Trial Outcomes & Findings for Trial of Specific Carbohydrate and Mediterranean Diets to Induce Remission of Crohn's Disease (NCT NCT03058679)

NCT ID: NCT03058679

Last Updated: 2021-07-21

Results Overview

Assessed by Short Crohn's Disease Activity Index (sCDAI) - diarrhea, abdominal pain and general well being; sCDAI \<150 in the absence of initiation or increase of any CD medications

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

197 participants

Primary outcome timeframe

6 weeks

Results posted on

2021-07-21

Participant Flow

The study was conducted in 33 clinical sites across the United States. Enrollment in the trial occurred between September 29, 2017 and October 8, 2019.

There were 3 main reasons that participants who consented to the study were not randomized. The majority did not meet eligibility criteria. A small number withdrew or were lost to follow-up

Participant milestones

Participant milestones
Measure
Specific Carbohydrate Diet
Diet: food for the diet will be provided to the participants for 6 weeks
Mediterranean Style Diet
Diet: food for the diet will be provided to the participants for 6 weeks
Baseline to Week 6
STARTED
99
92
Baseline to Week 6
COMPLETED
81
77
Baseline to Week 6
NOT COMPLETED
18
15
Week 6 to Week 12
STARTED
81
77
Week 6 to Week 12
COMPLETED
61
60
Week 6 to Week 12
NOT COMPLETED
20
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Specific Carbohydrate Diet
Diet: food for the diet will be provided to the participants for 6 weeks
Mediterranean Style Diet
Diet: food for the diet will be provided to the participants for 6 weeks
Baseline to Week 6
Lost to Follow-up
3
2
Baseline to Week 6
Change in Crohn's disease medication
4
2
Baseline to Week 6
Adverse Event
6
6
Baseline to Week 6
Withdrawal by Subject
4
3
Baseline to Week 6
Difficulty following the diet
0
2
Baseline to Week 6
Physician Decision
1
0
Week 6 to Week 12
Change in medication
5
7
Week 6 to Week 12
Adverse Event
4
3
Week 6 to Week 12
Withdrawal by Subject
9
4
Week 6 to Week 12
Difficulty following the assigned diet
2
3

