Hyperbaric Oxygen Therapy for Ulcerative Colitis (HBOT-UC)

This study is investigating if Hyperbaric Oxygen Therapy (HBOT) can help people hospitalized with moderate to severe ulcerative colitis (UC) flares. HBOT involves breathing 100% oxygen in a special chamber under increased pressure. Researchers want to see if HBOT can improve symptoms like rectal bleeding and frequent bowel movements, and help patients avoid needing stronger medications or surgery. You might be able to join if you are 18-85 years old, have UC, and are hospitalized for a flare. The study is looking for 126 participants. The current status of the study is unclear.

Study design
This is an interventional study comparing Hyperbaric Oxygen Therapy to a sham (inactive) treatment, with a planned enrollment of 126 participants.
What's involved
If in the active HBOT group, you would receive 90-minute HBOT sessions once a day for 5 days. If in the sham group, you would receive 90-minute sham sessions once a day for 5 days.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, clinical response, is measured at Day 5.

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NCT05987852

Hyperbaric Oxygen Therapy for Ulcerative Colitis (HBOT-UC)

Recruiting
NAAges 18–85InterventionalTreatment
Northwestern University
~126 participants
Updated 2026-01-08 on ClinicalTrials.gov
What's tested:Hyperbaric Oxygen TherapySham Hyperbaric Air

At a glance

Recruiting sites
12 of 13 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
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
Measured over Day 5
Ulcerative Colitis
13 sites across 10 states
Florida2
New York2
Pennsylvania2
Alabama1
California1
Illinois1
Kentucky1
Massachusetts1
  • Lauren Balmert Bonner, PhD · PRINCIPAL_INVESTIGATOR · Northwestern University

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Eligibility criteria

Inclusion

Participants with known or newly diagnosed UC who require hospitalization for an acute moderate to severe flare
Age 18-85
Able to fully participate in all aspects of the trial
Consented and able to receive first HBOT session within first 48 hours of initiation of intravenous steroids
Agreement to not participate in another trial for the duration of the active intervention period

Exclusion

Received hyperbaric oxygen therapy either as part of standard of care or through a clinical trial prior to enrollment
Complication requiring urgent surgical intervention
Requirement for new start of a biologic or small molecule during the hospitalization prior to randomization and/or anticipated requirement for rescue medical or surgical therapy within 48 hours of randomization
Toxic megacolon
Inability to receive intravenous steroids
Historically failed or been exposed to 4 or more classes of advanced therapeutic options
Known or suspected diagnosis of Crohn's colitis, indeterminate colitis, ischemic colitis, radiation colitis, diverticular disease associated with colitis, microscopic colitis or infectious colitis
Received any investigational drug within 30 days
Clinically significant cardiac, renal, neurological, endocrine, respiratory or hepatic impairment that increases the risk for HBOT toxicity
Women who are pregnant or nursing
Unwillingness to complete course of HBOT
  • 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 5Day 5

    Proportion of participants achieving clinical response as measured by complete resolution of rectal bleeding (Mayo rectal bleeding sub-score of 0) and improvement in stool frequency (at least 1 point reduction in Mayo stool frequency sub-score), without the need for in-hospital biologics, small molecules, or colectomy, by study day 5.