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Urinary Prostaglandin E Metabolite (PGE-M), A Metabolite of Prostaglandin E2 (PGE2): A Novel Biomarker of Crohn's Disease Activity
This study is currently recruiting participants.
Verified by Vanderbilt University, October 2008
Sponsors and Collaborators: Vanderbilt University
UCB
Information provided by: Vanderbilt University
ClinicalTrials.gov Identifier: NCT00496548
  Purpose

The purpose of this study is to determine whether urinary PGE-M levels correlate with Crohn's disease activity and to compare how well urinary PGE-M correlates with other non-invasive biomarkers of disease activity such as C-reactive protein (CRP) and fecal calprotectin.


Condition Intervention
Crohn's Disease
Procedure: Fecal calprotectin
Procedure: Urinary PGE-M Level

Genetics Home Reference related topics: Crohn disease
MedlinePlus related topics: Crohn's Disease
Drug Information available for: Dinoprostone
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Efficacy Study
Official Title: Urinary PGE-M, A Metabolite of PGE2: A Novel Biomarker of Crohn's Disease Activity

Further study details as provided by Vanderbilt University:

Primary Outcome Measures:
  • Urine for PGE-M levels [ Time Frame: Day of colonoscopy procedure ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Blood for C-reactive protein (CRP) levels [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
  • Stool for fecal calprotectin [ Time Frame: Prior to colonoscopy procedure (before beginning bowel prep) ] [ Designated as safety issue: No ]
  • Routine colonoscopy for assessment of disease activity [ Time Frame: 1-3 weeks from consent ] [ Designated as safety issue: No ]
  • Harvey-Bradshaw index disease activity score [ Time Frame: Day of colonoscopy procedure ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: August 2007
Estimated Study Completion Date: November 2008
Estimated Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Fecal calprotectin and urinary PGE-M levels will be tested on all participants.
Procedure: Fecal calprotectin
Fecal calprotectin levels obtained and compared to urinary PGE-M and serum C-reactive protein (CRP) levels.
Procedure: Urinary PGE-M Level
Urinary PGE-M level obtained and compared to fecal calprotectin and serum CRP levels.

Detailed Description:

The available clinical measures of Crohn's disease activity can be overly influenced by functional symptoms. Placebo response rates in clinical trials are high. Several non-invasive biomarkers are currently available for assessing IBD disease activity including erythrocyte sedimentation rate, C-reactive protein and fecal calprotectin. Although these markers hold some promise, their performance is less than ideal. What is needed is a simple, non-invasive, biologic measure of Crohn's disease.

Cyclooxygenase-2 (COX-2) is involved in prostaglandin E2 (PGE2) synthesis and is expressed in epithelial inflammatory conditions and some cancers. We have developed an assay to quantify the major urinary metabolite of PGE2, PGE-M. PGE-M has been previously shown to be elevated in the urine of patients with advanced colorectal neoplasia relative to controls.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Outpatient male or female 18 years or older
  • Confirmed diagnosis of Crohn's disease
  • Informed consent obtained
  • Able to give blood, urine and stool samples
  • Willing to undergo a diagnostic colonoscopy as part of routine Crohn's disease care

Exclusion Criteria:

  • Unable to give consent
  • Ulcerative colitis
  • Does not meet inclusion criteria
  • Pregnant
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00496548

Contacts
Contact: Kelly L. Shields 615-343-8854 kelly.shields@vanderbilt.edu
Contact: Kathy Price, RN, MBA 615-322-4643 kathy.price@vanderbilt.edu

Locations
United States, Tennessee
GI Clinical Research; Vanderbilt University Medical Center Recruiting
Nashville, Tennessee, United States, 37232-2285
Contact: Kelly Shields     615-343-8854     kelly.shields@vanderbilt.edu    
Principal Investigator: David A. Schwartz, MD            
Sponsors and Collaborators
Vanderbilt University
UCB
Investigators
Principal Investigator: David A. Schwartz, MD Vanderbilt University
  More Information

Responsible Party: VUMC ( David A Schwartz, MD )
Study ID Numbers: Urinary PGE-M CD
Study First Received: July 2, 2007
Last Updated: November 14, 2008
ClinicalTrials.gov Identifier: NCT00496548  
Health Authority: United States: Institutional Review Board

Keywords provided by Vanderbilt University:
Crohn's Disease

Study placed in the following topic categories:
Dinoprostone
Digestive System Diseases
Gastrointestinal Diseases
Crohn Disease
Inflammatory Bowel Diseases
Gastroenteritis
Intestinal Diseases

ClinicalTrials.gov processed this record on January 16, 2009