Validation of New Tests for Gastrointestinal (GI) Permeability

NCT ID: NCT00943345

Last Updated: 2011-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2012-02-29

Brief Summary

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Introduction: The primary function of the gastrointestinal (GI) wall is digestion and absorption of nutrients that are important for growth and development. The second important function of the GI wall is forming an effective barrier to prevent penetration of potentially harmful components from the inside of the gut (lumen), via the GI wall, into the body.

A compromised barrier function may play an important role in the development of a range of inflammatory GI diseases such as coeliac disease, Inflammatory Bowel Disease (IBD), food allergy, but also in the pathophysiology of postoperative complications. It is important and clinically relevant to have reliable GI permeability tests, however the existing test leave room for improvement.

Rationale/aim: Three new tests are developed to assess gastrointestinal permeability in both normal controls with and without raised permeability, and in patients with coeliac disease. In the current study these new permeability tests will be evaluated and compared with the golden standard permeability test, the dual sugar test.

Detailed Description

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Conditions

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Gastrointestinal Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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GS dual sugar permeability test

Golden standard GI permeability test - testing occurs for basal permeability (with placebo) and after ingestion of indometacin (for normal controls).

Coeliac patients will only have 1 test to assess basal GI permeability.

Group Type ACTIVE_COMPARATOR

indometacin

Intervention Type DRUG

* capsule for oral consumption
* at 22h00 evening before test day: 75 mg
* at 7h30 on the test day: 50 mg This intervention will be applied 4 times (4 arms).

Multi sugar test

New GI permeability test - testing occurs for basal permeability (with placebo) and after ingestion of indometacin (for normal controls).

Coeliac patients will only have 1 test to assess basal GI permeability.

Group Type OTHER

indometacin

Intervention Type DRUG

* capsule for oral consumption
* at 22h00 evening before test day: 75 mg
* at 7h30 on the test day: 50 mg This intervention will be applied 4 times (4 arms).

Protein test

New GI permeability test - testing occurs for basal permeability (with placebo) and after ingestion of indometacin (for normal controls).

Coeliac patients will only have 1 test to assess basal GI permeability.

Group Type OTHER

indometacin

Intervention Type DRUG

* capsule for oral consumption
* at 22h00 evening before test day: 75 mg
* at 7h30 on the test day: 50 mg This intervention will be applied 4 times (4 arms).

PEG test

New GI permeability test - testing occurs for basal permeability (with placebo) and after ingestion of indometacin (for normal controls).

Coeliac patients will only have 1 test to assess basal GI permeability.

Group Type OTHER

indometacin

Intervention Type DRUG

* capsule for oral consumption
* at 22h00 evening before test day: 75 mg
* at 7h30 on the test day: 50 mg This intervention will be applied 4 times (4 arms).

Interventions

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indometacin

* capsule for oral consumption
* at 22h00 evening before test day: 75 mg
* at 7h30 on the test day: 50 mg This intervention will be applied 4 times (4 arms).

Intervention Type DRUG

Other Intervention Names

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Indometacin [Actavis]

Eligibility Criteria

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Inclusion Criteria

* healthy controls, female/male, 18-75 years of age, OR:
* coeliac disease without taking medicine, female/male, 18-75 years of age

Exclusion Criteria

* cardiac and/or vascular disease
* chronic obstructive pulmonary disease (COPD)
* rheumatic arthritis (RA)
* Inflammatory bowel disease(IBD); Crohn's colitis or colitis ulcerosa
* Irritable bowel syndrome (IBS)
* Inflammatory systemic disease
* Obesity (Body Mass Index ≥ 30 kg/m²)
* Diabetes Mellitus
* Thyroid disease
* Kidney disease
* Cancer
* Smoking
* Substance abuse (alcohol, drug, cocain, opioids, and others)
* Use of drugs
* Operations to the GI system, apart from appendectomy
* Allergy to eggs or milk
* Hypersensitivity to any of the following: lactulose, l-rhamnose, sucrose, sucralose of erythritol
* Acute porphyria or phenylketonuria (PKU)
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Top Institute Food and Nutrition

OTHER

Sponsor Role collaborator

Maastricht University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Kim van Wijck

MD, PhD student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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WA Buurman, Prof.dr.

Role: PRINCIPAL_INVESTIGATOR

Maastricht University Medical Center

Locations

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Maastricht University Medical Center

Maastricht, Zuid-Limburg, Netherlands

Site Status

Countries

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Netherlands

References

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van Wijck K, Verlinden TJ, van Eijk HM, Dekker J, Buurman WA, Dejong CH, Lenaerts K. Novel multi-sugar assay for site-specific gastrointestinal permeability analysis: a randomized controlled crossover trial. Clin Nutr. 2013 Apr;32(2):245-51. doi: 10.1016/j.clnu.2012.06.014. Epub 2012 Aug 11.

Reference Type DERIVED
PMID: 22892368 (View on PubMed)

Other Identifiers

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MEC 09-3-034

Identifier Type: -

Identifier Source: org_study_id