Gluten-free Diet Monitoring in Urine

NCT ID: NCT02344758

Last Updated: 2015-01-26

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

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

134 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to develope a novel method to determine gluten intake and to check gluten-free diet adherence in celiac patients by detection of gluten immunogenic peptides in urine.

Detailed Description

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To date, the mainstay of the management of CD is a strict life-long adherence to gluten-free diet (GFD). Follow-up monitoring of the improvement of patients on GFD is essential to assess symptomatic recovery and to monitor complications, as well as to assist patients with dietary compliance. However, practical methods to monitor diet compliance and to detect the origin of an outbreak of celiac clinical symptoms are not available.

In this study, we have overcome these challenges and shown the feasibility of measuring gluten immunogenic peptides (GIP) in urine samples in healthy and celiac individuals by solid phase extraction and estimating the peptide concentrations with a reader of anti-GIP moAb immunochromatographic strips (IC-strips).

Conditions

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Celiac Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study Groups

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Celiac adult

Patient \>16 years, initially diagnosed based on the detection of IgA anti-endomysial and anti-tissue transglutaminase antibodies in serum and confirmed by a small intestinal biopsy, on a GFD for \>2 years

Group Type EXPERIMENTAL

Non-invasive lateral flow test for monitoring gluten intake

Intervention Type DEVICE

gluten-free diet (GFD)

Intervention Type BEHAVIORAL

Celiac child

Patient \<16 years, initially diagnosed based on the detection of IgA anti-endomysial and anti-tissue transglutaminase antibodies in serum and confirmed by a small intestinal biopsy, on a GFD for \>2 years

Group Type EXPERIMENTAL

Non-invasive lateral flow test for monitoring gluten intake

Intervention Type DEVICE

gluten-free diet (GFD)

Intervention Type BEHAVIORAL

Healthy adult

Healthy individual \> 16 years. Exclusion criteria: the presence of family history of CD, digestive disease symptoms, known medical disease, use of prescription medications, and use of antibiotics and probiotics in the previous 2 months to the inclusion in the study.

Group Type ACTIVE_COMPARATOR

Non-invasive lateral flow test for monitoring gluten intake

Intervention Type DEVICE

gluten-containing diet

Intervention Type BEHAVIORAL

Healthy child

Healthy individual \< 16 years. Exclusion criteria: the presence of family history of CD, digestive disease symptoms, known medical disease, use of prescription medications, and use of antibiotics and probiotics in the previous 2 months to the inclusion in the study.

Group Type ACTIVE_COMPARATOR

Non-invasive lateral flow test for monitoring gluten intake

Intervention Type DEVICE

gluten-containing diet

Intervention Type BEHAVIORAL

Interventions

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Non-invasive lateral flow test for monitoring gluten intake

Intervention Type DEVICE

gluten-free diet (GFD)

Intervention Type BEHAVIORAL

gluten-containing diet

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Celiac patient: childs (\< 16 years) and adults (\> 16 years)
* written informed consent

Exclusion Criteria

* presence of family history of CD
* digestive disease symptoms
* known medical disease
* use of prescription medications and use of antibiotics and probiotics in the previous 2 months to the inclusion in the study
* participation in any other studies involving investigational concomitantly or within two weeks prior to entry into the study and during the course of the study
Minimum Eligible Age

3 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto Hispalense de Pediatría

UNKNOWN

Sponsor Role collaborator

Hospitales Universitarios Virgen del Rocío

OTHER

Sponsor Role collaborator

University of Seville

OTHER

Sponsor Role lead

Responsible Party

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Carolina Sousa Martin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mª de Lourdes Moreno Amador, Dr

Role: STUDY_CHAIR

Department of Microbiology and Parasitology, University of Sevilla, Spain

Ángel Cebolla Ramírez, Dr

Role: STUDY_CHAIR

Biomedal S.L.

