COmbinAtion Therapy of dieT With biologicalS for Crohn's Disease: the OATS Study

Sponsor
Universitaire Ziekenhuizen Leuven (Other)
Overall Status
Recruiting
CT.gov ID
NCT04946448
Collaborator
(none)
144
1
2
24.5
5.9

Study Details

Study Description

Brief Summary

This study is a randomised open label study, comparing the FIT diet with standard diet in patients with Crohn's disease treated with biologic therapy.

Condition or Disease Intervention/Treatment Phase
  • Other: FIT diet
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
144 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
COmbinAtion Therapy of dieT With biologicalS for Crohn's Disease: the OATS Study
Actual Study Start Date :
Sep 14, 2021
Anticipated Primary Completion Date :
Sep 30, 2023
Anticipated Study Completion Date :
Sep 30, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: FIT group

Patients treated with biological treatment and the FIT diet

Other: FIT diet
Dietary intervention as add-on therapy to biologicals

No Intervention: Control group

Patients treated with biological treatment and the standard diet

Outcome Measures

Primary Outcome Measures

  1. Steroid-free clinical and biochemical remission [Month 6]

    Normalization of faecal calprotectin (< 250 µg/g) and steroid-free clinical remission, defined as patient PRO2 ≤ 8 (average daily stool frequency ≤ 1.5 AND average daily abdominal pain score ≤ 1), at month 6.

Secondary Outcome Measures

  1. Clinical response [6 months and 1 year]

    ≥ 30% decrease in average daily stool frequency and/or ≥ 30% decrease in average daily abdominal pain score and both not worse than baseline

  2. Clinical remission [6 months and 1 year]

    PRO2≤8

  3. Steroid-free clinical remission [6 months and 1 year]

    PRO2≤8, no steroids

  4. Endoscopic remission [1 year]

    SES-CD <2

  5. Endoscopic improvement [1 year]

    drop in SES-CD with at least 50%

  6. CRP improvement [6 months and 1 year]

    50% or more improvement in CRP or CRP <5 mg/L

  7. Fecal calprotectin improvement [6 months and 1 year]

    50% or more improvement in faecal calprotectin or faecal calprotectin <250 µg/g

  8. Number of participants without nutritional deficiencies [6 months and 1 year]

    Absence of vitamin B12, vitamin D, folic acid, iron deficiencies

  9. Fatigue [6 months and 1 year]

    30% or more improvement in IBD Disk energy score

  10. Health-related quality of life [6 months and 1 year]

    30% or more improvement in overall IBD Disk score

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adult patients (18-80 years)

  • active inflammation of terminal ileum and/or colon with a Simple Endoscopic Score for Crohn's Disease (SES-CD) greater than 5 (or greater than 3 for patients with isolated ileitis),

  • patient reported outcome 2 (PRO2 - 7 day average daily stool frequency x 2 + 7 day average daily abdominal pain score x 5) > 8,

  • faecal calprotectin above 250 µg/g.

Exclusion Criteria:
  • Abcess,

  • Bowel resection within 6 months before enrolment,

  • Ostomy,

  • Short-bowel syndrome,

  • Clinically significant stricture that could require surgery,

  • Pregnant,

  • Lactating woman or desire to become pregnant during the study,

  • Unwilling or unable to follow the study diet.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University Hospital of Leuven Leuven Belgium

Sponsors and Collaborators

  • Universitaire Ziekenhuizen Leuven

Investigators

  • Principal Investigator: João PG Sabino, MD PhD, UZ Leuven

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Universitaire Ziekenhuizen Leuven
ClinicalTrials.gov Identifier:
NCT04946448
Other Study ID Numbers:
  • S64746
First Posted:
Jun 30, 2021
Last Update Posted:
Sep 30, 2021
Last Verified:
Sep 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Sep 30, 2021