Actively Recruiting

Phase Not Applicable
Age: 18Years - 40Years
All Genders
NCT06882993

Feasibility of a Minimally Invasive Diagnostic Algorithm in Suspected Crohn's Disease

Led by Esbjerg Hospital - University Hospital of Southern Denmark · Updated on 2025-03-19

165

Participants Needed

5

Research Sites

183 weeks

Total Duration

On this page

Sponsors

E

Esbjerg Hospital - University Hospital of Southern Denmark

Lead Sponsor

O

Odense University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to learn whether a camera pill examination of the whole bowel can be used to diagnose Crohn's disease instead of colonoscopy and a small bowel examination (either MRI or camera pill) in patients aged 18-40 years suspected of having Crohn's disease. The main question it aims to answer is: How many patients examined with a camera pill examination of the whole bowel will have a complete examination of the whole bowel and have a diagnosis made without need for any more examinations? Researchers will compare with patients examined with colonoscopy and a small bowel examination. Participants will: * Be examined with either a camera pill examination of the whole bowel, or a colonoscopy and a small bowel examination * Have their electronic medical records checked to see if a diagnosis has been made * Have an interview every three months if diagnosed with an inflammatory bowel disease or after a year if no disease was found

CONDITIONS

Official Title

Feasibility of a Minimally Invasive Diagnostic Algorithm in Suspected Crohn's Disease

Who Can Participate

Age: 18Years - 40Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical suspicion of Crohn's disease based on diarrhea and/or abdominal pain for more than 1 month or repeated episodes
  • Fecal calprotectin level ≥ 200 mg/kg, or fecal calprotectin ≥ 50 mg/kg plus at least one of the following: elevated C-reactive protein (> 5 mg/L), thrombocytosis (> 400 x 10^9/L), anemia (hemoglobin < 7.0 mmol/L for women and < 8.0 mmol/L for men or a decrease > 0.5 mmol/L compared to usual level), prolonged fever (> 37.5 °C for more than 2 weeks), weight loss (≥ 3 kg or ≥ 5% of normal body weight), perianal abscess or fistula, or family history of inflammatory bowel disease
  • Age between 18 and 40 years
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • Previous intestinal resection
  • Positive serologic markers for celiac disease
  • Positive stool tests for pathogenic bacteria or intestinal parasites
  • Suspected or confirmed acute bowel obstruction (ileus)
  • Use of NSAIDs or acetylsalicylic acid (except low-dose prophylactic acetylsalicylic acid ≤ 150 mg/day) within 4 weeks before joining the study
  • Use of opioid or opioid-like medications within 1 week before joining the study
  • Pregnancy or lactation
  • Unable to follow study procedures due to reasons such as alcohol or recreational drug abuse
  • Known gastrointestinal disorders other than functional gastrointestinal disorders
  • Renal failure defined by plasma creatinine above the normal reference range

AI-Screening

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Trial Site Locations

Total: 5 locations

1

Esbjerg Hospital - University Hospital of Southern Denmark

Esbjerg, Denmark, 6700

Actively Recruiting

2

Odense University Hospital

Odense C, Denmark, 5000

Actively Recruiting

3

Odense University Hospital - Svendborg Hospital

Svendborg, Denmark, 5700

Not Yet Recruiting

4

Lillebaelt Hospital Vejle - University Hospital of Southern Denmark

Vejle, Denmark, 7100

Actively Recruiting

5

Skåne University Hospital

Malmö, Sweden, 205 02

Not Yet Recruiting

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Research Team

F

Frederik D Thrane, MD

CONTACT

M

Michael D Jensen, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

2

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Feasibility of a Minimally Invasive Diagnostic Algorithm in Suspected Crohn's Disease | DecenTrialz