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Spinal Cord InjuriesNCT05670288

Impact of Gut Microbiome on Metabolic and Bowel Function During the First Year After Spinal Cord Injury

An observational study of Spinal Cord Injuries and Gut Microbiome, run by University of Alabama at Birmingham at 1 site in United States.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

The Investigators will recruit 35 participants with acute SCI (within 6 weeks of injury) Fasting blood collection and bowel function survey will be conducted 3 times: at baseline [within 6 weeks of injury], 6, and 12 months after SCI. Stool will be collected for gut microbiome analysis 3 times. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Spinal Cord Injuries, Gut Microbiome
How many people
35 participants
Where
1 siteUnited States
Study dates
15 Oct 2023to 28 Feb 2027
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 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who have had an acute spinal cord injury in the past 6 weeks.

Who may be able to join

  • 18-85 years of age
  • diagnosis of traumatic SCI at the cervical to lumbar level (C3-L2)
  • classification of A, B, C (motor complete, incomplete).

Who cannot join

  • Women who are pregnant prior to consent
  • neurological impairment other than SCI
  • self-reported history of Crohn's disease or diverticulitis
  • irritable bowel syndrome
  • gastric blockage/obstruction or swallowing disorder
  • prior GI surgery
Show all 9Show fewer
  • intrathecal pump
  • concurrent usage of functional electrical stimulation for bowel management (e.g., constipation).
  • able to ambulate

Trial locations and contacts

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

Jereme Wilroy, PhD contact

(205) 934-0355

jdwilroy@uab.edu

United States1 site, 1 recruiting
  • The University of Alabama at Birmingahm

    Birmingham, Alabama, 35294

    Jereme Wilroy, PhD, (205) 934-0355, jdwilroy@uab.edu

    Jereme Wilroy, PhD

    Recruiting

Other trials in United States

About this study

The Investigators will recruit 35 participants with acute SCI (within 6 weeks of injury) Fasting blood collection and bowel function survey will be conducted 3 times: at baseline [within 6 weeks of injury], 6, and 12 months after SCI. Stool will be collected for gut microbiome analysis 3 times.

Read the detailed description

Stool and fasting blood collection will occur at the rehabilitation hospital (during in-patient stay) and at participants' homes. During the hospital stay, stool will be collected at the bedside by the research team and placed in a Para-pak® vial for sample preservation. Blood will also be collected by the research team.

For sample collection at home, a research nurse will travel to participants home to perform blood draws and bing back to the research lab for processing/analysis/storage.

The nurse may also collect the stool sample at the same time as the blood draw if available. If not, participants and their caregivers will be provided with a pre-paid/labeled FedEx package containing a stool collection kit (Para-pak® vial). Prior to bowel movement, participants and caregivers will be asked to clean the anal area using the sanitizing wipes; approximately 5-10 mL of stool will be transferred to the Para-pak® vial using the attached spatula in the Para-pak® vial. For participants who conduct their bowel management program in their beds, an additional sterile absorbent pad will be provided to use as a barrier between the bed and the participant to limit contamination. FedEx package containing the stool sample will be shipped to the investigators' lab

For each participant, the Investigators will record 1) diet (via 24-hour dietary recalls), 2) physical activity habits (via the rehabilitation therapies survey included in the SCI common data elements [CDEs], 3)Leisure Time Physical Activity Questionnaire; 4)depression and anxiety (via Patient Health Questionnaire-9 [PHQ9] and the General Anxiety Disorder-7 scale (GAD7),respectively); 5)prescribed medications, including antibiotics (via RedCap platform); 6)use of supplements and bowel routine components, including probiotics and laxatives (via self-report); and 7)any other comorbidities beyond GI dysfunction

Keywords
SCI, Inflammation, Bowel Function, Blood Sugar, Lipid Profiles
Medical subject headings
Spinal Cord Injuries, Inflammation

What participants receive

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

Study groups in NCT05670288
Study groupRoleWhat they receive
Spinal Cord InjuryPatients who have had an acute spinal cord injury in the past 72 hours

What is being measured

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

  1. Neurological impairment - Injury level by ISNCSCI

    Injury level determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Baseline

  2. Neurological impairment - Injury level by AIS

    Injury level determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Baseline

  3. Neurological impairment - completeness of injury by ISNCSCI

    Completeness of injury determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Baseline

  4. Neurological impairment - completeness of injury by AIS

    Completeness of injury determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Baseline

  5. Neurological impairment - Injury level by ISNCSCI

    Injury level determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Month 6

  6. Neurological impairment - Injury level by AIS

    Injury level determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Month 6

  7. Neurological impairment - completeness of injury by ISNCSCI

    Completeness of injury determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Month 6

  8. Neurological impairment - completeness of injury by AIS

    Completeness of injury determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Month 6

  9. Neurological impairment - Injury level by ISNCSCI

    Injury level determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Month 12

  10. Neurological impairment - Injury level by AIS

    Injury level determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Month 12

  11. Neurological impairment - completeness of injury by ISNCSCI

    Completeness of injury determined by International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam

    Measured: Month 12

  12. Neurological impairment - completeness of injury by AIS

    Completeness of injury determined by American Spinal Injury Association Impairment Scale (AIS). classification.

