Milk-derived Gangliosides for Inflammatory Bowel Disease
NCT02139709 · Status: WITHDRAWN · Phase: PHASE1 · Type: INTERVENTIONAL
Last updated 2022-07-18
Summary
The overall objective of this study is to demonstrate how dietary ganglioside may protect the gut attenuate inflammatory signals in the intestinal mucosa.
Gangliosides are dietary fats found in milk and are important constituents of intestinal cells. Our previous studies have shown that inflamed intestinal mucosal cells have reduced ganglioside content compared to normal mucosal cells. Gangliosides are glycolipids found on the surface of the intestinal mucosa and in lipid rafts in enterocytes and lymphocytes. Gangliosides influence microbial attachment, cell division, differentiation, signaling and mucosal integrity. Preclinical studies show that provision of ganglioside in cell culture and in animal diets increase ganglioside content in mucosal cells and down regulates signals caused by pro-inflammatory stimuli. In subjects with active Crohn's disease, consumption of ganglioside remarkably improved the Crohn's Disease Activity Index. In healthy control subjects, dietary ganglioside improved intestinal permeability and decreased production of pro-inflammatory prostaglandin E2.
It is proposed that ganglioside degradation is elevated in the inflamed gut of IBD patients. Provision of ganglioside in the diet replaces ganglioside in the gut, consequently restoring proper structure and function to the diseased intestine and inducing disease remission. Insight into diet-based treatment would allow IBD patients to live healthy and happy lives. The main research objective is to characterize how ganglioside catabolism is associated with increased signaling from pro-inflammatory mediators and how reduction in ganglioside levels can be ameliorated by ganglioside supplementation during active inflammatory disease. This study will assess molecular mechanisms by which ganglioside alters gut permeability, inflammatory mediators and cell signaling.
Conditions
Interventions
- DIETARY_SUPPLEMENT
-
Ganglioside
- DIETARY_SUPPLEMENT
-
Placebo
Sponsors & Collaborators
-
University of Alberta
lead OTHER
Principal Investigators
-
Michael T Clandinin, PhD · University of Alberta
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2007-01-31
- Primary Completion
- 2015-08-31
- Completion
- 2015-08-31
Countries
- Canada
Study Locations
More Related Trials
-
Ulcerative Colitis Relapse Prevention by Prebiotics
NCT02865707 ·Status: COMPLETED ·Phase: NA
-
Diet Study on Ulcerative Colitis
NCT04147598 ·Status: COMPLETED ·Phase: NA
-
Effect of a Comprehensive Nutrition Support Product on the Nutritional Status of Adults With Inflammatory Bowel Disease
NCT02801240 ·Status: COMPLETED ·Phase: NA
-
Impact of Prebiotics in Ulcerative Colitis
NCT06495658 ·Status: RECRUITING ·Phase: NA
-
Eicosapentaenoic Free Fatty Acid and Fecal Calprotectin in Inflammatory Bowel Diseases
NCT02179372 ·Status: COMPLETED ·Phase: NA
-
Proof of Concept Human Study: Dietary Intervention to Modify Intestinal Inflammation in IBD
NCT05867537 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Intestinal Microbiome and Chronic Inflammatory Bowel Disease
NCT02768038 ·Status: WITHDRAWN
-
Effects of an Amino Acid Mixture on Gastrointestinal Function, Inflammation and Fluid Balance: A Pilot Study in Patients With Inflammatory Bowel Disease
NCT03451253 ·Status: TERMINATED ·Phase: NA
-
Combined Nutritional Therapies for the Treatment of Ulcerative Colitis
NCT03444311 ·Status: TERMINATED ·Phase: NA
-
Effects of Carrageenan-Elimination Diet on Ulcerative Colitis Disease Activity
NCT01065571 ·Status: COMPLETED ·Phase: NA
-
Assessing Interventions of Diet in IBD
NCT06773182 ·Status: RECRUITING ·Phase: NA
-
Lipid Mediators in Colonic Biopsies as Biomarkers of Disease Activity of Inflammatory Bowel Diseases
NCT01990716 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy of Efavaleukin Alfa in Participants With Moderately to Severely Active Ulcerative Colitis
NCT04987307 ·Status: TERMINATED ·Phase: PHASE2
-
Impact of Different Dietary IgGs on the Pathogenesis of IBD
NCT03885479 ·Status: UNKNOWN
-
Prebiotics and Diet to Reduce "Leaky" Gut in First Degree Relatives of Crohn's Disease Patients
NCT03950336 ·Status: COMPLETED ·Phase: NA
-
Personalized B-fructan Diet in Inflammatory Bowel Disease Patients
NCT05615779 ·Status: RECRUITING ·Phase: NA
-
Diet and Disease Activity in Patients With Inflammatory Bowel Disease
NCT01756963 ·Status: COMPLETED
-
Diet Intervention for Crohn's Disease Patient
NCT04213729 ·Status: COMPLETED ·Phase: NA
-
Targeted Metabolomics to Decipher Dietary Contributions to Pediatric Inflammatory Bowel Disease (IBD) - Main Study
NCT05014243 ·Status: UNKNOWN
-
The Effect of Diet on Disease Activity and Symptoms in Patients With Ulcerative Colitis
NCT03053713 ·Status: COMPLETED ·Phase: NA
-
Pilot and Feasibility Study of 2'-FL as a Dietary Supplement in IBD Patients Receiving Stable Maintenance Anti-TNF Therapy
NCT03847467 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Efficacy and Tolerability Study of Natura-Alpha in the Treatment of Patients With Active Ulcerative Colitis
NCT01216280 ·Status: UNKNOWN ·Phase: PHASE2
-
Natural History of Intestinal Inflammation in People With Primary Immune Dysregulations
NCT03278912 ·Status: WITHDRAWN
-
Fermented Food-Supplemented Diet in Ulcerative Colitis
NCT04401605 ·Status: RECRUITING ·Phase: NA
-
A Phase 2a Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Efficacy of AG011 in Ulcerative Colitis
NCT00729872 ·Status: COMPLETED ·Phase: PHASE1/PHASE2