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Effects of Carrageenan-Elimination Diet on Ulcerative Colitis Disease Activity

Not Applicable
Completed
Conditions
Ulcerative Colitis
Interventions
Other: dietary intervention with no-carrageenan diet
Dietary Supplement: carrageenan
Registration Number
NCT01065571
Lead Sponsor
University of Illinois at Chicago
Brief Summary

The study hypothesis is that withdrawal of carrageenan will lead to a longer, relapse free interval in patients with ulcerative colitis.

Detailed Description

This study will evaluate the interval to relapse in patients with ulcerative colitis. The patients will be adults, who have been in remission for at least one month. They will have previously required corticosteroids to induce remission. Subjects will be instructed in a no-carrageenan diet and required to follow this diet for the duration of their participation in the clinical study. They will be randomized to receive either placebo capsules or capsules containing carrageenan 100 mg. In this way, the study will be a double blind study of no-carrageenan vs. carrageenan. Main study outcome is the interval to relapse. Since ulcerative colitis is associated with relapses, relapse is anticipated. Other outcome measures will include scores on questionnaires, including the SSCAI and the SIDBQ, and laboratory measurements of inflammation.

Subjects will participate for one year or until relapse, with study visits every three months and telephone contacts every two weeks. After three months, participants will increase to two capsules daily, of either placebo or carrageenan.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Ulcerative colitis
  • Adult
  • In remission
  • Required corticosteroids to induce remission
  • Able to make food choices and follow diet
Exclusion Criteria
  • Not able to make food choices

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
carrageenan-free diet with placebodietary intervention with no-carrageenan dietThis is the experimental arm in which subjects will be on a no-carrageenan diet and receive placebo capsules. This will test whether the no carrageenan diet leads to longer relapse-free interval for patients with ulcerative colitis.
carrageenan-free diet w/ carrageenancarrageenanThe carrageenan-free diet with carrageenan supplement will mimic the carrageenan normally consumed in the diet. The study will permit blinded comparison of carrageenan-free vs. carrageenan consumption.
Primary Outcome Measures
NameTimeMethod
Number of Relapses by Groupup to one year of participation for each enrolled subject

log-rank test to test for difference in number of relapses by group

Secondary Outcome Measures
NameTimeMethod
Serum Interleukin-6 (pg/ml)change in IL-6 between baseline and up to one year of study participation

Difference in IL-6 between groups between baseline and end of study participation

Fecal Calprotectin (Microgram/Gram Stool)one year or relapse or withdrawal compared with baseline

paired t-test comparing mean values at baseline and at end of study participation by group

Trial Locations

Locations (2)

University of Illinois at Chicago

🇺🇸

Chicago, Illinois, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

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