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NCT02412553Active, not recruiting

Dietary Therapy and Gut Microbiome in Crohn's Disease and Ulcerative Colitis

Source: ClinicalTrials.gov · Last updated 25 Sept 2025

Brief summary (registry, in English)

The study is proposed as a 2-year single site, open-label clinical trial of enteral nutrition or the specific carbohydrate diet in patients with active CD or UC. Patients seeking care in the outpatient clinics of the Division of Gastroenterology at Massachusetts General Hospital will be approached for participation in the trial during their routine outpatient appointments. All patients are required to have a diagnosis of CD or UC confirmed using standard clinical, endoscopic, and histologic criteria. Eligible patients will complete an office visit to confirm eligibility for the study and informed consent will be obtained. They will then be scheduled for a routine colonoscopy as part of their standard clinical care to objectively confirm active disease and obtain biopsies for microbiome and gene expression. The investigators will obtain prior authorization from the subject's insurance company for such colonoscopy, or if it is not covered by the insurance, the investigators will use study funds to pay for the procedure. They will then be assigned to one of two dietary intervention arms based on their preference and will meet with the study registered dietician at the MGH Clinical Research Center (CRC) metabolism and nutrition unit. There, they will receive instruction on the components of the assigned dietary therapy arm - partial elemental diet (enteral nutrition) or specific carbohydrate diet, and will complete a baseline food record (FR). They will adhere to the dietary therapy for 6 weeks after which they can resume normal diet. Clinical, biochemical, nutritional, and microbiological parameters will be measured during and for 6 weeks following the study. They will have 5 study visits during this time.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
40 (estimated)
First submitted
6 Apr 2015
Start date
1 Oct 2014
Primary completion date
31 Oct 2026
Lead sponsor
Massachusetts General Hospital
NCT number
NCT02412553

What you commit to

  • Study type: Interventional
  • Planned participants: 40
  • From 1 Oct 2014 to the primary completion date, 31 Oct 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Presence of enterocutaneous, abdominal or pelvic fistulae with abscesses or fistulae likely to require surgery during the study period
  • Bowel surgery within 12 weeks prior to screen and/or has surgery planned or deemed likely for IBD during the study period
  • Chronic use of narcotics for chronic pain defined as a daily use of one or more doses of narcotic containing medication
  • Use of oral or intravenous antibiotics within 4 weeks prior to screening
  • Use of tube or enteral feeding, elemental diet, or parenteral alimentation within 2 weeks prior to screening.

Other illness

  • Known celiac disease or subjects with a positive screen for celiac disease (elevated tissue transglutaminase antibodies)
  • Evidence of untreated infection e.g. clostridium difficile

Other

  • If female, is pregnant or is breast feeding
  • Inability to provide informed consent or unwilling to participate
  • Presence of stoma or J pouch
  • Fixed symptomatic stenosis of small bowel or colon

Who the study is looking for

  • At least 18 years of age
  • Able to provide written informed consent prior to screening and to comply with the requirements of the study protocol.
  • Established diagnosis of small bowel or colonic CD or ulcerative colitis
  • Confirmation of active CD or UC with recent (within 1 month) objective evidence of active disease on colonoscopy
  • Any medications being currently used for IBD must remain stable during the study period with the exception of tapering of corticosteroids.
  • Current disease activity defined as a Harvey Bradshaw index \> 4 at baseline (week 0) or SCCAI \> 3

Age in the registry: 18 years to 90 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Massachusetts General Hospital
Coordinator of this site? Confirm its status
BostonUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.