Dietary Therapy and Gut Microbiome in Crohn's Disease and Ulcerative Colitis
NCT02412553 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-09-25
Summary
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.
Conditions
Interventions
- OTHER
-
Specific carbohydrate diet
- OTHER
-
Elemental diet
Sponsors & Collaborators
-
Massachusetts General Hospital
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-10-31
- Primary Completion
- 2026-10-31
- Completion
- 2026-10-31
Countries
- United States
Study Locations
More Related Trials
-
Efficacy of Exclusive Enteral Nutrition in Adult Active Crohn's Disease
NCT05815355 ·Status: COMPLETED
-
SCD vs. Mediterranean Diet Therapy in Ulcerative Colitis
NCT04398550 ·Status: UNKNOWN ·Phase: NA
-
Effect of a Probiotic Mixture on the Gut Microbiome and Fatigue in Patients With Quiescent Inflammatory Bowel Disease
NCT03266484 ·Status: COMPLETED ·Phase: NA
-
Effect of the Exclusive Enteral Nutrition Combined With Azathioprine for Remission of Crohn's Diseases After Surgery
NCT04160325 ·Status: RECRUITING ·Phase: NA
-
Bacteria & Inflammation in the Gut (BIG) Study
NCT02341248 ·Status: UNKNOWN
-
Cyclic Exclusive Enteral Nutrition as Maintenance Therapy for Pediatric Crohn's Disease
NCT02201693 ·Status: COMPLETED ·Phase: NA
-
The Impact of "Crohn's Disease-TReatment-with-EATing" Diet and Exclusive Enteral Nutrition on Healthy Gut Bacteria
NCT02426567 ·Status: COMPLETED ·Phase: NA
-
The Efficacy of Enteral Nutrition in Fill of the Treatment Blank Period of the Postoperative Maintain Remission Medication for Crohn's Disease (CD)
NCT01823042 ·Status: UNKNOWN ·Phase: NA
-
Decoding Personalized Nutritional, Microbiome and Host Patterns Impacting Clinical and Prognostic Features in Crohn's Disease
NCT04283864 ·Status: ACTIVE_NOT_RECRUITING
-
Fecal Microbiota Transplantation in Pediatric Patients
NCT02108821 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Enteral Nutrition and Corticosteroid on Intestinal Flora in Induction Remission of Crohn Disease in Adult
NCT02056418 ·Status: UNKNOWN ·Phase: PHASE4
-
Impact of the Novel UC-TREAT Diet on the Gut Microbiome and Its Acceptability in Healthy Adults and Adults With Quiescent Ulcerative Colitis
NCT06998277 ·Status: COMPLETED ·Phase: NA
-
Study of Dietary Composition in Crohn's Disease
NCT04431700 ·Status: TERMINATED ·Phase: NA
-
Mesenchymal Stem Cell Therapy for the Treatment of Severe or Refractory Inflammatory and/or Autoimmune Disorders
NCT01540292 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
The Effect of Exclusion Diet for Crohn's Disease Plus Enteral Nutrition on Children and Adolescents With Crohn's Disease
NCT06353633 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Exclusive Enteral Nutrition on Disease Process, Nutritional Status and Gastrointestinal Microbiota for Chinese Children With Crohn's Disease
NCT03755583 ·Status: COMPLETED ·Phase: NA
-
Treatment With the Specific Carbohydrate Diet for Children With Active Crohns Disease and Ulcerative Colitis
NCT02213835 ·Status: COMPLETED ·Phase: NA
-
Fecal Microbiota Transplantation as the First-line Treatment in Active Pediatric Crohn's Disease
NCT05321758 ·Status: RECRUITING ·Phase: NA
-
Fundamental Modification of the Gut Microbiota in the Treatment of Refractory Crohn's Disease
NCT02765256 ·Status: COMPLETED ·Phase: PHASE2
-
Predictors Favoring the Role of Exclusive Enteral Nutrition in Active Crohn's Disease
NCT02942511 ·Status: COMPLETED
-
Trial of Specific Carbohydrate and Mediterranean Diets to Induce Remission of Crohn's Disease
NCT03058679 ·Status: COMPLETED ·Phase: NA
-
Fecal Transplant for Crohn's Disease
NCT03078803 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Effect of Fecal Transplant and Dietary Changes on Disease Activity in Patients With Newly Diagnosed Active Ulcerative Colitis
NCT06895252 ·Status: RECRUITING ·Phase: NA
-
Impact of the Fecal Flora Transplantation on Crohn's Disease
NCT02097797 ·Status: COMPLETED ·Phase: NA
-
The Intensive Post Exclusive Enteral Nutrition Study
NCT04225689 ·Status: UNKNOWN ·Phase: NA