Ángeles Pizarro Moreno, Dr

Role: STUDY_CHAIR

Unidad Clínica de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain

Alba Muñoz Suano, Dr

Role: STUDY_CHAIR

Biomedal, S.L., Sevilla, Spain

Isabel Comino Montilla, Dr

Role: STUDY_CHAIR

Department of Microbiology and Parasitology, University of Sevilla, Spain

Alfonso Rodríguez Herrera, Dr

Role: STUDY_CHAIR

Unidad de Gastroenterología y Nutrición, Instituto Hispalense de Pediatría. Sevilla, Spain

Francisco León, Dr

Role: STUDY_CHAIR

Celimmune, Bethesda, MD, USA

Carolina Carrillo Carrión

Role: STUDY_CHAIR

Biomedal, S.L., Sevilla, Spain

Carolina Sousa Martín, Professor

Role: PRINCIPAL_INVESTIGATOR

Department of Microbiology and Parasitology, University of Sevilla, Spain

Locations

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Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Seville

Seville, Seville, Spain

Site Status

Countries

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Spain

References

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Moron B, Bethune MT, Comino I, Manyani H, Ferragud M, Lopez MC, Cebolla A, Khosla C, Sousa C. Toward the assessment of food toxicity for celiac patients: characterization of monoclonal antibodies to a main immunogenic gluten peptide. PLoS One. 2008 May 28;3(5):e2294. doi: 10.1371/journal.pone.0002294.

Reference Type BACKGROUND
PMID: 18509534 (View on PubMed)

Moron B, Cebolla A, Manyani H, Alvarez-Maqueda M, Megias M, Thomas Mdel C, Lopez MC, Sousa C. Sensitive detection of cereal fractions that are toxic to celiac disease patients by using monoclonal antibodies to a main immunogenic wheat peptide. Am J Clin Nutr. 2008 Feb;87(2):405-14. doi: 10.1093/ajcn/87.2.405.

Reference Type BACKGROUND
PMID: 18258632 (View on PubMed)

Hausch F, Shan L, Santiago NA, Gray GM, Khosla C. Intestinal digestive resistance of immunodominant gliadin peptides. Am J Physiol Gastrointest Liver Physiol. 2002 Oct;283(4):G996-G1003. doi: 10.1152/ajpgi.00136.2002.

Reference Type BACKGROUND
PMID: 12223360 (View on PubMed)

Shan L, Molberg O, Parrot I, Hausch F, Filiz F, Gray GM, Sollid LM, Khosla C. Structural basis for gluten intolerance in celiac sprue. Science. 2002 Sep 27;297(5590):2275-9. doi: 10.1126/science.1074129.

Reference Type BACKGROUND
PMID: 12351792 (View on PubMed)

Comino I, Real A, Vivas S, Siglez MA, Caminero A, Nistal E, Casqueiro J, Rodriguez-Herrera A, Cebolla A, Sousa C. Monitoring of gluten-free diet compliance in celiac patients by assessment of gliadin 33-mer equivalent epitopes in feces. Am J Clin Nutr. 2012 Mar;95(3):670-7. doi: 10.3945/ajcn.111.026708. Epub 2012 Jan 18.

Reference Type BACKGROUND
PMID: 22258271 (View on PubMed)

Comino I, Real A, Moreno Mde L, Montes R, Cebolla A, Sousa C. Immunological determination of gliadin 33-mer equivalent peptides in beers as a specific and practical analytical method to assess safety for celiac patients. J Sci Food Agric. 2013 Mar 15;93(4):933-43. doi: 10.1002/jsfa.5830. Epub 2012 Aug 6.

Reference Type BACKGROUND
PMID: 22886585 (View on PubMed)

Real A, Comino I, Moreno Mde L, Lopez-Casado MA, Lorite P, Torres MI, Cebolla A, Sousa C. Identification and in vitro reactivity of celiac immunoactive peptides in an apparent gluten-free beer. PLoS One. 2014 Jun 25;9(6):e100917. doi: 10.1371/journal.pone.0100917. eCollection 2014.

Reference Type BACKGROUND
PMID: 24963630 (View on PubMed)

Moreno ML, Cebolla A, Munoz-Suano A, Carrillo-Carrion C, Comino I, Pizarro A, Leon F, Rodriguez-Herrera A, Sousa C. Detection of gluten immunogenic peptides in the urine of patients with coeliac disease reveals transgressions in the gluten-free diet and incomplete mucosal healing. Gut. 2017 Feb;66(2):250-257. doi: 10.1136/gutjnl-2015-310148. Epub 2015 Nov 25.

Reference Type DERIVED
PMID: 26608460 (View on PubMed)

Other Identifiers

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CELIFLUID1

Identifier Type: -

Identifier Source: org_study_id

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