Immune Responses to Gluten

NCT ID: NCT05209568

Last Updated: 2025-04-23

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

RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-15

Study Completion Date

2029-09-30

Brief Summary

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This is a study of immune responses after eating gluten powder in people with celiac disease and healthy controls.

Detailed Description

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This is a multi-site open-label single dose gluten challenge study. Participants will provide a blood sample for measurement of cytokines before and 4 hours after eating gluten powder.

Conditions

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Celiac Disease Malabsorption Syndromes Digestive System Disease Intestinal Disease Gastrointestinal Diseases Gluten Sensitivity Celiac Disease in Children

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This is a multi-center study of immune responses to gluten in persons with celiac disease and healthy controls. All participants will have baseline blood drawn to assess immune responses at baseline in addition to four hours after a single oral dose of gluten.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Celiac Disease

Individuals with a confirmed diagnosis of celiac disease based on serology and/or histology

Group Type EXPERIMENTAL

Gluten Powder

Intervention Type DIETARY_SUPPLEMENT

Single oral dose of gluten powder

Healthy Controls

Individuals without a diagnosis of celiac disease

Group Type EXPERIMENTAL

Gluten Powder

Intervention Type DIETARY_SUPPLEMENT

Single oral dose of gluten powder

Interventions

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Gluten Powder

Single oral dose of gluten powder

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. On a gluten-free diet for ≥ 4 weeks
2. Willing to consume gluten for research
3. For the celiac disease arm, diagnosis confirmed by serology and/or histology

Exclusion Criteria

1. Pregnancy
2. Wheat allergy
3. Type 1 diabetes
4. BMI z-score \< -2
5. History of more than minimal symptoms following gluten exposure on a gluten-free diet
6. Comorbid condition that in the opinion of the investigator would interfere with study participation or would confound study results
Minimum Eligible Age

2 Years

Maximum Eligible Age

101 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Children's Hospital Colorado

OTHER

Sponsor Role collaborator

Celiac Disease Foundation

UNKNOWN

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jocelyn Silvester

Director of Research, Celiac Disease Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jocelyn A Silvester, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital

Locations

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Children's Hospital Colorado

Aurora, Colorado, United States

Site Status RECRUITING

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jocelyn A Silvester, MD, PhD

Role: CONTACT

617-355-8880

Marisa Stahl, MD, MSCS

Role: CONTACT

Facility Contacts

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Marisa Stahl, MD, MSCS

Role: primary

720-777-2484

Jocelyn A Silvester, MD, PhD

Role: primary

617-355-8880

References

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Goel G, Tye-Din JA, Qiao SW, Russell AK, Mayassi T, Ciszewski C, Sarna VK, Wang S, Goldstein KE, Dzuris JL, Williams LJ, Xavier RJ, Lundin KEA, Jabri B, Sollid LM, Anderson RP. Cytokine release and gastrointestinal symptoms after gluten challenge in celiac disease. Sci Adv. 2019 Aug 7;5(8):eaaw7756. doi: 10.1126/sciadv.aaw7756. eCollection 2019 Aug.

Reference Type BACKGROUND
PMID: 31457091 (View on PubMed)

Goel G, Daveson AJM, Hooi CE, Tye-Din JA, Wang S, Szymczak E, Williams LJ, Dzuris JL, Neff KM, Truitt KE, Anderson RP. Serum cytokines elevated during gluten-mediated cytokine release in coeliac disease. Clin Exp Immunol. 2020 Jan;199(1):68-78. doi: 10.1111/cei.13369. Epub 2019 Oct 1.

Reference Type BACKGROUND
PMID: 31505020 (View on PubMed)

Tye-Din JA, Daveson AJM, Ee HC, Goel G, MacDougall J, Acaster S, Goldstein KE, Dzuris JL, Neff KM, Truitt KE, Anderson RP. Elevated serum interleukin-2 after gluten correlates with symptoms and is a potential diagnostic biomarker for coeliac disease. Aliment Pharmacol Ther. 2019 Oct;50(8):901-910. doi: 10.1111/apt.15477. Epub 2019 Sep 4.

Reference Type BACKGROUND
PMID: 31483515 (View on PubMed)

Other Identifiers

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P00039708

Identifier Type: -

Identifier Source: org_study_id

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