Ultrasound Evaluation of Crohn's Disease

NCT ID: NCT03235180

Last Updated: 2021-11-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-16

Study Completion Date

2021-10-12

Brief Summary

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The purpose of this study is to assess the effectiveness of a new ultrasound technology for evaluating Crohn's disease.

Detailed Description

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The investigators will study the efficacy of ultrasound shear wave elastography and vascularity imaging for Crohn's Disease (CD) evaluation. Literature evidences demonstrate that bowel stiffness is correlated with fibrosis, while bowel vascularity and perfusion is correlated with inflammation. Therefore, the investigators expect the combination of shear wave elastography and vascularity imaging can increase the sensitivity and specificity of CD evaluation.

Ultrasound is safe, cost-effective, and widely accessible, thus provides an attractive alternative to the clinical standard Computed Tomography (CT), risks of radiation)) and Magnetic Resonance Imaging (MRI), more expensive and limited accessibility)).

Because ultrasound may not be able to image bowel loops deep in the body, its main role is for follow-up after initial screening by CT or MRI, especially for terminal ileum, which is easily accessible by ultrasound and the most frequently affected bowel segment for CD.

Conditions

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Crohn 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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Crohn's Disease Subjects

Subjects will receive ultrasound exams of the bowel with 2 different machines (Ultrasound Elastography and Ultrasound Vascularity) at three time points: baseline, 4 weeks, and 6 months. The ultrasound exams will be performed at first with no contrast agent, and then ultrasound measurements will be repeated with 1-2 ml of Sulfur Hexafluoride, a contract agent.

Subjects also will receive Magnetic Resonance Enterography (MRE) exams at baseline and 6 months as part of their clinical care.

Group Type EXPERIMENTAL

Sulfur Hexafluoride

Intervention Type DRUG

Subjects will receive ultrasound (US) imaging of the terminal ileum without and with sulfur hexafluoride contrast at baseline, 4 week and 6 months. Subjects will receive one to two milliliters of the contrast agent.

Ultrasound Elastography

Intervention Type DEVICE

Subjects will receive US Imaging with the GE Logiq E9 Ultrasound Scanner at baseline, 4 week and 6 months without and with contrast.

Ultrasound Vascularity

Intervention Type DEVICE

Subjects will receive US Imaging with the Verasonics Ultrasound Scanner at baseline, 4 week and 6 months without and with contrast.

Magnetic Resonance Enterography (MRE)

Intervention Type DEVICE

Subjects will receive MRE imaging at baseline and 6 months as part of regular clinical care.

Interventions

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Sulfur Hexafluoride

Subjects will receive ultrasound (US) imaging of the terminal ileum without and with sulfur hexafluoride contrast at baseline, 4 week and 6 months. Subjects will receive one to two milliliters of the contrast agent.

Intervention Type DRUG

Ultrasound Elastography

Subjects will receive US Imaging with the GE Logiq E9 Ultrasound Scanner at baseline, 4 week and 6 months without and with contrast.

Intervention Type DEVICE

Ultrasound Vascularity

Subjects will receive US Imaging with the Verasonics Ultrasound Scanner at baseline, 4 week and 6 months without and with contrast.

Intervention Type DEVICE

Magnetic Resonance Enterography (MRE)

Subjects will receive MRE imaging at baseline and 6 months as part of regular clinical care.

Intervention Type DEVICE

Other Intervention Names

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Lumason GE Logiq E9 Ultrasound Scanner Verasonics

Eligibility Criteria

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Inclusion Criteria

\- Crohn's disease patients with involvement of terminal ileum (thickness \> 3mm).

Exclusion Criteria

* Patients with change of medicine or going to surgery over the 6-months follow-up period.
* Patients with unreliable ultrasound images due to conditions such as large body habitus or poor ultrasound imaging window.
* Adults lacking capacity to consent.
* Vulnerable subjects such as prisoners.
* Pregnant women and nursing mothers.
* Patients with known or suspected right-to-left, bi-directional, or transient right-to-left cardiac shunts.
* Patients with history of hypersensitivity allergic reactions to ultrasound contrast agents.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Shiago Chen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shigao Chen, PhD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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17-001175

Identifier Type: -

Identifier Source: org_study_id