AzTrials
AzTrials

Ulcerative Colitis (UC)MONETNCT06709209

AI-driven Narrow-band Imaging Score for Disease Assessment and Outcome Prediction in Ulcerative Colitis

An observational study of Ulcerative Colitis (UC), run by University College Cork at 11 sites in 6 countries.

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

This international multicentre prospective study aims to develop a new simple score using enhanced endoscopic techniques which focus on the vascular features of the colon and reliably distinguish between a quiescent and a mild inflammation in ulcerative colitis (UC). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Ulcerative Colitis (UC)
What is being tested?
Colonoscopy after bowel cleansing, Intestinal biopsies and blood sampling
Type of treatment
Surgery or procedure
How many people
300 participants
Where
11 sitesin 6 countries
Study dates
4 Nov 2024to 30 Sep 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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Males and females between 18 and 75 years old with an established diagnosis of UC, who have undergone colonoscopy for disease assessment and surveillance will be consecutively recruited after obtaining written consent. The sample size in 300.

Who may be able to join

  • Adult patients aged 18 to 75 years old
  • Established diagnosis of UC (for at least six months in duration), independently from their active treatment
  • Undergoing endoscopy for disease activity assessment or cancer surveillance.

Who cannot join

  • Contraindications to endoscopy (including toxic megacolon) and biopsies (including severe coagulopathy/thrombocytopenia)
  • Poor bowel preparation (defined as total BBPS <6 or BBPS <2 in observed segment for sigmoidoscopy)
  • Significant co-morbidities limiting life expectancy and conferring high risk of endoscopy
  • Pregnant and breast-feeding subjects
  • Inability to provide informed consent
  • If the participant has been in a recent experimental trial, these must have been completed not less than thirty days prior to this study

Trial locations and contacts

11 sites in 6 countries. Contact the study team or a site near you to ask about taking part.

Michelle O'Riordan contact

+353 (0)21 4901759

moriordan@ucc.ie

11 sites in 6 countries

Italy6 sites, 6 recruiting
  • University of Bari

    Bari

    Mariabeatrice Principi, b.principi@gmail.com

    Mariabeatrice Principi

    Not yet recruiting
  • Ospedale S. Maria del Prato

    Feltre, Belluno

    Andrea Buda, andreabuda66@gmail.com

    Andrea Buda

    Not yet recruiting
  • Istituto Clinico Humanitas

    Milan

    Alessandro Armuzzi, alessandro.armuzzi@hunimed.eu

    Alessandro Armuzzi

    Not yet recruiting
  • University Vita-Salute San Raffaele

    Milan

    Silvio Danese, danese.silvio@hsr.it

    Silvio Danese

    Not yet recruiting
  • University of Naples

    Naples

    Olga Maria Nardone, olgamaria.nardone@unina.it

    Olga Maria Nardone

    Recruiting
  • University of Pavia

    Pavia

    Antonio Di Sabatino, A.DiSabatino@smatteo.pv.it

    Antonio Di Sabatino

    Not yet recruiting

Other trials in Italy

Belgium1 site, 1 recruiting
  • University of Leuven

    Leuven

    Raf Bisschops, raf.bisschops@uzleuven.be

    Raf Bisschops

    Not yet recruiting

Other trials in Belgium

Germany1 site, 1 recruiting
  • Klinikum Luneburg

    Lüneburg

    Torsten Kucharzik, Torsten.Kucharzik@klinikum-lueneburg.de

    Torsten Kucharzik

    Not yet recruiting

Other trials in Germany

Ireland1 site, 1 recruiting
  • University College Cork

    Cork, Co Cork

    Michelle O'Riordan, +353 (0)21 4901759, moriordan@ucc.ie

    Marietta Iacucci

    Recruiting

Other trials in Ireland

Japan1 site, 1 recruiting
  • Showa University

    Tokyo

    Yasuharu Maeda, yasuharumaeda610@hotmail.com

    Yasuharu Maeda

    Not yet recruiting

Other trials in Japan

Singapore1 site, 1 recruiting
  • Changi General Hospital

    Singapore

    Kimg Tan Chin, ckimg87@yahoo.com

    Kimg Tan Chin

    Not yet recruiting

Other trials in Singapore

About this study

Official title: A Novel Simplified Endoscopic Score aiMed at Evaluating Ulcerative cOlitis Activity Through TXI, RDI and NBI Vascular Assessment and at prEdicting Clinical Outcome and Its Applicability in an arTificial Intelligence System: the MONET Study

This international multicentre prospective study aims to develop a new simple score using enhanced endoscopic techniques which focus on the vascular features of the colon and reliably distinguish between a quiescent and a mild inflammation in ulcerative colitis (UC). The diagnostic performance of the new score in defining disease activity/remission compared to existing endoscopic and histological scores and predict long-term clinical outcomes will be evaluated. The study also aims to adapt current artificial intelligence (AI) algorithms for enhanced endoscopic techniques to improve standardization in UC disease assessment and outcome prediction.