    Measured: Month 12

  13. Microbiome composition - Bacterial 16S rRNA sequincing

    Bacterial 16S rRNA sequencing will be performed

    Measured: Baseline

  14. Microbiome composition - Bacterial 16S rRNA sequincing

    Bacterial 16S rRNA sequencing will be performed

    Measured: Month 1

  15. Microbiome composition - Bacterial 16S rRNA sequincing

    Bacterial 16S rRNA sequencing will be performed

    Measured: Month 6

  16. Microbiome composition - Bacterial 16S rRNA sequincing

    Bacterial 16S rRNA sequencing will be performed

    Measured: Month 12

  17. Microbiome composition - Metagenomics

    A subset of 16S rRNA gene surveys that show differences in taxa and alpha and beta diversity are selected for follow-up via shotgun metagenomics.

    Measured: Baseline

  18. Microbiome composition - Metagenomics

    A subset of 16S rRNA gene surveys that show differences in taxa and alpha and beta diversity are selected for follow-up via shotgun metagenomics.

    Measured: Month 1

  19. Microbiome composition - Metagenomics

    A subset of 16S rRNA gene surveys that show differences in taxa and alpha and beta diversity are selected for follow-up via shotgun metagenomics.

    Measured: Month 6

  20. Microbiome composition - Metagenomics

    A subset of 16S rRNA gene surveys that show differences in taxa and alpha and beta diversity are selected for follow-up via shotgun metagenomics.

    Measured: Month 12

  21. Gut derived metabolites

    Blood will be collected and serum extract metabolites will be isolated

    Measured: Baseline

  22. Gut derived metabolites

    Blood will be collected and serum extract metabolites will be isolated

    Measured: Month 1

  23. Gut derived metabolites

    Blood will be collected and serum extract metabolites will be isolated

    Measured: Month 6

  24. Gut derived metabolites

    Blood will be collected and serum extract metabolites will be isolated

    Measured: Month 12

  25. Analysis of metabolic markers to determine metabolic function

    Blood will be collected and serum assays for metabolic markers performed

    Measured: Baseline

  26. Analysis of metabolic markers to determine metabolic function

    Blood will be collected and serum assays for metabolic markers performed

    Measured: Month 1

  27. Analysis of metabolic markers to determine metabolic function

    Blood will be collected and serum assays for metabolic markers performed

    Measured: Month 6

  28. Analysis of metabolic markers to determine metabolic function

    Blood will be collected and serum assays for metabolic markers performed

    Measured: Month 12

  29. Analysis of inflammatory markers to determine Inflammatory state

    Blood will be collected and serum assays for inflammatory markers performed

    Measured: Baseline

  30. Analysis of inflammatory markers to determine Inflammatory state

    Blood will be collected and serum assays for inflammatory markers performed

    Measured: Month 1

  31. Analysis of inflammatory markers to determine Inflammatory state

    Blood will be collected and serum assays for inflammatory markers performed

    Measured: Month 6

  32. Analysis of inflammatory markers to determine Inflammatory state

    Blood will be collected and serum assays for inflammatory markers performed

    Measured: Month 12

  33. Bowel function - International Bowel Function Basic and Extended Data Set Assessment

    International Bowel Function Basic and Extended Data Set assessment will be utilized to assess bowel-related symptoms.

    Measured: Baseline

  34. Bowel function - Bristol Stool Scale

    Bristol Stool Scale assessment will be utilized to assess bowel-related symptoms.

    Measured: Baseline

  35. Bowel function - International Bowel Function Basic and Extended Data Set Assessment

    International Bowel Function Basic and Extended Data Set assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 1

  36. Bowel function - Bristol Stool Scale

    Bristol Stool Scale assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 1

  37. Bowel function - International Bowel Function Basic and Extended Data Set Assessment

    International Bowel Function Basic and Extended Data Set assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 6

  38. Bowel function - Bristol Stool Scale

    Bristol Stool Scale assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 6

  39. Bowel function - International Bowel Function Basic and Extended Data Set Assessment

    International Bowel Function Basic and Extended Data Set assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 12

  40. Bowel function - Bristol Stool Scale

    Bristol Stool Scale assessment will be utilized to assess bowel-related symptoms.

