CiPP: Celiac Disease Prevention With Probiotics
Study Details
Study Description
Brief Summary
Background/Aim: Celiac disease is a common immune-mediated disorder, and the only currently available treatment is a gluten-free diet. Recent studies have shown several probiotics to carry properties that might positively influence the immunological activity in celiac patients.
The aim of the present study is to investigate how daily consumption of probiotics would affect levels of tissue transglutaminase autoantibodies (tTGA), markers of celiac disease autoimmunity in the periphery, as compared to placebo in children at genetic risk for celiac disease.
Methods: Between 2012 and 2015, 90 children were recruited from two ongoing prospective celiac disease screening studies at the Skåne University Hospital, Sweden. Participants were randomized to either daily consumption of 2 lactobacilli strains or placebo for the duration of 6 months.
Blood samples were drawn at 0, 3 and 6 months and analyzed for both IgA-tTGA and IgG-tTGA using radioligand binding assays.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Probiotic Group The participants in the Probiotic group were provided with dietary supplements in the form as sachets with freeze dried bacteria (active lactobacilli culture) mixed with maltodextrin for daily intake (1 per day). The powder was dissolved in water or other non-alcoholic cold drink mixed with fruit before ingestion. The probiotic product consisted of two different bacterial strains. |
Dietary Supplement: Probiotic
|
Placebo Comparator: Placebo Group The participants in the Placebo group were provided with dietary supplements in the form as sachets with maltodextrin for daily intake (1 per day). |
Dietary Supplement: Placebo
|
Outcome Measures
Primary Outcome Measures
- Tissue transglutaminase autoantibodies (tTGA) [6 months]
To study levels of tTGA in children with ongoing celiac disease autoimmunity
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Carrier of any of the HLA-types DQ2 and/or DQ8 associated with celiac disease.
-
Screened positive for tissue transglutaminase autoantibodies (tTGA) in at least 2 consecutive blood draws (<30U/ml).
-
No celiac disease diagnose
-
Currently on a normal gluten-containing diet
Exclusion Criteria:
- Screened positive for Type 1 diabetes associated autoantibodies (GADA, IAA, IA-2A, ZnT8A).
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Lund University
Investigators
- Principal Investigator: Daniel Agardh, MD, PhD, Lund University
Study Documents (Full-Text)
None provided.More Information
Publications
- Auricchio R, Troncone R. Can Celiac Disease Be Prevented? Front Immunol. 2021 May 14;12:672148. doi: 10.3389/fimmu.2021.672148. eCollection 2021. Review.
- Jedwab CF, Roston BCMB, Toge ABFS, Echeverria IF, Tavares GOG, Alvares MA, Rullo VEV, Oliveira MRM. The role of probiotics in the immune response and intestinal microbiota of children with celiac disease: a systematic review. Rev Paul Pediatr. 2021 Sep 1;40:e2020447. doi: 10.1590/1984-0462/2022/40/2020447. eCollection 2021. English, Portuguese.
- 2011/335