A Clinical Study on the Screening of Intestinal Biomarkers in IBD Patients With Depression

Sponsor
Third Military Medical University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05043818
Collaborator
(none)
178
1
12
14.8

Study Details

Study Description

Brief Summary

Inflammatory bowel disease (IBD) seriously affects the quality of life of patients. During treatment, it is found that patients are often accompanied by a certain degree of psychological problems, such as depression, sensitivity, introversion, depression, and pessimistic disappointment. Among them, anxiety and depression are the most common. Through prospective observational research, statistics of the incidence of depression in inflammatory bowel disease in our hospital, comparison of the proportions of each subtype, screening of intestinal biomarkers in IBD patients with depression, and observation of inflammatory bowel disease with different The type and quantity of different intestinal flora in patients with severe depression, and the correlation between intestinal flora and depression.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    The subjects voluntarily participated in the study and signed an informed consent form.

    Follow the steps below:
    1. When you come to the hospital or the first to second days of admission, collect general information: ID number, gender, age, height, weight, BMI, complete medical history including a) date of diagnosis, b) degree of disease, c) course of disease , D) previous surgery, e) previous hospitalization, f) comorbidities, g) current symptoms, h) extra-articular manifestations, i) endoscopic data, j) treatment drugs and other data.

    2. Scale evaluation (see Annex 1 for details): Screening related scales for anxiety and depression symptoms (PHQ9, SDS, HADS, HAMA, HAMD), inflammatory bowel disease quality of life scale (IBDQ), ulcerative colitis Patient's modified Mayo score/Simplified questionnaire surveys for patients with Crohn's disease such as CDAI score, stool characteristics, abdominal pain degree, and Gastrointestinal Symptom Scale (GSRS);

    3. Stool specimens were collected once during the visit to the hospital.

    4. The time, frequency and precautions for patients to go to the hospital for examination and follow-up.

    This trial is a prospective observational study. When the patient comes to the hospital or on the first to the second day of admission, the subject will be given a full set of scales to check once, and a stool sample will be collected during the treatment. Co., Ltd. performed 16S rRNA sequencing to analyze the results of the bacterial flora once. In this study, there is no need for patients to come to the hospital for follow-up follow-up.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    178 participants
    Observational Model:
    Other
    Time Perspective:
    Prospective
    Official Title:
    A Clinical Study on the Screening of Intestinal Biomarkers in IBD Patients With Depression
    Anticipated Study Start Date :
    Sep 1, 2021
    Anticipated Primary Completion Date :
    Sep 1, 2022
    Anticipated Study Completion Date :
    Sep 1, 2022

    Arms and Interventions

    Arm Intervention/Treatment
    IBD patients with depression

    IBD patients with depression

    IBD patients without depression

    IBD patients without depression

    Outcome Measures

    Primary Outcome Measures

    1. PHQ-9 score [0 week]

      Patient Health Questionnaire-9. The score varies from 0 to 27, higher scores suggest more severe the depression.Total score is the sum of 9 corresponding numbers: 0-4 points: no depression; 5-9 points: mild depression; 10-14 points: moderate depression; 15-27 points: severe depression.

    Secondary Outcome Measures

    1. SDS score [0 week]

      Self-rating Depression Scale. The score varies from 25 to 100. Higher scores suggest more severe depression.

    2. HAMA-score [0 week]

      Hamilton Anxiety Scale.The total score is 0-56, among which, physical anxiety: 7-13 items; mental anxiety: 1-6 and 14 items.The higher the score, the greater the anxiety.

    3. HAMD-score [0 week]

      Hamilton Depression Scale.The total score is 0-35 points: >35 points: severe depression; >20 points: mild or moderate depression; 8-20 may have depression; <8 points: no depression. The higher the score, the greater the anxiety.

    4. HADS-score [0 week]

      Hospital Anxiety and Depression Scale.It consists of 14 (7 anxiety and 7 depression-related) scoring items, all ranging from 0-21. The higher the score, the more severe the anxiety and depression.

    5. GSRS-score [0 week]

      Gastrointestinal Symptom Rating Scale. The score varies from 16 to 112. High scores suggest more severe Gastrointestinal pathology.

    6. Simplified CDAI score [0 week]

      Simplified CDAI score for Crohn's disease: represents disease activity, <4 remission period 5~8 moderate activity> 9 heavy activity. The higher the score, the more severe the condition.

    7. Modified Mayo score for UC [0 week]

      Modified Mayo score for ulcerative colitis: a total of 0-12 points, scores ≤ 2 points and no single sub-item score> 1 points to clinical remission, 3 to 5 points to mild activity, 6 to 10 points to moderate activity, 11 ~12 is divided into heavy activity.

    8. IBD-QoL [0 week]

      Quality of Life Analysis Table for Patients with Inflammatory Bowel Disease: There are 32 questions in total. Each question has a different level of answer from 1 to 7, 1 generation The table has the heaviest degree, and 7 represents the least degree.

    Other Outcome Measures

    1. Intestinal flora [0 week]

      Use metagenomics technology to detect intestinal flora.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Definite diagnosis of inflammatory bowel disease【diagnostic criteria reference: (2020)JSGE Evidence-based clinical practice guidelines: inflammatory bowel disease】

    2. There is no restriction on men and women, aged 18-65 years old;

    3. No complicated other serious diseases such as heart, brain, lung, liver, kidney, etc., no mental illness, and normal communication skills;

    4. No antibiotics, Bifidobacterium, Bacillus subtilis and other probiotic preparations have been used within one month;

    5. Sign the informed consent form and agree to participate in this research.

    Exclusion Criteria:
    1. Course of disease <6 months;

    2. Unspecified inflammatory bowel disease.

    3. Authors with bipolar disorder, persistent mood disorder, and mania;

    4. Patients with malignant tumors;

    5. Patients during pregnancy and lactation;

    6. Combined with hypertension, diabetes, heart disease, stroke or severe chronic disease (infectious, genetic, metabolic, internal Secretory diseases);

    7. Patients who cannot cooperate to complete the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Department of Gastroenterology, Daping Hospital, The Third Military Medical University Chongqing Chongqing China 400042

    Sponsors and Collaborators

    • Third Military Medical University

    Investigators

    • Principal Investigator: Yanling Wei, MD, Army Medical Center of PLA

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Yanling Wei, Yanling Wei Deputy Chief Physician, Third Military Medical University
    ClinicalTrials.gov Identifier:
    NCT05043818
    Other Study ID Numbers:
    • TMMU-DP-GI-IBD
    First Posted:
    Sep 14, 2021
    Last Update Posted:
    Sep 14, 2021
    Last Verified:
    Sep 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Yanling Wei, Yanling Wei Deputy Chief Physician, Third Military Medical University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Sep 14, 2021