Read the detailed description

This is a multicentre prospective international study. This study aims at developing a new simple endoscopic score using white light endoscopy - high definition (WLE-HD), Texture and colour enhancement imaging (TXI), red dichromatic imaging (RDI) and narrow-band imaging (NBI) modes, focusing on vascular features to distinguish between quiescent versus patchy mild Ulcerative Colitis. It will evaluate the new score's diagnostic performance in defining disease activity/remission compared to existing endoscopic and histological scores and predict long-term clinical outcomes. Finally, it also aims to develop and adapt existing artificial intelligence (AI) algorithms according to WLE-HD, TXI, RDI and NBI to grade and standardize endoscopic and histological disease assessment and predict long-term clinical outcomes.

The study will be divided in several phases:

  • In the first phase, the score will be developed on the first 30 consecutive virtual electronic chromoendoscopy (VCE) videos (using TXI-RDI and NBI) of UC patients, with different grade of disease activity. Experts in inflammatory bowel disease (IBD) endoscopy will review images and videos from recruited patients to define the endoscopic mucosal and vascular features of the new score. These will be used for a stepwise discussion. A round table discussion using modified Delphi method will be conducted by experts worldwide to ensure equal participation and identify the best component descriptors of endoscopic vascular healing. The components that will achieve 100% consensus will be selected, and the most important endoscopy predictive variables will be confirmed by using a machine learning technique. Finally, a new endoscopic score will be generated. This should be reproducible, valid and responsive.
  • In the second phase, the new endoscopic scoring system will be validated in a large cohort of UC patients, focusing on patients with quiescent disease versus patchy mild colitis. Diagnostic accuracy, interobserver agreement and ability to predict clinical outcome according to the new endoscopic score focused on vascular features assessed with VCE will be evaluated
  • In the third phase, the reproducibility of the new endoscopic scoring system will be evaluated among gastroenterologists with different levels of experience through a short survey and a computerised training module.
  • In the fourth phase, new and existing AI algorithms will be developed and adapted to these endoscopic videos and histological images to grade and standardize endoscopic and histological disease assessment and predict long-term clinical outcome in UC.
Being tested
Colonoscopy after bowel cleansing, Intestinal biopsies, blood sampling, Stool, Clinical follow-up
Keywords
Ulcerative Colitis, Virtual Chromoendoscopy, Artificial Intelligence, Disease Assessment, Outcome Prediction
Medical subject headings
Colitis, Ulcerative

What participants receive

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

  • Colonoscopy after bowel cleansingProcedure or surgery

    Colonoscopy will be performed using HD-WLE; TXI; RDI and NBI.

  • Intestinal biopsiesProcedure or surgery

    During colonoscopy, at least 2 biopsies from each segment will be taken as standard of care to assess inflammation in UC

  • blood samplingDiagnostic test

    Blood samples will be taken for standard of care by appropriately trained members of the clinical research team. The results of the standard of care blood will be used in the research.

  • StoolDiagnostic test

    The stool sample will be sent to the laboratory for Faecal Calprotectin (FCP) as a marker of disease activity.

  • Clinical follow-upOther

    Patients will be followed-up at 6 and 12 months after index endoscopy. Patients will be evaluated in clinic or by telephone call and the disease will be reassessed. Partial Mayo Score (PMS) and occurrence of clinical outcomes will be evaluated.

Study groups in NCT06709209
Study groupRoleWhat they receive
Ulcerative Colitis patientsUC patients who have been scheduled for colonoscopy for disease assessment or surveillance
Receives: Procedure: Colonoscopy after bowel cleansing; Procedure: Intestinal biopsies; Diagnostic Test: blood sampling; Diagnostic Test: Stool; Other: Clinical follow-up

What is being measured

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

  1. Diagnostic performance of the new scoring system

    To evaluate the diagnostic performance of the new score in evaluating endoscopic and histological activity

    Measured: 6 months

Secondary outcomes (2)
  1. Correlation with existing score

    To evaluate the new score's diagnostic performance in defining disease activity/remission compared to existing endoscopic and histological scores and predict long-term clinical outcomes

    Measured: 2 years

  2. AI development

    Develop and adapt existing AI algorithms according to WLE-HD, TXI, RDI and NBI to grade and standardize endoscopic and histological disease assessment and predict long-term clinical outcomes in UC

    Measured: 2 years

Timeline

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

  1. First posted29 Nov 2024
  2. Study start4 Nov 2024
  3. Primary completion30 Sep 2026 (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
Cohort
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06709209
Sponsor's protocol ID
APC193
Acronym
MONET
Status last verified
Nov 2024
First submitted
25 Nov 2024
Last updated
3 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Rath T, Atreya R, Bodenschatz J, Uter W, Geppert CE, Vitali F, Fischer S, Waldner MJ, Colombel JF, Hartmann A, Neurath MF. Intestinal Barrier Healing Is Superior to Endoscopic and Histologic Remission for Predicting Major Adverse Outcomes in Inflammatory Bowel Disease: The Prospective ERIca Trial. Gastroenterology. 2023 Feb;164(2):241-255. doi: 10.1053/j.gastro.2022.10.014. Epub 2022 Oct 21.

