Association Between Inflammatory Activities and Gap Density
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Purpose
The study aims to:
- To determine the relationship between inflammatory activities and epithelial gaps in IBD by CLE and evaluate epithelial gaps healing via dexamethasone treatment.
- To demonstrated the alteration of local barrier function in IBD using CLE.
| Condition |
|---|
|
Inflammatory Bowel Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Association Between Inflammatory Activities and Epithelial Gap Density in Inflammatory Bowel Disease |
- gap density [ Time Frame: 6 months ] [ Designated as safety issue: No ]the distributions of gap density
- local barrier function [ Time Frame: 6 months ] [ Designated as safety issue: No ]the comparison local barrier function between the IBD group and normal control patients
Biospecimen Retention: Samples With DNA
Observational Study Model: Case-Control
| Estimated Enrollment: | 50 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Inflammatory bowel disease
Patients previously diagnosed as having IBD
|
|
Health control
Asymptomatic individuals admitted for health surveillance or patients for follow up after polypectomy.
|
Detailed Description:
The primary end-point of this study was the cohort comparison of epithelial gap density and local barrier function as determined by CLE of subjects with IBD versus controls. Despite discontinuities in the cellular layer, the intestinal barrier function is maintained during this high cell turnover rate at the apical pole of the epithelial layer. Gaps first identified in vivo through acriflavine have pivotal definitions (lacked nuclei or cytosol, appeared to be filled with an impermeable substance). However, Current endoscopic technology does not identify whether there is material present in human gaps, so investigators could not formally resolve whether human epithelial gaps compromise or defend the epithelial barrier.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Patients with indications for colonoscopy in Qilu Hospital outpatient and inpatient department.
Inclusion Criteria:
- Male or Female aged 18-80
- IBD: Patients previously diagnosed as having IBD
- Health control: Asymptomatic individuals admitted for health surveillance or patients for follow up after polypectomy.
- Subjects who experienced successful intubation of the terminal ileum.
Exclusion Criteria:
- Subjects age < 18 or >80 years
- Subjects under conditions unsuitable for performing CLE including coagulopathy (prothrombin time <50% of control, partial thromboplastin time >50 s), cirrhosis, renal dysfunction (creatinine level >1.2 mg/dL), pregnancy or breastfeeding, acute gastrointestinal bleeding, jaundice and known allergy to fluorescein sodium.
Contacts and Locations| Contact: Yanqing Li, MD, PhD | 86-531-8216923 ext 82169508 | liyanqing@sdu.edu.cn |
| China, Shandong | |
| Department of Gastroenterology, Qilu Hospital, Shandong University | Recruiting |
| Jinan, Shandong, China, 250012 | |
| Contact: Yanqing Li, MD, PhD 86-531-82169236 ext 82169508 liyanqing@sdu.edu.cn | |
| Study Director: | Yanqing Li, MD, PhD | Department of Gastroenterology, Qilu Hospital |
More Information
No publications provided
| Responsible Party: | Yanqing Li, Chief of the Department of Gastroenterology, Qilu Hospital, Shandong University, Shandong University |
| ClinicalTrials.gov Identifier: | NCT01758926 History of Changes |
| Other Study ID Numbers: | 2012SDU-QILU-G03 |
| Study First Received: | December 27, 2012 |
| Last Updated: | December 27, 2012 |
| Health Authority: | China: Ministry of Health |
Keywords provided by Shandong University:
|
Inflammatory Bowel Disease Confocal Laser Endomicroscopy |
Additional relevant MeSH terms:
|
Inflammatory Bowel Diseases Intestinal Diseases Gastroenteritis Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013