UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062517
Receipt number R000071549
Scientific Title The study of AI based Vascular healing in disease monitoring of UC: a multi-center prospective cohort study
Date of disclosure of the study information 2026/08/07
Last modified on 2026/08/07 17:59:15

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Basic information

Public title

The study of AI based Vascular healing in disease monitoring of UC: a multi-center prospective cohort study

Acronym

AI-VISION Trial

Scientific Title

The study of AI based Vascular healing in disease monitoring of UC: a multi-center prospective cohort study

Scientific Title:Acronym

AI-VISION Trial

Region

Japan


Condition

Condition

Ulcerative colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the predictive performance and risk stratification ability of an artificial intelligence based narrow band imaging system for relapse within 12 months as a clinically important outcome

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Time from colonoscopy to clinical relapse within 12 months

Clinical relapse is defined using the patient reported outcome measure PRO 2 as a rectal bleeding score of 1 or higher and a stool frequency score of 2 or higher

The predictive performance and risk stratification ability of vascular healing assessment by the artificial intelligence narrow band imaging system and histological assessment using the Geboes grade for clinical relapse within 12 months will be evaluated using the C statistic for time to event data

Key secondary outcomes

The 12 month relapse rate will be estimated using the Kaplan Meier method and stratified by vascular healing assessment using the artificial intelligence narrow band imaging system Geboes score and Nancy Histological Index Additional subgroup analyses will be performed according to clinical characteristics including treatment disease extent and duration of remission

An artificial intelligence based quantitative score will be calculated using white light endoscopic images and its association with relapse within 12 months will be evaluated The correlation between this score and established endoscopic scores including the Mayo Endoscopic Subscore and Ulcerative Colitis Endoscopic Index of Severity will also be evaluated

An artificial intelligence based digital pathology system will be applied to histopathological specimens to quantify neutrophil infiltration and colonic mucin content The associations between these quantitative measures and relapse within 12 months will be evaluated


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Age 18 years or older
2. Confirmed diagnosis of ulcerative colitis
3. Steroid-free clinical remission, defined as a partial Mayo score of 1 or less, maintained for at least 6 months
4. Scheduled to undergo colonoscopy based on clinical necessity

Key exclusion criteria

1. Unable to provide informed consent
2. Contraindication to colonoscopy or biopsy
3. Inadequate bowel preparation
4. Serious comorbidities
5. Pregnancy or breastfeeding
6. Change or escalation of treatment within the previous 3 months
7. Ulcerative proctitis
8. Considered unsuitable for participation by the investigator

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Kazuo
Middle name
Last name Ohtsuka

Organization

Showa Medical University Northern Yokohama Hospital

Division name

Digestive Disease Center

Zip code

224-8503

Address

35-1 Chigasaki-chuo, Tsuzuki, Yokohama, Kanagawa, Japan

TEL

045-949-7000

Email

ohts@med.showa-u.ac.jp


Public contact

Name of contact person

1st name Yasuharu
Middle name
Last name Maeda

Organization

Showa Medical University Northern Yokohama Hospital

Division name

Digestive Disease Center

Zip code

224-8503

Address

35-1 Chigasaki-chuo, Tsuzuki, Yokohama, Kanagawa, Japan

TEL

045-949-5840

Homepage URL


Email

yasuharu@med.showa-u.ac.jp


Sponsor or person

Institute

Showa Medical University

Institute

Department

Personal name



Funding Source

Organization

Self funding

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 Committee for Research Involving Human Subjects at Showa Medical University

Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8555, Japan

Tel

03-3784-8129

Email

m-rinri@ofc.showa-u.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

昭和医科大学横浜市北部病院(神奈川県)、横浜市立市民病院(神奈川県)、東京科学大学病院(東京都)、旭川医科大学(北海道)、北里大学北里研究所病院(東京都)、大船中央病院(神奈川県)、昭和医科大学江東豊洲病院(東京都)


Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 07 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

Open public recruiting

Date of protocol fixation

2026 Year 05 Month 07 Day

Date of IRB

2026 Year 07 Month 31 Day

Anticipated trial start date

2026 Year 08 Month 07 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a multicenter prospective observational cohort study. At baseline colonoscopy performed as part of routine clinical care, white-light and NBI images, histological specimens, patient characteristics, treatment information, and laboratory data are collected. After colonoscopy, vascular healing is assessed using the AI-NBI system, an AI-based quantitative score is calculated from white-light images, and histological activity is assessed using the Geboes score and Nancy Histological Index. Participants are followed for 12 months from baseline colonoscopy. PRO-2, treatment changes, hospitalization, surgery, and clinical relapse are assessed during routine clinical visits. The predictive performance of AI-NBI vascular healing assessment and histological assessment for clinical relapse within 12 months is compared.


Management information

Registered date

2026 Year 08 Month 07 Day

Last modified on

2026 Year 08 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071549