Evidence map›Paper›PMID 40545548›Full record

ArticleTrials2025

Hyperbaric oxygen therapy for ulcerative colitis patients hospitalized for moderate to severe flares (HBOT-UC): study protocol for a multi-center, randomized, double-blind, sham-controlled trial.

Lauren B Bonner, Charlotte Sadler, Peter Lindholm, Denise M Scholtens, Parambir S Dulai, HBOT-UC Consortium

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05987852 (Hyperbaric Oxygen Therapy for Ulcerative Colitis Patients Hospitalized for Moderate to Severe Flares), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05987852 narecruitingnot on this map

Hyperbaric Oxygen Therapy for Ulcerative Colitis Patients Hospitalized for Moderate to Severe Flares: A Multi-Center, Randomized, Double-Blind, Sham-Controlled Trial

TypeinterventionalSponsorNorthwestern UniversityRan2024 to 2027Enrolled126ConditionsUlcerative ColitisArmsHyperbaric Oxygen Therapy, Sham Hyperbaric Air
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lauren B BonnerDepartment of Preventive Medicine, Division of Biostatistics and Informatics, Northwestern University, Chicago, IL, USA. lauren.bonner@northwestern.edu.
Charlotte SadlerDivision of Hyperbaric Medicine, Department of Emergency Medicine, University of California San Diego, La Jolla, San Diego, CA, USA.
Peter LindholmDivision of Hyperbaric Medicine, Department of Emergency Medicine, University of California San Diego, La Jolla, San Diego, CA, USA.
Denise M ScholtensDepartment of Preventive Medicine, Division of Biostatistics and Informatics, Northwestern University, Chicago, IL, USA.
Parambir S DulaiDivision of Gastroenterology and Hepatology, Northwestern University, Chicago, IL, USA.
HBOT-UC Consortium

Funding

Hyperbaric Oxygen Therapy for Ulcerative Colitis Patients Hospitalized for Moderate to Severe Flares: A Phase 3 Multi-Center, Randomized, Double-Blind, Sham-Controlled TrialU01DK134321 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Lauren Balmert Bonner, Parambir Singh Dulai · 2023 to 2026
$9.7M
NIDDK NIH HHS U01DK134321
6 · The paper itself

Abstract

backgroundChronic intestinal hypoxia and accompanying mucosal inflammation is a hallmark of ulcerative colitis. Hyperbaric oxygen therapy involves breathing 100% oxygen under increased atmospheric pressure to increase tissue oxygenation. It reduces systemic and local inflammation and up-regulates hypoxia response pathways, making it an attractive therapeutic option. In this trial we aim to confirm the treatment benefits of hyperbaric oxygen therapy for hospitalized ulcerative colitis patients and assess the long-term durability of treatment effect.

methodsThis prospective, double-masked, multicenter, 1:1 randomized, sham-controlled trial will enroll 126 participants with known or newly diagnosed ulcerative colitis hospitalized for an acute moderate to severe flare. Participants will be randomized to either hyperbaric oxygen therapy with steroids or sham air with steroids. The trial will involve a 5-day intervention period followed by a 12-month observational period with a 90-day standard of care visit and 12-month telephone visit. The primary outcome measure is clinical response defined as complete resolution of rectal bleeding and improvement in stool frequency, without need for in-hospital biologics, small molecules, or colectomy by study day 5. Secondary endpoints include additional key patient-reported outcomes and histo-endoscopic measures of disease activity. DISCUSSION: Novel and effective treatments are needed for this population to optimize disease outcomes while minimizing treatment-related risks. Demonstrating the ability of hyperbaric oxygen therapy to improve clinical response to steroids and avoid in-hospital rescue therapy has the potential to change the management of hospitalized ulcerative colitis flares.

trial registrationClinicalTrials.gov NCT05987852. Registered on August 14, 2023.

Indexed as

Colitis, UlcerativeHyperbaric OxygenationAdultDouble-Blind MethodFemaleHospitalizationHumansMaleMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicSeverity of Illness IndexSymptom Flare UpTime FactorsTreatment OutcomeHyperbaric oxygen therapyRandomized trialStudy protocolUlcerative colitis

Identifiers

PMID40545548
PMCPMC12182703

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.