UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057596
Receipt number R000065808
Scientific Title Transperineal Ultrasonography in the Diagnosis and Monitoring of Rectal Inflammation in Ulcerative Colitis: A Validated AI Approach: international multicenter study ("TPUSCORE" (TransPerineal Ultrasound SCOring for Rectal Evaluation in UC))
Date of disclosure of the study information 2025/04/11
Last modified on 2025/04/11 19:51:58

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Basic information

Public title

Transperineal Ultrasonography in the Diagnosis and Monitoring of Rectal Inflammation in Ulcerative Colitis: A Validated AI Approach: international multicenter study ("TPUSCORE" (TransPerineal Ultrasound SCOring for Rectal Evaluation in UC))

Acronym

TPUSCORE study

Scientific Title

Transperineal Ultrasonography in the Diagnosis and Monitoring of Rectal Inflammation in Ulcerative Colitis: A Validated AI Approach: international multicenter study
("TPUSCORE" (TransPerineal Ultrasound SCOring for Rectal Evaluation in UC))

Scientific Title:Acronym

TPUSCORE study

Region

Japan North America


Condition

Condition

Ulcerative colitis

Classification by specialty

Medicine in general Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To develop and validate a transperineal ultrasound-based scoring system for non-invasive assessment and prediction of rectal inflammation in ulcerative colitis, and to investigate its correlation with an AI-based endoscopic severity index.

Basic objectives2

Others

Basic objectives -Others

To assess the utility of transperineal ultrasound in predicting endoscopic remission.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Endoscopic remission at week 24 (Ulcerative Colitis Endoscopic Index of Severity =0, 1)

Key secondary outcomes

Endoscopic improvement at week 24, defined as Mayo Endoscopic Subscore zero or one
Clinical remission, defined as patient-reported outcome one or less and rectal bleeding subscore zero
Histological healing, defined as Nancy index one or less and Geboes score two point one or less
Assessment of the predictive ability of changes in TPUS parameters at week two for clinical and endoscopic outcomes at week twenty-four
Evaluation of the relationship between TPUS parameters and changes in UCEGS and UCEIS


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

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with ulcerative colitis

Patients who are scheduled to initiate or modify therapy, or are under observation and will undergo endoscopy and intestinal ultrasound

Patients aged 15 years or older (including minors in some institutions)

Key exclusion criteria

Patients with a history of total colectomy

Patients who are pregnant or breastfeeding

Patients deemed inappropriate by the investigator

Target sample size

264


Research contact person

Name of lead principal investigator

1st name Shintaro
Middle name
Last name Sagami

Organization

Kitasato University Kitasato Institute Hospital

Division name

Center for Advanced IBD Research and Treatment

Zip code

108-8642

Address

5-9-1, Shirokane, Minato-ku, Tokyo 108-8642, Japan

TEL

03-3444-6161

Email

jaken1013@gmail.com


Public contact

Name of contact person

1st name Shintaro
Middle name
Last name Sagami

Organization

Kitasato University Kitasato Institute Hospital

Division name

Center for Advanced IBD Research and Treatment

Zip code

108-8642

Address

5-9-1, Shirokane, Minato-ku, Tokyo 108-8642, Japan

TEL

0334446161

Homepage URL


Email

jaken1013@gmail.com


Sponsor or person

Institute

Kitasato University Kitasato Institute Hospital Center for Advanced IBD Research and Treatment

Institute

Department

Personal name

Shintaro Sagami


Funding Source

Organization

Pfizer Inc.

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

United State of America


Other related organizations

Co-sponsor

Keio University School of Medicine, Endoscopy Center
Mayo Clinic Arizona, Division of Gastroenterology

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kitasato University Kitasato Institute Hospital Research Ethics Committee Office

Address

5-9-1, Shirokane, Minato-ku, Tokyo 108-8642, Japan

Tel

0334446161

Email

jaken1013@gmail.com


Secondary IDs

Secondary IDs

YES

Study ID_1

24049

Org. issuing International ID_1

Kitasato University Kitasato Institute Hospital Research Ethics Committee Office

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Enrolling by invitation

Date of protocol fixation

2025 Year 02 Month 25 Day

Date of IRB

2025 Year 03 Month 04 Day

Anticipated trial start date

2025 Year 03 Month 24 Day

Last follow-up date

2027 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a retrospective and prospective observational study aiming to develop and validate a novel transperineal ultrasound (TPUS) scoring system for assessing rectal inflammation in patients with ulcerative colitis. The retrospective phase uses stored endoscopic and TPUS data to establish correlations with the Ulcerative Colitis Endoscopic Index of Severity (UCEIS). The prospective phase evaluates changes in TPUS parameters at weeks 0, 2, and 24 in relation to treatment outcomes. The study also investigates the correlation between TPUS findings and an artificial intelligence-based endoscopic grading system (UCEGS).


Management information

Registered date

2025 Year 04 Month 11 Day

Last modified on

2025 Year 04 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065808