- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05894746
Gfree - For Improved Blood Sugar and Reduced Inflammation.
GFREE - A Study for Improved Blood Sugar Levels, Reduced Inflammation and for Increasing Knowledge of the Connection Between Diabetes and COVID-19.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
BACKGROUND AND PURPOSE Many diseases, which are common in high-income countries, have an inflammatory component. In the world's rich countries, about 10% of the population will be diagnosed with a traditional inflammatory autoimmune disease during their lifetime. In an autoimmune disease, the body produces auto-antibodies against the body's own protein and the immune system destroys the body's own tissues. There are hundreds of different types of autoimmune diseases where some of the most common are; celiac disease (gluten intolerance), psoriasis, type 1 diabetes (T1D), multiple sclerosis, rheumatic diseases or thyroid diseases. Diseases such as cardiovascular disease, type 2 diabetes (T2D) and Alzheimer's disease are now also considered to have inflammatory components, and so-called auto-antibodies have been identified that indicate autoimmunity also in these diseases. Autoantibodies have also been identified in COVID-19 patients.
To try to understand the biology behind autoimmunity and inflammatory disease, the investigators have analyzed the entire genome of patients with celiac disease as a model for autoimmunity. Celiac disease is a good so-called model disease for autoimmunity because the autoimmune reaction can be switched on and off with the help of gluten in the diet. With a strict gluten-free diet, virtually all signs of illness disappear and the inflammation ceases. The results from our whole genome analysis showed that genes involved in amino acid signaling were important for disease development and pointed to associations between celiac disease, T2D and anorexia. These results were somewhat surprising and the investigators began to look at the role of nutritional signaling and amino acids in inflammatory processes further.
The purpose of this study is to test whether a reduction in certain amino acids (which is most common in wheat gluten) can improve glycemic control in healthy volunteers, parents, as well as children, adolescents and adults with diabetes and whether levels of inflammatory amino acids may be one of the factors behind the link between diabetes and severe COVID-19 infection.
The participants will, for 4 weeks, eat one week as usual, eat one week wheat gluten-free, one week wheat gluten and one week with gluten and probiotics. The participants will be provided with continuous glucose monitors and activity-tracking bracelets. The investigators will analyze the efficiency of glucose uptake using continuous glucose monitors (CGM). During these four weeks, the research subjects will be admitted for 4 clinical visits (baseline, after 1 week, 2 weeks, 3 weeks) where blood samples will be taken. Also, during these weeks the participant will take capillary blood samples, faeces, urine, buccal swabs and saliva at home and fill out a questionnaire based on diet and risk factors for diabetes and questions about COVID-19.
Total number of participants: 60 Sampling occasions per participant: 15 Follow-up period per participant: 4 weeks Number of years for inclusion: 2 years (20221201-20241201)
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Åsa Torinsson Naluai, PhD
- Phone Number: +46768979149
- Email: asa.torinsson.naluai@gu.se
Study Contact Backup
- Name: Katarina Ejeskär Ejeskär, PhD
- Email: Katarina.Ejeskar@his.se
Study Locations
-
-
-
Gothenburg, Sweden
- Not yet recruiting
- Sahlgrenska University Hospital
-
Contact:
- Åsa Torinsson Naluai, PhD
- Phone Number: +46768979149
- Email: asa@clingen.gu.se
-
Principal Investigator:
- Åsa Torinsson Naluai, PhD
-
Skövde, Sweden
- Recruiting
- University of Skövde
-
Contact:
- Katarina Ejeskär, PhD
- Email: Katarina.Ejeskar@his.se
-
Principal Investigator:
- Katarina Ejeskär, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- none
Exclusion Criteria:
- A diagnosis of celiac disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: gluten-free
The study participants will start the gluten-free diet and be asked to exchange any products they normally buy with similar products.
Three days in the week they will eat a meal with gluten free pasta.
Two to six hours after the meal they will take samples at home and store until they return to the clinic.
|
see info in arm description
|
Active Comparator: gluten
The study participants will continue the gluten-free diet and be asked to exchange any products they normally buy with similar products.
Three days however, in the week they will eat a meal with regular gluten containing pasta.
Two to six hours after the meal they will take samples at home and store until they return to the clinic.
|
see info in arm description
see info in arm description
|
Active Comparator: probiotic
The study participants will continue the gluten-free diet and be asked to exchange any products they normally buy with similar products.
During the week they will also take probiotic (Probion, Active) every morning and every evening.
Three days however, in the week they will eat a meal with regular gluten containing pasta.
Two to six hours after the meal they will take samples at home and store until they return to the clinic.
|
see info in arm description
see info in arm description
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Stabilizing of blood sugar levels
Time Frame: 0 days to 4 weeks
|
Continuous glucose monitoring (CGM) data will be analysed together with activity level data, lower glucose peaks after a meal, adjusted for activity level.
|
0 days to 4 weeks
|
Amino acid metabolism
Time Frame: 0 days to 4 weeks
|
Lowering of the aminoacid proline
|
0 days to 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Blood Lipids
Time Frame: 0 days to 4 weeks
|
LDL, improved apolipoprotein B (APOB)
|
0 days to 4 weeks
|
Glutathione S Transferases
Time Frame: 0 days to 4 weeks
|
Relative Glutathione S Transferases expression levels
|
0 days to 4 weeks
|
Fibrinogen
Time Frame: 0 days to 4 weeks
|
Relative Fibrinogen expression levels
|
0 days to 4 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
multiomics explorative analyses
Time Frame: 0 days to 4 weeks
|
Genomics, transcriptomics2, metabolomics and proteomics analyses are planned
|
0 days to 4 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Åsa Torinsson Naluai, PhD, Göteborg University
- Study Director: Katarina Ejeskär, PhD, University of Skövde
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GFREE
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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