Development of a Novel Endoscopic Index and Patient-reported Outcome Measure for Clinical Trials in Participants with Permanent Ileostomy

Overview

About this study

The purpose of this study is to develop a Patient Reported Outcome (PRO) and Endoscopic Index (EI) for patients with Crohn's Disease (CD) and permanent ileostomy. 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Adults (age ≥ 18 years) with a diagnosis of CD treated surgically with subtotal colectomy/proctocolectomy end ileostomy at least 12 months prior to the scheduled endoscopy procedure.
  • Planning to have an ileoscopy procedure scheduled as part of routine medical care.
  • Be proficient in the English language (ie, ability to read, write, speak, and understand English well enough to take part in the interview process without the aid of an interpreter).
  • Able and willing to participate fully in all aspects of this study.
  • Written informed consent must be obtained and documented.

 Exclusion Criteria:

  • End or loop colostomy, end ileostomy for UC, continent ileostomy, ileal pouch anal anastomosis, end ileostomy with mucous fistula, double barrel ileostomy, urostomy, loop ostomy, or any type of end ileostomy not considered permanent at the time of enrolment (with no intent to restore continuity).
  • Peristomal skin complications such as pyoderma gangrenosum, abscess, or any other severe peristomal skin inflammation.
  • Stomal stenosis obviating ileoscopy, known small bowel stricture, major stoma prolapse, symptomatic parastomal hernia, parastomal hernia with subcutaneous loops of small bowel within the hernia, stoma in a crease/poorly fitting applicable resulting in severe peristomal skin irritation, or retracted stoma that prevents endoscopic evaluation.
  • Any actively draining fistula (eg, peristomal or peri-anal).
  • Evidence of a known small bowel stricture on cross-sectional imaging or inability to pass an endoscope within the past 6 months.
  • Known active Clostridoides difficile or other enteric infection.
  • Short bowel syndrome.
  • Predominant symptom(s) arising from a retained rectal stump.
  • Serious underlying disease other than CD that in the opinion of the investigator may interfere with the participant's ability to participate fully in the study procedures or provide nonconfounded descriptions of their CD and ostomy symptom experiences during the interview.
  • Prior enrolment in the current study.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 12/18/2024. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

David Bruining, M.D.

Contact us for the latest status

Contact information:

Brian Will

(507) 266-0111

Will.Brian@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20581908

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