Baseline Characteristics

Trial of Specific Carbohydrate and Mediterranean Diets to Induce Remission of Crohn's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mediterranean Style Diet
n=92 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=99 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Total
n=191 Participants
Total of all reporting groups
Age, Continuous
37.0 years
n=99 Participants
36.0 years
n=107 Participants
37 years
n=206 Participants
Sex: Female, Male
Female
63 Participants
n=99 Participants
58 Participants
n=107 Participants
121 Participants
n=206 Participants
Sex: Female, Male
Male
29 Participants
n=99 Participants
41 Participants
n=107 Participants
70 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
88 Participants
n=99 Participants
92 Participants
n=107 Participants
180 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Black
2 Participants
n=99 Participants
5 Participants
n=107 Participants
7 Participants
n=206 Participants
Race/Ethnicity, Customized
Multiracial
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Race/Ethnicity, Customized
Unknown
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
White
86 Participants
n=99 Participants
88 Participants
n=107 Participants
174 Participants
n=206 Participants
Body Mass Index (BMI)
25.1 kg/m2
n=99 Participants
25.6 kg/m2
n=107 Participants
25.3 kg/m2
n=206 Participants
Smoking status
Never
68 Participants
n=99 Participants
79 Participants
n=107 Participants
147 Participants
n=206 Participants
Smoking status
Past
21 Participants
n=99 Participants
20 Participants
n=107 Participants
41 Participants
n=206 Participants
Smoking status
Current
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Years since CD diagnosis
10 years
n=99 Participants
10 years
n=107 Participants
10 years
n=206 Participants
CD behavior
Non-stricturing, nonpenetrating
56 Participants
n=99 Participants
60 Participants
n=107 Participants
116 Participants
n=206 Participants
CD behavior
Stricturing
19 Participants
n=99 Participants
17 Participants
n=107 Participants
36 Participants
n=206 Participants
CD behavior
Penetrating
9 Participants
n=99 Participants
13 Participants
n=107 Participants
22 Participants
n=206 Participants
CD behavior
Stricturing and penetrating
8 Participants
n=99 Participants
9 Participants
n=107 Participants
17 Participants
n=206 Participants
Crohn's disease distribution
Ileum alone
22 Participants
n=99 Participants
30 Participants
n=107 Participants
52 Participants
n=206 Participants
Crohn's disease distribution
Colon alone
17 Participants
n=99 Participants
13 Participants
n=107 Participants
30 Participants
n=206 Participants
Crohn's disease distribution
Ileum and Colon
53 Participants
n=99 Participants
55 Participants
n=107 Participants
108 Participants
n=206 Participants
Crohn's disease distribution
Missing
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
History of perianal fistula
24 Participants
n=99 Participants
20 Participants
n=107 Participants
44 Participants
n=206 Participants
History of intestinal surgery
34 Participants
n=99 Participants
29 Participants
n=107 Participants
63 Participants
n=206 Participants
Current use of any biologic
55 Participants
n=99 Participants
53 Participants
n=107 Participants
108 Participants
n=206 Participants
Current use of immunomodulators
11 Participants
n=99 Participants
11 Participants
n=107 Participants
22 Participants
n=206 Participants
Current use of oral 5-ASA
6 Participants
n=99 Participants
15 Participants
n=107 Participants
21 Participants
n=206 Participants
Current use of rectal 5 ASA
0 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
Current use of oral steroids
3 Participants
n=99 Participants
11 Participants
n=107 Participants
14 Participants
n=206 Participants
Current use of rectal steroids
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Number of prior anti-TNF medications
0
28 Participants
n=99 Participants
34 Participants
n=107 Participants
62 Participants
n=206 Participants
Number of prior anti-TNF medications
1
22 Participants
n=99 Participants
29 Participants
n=107 Participants
51 Participants
n=206 Participants
Number of prior anti-TNF medications
2
32 Participants
n=99 Participants
26 Participants
n=107 Participants
58 Participants
n=206 Participants
Number of prior anti-TNF medications
3
9 Participants
n=99 Participants
9 Participants
n=107 Participants
18 Participants
n=206 Participants
Number of prior anti-TNF medications
4
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Prior ustekinumab
22 Participants
n=99 Participants
23 Participants
n=107 Participants
45 Participants
n=206 Participants
Prior vedolizumab
27 Participants
n=99 Participants
22 Participants
n=107 Participants
49 Participants
n=206 Participants
hsCRP mg/L
2.5 mg/L
n=99 Participants
3.2 mg/L
n=107 Participants
2.9 mg/L
n=206 Participants
hsCRP >5 mg/L
28 Participants
n=99 Participants
37 Participants
n=107 Participants
65 Participants
n=206 Participants
fecal calprotectin (FC) ug/g
40.0 ug/g
n=99 Participants
107.5 ug/g
n=107 Participants
70 ug/g
n=206 Participants
fecal calprotectin (FC) >250 ug/g
13 Participants
n=99 Participants
23 Participants
n=107 Participants
36 Participants
n=206 Participants
Inflammation on colonoscopy
Not performed
80 Participants
n=99 Participants
89 Participants
n=107 Participants
169 Participants
n=206 Participants
Inflammation on colonoscopy
Yes
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Inflammation on colonoscopy
Probably
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Inflammation on colonoscopy
Probably not
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Inflammation on colonoscopy
No
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
FC>250 ug/g or hsCRP>5 mg/L or definite inflammation on colonoscopy
38 Participants
n=99 Participants
50 Participants
n=107 Participants
88 Participants
n=206 Participants
sCDAI (median, Q1-Q3)
217.7 units on a scale
n=99 Participants
226.0 units on a scale
n=107 Participants
223.0 units on a scale
n=206 Participants
CDAI (median, Q1-Q3)
206.8 units on a scale
n=99 Participants
210.0 units on a scale
n=107 Participants
209.5 units on a scale
n=206 Participants
Short IBDQ (median, Q1-Q3)
38.0 units on a scale
n=99 Participants
40.0 units on a scale
n=107 Participants
39.0 units on a scale
n=206 Participants
PROMIS measures (median, Q1-Q3)
Fatigue
60.4 units on a scale
n=99 Participants
58.9 units on a scale
n=107 Participants
59.6 units on a scale
n=206 Participants
PROMIS measures (median, Q1-Q3)
Pain interference
60.1 units on a scale
n=99 Participants
61.3 units on a scale
n=107 Participants
61.2 units on a scale
n=206 Participants
PROMIS measures (median, Q1-Q3)
Sleep disturbance
57.3 units on a scale
n=99 Participants
54.5 units on a scale
n=107 Participants
56.0 units on a scale
n=206 Participants
PROMIS measures (median, Q1-Q3)
Social isolation
48.4 units on a scale
n=99 Participants
47.2 units on a scale
n=107 Participants
47.9 units on a scale
n=206 Participants
Inflammatory back pain screen
0
30 Participants
n=99 Participants
40 Participants
n=107 Participants
70 Participants
n=206 Participants
Inflammatory back pain screen
1-3
39 Participants
n=99 Participants
40 Participants
n=107 Participants
79 Participants
n=206 Participants
Inflammatory back pain screen
>3
22 Participants
n=99 Participants
18 Participants
n=107 Participants
40 Participants
n=206 Participants
Inflammatory back pain screen
Missing
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
AMeD Score
3.0 units on a scale
n=99 Participants
2.0 units on a scale
n=107 Participants
3.0 units on a scale
n=206 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: percentage of participants who achieved symptomatic remission at week 6