    Measured: Month 12

Secondary outcomes (40)
  1. Diet

    Participant records 24-hour dietary recalls

    Measured: Baseline

  2. Diet

    Participant records 24-hour dietary recalls

    Measured: Month 1

  3. Diet

    Participant records 24-hour dietary recalls

    Measured: Month 6

  4. Diet

    Participant records 24-hour dietary recalls

    Measured: Month 12

  5. Physical activity - PARA-SCI

    Complete PARA-SCI questionnaire to determine physical activity level

    Measured: Baseline

  6. Physical activity - CDEs

    Complete rehabilitation therapies survey (CDEs) to determine physical activity level

    Measured: Baseline

  7. Physical activity - PARA-SCI

    Complete PARA-SCI questionnaire to determine physical activity level

    Measured: Month 1

  8. Physical activity - CDEs

    Complete rehabilitation therapies survey (CDEs) to determine physical activity level

    Measured: Month 1

  9. Physical activity - PARA-SCI

    Complete PARA-SCI questionnaire to determine physical activity level

    Measured: Month 6

  10. Physical activity - CDEs

    Complete rehabilitation therapies survey (CDEs) to determine physical activity level

    Measured: Month 6

  11. Physical activity - PARA-SCI

    Complete PARA-SCI questionnaire to determine physical activity level

    Measured: Month 12

  12. Physical activity - CDEs

    Complete rehabilitation therapies survey (CDEs) to determine physical activity level

    Measured: Month 12

  13. Medication List - Medical Record Review

    Medical record review of prescribed medications being taken

    Measured: Baseline

  14. Medication List - Self-report

    Self-report of prescribed medications being taken

    Measured: Baseline

  15. Medication List - Medical Record Review

    Medical record review of prescribed medications being taken

    Measured: Month 1

  16. Medication List - Self-report

    Self-report of prescribed medications being taken

    Measured: Month 1

  17. Medication List - Medical Record Review

    Medical record review of prescribed medications being taken

    Measured: Month 6

  18. Medication List - Self-report

    Self-report of prescribed medications being taken

    Measured: Month 6

  19. Medication List - Medical Record Review

    Medical record review of prescribed medications being taken

    Measured: Month 12

  20. Medication List - Self-report

    Self-report of prescribed medications being taken

    Measured: Month 12

  21. Supplement usage - Medical Record Review

    Medical record review of supplements being taken

    Measured: Baseline

  22. Supplement usage - self-report

    Self-report of supplements being taken

    Measured: Baseline

  23. Supplement usage - Medical Record Review

    Medical record review of supplements being taken

    Measured: Month 1

  24. Supplement usage - self-report

    Self-report of supplements being taken

    Measured: Month 1

  25. Supplement usage - Medical Record Review

    Medical record review of supplements being taken

    Measured: Month 6

  26. Supplement usage - self-report

    Self-report of supplements being taken

    Measured: Month 6

  27. Supplement usage - Medical Record Review

    Medical record review of supplements being taken

    Measured: Month 12

  28. Supplement usage - self-report

    Self-report of supplements being taken

    Measured: Month 12

  29. Depression

    Complete PHQ9 questionnaires to determine depression level

    Measured: Baseline

  30. Depression

    Complete PHQ9 questionnaires to determine depression level

    Measured: Month 1

  31. Depression

    Complete PHQ9 questionnaires to determine depression level

    Measured: Month 6

  32. Depression

    Complete PHQ9 questionnaires to determine depression level

    Measured: Month 12

  33. Anxiety

    Complete GAD7 questionnaire to determine anxiety level

    Measured: Baseline

  34. Anxiety

    Complete GAD7 questionnaire to determine anxiety level

    Measured: Month 1

  35. Anxiety

    Complete GAD7 questionnaire to determine anxiety level

    Measured: Month 6

  36. Anxiety

    Complete GAD7 questionnaire to determine anxiety level

    Measured: Month 12

  37. Comorbidities

    Evaluate Medical history (CDEs) for any other comorbidities beyond GI dysfunction

    Measured: Baseline

  38. Comorbidities

    Evaluate Medical history (CDEs) for any other comorbidities beyond GI dysfunction

    Measured: Month 1

  39. Comorbidities

    Evaluate Medical history (CDEs) for any other comorbidities beyond GI dysfunction

    Measured: Month 6

  40. Comorbidities

    Evaluate Medical history (CDEs) for any other comorbidities beyond GI dysfunction

    Measured: Month 12

Timeline

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

  1. First posted4 Jan 2023
  2. Study start15 Oct 2023
  3. Primary completion1 Dec 2026 (estimated)
  4. Study completion28 Feb 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
Cohort
Time perspective
Prospective
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05670288
Sponsor's protocol ID
IRB-300010011
Other IDs
90SIMS0020
Status last verified
Dec 2025
First submitted
8 Dec 2022
Last updated
17 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Spinal Cord Injuries and Gut Microbiome, run by University of Alabama at Birmingham at 1 site in United States.

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 3 inclusion and 9 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 17 Dec 2025. 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 States. 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 Jereme Wilroy, PhD ((205) 934-0355, jdwilroy@uab.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Neurological impairment - Injury level by ISNCSCI (time frame: Baseline). The study lists 40 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 17 Dec 2025.

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