Hyperbaric Oxygen for Ulcerative Colitis

Overview

Información sobre este estudio

The investigators aim to prospectively study the feasibility and clinical impact of hyperbaric oxygen therapy in acute hospitalized moderate to severe ulcerative colitis flares as an adjunct to standard medical treatment. Specifically, we will investigate the impact of hyperbaric oxygen therapy on clinical response/remission and serum and mucosal inflammatory markers. The investigators expect that hyperbaric oxygen therapy will improve patient responsiveness to steroids and avoid progression to second line therapy during hospitalization.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • known or newly diagnosed moderate to severe ulcerative colitis with a Mayo score of greater than 6
  • Mayo endoscopic sub-score of greater than or equal to 2
  • Risk score of greater than or equal to 4 points

Exclusion Criteria:

  • Complication requiring urgent surgical intervention (in the opinion of the investigators)
  • Clinically significant cardiac, renal, neurological, endocrine, respiratory or hepatic impairment in the opinion of the investigator, including but not limited to:
    • Pulmonary
      • COPD with CO2 retention; Previous/current imaging showing hyperinflation/air trapping/bullous disease/blebs (opinion of investigators)
      • Current pneumothorax or previous spontaneous pneumothorax
      • Bronchogenic cyst(s)
    • Cardiac
      • Uncontrolled HTN (systolic >160 or diastolic >100)
      • Unstable angina or myocardial infarction within the previous 3 months
      • Ejection fraction < 35%
      • Current or previous amiodarone use
      • ICD in place
      • Pacemaker in place not approved for chamber use
    • Hematological/Oncological
      • Current chemotherapeutic drug use, and past history of bleomycin use.
      • Hereditary Spherocytosis
      • Sickle cell anemia
    • Gastrointestinal and Infectious Disease
      • Known or suspected Crohn's disease
      • Previous infection with mycobacterium, fungus, HIV, Hepatitis B or C
      • Gastrointestinal or systemic infection including, but not limited to, --Clostridium difficile
      • Current capsule endoscopy or previously non-retrieved capsule
    • Endocrinology
      • Uncontrolled hyperthyroidism
    • Neurological and Psychological
      • Vagal or other nerve stimulators
      • Uncontrolled seizure disorder
      • Medications or medical conditions that lower seizure threshold (in the opinion of the investigator)
      • Drug or alcohol abuse/dependence
      • Current treatment for alcohol cessation with disulfiram
      • Current or recent (within past week) use of baclofen
    • Head and Neck
      • Previous middle ear damage, surgery or infection(s) which may increase the risk for needing ear tubes (in the opinion of the investigator)
      • Current or previous retinal detachment or optic neuritis
      • Retinal or vitreous surgery within the past 3 months
    • Miscellaneous
      • Implanted devices not on the approved list for use with HBOT
  • Women who are pregnant or nursing. Women with childbearing potential were required to use effective birth control if not surgically sterile or postmenopausal for >2 years.

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Laura Raffals, M.D.

Cerrado para la inscripción

More information

Publicaciones

Publications are currently not available
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CLS-20117970

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