Specific Carbohydrate Diet as Maintenance Therapy in Crohn's Disease
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Stanford University
- Enrollment
- 8
- Locations
- 2
- Primary Endpoint
- Specific Carbohydrate Diet as Maintenance Therapy in Crohn's Disease
Study Overview
Brief Summary
This study investigates whether the specific carbohydrate diet (SCD) can maintain clinical remission in pediatric and adult patients with Crohn's disease.
Detailed Description
Patients will be seen in clinic at new diagnosis of Crohn's disease or a flare of existing disease. Potential subjects will be screened with for eligibility, followed by a baseline assessment by the clinic provider. Subjects who wish to participate will undergo further discussion with one of the study staff. At enrollment, a member of the study staff will explain the study to the prospective participant (for consent and/or assent, if applicable given patient's age).
The SCD will be started in addition to previous maintenance medication therapy or with short course of corticosteroids 1-2mg/kg/day (up to 60mg maximum). Steroid induction based on clinical need.
We anticipate improvement in clinical symptoms, laboratory values and/or a decline in PCDAI of 12.5 points (pediatric patients) or decline in CDAI of 70 points (adult patients) after 4 weeks. Patients who do not reach remission by 4 weeks will be excluded from the study. Patients who require additional medications for disease control will be excluded from the study.
Patients will be seen in clinic at diagnosis, 2 weeks (if required by clinical symptoms), 1 month, 3 months and 6 months.
Assessment at initial enrollment and at all follow-up visits includes:
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- — to 30 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult or pediatric patients presenting with a new diagnosis or flare of existing Crohn's disease based on standard diagnostic criteria including: clinical symptoms, laboratory parameters, disease activity indices (Pediatric Crohn's Disease Activity Index (PCDAI) for patients <19years and Crohn's Disease Activity Index (CDAI) for patients >19years), pathology from upper endoscopy/colonoscopy and imaging studies.
Exclusion Criteria
- •Pregnancy
- •Other autoimmune conditions including celiac disease, rheumatoid arthritis, multiple sclerosis
- •Otherwise immunosuppressed patients including HIV and prior organ transplant
- •Patients diagnosed with ulcerative colitis or indeterminate colitis
- •Active tuberculosis
Outcomes
Primary Outcomes
Specific Carbohydrate Diet as Maintenance Therapy in Crohn's Disease
Time Frame: 1 year
The primary end point of the study is the proportion of patients achieving steroid free remission at 6 months
Secondary Outcomes
No secondary outcomes reported
Investigators
Jennifer Burgis
Principle Investigator
Stanford University