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Clinical Trials/NCT01792388
NCT01792388CompletedPhase 4

Vitamin D and Its Effects on Inflammation and Intestinal Permeability in Crohn's Disease in Remission

University of Dublin, Trinity College2 sites in 1 country30 target enrollmentStarted: December 2011Last updated:
Conditions

Trial Snapshot

Phase
Phase 4
Status
Completed
Enrollment
30
Locations
2
Primary Endpoint
Change from Baseline Intestinal Permability from baseline and 3 months

Study Overview

Brief Summary

Increased Intestinal Permeability is detectable in clinically active Crohn's disease, in stable Crohn's disease and is predictive of clinical relapse. Maintenance of the epithelial barrier integrity is therefore essential for intestinal homeostasis. Vitamin D may have a critical role in improving barrier function.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Single Group
Masking
Triple (Participant, Investigator, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 70 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • All patients must fulfill the clinical criteria for diagnosis of CD as defined by Lennard-Jones et al. (1976)
  • All patients must be in clinical remission for at least 1 month at study entry as defined by a Crohn's Disease Activity Index (CDAI) of <150
  • 18-65 years
  • Patients on stable drug therapies for at least 1 month pre-enrolment
  • Sufficient English language ability to carry out the study requirements

Exclusion Criteria

  • Symptomatic CD at study entry including CDAI >150
  • Pregnancy
  • Previous extensive small bowel resection (less than 200 cm of viable small bowel or a loss of 50% or more of the small intestine)
  • Presence of an ileostomy or colostomy
  • Known hypersensitivity to vitamin D
  • Hypercalcaemia (corrected serum calcium > 2.66 mmol/L)
  • Those currently using supplemental vitamin D >800 IU/D
  • Diagnosis of any of the following: active tuberculosis, sarcoidosis, hyperparathyroidism, renal failure, pseudohyperparathyroidism, malignancy, active, lymphoma, short bowel syndrome
  • Antibiotic use in the 4 weeks prior to enrolment
  • Current use of bisphosphonates
  • Renal Impairment, Diabetes Mellitus
  • Patients participating in a concurrent RCT
  • Alcohol dependency

Outcomes

Primary Outcomes

Change from Baseline Intestinal Permability from baseline and 3 months

Time Frame: 0 and 3 months

Lactulose, Mannitol, Sucralose Test

Secondary Outcomes

  • To assess change in grip strength and associated fatigue markers(Baseline and 3 months)
  • Change in Inflammatory and antimicrobial peptide levels from baseline to 3 months(Baseline and 3months)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Tara Raftery

Dr. Maria O'Sullivan, PhD

University of Dublin, Trinity College

Study Sites (2)

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