUnited Kingdom
Study dates
26 Jul 2021to 30 Sep 2027
How long will I take part?
18 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population is males and females over the age of 18 who have been diagnosed with ulcerative colitis or Crohn's disease within the past 6 months before enrolment.

Who may be able to join

  • Males or females who are over 18 years old.
  • Patients who are diagnosed with UC or CD within 6 months before the enrolment.
  • Patients who have access to the internet and have the IT skills to perform basic tasks e.g. operate emails and fill out questionnaires.
  • Patients who are willing and able to participate in the study for the required duration, can understand and are willing to sign the consent forms and agree to undergo all protocol-related tests and procedures.

Who cannot join

  • Patients who have severe extensive colitis and are at imminent risk of colectomy.
  • Patients who already have the presence of a stoma or history of a fistula or stricture due to another diagnosis.
  • Patients who are pregnant, lactating or thinking of becoming pregnant during the study period
  • Patients who have unstable acute illness or exacerbation of an unstable chronic illness or chronic disease (other than IBD) that may affect assessments for this study as determined by previous physical examination, medical history, vital signs, ECG, and laboratory (serum biochemistry, hematology, urinalysis) assessments.
  • Patients with a medical history of hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection that are not in remission and are on medication that can affect gastrointestinal function.
  • Patients who have known or suspected to have a severe cardiac disease (e.g., symptomatic coronary artery disease, prior myocardial infarction, congestive heart failure (CHF) and chronic arrhythmia such as atrial fibrillation
  • Patients who have known or suspected cerebrovascular disease (e.g. prior stroke or transient ischemic attack, symptomatic carotid artery disease, prior carotid endarterectomy or other vascular neck surgery)
  • Patients who have a known history or suspected history of substance abuse or addiction (within the last five years).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United Kingdom1 site, 1 recruiting
  • Neurogastroenterology, Barts and the London School of Medicine and Dentistry, Queen Mary University of London

    London, E1 2AJ

    Qasim Aziz, 02078822630, q.aziz@qmul.ac.uk

    Qasim Aziz

    Recruiting

Other trials in United Kingdom

About this study

Official title: Psychophysiological and Biological Profiling of Chronic Pain in Patients With Inflammatory Bowel Disease

Abdominal pain is a common symptom in patients with inflammatory bowel disease (IBD). Up to 70 % of IBD patients experience pain when the disease is active. Even when patients with IBD are in remission, 20-50 % experience ongoing pain. The precise mechanism of developing chronic abdominal pain in patients with IBD in remission remains unknown.

The aim of this study is to identify psychophysiological and biological risk factors for the development of chronic abdominal pain in patients with newly diagnosed IBD (ulcerative colitis and Crohn's disease).

Read more

This study consists of 4 sections (Study 1A, 1B, 2, and 3):

Study 1A: We perform a longitudinal study in 150 patients with new-onset IBD over 18 months to identify risk factors related to the brain-gut axis for the development of chronic pain. This is a collaborative study with IBD BioResourse Inception study. We administer online questionnaires, collect stool and blood samples, and record heart rate. Other physiological data collected by the Inception study will be also used for the analysis.

Study 1B: This is also a collaborative study with the Inception study. We will apply for our detailed questionnaires for 7 days (as per study 1A) to be administered to all the new patients (n=450) that are included in the Inception study on a voluntary basis. Patients will be followed for 12 months.

Study 2 and 3: Study 2 and 3 are a questionnaire-based cross-sectional study in patients with IBD. The participants for study 2 are patients registered in IBD BOOST study and those for study 3 are patients registered in IBD BioResource (but not in IBD Boost study). Detailed online questionnaires will be administered to them. These studies are just one-day assessment.

Read the detailed description

This study consists of 4 sections (Study 1A, 1B, 2, and 3).

Study 1A: We perform a longitudinal study in 150 patients with new-onset IBD (UC and CD) over 18 months to identify risk factors related to the brain-gut axis for the development of chronic pain.

First assessment period: On the first day of the study, we will have a video chat with the participant using one of the telecommunications applications (e.g. skype, zoom, Microsoft team, etc.) and obtain an electric consent form using DocuSign (https://www.docusign.co.uk/). Then, participants will be trained on how to use online validated questionnaires to evaluate their disease activity, symptoms and psychological state, presence or absence of irritable bowel syndrome (IBS), or pain elsewhere. Then, they will be asked to download a mobile phone camera heart rate variability app and be trained to use it. They will also be trained to use the experience sampling method (ESM) to profile gut symptoms and lifestyle via a smartphone app at 10 random times in a day.

After training, participants will fill out baseline online questionnaires using REDCap. Participants will also start answering questionnaires by ESM for 7 days and recording their heart rate (5 minutes) using the app once a day in the morning for 7 days.

2nd-4th assessment periods: Further assessment periods will be scheduled every 6 months. One-two days before each study period begins, we will remind the participants by email or phone call. On day 1, participants fill out the same online questionnaires (except personality, which is a stable trait) followed by 7 days ESM profiling as during their first assessment period. They will also be asked to record heart rate (5 minutes) once a day in the morning for 7days. Each patient will be followed at least 18 months until the 4th assessment period ends.

If patients agree, we will add online questionnaires to patients beyond the life of the grant (at 24 months and 36 months) when they are followed by the IBD BioResource inception study. (ESM and sample collection are not performed after 18 months follow)

This is a collaborative study with the IBD BioResource Inception study. The participants in our study will be asked to participate in the IBD BioResource Inception study as well. Biological data obtained by the BioResource Inception study, which will be used for the analysis.

