Fibres Supplementation in Rheumatoid Arthritis

NCT ID: NCT04421313

Last Updated: 2022-12-23

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

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-02

Study Completion Date

2024-10-31

Brief Summary

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Design: Randomized, double-blind, placebo-controlled study with 4 weeks of treatment with either fiber supplements or placebo.

Primary outcome: variation in SCFA between baseline and week 4. Secondary outcomes : variations in gut microbiota, disease activity (DAS28, RAID), immune cells (regulatory T and B cells, Th17) and heart-rate variability.

Population: 29 patients with rheumatoid arthritis treated with only csDMARDs and a moderate disease activity will be recruited in each arm and 29 controls with mechanic disease (osteoarthritis, tendinitis).

Collection: Blood, feces, disease activity and heart rate variability will be collected at baseline and week 4.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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Rheumatoid arthritis dietary fibre gut-microbiota SCFAs

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Rhumatoid Arthritis

The patients with Rheumatoid arthritis receive 12 g/day of INULIN or 10,5g/day of maltodextrine during 30 days

Group Type EXPERIMENTAL

Dietary Fiber Supplementation

Intervention Type DRUG

12 g of inulin or of maltodextrin in powder, to dilute in water once daily, during 1 month. Given in pre-weighted pots (one pot per day, similar color and aspect)

Control Subjects

The patients with Control Subjects receive 12 g/day of INULIN or 10,5g/day of maltodextrine during 30 days

Group Type PLACEBO_COMPARATOR

Dietary Fiber Supplementation

Intervention Type DRUG

12 g of inulin or of maltodextrin in powder, to dilute in water once daily, during 1 month. Given in pre-weighted pots (one pot per day, similar color and aspect)

Interventions

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Dietary Fiber Supplementation

12 g of inulin or of maltodextrin in powder, to dilute in water once daily, during 1 month. Given in pre-weighted pots (one pot per day, similar color and aspect)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged 18 to 85
* Be affiliated to or beneficiary of a French social security scheme
* o No desire for pregnancy for the duration of the study (Effective contraception for women of reproductive age, for the duration of the study (surgical sterilization, hormonal contraceptives, barrier method, intrauterine device))


* Rheumatoid arthritis meeting ACR/EULAR 2010 criteria
* With moderate clinical activity: DAS28-CRP 3.2 and 5.1
* Patient receiving conventional background treatment at stable doses and should not be modified during 4-week follow-up


* Patient consulting in the rheumatology department for a mechanical pathology: osteoarthritis of the limbs or spine, osteoporosis, tendinopathy, fibromyalgia, algodystrophy or capsulitis.
* Matched to a gender and age PR topic 5 years

Exclusion Criteria

* Lack of written informed consent after a period of reflection
* Patient involved in other research or research for which the exclusion period has not ended
* Pregnant or nursing woman
* Type I or II diabetes
* Patient receiving more than 10 mg/d corticosteroids at time of inclusion
* Patient who received corticosteroid infusions in the month prior to randomization
* Unusual consumption (\>50% higher than usual consumption) of dietary fibre in the last 72 hours (assessed by food questionnaire)

Patient with Rheumatoid polyarthritis


* Patient treated by targeted RA treatment in the year prior to inclusion
* Patient who received antibiotic therapy within 3 months prior to randomization

Control subjects


· Patient with autoimmune disease, infection or progressive cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sydney

OTHER

Sponsor Role collaborator

Institut de Génétique Moléculaire de Montpellier

OTHER

Sponsor Role collaborator

University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claire DAIEN

Role: PRINCIPAL_INVESTIGATOR

CHU of Montpellier

Locations

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UH Montpellier

Montpellier, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Claire DAIEN, MD-PhD

Role: CONTACT

Phone: 467332319

Email: [email protected]

Facility Contacts

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Claire DAIEN

Role: primary

Other Identifiers

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RECHMPL17_0397

Identifier Type: -

Identifier Source: org_study_id