Urinary Prostaglandin E Metabolite (PGE-M), A Metabolite of Prostaglandin E2 (PGE2): A Novel Biomarker of Crohn's Disease Activity

NCT ID: NCT00496548

Last Updated: 2017-05-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2015-12-31

Brief Summary

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The purpose of this study is to determine whether urinary PGE-M levels correlate with Crohn's disease activity and to compare how well urinary PGE-M correlates with other non-invasive biomarkers of disease activity such as C-reactive protein (CRP) and fecal calprotectin.

Detailed Description

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The available clinical measures of Crohn's disease activity can be overly influenced by functional symptoms. Placebo response rates in clinical trials are high. Several non-invasive biomarkers are currently available for assessing inflammatory bowel disease (IBD) disease activity including erythrocyte sedimentation rate, C-reactive protein and fecal calprotectin. Although these markers hold some promise, their performance is less than ideal. What is needed is a simple, non-invasive, biologic measure of Crohn's disease.

Cyclooxygenase-2 (COX-2) is involved in prostaglandin E2 (PGE2) synthesis and is expressed in epithelial inflammatory conditions and some cancers. We have developed an assay to quantify the major urinary metabolite of PGE2, PGE-M. PGE-M has been previously shown to be elevated in the urine of patients with advanced colorectal neoplasia relative to controls.

Conditions

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Crohn's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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1

Fecal calprotectin and urinary PGE-M levels will be tested on all participants.

Group Type EXPERIMENTAL

Fecal calprotectin

Intervention Type PROCEDURE

Fecal calprotectin levels obtained and compared to urinary PGE-M and serum C-reactive protein (CRP) levels.

Urinary PGE-M Level

Intervention Type PROCEDURE

Urinary PGE-M level obtained and compared to fecal calprotectin and serum CRP levels.

Interventions

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Fecal calprotectin

Fecal calprotectin levels obtained and compared to urinary PGE-M and serum C-reactive protein (CRP) levels.

Intervention Type PROCEDURE

Urinary PGE-M Level

Urinary PGE-M level obtained and compared to fecal calprotectin and serum CRP levels.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Outpatient male or female 18 years or older
* Confirmed diagnosis of Crohn's disease
* Informed consent obtained
* Able to give blood, urine and stool samples
* Willing to undergo a diagnostic colonoscopy as part of routine Crohn's disease care

* Pregnant

Exclusion Criteria

* Unable to give consent
* Ulcerative colitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role collaborator

Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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David Schwartz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David A. Schwartz, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University

Locations

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GI Clinical Research; Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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Urinary PGE-M CD

Identifier Type: -

Identifier Source: org_study_id

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