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NCT06953791Toboroz2. fázis

Comparison of Quality of Life During a Flare of Crohn's Disease Treated With Prednisolone or aCDED With PEN in Adult Patients

Comparison of Quality of Life During a Flare of Crohn's Disease Treated With Standard of Care or an Adapted Crohn's Disease Exclusion Diet With Partial Enteral Nutrition in Adult Patients

Forrás: ClinicalTrials.gov · Utoljára frissítve: 2026. febr. 5.

Rövid összefoglaló (regiszter, angolul)

Crohn's disease (CD), a type of inflammatory bowel disease (IBD), is on the rise globally. Although medical treatments have advanced, CD still leads to significant health issues due to disease progression and medication side effects. Exclusive enteral nutrition (EEN) is a recommended first-line treatment for pediatric CD, proving more effective than oral corticosteroids without side effects. However, EEN demands strict adherence, making it challenging for patients, particularly adults. In 2019, Levine et al. found that a combination of a specific diet (CD exclusion diet, CDED) and partial enteral nutrition (PEN) was as effective as EEN in inducing remission in pediatric patients, with better tolerance and adherence. CDED focuses on whole foods and aims to minimize harmful dietary components affecting the gut. In clinical practice, an adapted CDED (aCDED) has been used to provide more food choices, but it lacks validation in clinical trials. An aCDED that considers regional and seasonal food variations could enhance patient adherence and align with modern dietary preferences. This study aims to compare the quality of life during a flare up of Crohn's disease treated with standard of care or an adapted Crohn's disease exclusion diet with partial enteral nutrition in adult patients.

Állapot (regiszter)
Toboroz
Fázis (regiszter)
2. fázis
Vizsgálattípus
Beavatkozással járó
Résztvevők száma
52 (tervezett)
Első benyújtás
2024. jan. 4.
Kezdés
2026. febr. 1.
Elsődleges befejezés
2028. febr. 1.
Fő szponzor
University Hospital Tuebingen
Betegségek
Crohn-betegség
NCT-szám
NCT06953791

Mit vállalsz

  • Vizsgálat típusa: Beavatkozással járó · 2. fázis
  • Tervezett résztvevők: 52
  • 2026. febr. 1. és az elsődleges befejezés (2028. febr. 1.) között
  • 1 helyszín, 1 országban
  • Vizitek és vizsgálatok: kérdezd a vizsgálat csapatát, a regiszter nem sorolja fel őket

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Korábbi kezelés

  • Patients who have received corticosteroids of any kind in the previous 4 weeks
  • Patients who have started an immunomodulator in the previous 8 weeks
  • Patients who have undergone an intestinal resection

Más betegség

  • Patients with with minimal disease activity (CDAI \<150) or severe disease (CDAI \>450)
  • Isolated large bowel disease iinvolving the recto-sigmoid or descending colon
  • Patients with penetrating disease (abscess or fistula)
  • Active perianal disease
  • Active extraintestinal disease (e.g. joint disease)
  • History of hypersensitivity to the investigational medicinal product or to any drug with similar chemical structure or to any excipient present in the pharmaceutical form of the investigational medicinal product.

Egyéb

  • Any current biological or small molecule treatment
  • Fixed stricture or small bowel obstruction
  • Normal fecal calprotectin
  • Sclerosing cholangitis
  • Women during pregnancy and lactation Participation in other clinical trials or observation period of competing trials.

Kiket keres a vizsgálat

  • Must be ≥ 18 years at the time of signing the informed consent.
  • Macroscopic small bowel involvement, or isolated large bowel disease confined to the right or transverse colon confirmed by endoscopy
  • Patients with a Crohn's disease activity index (CDAI) of ≥ 150
  • Patients will not be excluded if they have received 5ASA or an immunomodulator for \> 8 weeks and the dose is stable, or if they start a thiopurine concurrently, as thiopurines are not considered sufficient to induce remission in active disease before 8 weeks as an isolated therapy
  • Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures
  • Able to adhere to the study visit schedule and other protocol requirements
  • All subjects must agree to refrain from donating blood while on study drugs
  • All subjects must agree not to share medication.
  • Subject (male or female) is willing to use highly effective contraceptive methods during treatment and for 28 days (male or female) after the end of treatment

Életkor a regiszterben: 18 év – - · Nem: nők és férfiak · Egészséges önkénteseket nem fogad

A teljes feltétellista: ClinicalTrials.gov

Helyszínek (1)

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HelyszínVárosOrszágHelyszín állapota
Universitätsklinik Tübingen
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TübingenNémetországToboroz

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