Mediterranean Diet as an add-on Therapy for Induction of Remission in Patients With Active Crohn's Disease

NCT ID: NCT02825316

Last Updated: 2016-07-07

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2019-01-31

Brief Summary

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This clinical study is designed to evaluate the effect of Mediterranean diet as an add-on therapy for induction of remission in adult patients with active Crohn's disease and to evaluate its effects on clinical, inflammatory and microbial parameters.

Detailed Description

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The Mediterranean diet has been associated with anti-inflammatory properties and with decreased risk for several chronic diseases. However, the effect of Mediterranean diet has not been evaluated in patients with inflammatory bowel diseases.

The purpose of this study is to determine whether Mediterranean diet is superior to a low residue diet as an add-on therapy for induction of remission in adult patients with active Crohn's disease and to evaluate its effects on clinical, inflammatory and microbial parameters.

Seventy eligible patients will be randomly assigned to one of two dietary interventions: Mediterranean diet or low residue diet, as an add-on therapy for induction of remission of active Crohn's disease. The effect of the dietary regimens on clinical, inflammatory and microbial parameters will be assessed at 8 and 52 weeks.

Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Group A

Patients with active Crohn's disease that will be allocated to the Mediterranean diet group.

Group Type EXPERIMENTAL

Mediterranean diet

Intervention Type BEHAVIORAL

Eight weeks course of Mediterranean diet (rich in plant-based food and low in animal protein and fat).

Group B

Patients with active Crohn's disease that will be allocated to the low residue diet group.

Group Type EXPERIMENTAL

Low residue diet

Intervention Type BEHAVIORAL

Eight weeks course of low residue diet (minimal consumption of foods that add residue to the stool, such as raw fruits, vegetables and seeds, as well as nuts, legumes and whole grains).

Interventions

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Mediterranean diet

Eight weeks course of Mediterranean diet (rich in plant-based food and low in animal protein and fat).

Intervention Type BEHAVIORAL

Low residue diet

Eight weeks course of low residue diet (minimal consumption of foods that add residue to the stool, such as raw fruits, vegetables and seeds, as well as nuts, legumes and whole grains).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Males and females
* Age: 18-75
* Diagnosis of Crohn's Disease
* Montreal classification- B1
* CDAI: 150-450 + CRP\>0.5 or fecal calprotectin \>200
* Induction therapy with corticosteroids, 5-ASA, AZA, 6-MP, MTX or biologic therapy
* Capacity to give informed consent

Exclusion Criteria

* Ileostomy or colostomy
* Exclusive enteral nutrition/ partial enteral nutrition
* History of or current severe systemic diseases
* History of admission due to bowel obstruction
* Positive Clostridium difficile toxin
* Positive Salmonella, Shigella, Campylobacter, stool culture
* Pregnancy or lactation
* Use of antibiotics or steroids one month prior to inclusion
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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michal roll

OTHER_GOV

Sponsor Role lead

Responsible Party

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michal roll

PhD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Iris Dotan, MD

Role: PRINCIPAL_INVESTIGATOR

Head, IBD Center, Department of Gastroenterology and Liver Diseases Tel Aviv Sourasky Medical Center

Central Contacts

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Lihi Godny, B.Sc

Role: CONTACT

97236947305

Other Identifiers

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0569-15TLV

Identifier Type: -

Identifier Source: org_study_id

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