Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Dr Victoria Hildreth
-
IBD.Response@newcastle.ac.uk


Dr Christopher Lamb
-
christopher.lamb@newcastle.ac.uk


Dr Dean Allerton
-
IBD.Response@newcastle.ac.uk


Dr Naomi McGregor
-
IBD.Response@newcastle.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - IBD-RESPONSE – predicting treatment response in Crohn’s disease and ulcerative colitis

IBD-RESPONSE – predicting treatment response in Crohn’s disease and ulcerative colitis

Medical Conditions

Crohn’s disease and ulcerative colitis


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Crohn's disease and ulcerative colitis (UC) are types of a bowel condition known as inflammatory bowel disease (IBD) and the symptoms (diarrhoea, pain, fatigue) have a major impact on daily life. IBD affects around 1 in 125 people in the UK and this is expected to rise to 1 in 100 by 2028. "Biologics" are powerful medications that are given to reduce inflammation in IBD. These treatments can be effective but up to 40% of patients don't respond, and in those that do, many don't respond well enough to stay on the drug after one year of treatment. Unfortunately, we have no way to predict which patients are most likely to benefit from treatment (known as responders), and we do not fully understand how medications work in responders. As these drugs may have serious side effects and are expensive to the NHS, this lack of understanding is a major obstacle in deciding which treatment is best to give to an individual patient, and when to give it to them in order to have the greatest benefit and the least risk. Recent data from small studies in people with IBD and larger studies of people with cancer, show that certain bacteria in stool may predict who will respond or fail to respond to treatments.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

31 Dec 2021 31 Aug 2026

Publications

2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/38631839/ (added 18/04/2024)

We will collect stool, blood and where possible intestinal biopsies during routine endoscopy (camera into the gut), to study the gut bacteria before, and during, these treatments.


We will recruit 1,325 patients starting biological therapy in IBD as part of routine NHS care from 40 centres across the UK.

You can take part if:



You may not be able to take part if:


1. Receiving oral corticosteroids for any indication where the dose is unlikely to be weaned by week 14.2. Planned bowel resection surgery within 14 weeks of commencing therapy.3. Biologic or JAKi being commenced as rescue therapy for acute severe ulcerative colitis (ASUC).4. Biologic or JAKi being commenced as part of CTIMP.5. Ileal pouch anal anastomosis.6. Presence of a stoma.7. Perianal Crohn’s disease in absence of active luminal inflammation.8. Faecal microbial transplantation (FMT) within the preceding 12 weeks or planned FMT within 14 weeks of commencing biologic or JAKi.9. Antibiotics or short-term (<=4 weeks) course of probiotics within the preceding 2 weeks.10. NOTE: Use of long-term (>4 weeks), stable doses of probiotics is not an exclusion from this study but should be noted in the CRF. Use of antibiotics or prior FMT outside of the exclusion time period are not exclusions. Antibiotic use in the preceding 1 year and ever having received FMT will be noted in the CRF.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • King's College Hospital NHS Foundation Trust
    Denmark Hill
    London
    SE5 9RS
  • Royal Liverpool University Hospital
    Liverpool University Hospitals NHS Foundation Trust Prescot Street
    Liverpool
    L7 8XP
  • University College London Hospitals NHS Foundation Trust
    250 Euston Road
    London
    NW1 2PG
  • Cardiff & Vale University Lhb
    Woodland House Maes-y-coed Road
    Cardiff
    CF14 4HH
  • Royal Sussex County Hospital
    Eastern Road
    Brighton
    BN2 5BE
  • Freeman Hospital
    Newcastle Upon Tyne Hospitals NHS Foundation Trust Freeman Road High Heaton
    Newcastle
    NE7 7DN
  • Royal Devon and Exeter Hospital
    Royal Devon and Exeter NHS Hospital Foundation Trust Barrack Road
    Exeter
    EX2 5DW
  • St Thomas's Hospital
    249 Westminster Bridge Road
    London
    SE1 7EH
  • NHS Lothian
    2 - 4 Waterloo Place
    Edinburgh
    EH1 3EG
  • The Royal London Hospital
    80 Newark street
    London
    E1 2ES
  • St. Mary's Hospital
    Imperial College Healthcare NHS Trust Praed Street
    London
    W2 1NY
  • John Radcliffe Hospital
    Headley Way
    Oxford
    OX3 9DU
  • Hull Royal Infirmary
    Hull and East Yorkshire Hospital NHS Trust. Anlaby Road
    Hull
    HU3 2JZ
  • Lister Hospital
    East and North Hertfordshire NHS Trust Coreys Mill Lane
    Stevenage
    SG1 4AB
  • New Cross Hospital
    The Royal Wolverhampton NHS Trust Wolverhampton Road Heath Town
    Wolverhampton
    WV10 0QP
  • Kettering General Hospital NHS Foundation Trust
    Rothwell Road
    Kettering
    NN16 8UZ
  • The Shrewsbury and Telford Hospital NHS Trust
    Mytton Oak Road
    Shrewsbury
    SY3 8XQ
  • Royal Berkshire Hospital
    Royal Berkshire NHS Foundation Trust London Road
    Reading
    RG1 5AN
  • Queen Elizabeth Hospital
    University Hospitals Birmingham NHS Foundation Trust Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • St. James's University Hospital
    Leeds Teaching Hospitals NHS Trust Beckett Street
    Leeds
    LS9 7TF
  • Torbay Hospital
    Torbay and South Devon NHS Foundation Trust Newton Road
    Torquay
    TQ2 7AA
  • Southampton General Hospital
    University Hospital Southampton NHS Foundation Trust Tremona Road
    Southampton
    SO16 6YD
  • St George's Hospital
    St George's University Hospitals NHS Foundation Trust Blackshaw Road Tooting
    London
    SW17 0QT
  • Royal United Hospitals Bath NHS Foundation Trust
    Combe Park
    Bath
    BA1 3NG
  • Swansea Bay University Local Health Board
    One Talbot Gateway Seaway Drive Seaway Parade Industrial Estate Baglan
    Port Talbot
    SA12 7BR
  • Poole Hospital
    University Hospitals Dorset NHS Foundation Trust Longfleet Road
    Poole
    BH15 2JB
  • Musgrove Park Hospital
    Somerset NHS Foundation Trust
    Taunton
    TA1 5DA
  • Addenbrookes
    Addenbrookes Hospital Hills Road
    Cambridge
    CB2 0QQ
  • University Hospital Coventry & Warwickshire
    Clifford Bridge Road Walsgrave
    Coventry
    CV2 2DX
  • The James Cook University Hospital
    Marton Road
    Middlesbrough
    TS4 3BW
  • East Surrey Hospital
    Canada Avenue
    Redhill
    RH1 5RH
  • Salford Royal Hospital
    Stott Lane Eccles
    Salford
    M6 8HD
  • Darlington Memorial Hospital
    Hollyhurst Road
    Darlington
    DL3 6HX
  • Wythenshawe Hospital
    Southmoor Road Wythenshawe
    Manchester
    M23 9LT
  • Norfolk and Norwich University Hospital
    Colney Lane Colney
    Norwich
    NR4 7UY
  • Royal Free Hospital
    Royal Free Hospital Pond Street
    London
    NW3 2QG
  • Macclesfield District General Hospital
    Macclesfield District Hospital Victoria Road
    Macclesfield
    SK10 3BL
  • St Marks Hospital
    St Marks Hospital Watford Road
    Harrow
    HA1 3UJ
  • Fairfield Hospital
    Fairfield Hospital Crank Road Crank
    St. Helens
    WA11 7RS
  • North Tyneside General Hospital
    North Tyneside General Hospital Rake Lane
    North Shields
    NE29 8NH
  • Kings Mill Hospital
    Kings Mill Hospital Mansfield Road
    Sutton-in-ashfield
    NG17 4JL
  • South Tyneside Hospital
    South Tyneside District Hospital Harton Lane
    South Shields
    NE34 0PL
  • Ealing Hospital
    Ealing Hospital Uxbridge Road
    Southall
    UB1 3HW

Benefits: In the short term this study will not help the participant directly as the results will not change any standard of care treatment received. However, the information we get from this study will help to improve our understanding of the links between gut microbes, genes, diet and Inflammatory Bowel Disease. Our goal is to better understand the complicated relationship between these different factors and Inflammatory Bowel Disease. Our aim is to use this information to create a tool that can predict response to treatment in Inflammatory Bowel Disease. In the future, we hope it will benefit lots of Inflammatory Bowel Disease patients, by helping to select the best drug at the right time for individual patients.
Risks: By joining the study, participants will donate blood samples and biopsies (only if you have an endoscopy during the study period), which are routinely collected as part of the participants clinical standard of care. Blood sampling can cause momentary discomfort and may cause a small bruise. The biopsy procedure carries a small risk of bleeding and there is a very minimal risk, that the procedure could create a hole in the bowel (perforation). The specific risks of undergoing a colonoscopy or flexible sigmoidoscopy are discussed with the participant in line with the NHS consent process for each endoscopic procedure as part of standard NHS practice.

Dr Christopher Lamb
-
christopher.lamb@newcastle.ac.uk


Dr Dean Allerton
-
IBD.Response@newcastle.ac.uk


Dr Naomi McGregor
-
IBD.Response@newcastle.ac.uk


Dr Victoria Hildreth
-
IBD.Response@newcastle.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by Newcastle upon Tyne Hospitals NHS Foundation Trust and funded by Medical Research Council; Leona M. and Harry B. Helmsley Charitable Trust.




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Read full details for Trial ID: ISRCTN96296121

Or CPMS 49964

Last updated 20 January 2025

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