Status:

RECRUITING

NAZA - Nottingham/Astra ZenecA Prospective IBD Cohort Study

Lead Sponsor:

University of Nottingham

Collaborating Sponsors:

Nottingham University Hospitals NHS Trust

Conditions:

Gastro-Intestinal Disorder

Crohn Disease

Eligibility:

All Genders

16+ years

Brief Summary

The goal of this observational study is to learn about the comparisons of inflammatory markers between IBD and non-IBD (control) participants. The main question it aims to answer is: Are there diffe...

Detailed Description

A cohort study in patients with moderate to severely active Crohns Disease (CD) and Ulcerative Colitis (UC) who are switching to new targeted biologic therapy (with a different mode of action) - onto ...

Eligibility Criteria

Inclusion

  • 1\. Provision of signed and dated, written informed consent before any study specific procedures
  • AND
  • 2a. Patients of at least 16 years of age with active Crohn's disease defined as: CRP \> = 5 mg/L OR FCP \> = 250 μg/g OR Visible ulcerations on ileocolonoscopy with a total SES-CD \> = 7, or \> = 4 if disease is confined to the terminal ileum OR visable active disease on cross-sectional imaging. Are switching to a new mechanism of action (MOA) onto anti-TNF therapy or ustekinumab or upadacitinib
  • OR
  • 2b. Patients of at least 16 years (no upper age limit) with active UC defined as: CRP \> = 5 mg/L OR FCP \> = 250 μg/g OR Mayo endoscopy subscore \> = 2. Are switching to a new mechanism of action (MOA) onto either anti-TNFα therapy or vedolizumab
  • OR
  • 2c. Non-IBD participants who are attending for a lower GI colonoscopy at any participating site. On any hospital/ medical/ clinical screening list or any other appropriate list with no pathology found on examination.

Exclusion

  • Inability to give informed consent
  • Any positive result from previous screening for serum hepatitis B surface antigen, hepatitis C or human immunodeficiency virus (HIV)
  • An ongoing infection requiring treatment
  • Clinical evidence of active COVID infection and/or evidence of active COVID determined by local standard care procedures
  • Participation in a clinical study with pharmacological intervention within 3 months prior to Baseline visit.
  • Current diagnosis of cancer
  • Having received a solid organ or stem cell transplant
  • Having received a transfusion of blood, plasma, or platelets within 120 days prior to enrolment
  • Confirmed pregnancy at time of enrolment
  • For non-IBD participants: A prior history of IBD (CD, UC, microscopic colitis, indeterminate colitis or IBD unspecified)
  • Clinical judgement by the investigator that the patient should not participate in the study
  • Under 16yrs of age

Key Trial Info

Start Date :

December 12 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

February 28 2027

Estimated Enrollment :

240 Patients enrolled

Trial Details

Trial ID

NCT06956703

Start Date

December 12 2022

End Date

February 28 2027

Last Update

May 29 2025

Active Locations (1)

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1

University of Nottingham

Nottingham, Nottinghamshire, United Kingdom, NG7 2UH