Prevention of Celiac Disease in Skåne

NCT ID: NCT03562221

Last Updated: 2025-08-22

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-04

Study Completion Date

2027-08-31

Brief Summary

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This study aims to investigate the impact of being on a gluten free diet the first three years of life compared to a daily intake of a probiotic supplementation or placebo on the risk of developing celiac disease autoimmunity or celiac disease in genetically susceptible children.

This is a three-arm (1:1:1) randomized trial where study participants are randomly allocated to one of the three study groups before the age of 4 months. Regular clinical visits (4 times/year) during the intervention phase and yearly there after, up to the age of 7 years.

Detailed Description

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The primary hypothesis to be tested is that a strictly gluten free diet during the first three years of life with a slow introduction of gluten during the follow-up period will induce tolerance to gluten. A similar hypothesis is tested if a daily supply of two different lactobacillus (LB) strains can suppress an inflammatory response to gluten in the intestine by stimulating regulatory T-cells and reduced permeability of gluten peptides in the intestine.

The secondary hypothesis tested is that celiac disease can not be prevented, but the onset of the disease will be delayed in children returning to a gluten-containing diet after the intervention period (gluten free diet) or probiotic treatment) during the first three years of life. The intervention period is 3 years and the follow-up period is further 4 years.

The primary aim is to study the proportion of children who develop celiac disease autoimmunity and progression to celiac disease by the age of 3 years. Secondary aim is to study the proportion of children who developed celiac disease at the age of 7 years.

Conditions

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Celiac Disease in Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Gluten free diet

Gluten free diet

Group Type EXPERIMENTAL

Gluten free diet

Intervention Type OTHER

Controlled gluten free diet

Probiotics

Capsules with a combination of two probiotic bacteria with maize starch as excipient and at a total dose of 10(10) colony forming units (CFU)/capsule.

Group Type ACTIVE_COMPARATOR

Probiotics

Intervention Type DIETARY_SUPPLEMENT

Capsules

Placebo

Placebo capsules with maize starch and without any bacteria.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Capsules

Interventions

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Gluten free diet

Controlled gluten free diet

Intervention Type OTHER

Probiotics

Capsules

Intervention Type DIETARY_SUPPLEMENT

Placebo

Capsules

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Children screened positive for human leucocyte antigen (HLA) DR3-DQ2/DR3-DQ2
* Children must be enrolled to the study by 4 months of age (before gluten consumption has started).

Exclusion Criteria

* Congenital chronic disorder where intervention with diet or probiotics may be affected.
* Written consent from both caregivers are missing
Minimum Eligible Age

4 Months

Maximum Eligible Age

4 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lund University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Agardh, PhD

Role: PRINCIPAL_INVESTIGATOR

Lund University

Locations

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Clinical Research Center (CRC), Bldng 60:11

Malmo, , Sweden

Site Status

Countries

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Sweden

References

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Af Segerstad EMH, Ericson-Hallstrom E, Bokstrom A, Armeni M, Savolainen O, Andren Aronsson C. Plasma Alkylresorcinols Is an Objective Biomarker for Gluten Intake in Young Children. J Nutr. 2025 Mar;155(3):985-993. doi: 10.1016/j.tjnut.2025.01.020. Epub 2025 Jan 27.

Reference Type DERIVED
PMID: 39880171 (View on PubMed)

Other Identifiers

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2018/61

Identifier Type: -

Identifier Source: org_study_id

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