    PubMed 36279923
  • Iacucci M, Cannatelli R, Parigi TL, Nardone OM, Tontini GE, Labarile N, Buda A, Rimondi A, Bazarova A, Bisschops R, Del Amor R, Meseguer P, Naranjo V, Ghosh S, Grisan E; PICaSSO group. A virtual chromoendoscopy artificial intelligence system to detect endoscopic and histologic activity/remission and predict clinical outcomes in ulcerative colitis. Endoscopy. 2023 Apr;55(4):332-341. doi: 10.1055/a-1960-3645. Epub 2022 Oct 13.

    PubMed 36228649
  • Hashimoto Y, Kuribayashi S, Sato K, Itoi Y, Nakata K, Kasuga K, Tanaka H, Hosaka H, Ikota H, Iacucci M, Uraoka T. Validation of red dichromatic imaging score (RDI score) to evaluate the severity of ulcerative colitis. Surg Endosc. 2023 May;37(5):3627-3633. doi: 10.1007/s00464-022-09852-0. Epub 2023 Jan 10.

    PubMed 36627537
  • Iacucci M, Smith SCL, Bazarova A, Shivaji UN, Bhandari P, Cannatelli R, Daperno M, Ferraz J, Goetz M, Gui X, Hayee B, De Hertogh G, Lazarev M, Li J, Nardone OM, Parra-Blanco A, Pastorelli L, Panaccione R, Occhipinti V, Rath T, Tontini GE, Vieth M, Villanacci V, Zardo D, Bisschops R, Kiesslich R, Ghosh S. An International Multicenter Real-Life Prospective Study of Electronic Chromoendoscopy Score PICaSSO in Ulcerative Colitis. Gastroenterology. 2021 Apr;160(5):1558-1569.e8. doi: 10.1053/j.gastro.2020.12.024. Epub 2021 Feb 6.

    PubMed 33347880
  • Sasanuma S, Ohtsuka K, Kudo SE, Ogata N, Maeda Y, Misawa M, Mori Y, Kudo T, Hisayuki T, Wakamura K, Hayashi T, Katagiri A, Miyachi H, Baba T, Ishida F. Narrow band imaging efficiency in evaluation of mucosal healing/relapse of ulcerative colitis. Endosc Int Open. 2018 May;6(5):E518-E523. doi: 10.1055/s-0044-102297. Epub 2018 Apr 18.

    PubMed 29713677
  • He T, Zong L, Pan P, Sun S, Qu H. Predicting Histological Healing and Recurrence in Ulcerative Colitis by Assessing Mucosal Vascular Pattern Under Narrow-Band Imaging Endoscopy. Front Med (Lausanne). 2022 Jun 30;9:869981. doi: 10.3389/fmed.2022.869981. eCollection 2022.

    PubMed 35847771
  • Hayashi Y, Takabayashi K, Kato M, Tojo A, Aoki Y, Hagihara Y, Yoshida K, Yoshimatsu Y, Kiyohara H, Sugimoto S, Nanki K, Mikami Y, Sujino T, Mutaguchi M, Kawaguchi T, Hosoe N, Yahagi N, Ogata H, Kanai T. Usefulness of texture and color enhancement imaging in assessing mucosal healing in patients with ulcerative colitis. Gastrointest Endosc. 2023 Apr;97(4):759-766.e1. doi: 10.1016/j.gie.2022.11.019. Epub 2022 Nov 30.

    PubMed 36460084
  • Neumann H, Vieth M, Gunther C, Neufert C, Kiesslich R, Grauer M, Atreya R, Neurath MF. Virtual chromoendoscopy for prediction of severity and disease extent in patients with inflammatory bowel disease: a randomized controlled study. Inflamm Bowel Dis. 2013 Aug;19(9):1935-42. doi: 10.1097/MIB.0b013e318290550e.

    PubMed 23839228
  • Pabla BS, Schwartz DA. Assessing Severity of Disease in Patients with Ulcerative Colitis. Gastroenterol Clin North Am. 2020 Dec;49(4):671-688. doi: 10.1016/j.gtc.2020.08.003. Epub 2020 Sep 23.

    PubMed 33121688
  • Katsanos KH, Papamichael K, Christodoulou DK, Cheifetz AS. Histological healing beyond endoscopic healing in ulcerative colitis: Shall we target the "ultra-deep" remission? Dig Liver Dis. 2017 Dec;49(12):1332-1333. doi: 10.1016/j.dld.2017.08.043. Epub 2017 Sep 18. No abstract available.

    PubMed 28964677

Questions about this trial

What is this clinical trial studying?

An observational study of Ulcerative Colitis (UC), run by University College Cork at 11 sites in 6 countries.

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 6 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 3 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Italy, Belgium, Germany, Ireland, Japan and 1 more country. 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 Michelle O'Riordan (+353 (0)21 4901759, moriordan@ucc.ie), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic performance of the new scoring system (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06709209, which also lists 10 linked publications.

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 3 Dec 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in