UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063408
Receipt number R000072571
Scientific Title Association Between Intestinal Ultrasound Using Superb Microvascular Imaging and Endoscopic Remission in Patients With Clinically Quiescent Ulcerative Colitis: A Single-Center Prospective Observational Study
Date of disclosure of the study information 2026/10/31
Last modified on 2026/10/25 12:01:21

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Basic information

Public title

Association Between Intestinal Ultrasound Using Superb Microvascular Imaging and Endoscopic Remission in Patients With Clinically Quiescent Ulcerative Colitis

Acronym

SMI-UC Study

Scientific Title

Association Between Intestinal Ultrasound Using Superb Microvascular Imaging and Endoscopic Remission in Patients With Clinically Quiescent Ulcerative Colitis: A Single-Center Prospective Observational Study

Scientific Title:Acronym

SMI-UC Study

Region

Japan


Condition

Condition

Ulcerative Colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to evaluate the ability of Superb Microvascular Imaging (SMI)-based microvascular flow assessment using intestinal ultrasound to discriminate endoscopic remission in patients with clinically quiescent ulcerative colitis. Specifically, the areas under the receiver operating characteristic curves of the SMI flow score and conventional color Doppler flow score will be compared to assess the utility of SMI.

Basic objectives2

Others

Basic objectives -Others

Assessment of diagnostic performance for identifying endoscopic remission

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of the diagnostic performance of SMI and color Doppler flow scores for identifying endoscopic remission.
Assessment timing: Intestinal ultrasound will be performed within one month after colonoscopy.

Key secondary outcomes

1. Diagnostic performance of bowel wall thickness, IBUS-SAS, and SMI-IBUS-SAS for identifying endoscopic remission.
2. Correlations between intestinal ultrasound parameters (color Doppler flow score, SMI flow score, bowel wall thickness, IBUS-SAS, and SMI-IBUS-SAS) and endoscopic activity scores.
3. Interobserver agreement for color Doppler flow scores and SMI flow scores.
Assessment timing: Intestinal ultrasound will be performed within one month after colonoscopy.


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. Patients diagnosed with ulcerative colitis
2. Patients aged 18 years or older
3. Patients with left-sided or extensive ulcerative colitis
4. Patients in clinical remission (PRO2 of 1 or less and rectal bleeding subscore of 0)
5. Patients scheduled for colonoscopy to assess endoscopic disease activity
6. Patients who have provided written informed consent to participate in the study

Key exclusion criteria

1. Pregnant patients
2. Patients with a history of colectomy
3. Patients in whom intestinal ultrasound assessment is considered difficult due to a distance of 3 cm or more between the abdominal wall and the bowel wall
4. Patients with ulcerative proctitis
5. Patients who do not meet the criteria for clinical remission at the follow-up visit
6. Patients considered unsuitable for participation by the principal investigator

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Madarame

Organization

Tokyo Medical University Hospital

Division name

Department of Gastroenterology and Hepatology

Zip code

1600023

Address

6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo

TEL

0333426111

Email

madarame@tokyo-med.ac.jp


Public contact

Name of contact person

1st name Akira
Middle name
Last name Madarame

Organization

Tokyo Medical University Hospital

Division name

Department of Gastroenterology and Hepatology

Zip code

1600023

Address

6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo

TEL

0333426111

Homepage URL


Email

madarame@tokyo-med.ac.jp


Sponsor or person

Institute

Tokyo Medical University

Institute

Department

Personal name

Akira Madarame


Funding Source

Organization

Tokyo Medical University

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

Tokyo Medical University Medical Ethics Committee

Address

6-1-1 shinjuku, Shinjuku-ku, Tokyo

Tel

0333426111

Email

adm_irb@tokyo-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

東京医科大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 31 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

Preinitiation

Date of protocol fixation

2026 Year 10 Month 14 Day

Date of IRB

2026 Year 10 Month 14 Day

Anticipated trial start date

2026 Year 10 Month 31 Day

Last follow-up date

2029 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center prospective observational study involving 60 patients with ulcerative colitis in clinical remission. One intestinal ultrasound examination will be performed for research purposes within one month after colonoscopy scheduled as part of routine clinical care. B-mode ultrasound, conventional color Doppler, and Superb Microvascular Imaging (SMI) will be used to assess bowel wall characteristics and blood flow, and their associations with endoscopic activity scores will be evaluated. The primary outcome is the comparison of the ability of SMI and color Doppler flow scores to identify endoscopic remission. No therapeutic intervention or modification of routine clinical care will be performed.


Management information

Registered date

2026 Year 10 Month 25 Day

Last modified on

2026 Year 10 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072571