Study 1B: This is also a collaborative study with the Inception study. Data for 600 patients will still need to be collected by the Inception study when our study starts. We will apply for our detailed questionnaires for 7 days (as per study 1A) to be administered to all the new patients that are included in the Inception study on a voluntary basis. This will allow us to capture data on almost 600 patients (150 of these will be from study 1A).

Using both our 150 studied patients from study1A and 450 patients in the Inception cohort (study 1B), we will then use cutting edge techniques in machine learning to ascertain if artificial intelligence (AI) can predict individuals who will develop chronic abdominal pain.

Study 2 and 3: Study 2 and 3 are a questionnaire-based cross-sectional study in patients with IBD (both CD and UC patients). The participants for study 2 are patients who are registered in IBD BOOST study and those for study 3 are patients who are registered in IBD BioResource (but not in IBD Boost study).

The aims are to determine the prevalence of chronic pain in Crohn's and UC patients, the prevalence of comorbid pain and IBS, lifestyle factors, and quality of life. IBD BOOST questionnaire is due to be administered to 10,000 patients. We will invite these patients to complete additional questionnaires not covered by IBD BOOST. We also approach 15,000 patients from IBD BioResourse who are not included in the IBD Boost study and administer questionnaires to them. We will be able to identify risk factors and aid a predictive model from static time point data if a number of those individuals have pain and a number do not. Further, in study 2 and 3, we will be able to determine whether the risk factors identified in study 1A and 1B accurately identify patients with and without chronic pain.

Being tested
Assessment of Psychophysiological factors, Assessment of Biological factors, Assessment of Genetics, Assessment of Quality of Life
Keywords
inflammatory bowel diseases, IBD
Medical subject headings
Inflammatory Bowel Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Assessment of Psychophysiological factorsOther

    Investigating the presence of psychophysiological factors (depression, anxiety, catastrophizing) by questionnaires.

  • Assessment of Biological factorsBiological

    Investigating autonomic nervous function using heart rate recording, colon biopsy samples, microbiota, and blood cytokines levels. (Colon biopsy samples are obtained when colonoscopy is performed for clinical reasons. Blood samples and stool samples will be taken when participants come to the hospital for colonoscopy)

  • Assessment of GeneticsGenetic

    Genetic data investigated by another cohort study (IBD BioResource study) will be utilized in the analysis of this study.

  • Assessment of Quality of LifeBehavioural

    Investigating QOL by questionnaires.

  • Assessment of Biological factorsBiological

    Investigating colon biopsy samples (Colon biopsy samples are obtained when colonoscopy is performed for clinical reasons).

Study groups in NCT04995224
Study groupRoleWhat they receive
Study 1AProspective cohort study with 150 newly diagnosed patients with inflammatory bowel disease
Receives: Other: Assessment of Psychophysiological factors; Biological: Assessment of Biological factors; Genetic: Assessment of Genetics; Behavioral: Assessment of Quality of Life
Study 1BProspective cohort study with 450 newly diagnosed patients with IBD
Receives: Other: Assessment of Psychophysiological factors; Genetic: Assessment of Genetics; Behavioral: Assessment of Quality of Life; Biological: Assessment of Biological factors
Study 2Cross-sectional study with 10,000 patients in IBD Boost study
Receives: Other: Assessment of Psychophysiological factors; Genetic: Assessment of Genetics; Behavioral: Assessment of Quality of Life
Study 3Cross-sectional study with 15,000 patients in IBD BioResource
Receives: Other: Assessment of Psychophysiological factors; Genetic: Assessment of Genetics; Behavioral: Assessment of Quality of Life

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Identification of psychophysiological and biological risk factors for development of chronic abdominal pain

    To identify psychophysiological and biological risk factors for the development of chronic abdominal pain in patients with newly diagnosed inflammatory bowel disease (ulcerative colitis and Crohn's disease) in a prospective longitudinal cohort study design

    Measured: 3 years

  2. Build predictive models for chronic pain using artificial intelligence and machine learning

    To use artificial intelligence (AI) and machine learning (ML) to build predictive models that use longitudinal data to identify patients who will develop chronic pain

    Measured: 3 years

Secondary outcomes (5)
  1. Chronic abdominal pain prevalence

    To determine the prevalence of chronic abdominal pain

    Measured: 3 years

  2. Co-morbid pain in IBD remission

    To determine the prevalence of co-morbid pain in patients with IBD in remission

    Measured: 3 years

  3. Lifestyle factors and quality of life

    To study fatigue, lifestyle factors (e.g. sleep quality and dietary habits) and quality of life

    Measured: 3 years

  4. Environmental sensitivity

    To study environmental sensitivity in patients with IBD

    Measured: 3 years

  5. Prevalence of IBS in IBD remission

    To identify the prevalence of IBS in patients with IBD in remission

    Measured: 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Aug 2021
  2. Study start26 Jul 2021
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
25,600 participants (estimated)
Target duration
18 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04995224
Sponsor's protocol ID
279414
Status last verified
May 2026
First submitted
29 Jul 2021
Last updated
22 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Inflammatory Bowel Diseases, run by Queen Mary University of London at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Iman Khwaja (02078822655, i.khwaja@qmul.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Identification of psychophysiological and biological risk factors for development of chronic abdominal pain (time frame: 3 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 May 2026.

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