UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055410
Receipt number R000063310
Scientific Title Characterization of the gut virome of Japanese patients with ulcerative colitis in endoscopic remission
Date of disclosure of the study information 2024/09/05
Last modified on 2024/09/04 04:39:25

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Basic information

Public title

Characterization of the gut virome of Japanese patients with ulcerative colitis in endoscopic remission

Acronym

The gut virome of UC patients

Scientific Title

Characterization of the gut virome of Japanese patients with ulcerative colitis in endoscopic remission

Scientific Title:Acronym

The gut virome of UC patients

Region

Japan


Condition

Condition

Ulcerative colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Ulcerative colitis (UC) is a refractory inflammatory bowel disease (IBD) believed to be a multifactorial disorder arising from genetic predispositions combined with environmental factors, leading to abnormalities in the gut microbiota and immune system. Numerous studies have explored the relationship between the gut microbiota, particularly the bacterial components, and UC, revealing a characteristic increase in Proteobacteria and a decrease in Firmicutes. Despite the fact that viruses are estimated to outnumber bacteria by tenfold in the gut, the role of viruses in UC has been less thoroughly investigated. The gut virome consists of both prokaryotic and eukaryotic viruses, with prokaryotic viruses comprising approximately 90% of the total. Bacteriophages (phages), which infect prokaryotes (bacteria and archaea), are classified into virulent (lytic) phages and temperate (lysogenic) phages based on their life cycle. Virulent phages replicate within and subsequently lyse the host bacterial cell to release viral particles, whereas temperate phages integrate their genetic material into the host chromosome, replicating along with the host under normal conditions and switching to the lytic cycle under specific conditions such as external stress. In this study, we aim to investigate the gut virome of Japanese UC patients, a population that has not been thoroughly studied, to elucidate its characteristics.

Basic objectives2

Others

Basic objectives -Others

This study is an observational study aimed at elucidating the characteristics of the gut virome in patients with ulcerative colitis in endoscopic remission compared to healthy individuals.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcomes are the comparison of phage diversity, relative abundance, and their correlation with host factors between healthy individuals and patients with ulcerative colitis in remission.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients Diagnosed with Inactive Ulcerative Colitis According to the Ministry of Health, Labour and Welfare's "Diagnostic Criteria and Treatment Guidelines for Ulcerative Colitis and Crohn's Disease,", and a control group (patients visiting our department without underlying diseases, including those with non-malignant colorectal polyps).
2. Individuals aged 20 years or older.
3. Those who can provide written informed consent for participation in the study of their own free will.

Key exclusion criteria

1. Individuals taking anticoagulants listed as contraindications for biopsy in the "Guidelines for Gastrointestinal Endoscopy in Patients on Antithrombotic Therapy".
2. Individuals who are unable to provide informed consent.
3. Individuals with infectious diseases that require notification under the Infectious Diseases Control Law.
4. Individuals deemed unsuitable as subjects by the principal or sub-investigators.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Andoh

Organization

Shiga University of Medical Science

Division name

Department of Medicine

Zip code

520-2192

Address

Seta-Tsukinowa, Otsu, Shiga

TEL

077-548-2217

Email

andoh@belle.shiga-med.ac.jp


Public contact

Name of contact person

1st name Akinori
Middle name
Last name Otsuki

Organization

Shiga University of Medical Science

Division name

Department of Medicine

Zip code

520-2192

Address

Seta-Tsukinowa, Otsu, Shiga

TEL

077-548-2217

Homepage URL


Email

akinori0@belle.shiga-med.ac.jp


Sponsor or person

Institute

Shiga University of Medical Science

Institute

Department

Personal name



Funding Source

Organization

Shiga University of Medical Science

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Board, Shiga University of Medical Science

Address

3rd Floor, Building E, Affiliated Hospital, Tsukiwaki-cho, Seta, Otsu City, Shiga Prefecture

Tel

077-548-3576

Email

hqrec@belle.shiga-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 09 Month 05 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

71

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 06 Month 05 Day

Date of IRB

2019 Year 09 Month 02 Day

Anticipated trial start date

2019 Year 09 Month 02 Day

Last follow-up date

2024 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a case-control study, targeting patients with ulcerative colitis who visited our facility between May 1, 2022, and April 30, 2023, who met the selection criteria and provided informed consent. The control group consisted of patients visiting our facility who met the selection criteria and also provided informed consent. Fecal samples were collected from those who consented, and clinical information was gathered at the time of collection, including age, sex, medication history, and relevant clinical details such as diarrhea and general condition necessary for the Mayo score.


Management information

Registered date

2024 Year 09 Month 04 Day

Last modified on

2024 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063310