[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100643523":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":35,"locations":41,"responsibleParty":58,"collaborators":60,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":75,"acronym":76,"eligibilityCriteria":77,"healthyVolunteers":72,"sex":78,"minAge":79,"maxAge":80,"enrollmentInfo":81,"targetDuration":26,"studyType":84,"phases":85,"briefSummary":87,"conditions":88,"keywords":92,"overallStatus":44,"whyStopped":26,"lastUpdateSubmitDate":106,"lastUpdatePostDateStruct":107,"startDateStruct":110,"completionDateStruct":112,"leadSponsor":114,"locationsCount":115},{"fullName":5,"class":6},"ENBIOSIS BIOTECHNOLOGIES","INDUSTRY",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Microbiome-Targeting Investigational Product","EXPERIMENTAL","Participants assigned to this arm will receive the microbiome-targeting investigational product orally once daily for 24 weeks, in addition to either no background ulcerative colitis therapy or stable 5-aminosalicylic acid\u002Fmesalamine therapy at an unchanged dose, according to eligibility criteria. Rescue therapy or treatment escalation is permitted at any time if clinically needed.",[13],"Dietary Supplement: Microbiome-Targeting Nutraceutical",{"label":15,"type":16,"description":17,"interventionNames":18},"Placebo","PLACEBO_COMPARATOR","Participants assigned to this arm will receive matching placebo orally once daily for 24 weeks, in addition to either no background ulcerative colitis therapy or stable 5-aminosalicylic acid\u002Fmesalamine therapy at an unchanged dose, according to eligibility criteria. Rescue therapy or treatment escalation is permitted at any time if clinically needed.",[19],"Dietary Supplement: Placebo",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DIETARY_SUPPLEMENT","Microbiome-Targeting Nutraceutical","The investigational product is an oral microbiome-targeting preparation administered once daily for 24 weeks. It is intended to modulate gut microbial ecology and\u002For microbial metabolite production in adults with mild-to-moderate ulcerative colitis. The dosage form, dose, composition class, storage conditions, and batch-release specifications are documented in the study protocol and investigational product dossier reviewed by the ethics committee and relevant regulatory authority.",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"The placebo is an oral matching preparation administered once daily for 24 weeks. It contains inactive excipients only and is matched to the investigational product in appearance, packaging, administration schedule, and organoleptic characteristics, including color, taste, smell, and mouthfeel, as closely as technically feasible.",[15],[31],{"name":32,"affiliation":33,"role":34},"Varol TUNALI","Enbiosis Biotechnology Limited","PRINCIPAL_INVESTIGATOR",[36],{"name":37,"role":38,"phone":39,"phoneExt":26,"email":40},"Varol TUNALI, Dr.","CONTACT","+905556303231","vtunali@enbiosis.com",[42],{"facility":43,"status":44,"city":45,"state":26,"zip":26,"country":46,"countryCode":26,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Ege University","RECRUITING","Izmir","Turkey (Türkiye)",{"type":48,"coordinates":49},"Point",[50,51],27.13838,38.41273,{"lat":51,"lon":50},[54],{"name":55,"role":38,"phone":56,"phoneExt":26,"email":57},"Nalan G. Ünal, Prof. Dr.","+90 232 343 4 343","drnalanunal@gmail.com",{"type":34,"investigatorFullName":32,"investigatorTitle":59,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Chief Medical Officer (CMO)",[61,64,66,68],{"name":62,"class":63},"Aydin Adnan Menderes University","OTHER",{"name":65,"class":63},"Ege University Medical School",{"name":67,"class":63},"Dokuz Eylul University",{"name":69,"class":63},"Tepecik Training and Research Hospital","100643523","aim-ibd-a-microbiome-targeted-supplement-in-mild-to-moderate-ulcerative-colitis-100643523",false,"NCT07619638","AIM-IBD: A Microbiome-Targeted Supplement in Mild-to-Moderate Ulcerative Colitis","AIM-IBD: A Phase 2b Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial of a Microbiome-Targeted Food Supplement Versus Placebo in Adults With Mild-to-Moderate, Objectively Active Ulcerative Colitis","AIM-IBD","Inclusion Criteria:\n\n1. Adults aged 18 to 75 years inclusive at screening.\n2. Documented diagnosis of ulcerative colitis established at least 3 months before screening, based on standard clinical, endoscopic, and histologic criteria.\n3. Mild-to-moderate active ulcerative colitis defined by a partial Mayo score of 4 to 8 at screening.\n4. Rectal bleeding subscore of at least 1 at screening.\n5. Objective intestinal inflammation defined by fecal calprotectin of at least 250 micrograms per gram at screening, measured by the central laboratory or by a validated harmonized assay.\n6. Eligible disease extent: left-sided colitis or extensive\u002Fpancolitis. Proctosigmoiditis is eligible if inflammation extends beyond isolated proctitis and is measurable by study endoscopy. Isolated ulcerative proctitis (E1 only) is eligible only within a prespecified cap not exceeding 10 percent of total enrollment.\n7. Either no current ulcerative colitis-directed therapy, or stable oral and\u002For rectal 5-aminosalicylate (5-ASA, mesalamine) therapy at unchanged dose for at least 8 weeks before randomization, with intent to continue at the same unchanged dose through Week 24 unless rescue therapy is clinically required.