- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07671872
Tailored Anti-Inflammatory American Diet for Patients With Crohn's Disease
Targeting Gut Inflammation Through Diet: a Tailored American Diet for Patients With Crohn's Disease
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Geschätzt)
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
- Name: Eytan I Stern, MS, RD, LD/N, CNSC
- Telefonnummer: 305-243-6405
- E-Mail: eis43@miami.edu
Studienorte
-
-
Florida
-
Miami, Florida, Vereinigte Staaten, 33136
- University of Miami
-
Kontakt:
- Eytan I Stern, MS, RD, LD/N, CNSC
- Telefonnummer: 305-243-6405
- E-Mail: eis43@miami.edu
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Documented diagnosis with Crohn's Disease from medical records.
- Ages 16-75
- Mild to moderately active CD disease, defined by one of the following criteria:
Crohn's disease activity index (CDAI) 150-250 (mild-to-moderate only active disease) AND presence of active inflammation either by: fecal calprotectin >150mg/dl. or radiologic findings of active ileal and/or colonic disease, or endoscopic findings showing active ileal and/or colonic disease within 4 weeks of baseline
-On stable medications for their disease as or 3 months if medication is not listed
Exclusion Criteria:
- Diagnosis of Ulcerative Colitis (UC).
- Prior J pouch or diversion
- Recent inflammatory bowel disease (IBD) related hospitalizations in the last 4 weeks
- Clostridium difficile or enteric infections in the last 4 weeks
- Use of probiotics in the last 4 weeks
- Patients following the specific carbohydrate diet or Mediterranean diet or anti-inflammatory diet
- Active cancer or conditions limiting their ability to follow a diet (heart failure, end stage renal disease)
- Pregnancy, breastfeeding or planning to become pregnant during study period
- Use of Total Parenteral Nutrition at the time of screening and during the study period
- Other significant or life-threatening co-morbidities
- The need for antibiotic use during the study period
- Adults unable to consent
- Ages < 16 and > 75 years old
- Prisoners
- Crohn's specific complicated disease including active Stenotic (stricturing, B2) disease within the past 12 months, or Internal penetrating (B3) disease, or Draining perianal fistula, or Prior bowel resection
- Patients with concomitant Celiac disease
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Crossover-Aufgabe
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: Sequence A→B: Catered Anti-Inflammatory Diet Followed by Diet Guidance Group
Participants in this group will first receive an 8-week catered anti-inflammatory diet intervention, followed by a 2-week washout period, then an 8-week diet guidance period in which they consume their usual diet with weekly counseling focused on safe food preparation.
|
Participants will receive a fully catered anti-inflammatory diet for 8 weeks, with meals delivered twice weekly.
The diet is designed to provide >25 g fiber/day, a <3:1 n-6:n-3 fatty acid ratio, and <30% of total calories from fat, and excludes red meat, processed meats, fried foods, emulsifiers, artificial sweeteners, food colorings, and other ultra-processed ingredients.
Participants will also receive weekly remote sessions with a registered dietitian focused on dietary adherence, meal customization, grocery shopping, food affordability, and basic cooking skills.
Participants will continue consuming their self-selected usual diet for 8 weeks.
During this period, participants will receive weekly remote sessions with a registered dietitian focused on safe food handling, food preparation and cooking practices, and general nutrition education.
Participants will also receive grocery gift cards to support food purchasing and to maintain equivalent contact time and participant engagement across study periods.
No specific dietary pattern, food restrictions, or nutrient intake targets will be prescribed during this phase.
|
|
Experimental: Sequence B→A: Diet Guidance Followed by Catered Anti-Inflammatory Diet Group
Participants in this group will first receive an 8-week diet guidance period with weekly counseling while consuming their usual diet, followed by a 2-week washout period, then an 8-week catered anti-inflammatory diet intervention.
|
Participants will receive a fully catered anti-inflammatory diet for 8 weeks, with meals delivered twice weekly.
The diet is designed to provide >25 g fiber/day, a <3:1 n-6:n-3 fatty acid ratio, and <30% of total calories from fat, and excludes red meat, processed meats, fried foods, emulsifiers, artificial sweeteners, food colorings, and other ultra-processed ingredients.
Participants will also receive weekly remote sessions with a registered dietitian focused on dietary adherence, meal customization, grocery shopping, food affordability, and basic cooking skills.
Participants will continue consuming their self-selected usual diet for 8 weeks.
During this period, participants will receive weekly remote sessions with a registered dietitian focused on safe food handling, food preparation and cooking practices, and general nutrition education.
Participants will also receive grocery gift cards to support food purchasing and to maintain equivalent contact time and participant engagement across study periods.
No specific dietary pattern, food restrictions, or nutrient intake targets will be prescribed during this phase.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Participants Achieving Crohn's Disease Activity Index (CDAI) Clinical Response
Zeitfenster: Baseline, Week 8, Week 10, Week 18
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Clinical response is defined as a ≥70-point reduction from baseline in the Crohn's Disease Activity Index (CDAI).
The outcome is the percentage of participants who achieve this response following the dietary intervention.
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Baseline, Week 8, Week 10, Week 18
|
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Participants Achieving Fecal Calprotectin (FC) Reduction
Zeitfenster: Baseline, Week 8, Week 10, Week 18
|
Reduction is defined as a >50% decrease from baseline in fecal calprotectin (FC).
The outcome is the percentage of participants who achieve this reduction.
|
Baseline, Week 8, Week 10, Week 18
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Participants Achieving Crohn's Disease Activity Index (CDAI) Clinical Remission
Zeitfenster: Baseline, Week 8, Week 10, Week 18
|
Clinical Remission is defined as achieving a Crohn's Disease Activity Index (CDAI) score of <150.
The outcome is the percentage of participants who achieve this score.
|
Baseline, Week 8, Week 10, Week 18
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Oriana M Damas, MD, MSCTI, University of Miami
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 20260433
- CDMRP-PR251962 (Andere Zuschuss-/Finanzierungsnummer: Defense Health Agency)
Plan für individuelle Teilnehmerdaten (IPD)
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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