Assessed by Short Crohn's Disease Activity Index (sCDAI) - diarrhea, abdominal pain and general well being; sCDAI \<150 in the absence of initiation or increase of any CD medications

Outcome measures

Outcome measures
Measure
Mediterranean Style Diet
n=92 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=99 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Percentage of Participants That Achieved Symptomatic Remission at Week 6
40 Participants
46 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: This measure includes only those whose screening fecal calprotectin (FC) was greater than 250μg/g at baseline and who had an FC results at both baseline and week 6

reduction of calprotectin to less than 250 μg/g and by greater than 50% from screening among those with screening FC \>250 μg/g

Outcome measures

Outcome measures
Measure
Mediterranean Style Diet
n=13 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=23 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Reduction in Bowel Inflammation Among Those Whose Screening Fecal Calprotectin (FC) Was Greater Than 250μg/g at Baseline and Who Had an FC Results at Both Baseline and Week 6
4 Participants
8 Participants

SECONDARY outcome

Timeframe: 6 weeks

Assessed by the CDAI - CDAI \<150

Outcome measures

Outcome measures
Measure
Mediterranean Style Diet
n=92 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=99 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Percentage of Participants That Reached Clinical Remission at Week 6
44 Participants
48 Participants

SECONDARY outcome

Timeframe: 6 weeks

Population: This measure includes only those that had a screening hsCRP \> 5mg/L and had hsCRP measured at both screening and at week 6

reduction in high-sensitivity CRP (hsCRP) to \<5 mg/L and \>50% reduction from screening among those with screening hsCRP \>5mg/L

Outcome measures

Outcome measures
Measure
Mediterranean Style Diet
n=28 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=37 Participants
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Percentage of Participants With a Reduction in Systemic Inflammation at Week 6
1 Participants
2 Participants

Adverse Events

Mediterranean Style Diet

Serious events: 5 serious events
Other events: 18 other events
Deaths: 0 deaths

Specific Carbohydrate Diet

Serious events: 3 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Mediterranean Style Diet
n=92 participants at risk
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=99 participants at risk
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Gastrointestinal disorders
Small intestinal obstruction
1.1%
1/92 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
1.0%
1/99 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Abdominal pain
3.3%
3/92 • Number of events 3 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
1.0%
1/99 • Number of events 3 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Worsening of Crohn's disease
0.00%
0/92 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
2.0%
2/99 • Number of events 2 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Rectal hemorrhage
1.1%
1/92 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
0.00%
0/99 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Diarrhea
1.1%
1/92 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
0.00%
0/99 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Nausea
1.1%
1/92 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
0.00%
0/99 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Vomiting
1.1%
1/92 • Number of events 1 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
0.00%
0/99 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).

Other adverse events

Other adverse events
Measure
Mediterranean Style Diet
n=92 participants at risk
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Specific Carbohydrate Diet
n=99 participants at risk
Diet: food for the diet will be provided to the participants for 6 weeks and participants will follow the diet on their own for the remaining 6 weeks
Gastrointestinal disorders
Abdominal pain
14.1%
13/92 • Number of events 14 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
10.1%
10/99 • Number of events 11 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Diarrhea
7.6%
7/92 • Number of events 7 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
5.1%
5/99 • Number of events 5 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
Gastrointestinal disorders
Gastrointestingal disorders other - Worsening of Crohn's disease symptons
4.3%
4/92 • Number of events 4 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).
6.1%
6/99 • Number of events 7 • AEs were recorded at each study contact from screening visit to a participant's end of study visit. For participants that completed the study, AEs were assessed at screening, baseline, wk 6 and week 12. Among participants who withdrew early from the study, AEs were assessed at the above named timepoints until the time of withdraw. The clinical course of each AE was followed until resolution, stabilization, or until it was determined that study intervention or participation was not the cause.
As per the DINE-CD protocol, allergic reaction to a component of the food, intolerance of the food other than allergic reaction, worsening of CD and worsening of extraintestinal manifestations of CD was considered expected. AEs were included for all randomized participants who started the diet with the exception of 3 participant who were randomized in error with an sCDAI \<150 (as noted in the participant flow).

Additional Information

Dr. James D. Lewis

University of Pennsylvania

Phone: 215-573-5137

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place