\n8. Able and willing to provide written informed consent.\n9. Able and willing to comply with study visits, stool sampling, endoscopy, medication restrictions, and diary\u002Fpatient-reported outcome completion.\n10. Participants of childbearing potential must agree to use a highly effective method of contraception during dosing and for at least 4 weeks after the last dose, in accordance with EMA\u002FCTFG guidance and local ethics requirements.\n\nExclusion Criteria:\n\n1. Crohn disease, inflammatory bowel disease-unclassified, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, or any other non-ulcerative-colitis form of colitis.\n2. Severe ulcerative colitis, acute severe ulcerative colitis, fulminant colitis, toxic megacolon, or any disease severity requiring immediate hospitalization or treatment escalation in the investigator's judgment.\n3. Isolated ulcerative proctitis (E1 only) outside the prespecified 10 percent enrollment cap.\n4. Use of biologics, Janus kinase (JAK) inhibitors, sphingosine-1-phosphate (S1P) receptor modulators, or systemic immunosuppressants within 8 weeks before randomization, or planned use of any of these during the trial.\n5. Systemic corticosteroids within 4 weeks before randomization.\n6. Current budesonide-class therapy at baseline.\n7. Rectal or topical corticosteroids unless discontinued at least 2 weeks before randomization.\n8. Antibiotic use within 4 weeks before randomization, except topical antibiotics not expected to affect the gut microbiota.\n9. Probiotic, prebiotic, synbiotic, postbiotic, fermented microbiome-directed supplement, or other non-study microbiome-directed product within 4 weeks before randomization, or planned use during the trial.\n10. Active or recent Clostridioides difficile infection within 12 weeks before screening (screening uses a two-step algorithm: glutamate dehydrogenase plus toxin A\u002FB enzyme immunoassay, with reflex nucleic acid amplification testing for discordant results).\n11. Positive stool test for any clinically relevant enteric infection at screening, per local diagnostic standard operating procedures.\n12. Prior colectomy, planned colectomy, known dysplasia requiring intervention, or colorectal cancer.\n13. Pregnancy, breastfeeding, or planned pregnancy during the trial.\n14. Uncontrolled clinically significant comorbidity, including but not limited to uncontrolled diabetes, advanced liver or renal disease, unstable cardiovascular disease, immunodeficiency, active malignancy other than adequately treated non-melanoma skin cancer, or any other condition compromising participant safety or interpretation of study results.\n15. Known allergy, intolerance, or contraindication to any component of the investigational product or matching placebo.\n16. Participation in another interventional clinical trial within 30 days before screening.\n17. Any other condition that, in the investigator's judgment, would make participation unsafe or compromise protocol adherence.","ALL","18 Years","75 Years",{"count":82,"type":83},162,"ESTIMATED","INTERVENTIONAL",[86],"NA","This Phase 2b randomized, double-blind, placebo-controlled, multicenter trial will evaluate the efficacy and safety of a once-daily oral microbiome-targeted food supplement compared with matching placebo in adults with mild-to-moderate, objectively active ulcerative colitis. The supplement is food-grade and is intended for use either alongside stable standard ulcerative colitis therapy (5-aminosalicylic acid\u002Fmesalamine) or in participants not currently on any inflammatory bowel disease therapy.\n\nApproximately 162 participants will be enrolled at university hospital centers in Turkey and randomized in a 1:1 ratio to receive either the food supplement or matching placebo for 24 weeks, in addition to their existing background therapy as defined by eligibility.\n\nThe primary objective is to determine whether the supplement increases the proportion of participants achieving composite clinical-plus-biochemical remission at Week 24. This composite endpoint requires absence of rectal bleeding, improvement in stool frequency, fecal calprotectin ≤250 micrograms\u002Fg, and no rescue therapy, prohibited treatment escalation, ulcerative colitis-related hospitalization, colectomy, or discontinuation for lack of efficacy before Week 24.\n\nKey secondary endpoints include endoscopic improvement, deep biochemical remission, change in fecal calprotectin, change in partial Mayo score, corticosteroid-free composite remission, change in quality of life, change in C-reactive protein, time to treatment failure, and safety. Exploratory analyses will assess stool microbiome composition, eukaryotic carriage including Blastocystis, and associations between baseline microbiome features and treatment response.",[89,90,91],"Ulcerative Colitis (UC)","Inflammatory Bowel Disease (IBD)","Colitis",[93,94,95,96,97,98,99,100,101,102,103,104,105],"Ulcerative colitis","Inflammatory bowel disease","Microbiome","Gut microbiota","Fecal calprotectin","Artificial intelligence","Partial Mayo score","5-ASA","Mesalamine","Nutraceutical","Placebo-controlled trial","Blastocystis","Microbiome-targeting nutraceutical","2026-06-05",{"date":108,"type":109},"2026-06-09","ACTUAL",{"date":111,"type":83},"2026-06-10",{"date":113,"type":83},"2027-11-30",{"name":5,"class":6},1]