NCT02203955

Brief Summary

The main objective is to compare prebiotic therapy with placebo for the prevention of pouchitis after closure of diverting ileostomy in patients with an ileal pouch anal anastomosis. This study will also characterize the effects of prebiotics on the fecal microbiota and fecal microbial metabolites and correlate these effects with the primary outcome of development of pouchitis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
13

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started Aug 2014

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 16, 2014

Completed
14 days until next milestone

First Posted

Study publicly available on registry

July 30, 2014

Completed
2 days until next milestone

Study Start

First participant enrolled

August 1, 2014

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

February 24, 2020

Status Verified

February 1, 2020

Enrollment Period

3.3 years

First QC Date

July 16, 2014

Last Update Submit

February 20, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean Change in Pouchitis Disease Activity Index (PDAI) at One Year

    In the PDAI, an overall score is calculated from three separate six-point scales comprising of clinical symptoms, endoscopic findings and histological changes. The PDAI incorporates histological features of acute inflammation, and establishes a cut-off of seven for differentiation between 'pouchitis (≥7 points) and 'no pouchitis' (\<7 points).

    baseline, 1 year

Study Arms (2)

Short-Chain Fructooligosaccharide

ACTIVE COMPARATOR

4 chews (8.0 g scFOS) orally per day for 12 months

Drug: Short-Chain Fructooligosaccharide

Maltodextrin

PLACEBO COMPARATOR

4 chews (maltodextrin) daily for 12 months

Drug: Maltodextrin

Interventions

4 chews (8.0 g scFOS) orally for 12 months

Short-Chain Fructooligosaccharide

4 chews (maltodextrin) daily for 12 months

Maltodextrin

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-65 years.
  • History of ulcerative colitis
  • Ileostomy closure after IPAA
  • Ability to give appropriate consent

You may not qualify if:

  • Crohn's disease.
  • Perianal disease (including abscess, fissure, or stricture)
  • Pregnancy
  • Lactation
  • Concurrent treatment for IBD or pouchitis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Location

Related Links

MeSH Terms

Conditions

Pouchitis

Interventions

maltodextrin

Condition Hierarchy (Ancestors)

IleitisEnteritisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal DiseasesIleal Diseases

Study Officials

  • Laura Raffals, MD

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Medicine

Study Record Dates

First Submitted

July 16, 2014

First Posted

July 30, 2014

Study Start

August 1, 2014

Primary Completion

December 1, 2017

Study Completion

December 1, 2018

Last Updated

February 24, 2020

Record last verified: 2020-02

Locations