Dietary Interventions and Butyrate Production in Behçet's Patients

NCT ID: NCT03274648

Last Updated: 2020-01-28

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

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-27

Study Completion Date

2019-07-05

Brief Summary

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A dietary intervention trial will be performed on patients affected by Behçet's syndrome. Three different diets will be compared, analyzing their effects on the gut microbiota composition, on endogenous butyrate production and on the general symptoms in Behçet's patients.

Detailed Description

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A dietary intervention trial will be conducted with the use of three different diets in order to compare the effects of these diets on the gut microbiota composition, on endogenous butyrate production and on the general symptoms in Behçet's patients.

The study will be a randomized, open trial designed to test whether a vegetarian diet or an habitual diet supplemented with oral butyrate would benefit the butyrate production, the gut microbiota composition and the general symptoms of Behçet's patients, compared with the habitual diet.

The study will involve 30 subjects with Behçet syndrome. Patients will be randomly assigned to follow a 3-months isocaloric dietary profile with either:

* vegetarian diet containing inulin and resistant starch-rich foods, including no meat and fish, but containing eggs and dairy products
* habitual diet supplemented with 2.4g/day of oral butyrate
* habitual diet without supplementation At the baseline visit, subjects will be educated about the aims and methods of the clinical trial and will sign their informed consent form.

Anthropometric measurements, body composition, and blood and stool sampling will be obtained from each participant at the beginning and at the end of the intervention period. All subjects will be examined between 07.00 and 09.30 hours after a 12 h fasting period.

The following parameters will be analyzed both at the beginning and at the end of the intervention period:

* Complete blood count
* Lipid variables - total cholesterol, low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglycerides
* Glycemic profile - glucose, insulin, glycated hemoglobin (HbA1C), HOMA index
* Liver function tests - aspartate aminotransferase (AST), alanine transaminase (ALT), gammaglutamyl transferase (GGT), alkaline phosphatase (ALP), albumin, prealbumin
* Kidney function tests - serum creatinine, urea, uric acid
* Mineral profile - sodium, potassium, magnesium, calcium
* Iron metabolism - iron, ferritin
* Vitamin profile - vitamin B12, folic acid, vitamin D
* Thyroid function - TSH
* Inflammatory markers - erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), fibrinogen, serum amyloid A (SAA)
* Serology for celiac disease - IgA, anti-transglutaminase antibodies (IgA), anti endomysium antibodies (IgA)
* Circulating levels of inflammatory cytokines
* Oxidative stress markers
* Gut microbiota composition
* Butyrate production

At the beginning and at the end of the intervention period, participants will be asked to complete a questionnaire, which will assess Behçet's symptoms frequency and severity. In addition, participants will be contacted by phone to complete a 24-hours recall in order to test the adherence to diets they have been assigned to.

Conditions

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Behcet Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Behçet's will be assigned to one of the following treatments:

* vegetarian diet containing inulin and resistant starch-rich foods, including no meat and fish, but containing eggs and dairy products
* habitual diet supplemented with 2.4g/day of oral butyrate
* habitual diet without supplementation
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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vegetarian diet

vegetarian diet containing inulin and resistant starch-rich foods, including no meat and fish, but containing eggs and dairy products

Group Type EXPERIMENTAL

Vegetarian diet

Intervention Type DIETARY_SUPPLEMENT

Patients follow a vegetarian diet containing inulin and resistant starch-rich foods, including no meat and fish, but containing eggs and dairy products

Habitual diet + oral butyrate

habitual diet supplemented with 2.4g/day of oral butyrate

Group Type EXPERIMENTAL

Oral butyrate

Intervention Type DIETARY_SUPPLEMENT

Patients follow the habitual diet supplemented with 2.4g/day of oral butyrate

Habitual diet

habitual diet without supplementation

Group Type ACTIVE_COMPARATOR

Habitual diet

Intervention Type DIETARY_SUPPLEMENT

Patients follow the habitual diet

Interventions

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Oral butyrate

Patients follow the habitual diet supplemented with 2.4g/day of oral butyrate

Intervention Type DIETARY_SUPPLEMENT

Vegetarian diet

Patients follow a vegetarian diet containing inulin and resistant starch-rich foods, including no meat and fish, but containing eggs and dairy products

Intervention Type DIETARY_SUPPLEMENT

Habitual diet

Patients follow the habitual diet

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* All patients affected by Behçet's disease

Exclusion Criteria

* Pregnancy or breastfeeding
* Presence of diabetes mellitus
* Presence of other immune-mediated diseases
* Presence or history of cancer in the last 5 years
* Presence of infectious diseases in the last 3 months
* No antibiotic therapy in the last 3 months
* No vegetarian or vegan diet
* No intake of pro- or pre-biotics in the last 3 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliero-Universitaria Careggi

OTHER

Sponsor Role lead

Responsible Party

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GIACOMO EMMI

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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AOU Careggi

Florence, , Italy

Site Status

Countries

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Italy

References

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Skef W, Hamilton MJ, Arayssi T. Gastrointestinal Behcet's disease: a review. World J Gastroenterol. 2015 Apr 7;21(13):3801-12. doi: 10.3748/wjg.v21.i13.3801.

Reference Type BACKGROUND
PMID: 25852265 (View on PubMed)

Consolandi C, Turroni S, Emmi G, Severgnini M, Fiori J, Peano C, Biagi E, Grassi A, Rampelli S, Silvestri E, Centanni M, Cianchi F, Gotti R, Emmi L, Brigidi P, Bizzaro N, De Bellis G, Prisco D, Candela M, D'Elios MM. Behcet's syndrome patients exhibit specific microbiome signature. Autoimmun Rev. 2015 Apr;14(4):269-76. doi: 10.1016/j.autrev.2014.11.009. Epub 2014 Nov 27.

Reference Type BACKGROUND
PMID: 25435420 (View on PubMed)

Wong JM. Gut microbiota and cardiometabolic outcomes: influence of dietary patterns and their associated components. Am J Clin Nutr. 2014 Jul;100 Suppl 1:369S-77S. doi: 10.3945/ajcn.113.071639. Epub 2014 Jun 4.

Reference Type BACKGROUND
PMID: 24898225 (View on PubMed)

Other Identifiers

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butyrate2017

Identifier Type: -

Identifier Source: org_study_id

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