The Six Food Elimination in Postprandial Distress Syndrome
1 other identifier
interventional
15
1 country
1
Brief Summary
The six food elimination diet, as known in eosinophilic esophagitis, will be performed in 15 patients with functional dyspepsia (subtype postprandial distress syndrome). Screening will exclude patients with allergies by performing immunocaps on blood. Before and after the 8 weeks of diet, an gastroduodenoscopy with biopsies will be performed to evaluate duodenal eosinophilia, mast cells and permeability. To evaluate gastric sensorimotor function, a gastric emptying breath test and a barostat test will be performed before and after the diet. Symptoms will be monitored with a daily diary (LPDS diary) and food intake will be evaluated during 2 weeks. If there is an improvement of symptoms during the diet, a reintroduction period will start. This period will last 6 weeks. Every 2 weeks, two food groups will be reintroduced. When there is a clear worsening in symptoms, a new endoscopy with biopsies will be performed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2020
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 12, 2020
CompletedStudy Start
First participant enrolled
February 19, 2020
CompletedFirst Posted
Study publicly available on registry
December 15, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2025
CompletedJuly 3, 2024
July 1, 2024
5 years
February 12, 2020
July 1, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Duodenal eosinophilia
Measured with duodenal biopsies with H\&E staining
8 weeks
Secondary Outcomes (7)
Duodenal mast cells
8 weeks
Duodenal permeability
8 weeks
PDS symptoms
8 weeks
Functional dyspepsia symptoms
8 weeks
Symptom severity
8 weeks
- +2 more secondary outcomes
Study Arms (1)
Six food elimination diet
OTHERThe six food elimination diet will be performed in all subjects.
Interventions
Eligibility Criteria
You may qualify if:
- Functional dyspepsia patients with meal related symptoms (Rome IV Postprandial Distress Syndrome, PDS)
- Witnessed written informed consent prior to any study procedures
- Patients aged between 18 and 70 years inclusive
- Male or female patients
- Women of child-bearing potential agree to apply a highly effective method of birth control during the entire duration of the trial. Women of non-childbearing potential may be included if surgically sterile or postmenopausal with at least 2 year without spontaneous menses.
- Subject is capable to understand the study and the questionnaires, and to comply with the study requirements.
You may not qualify if:
- History of gastrointestinal surgery (other than appendectomy).
- Organic gastro-intestinal disease
- Major psychiatric disorder
- Patients with eosinophilic esophagitis
- Presence of diabetes mellitus
- Presence of coeliac disease, lupus, scleroderma and other systemic auto-immune disease.
- Active H. Pylori infection or \< 6 months after eradication
- Predominant irritable bowel syndrome (IBS)
- Predominant gastro-oesophageal reflux disease (GERD)
- Atopic constitution or food allergy
- Ongoing diet which interferes with the 6 food elimination diet.
- Drugs altering gastric emptying or anti-inflammatory drugs
- Females who are pregnant or lactating
- Patients not capable to understand or be compliant with the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
KU Leuven
Leuven, 3000, Belgium
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jan Tack, MD, PhD
KU Leuven
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 12, 2020
First Posted
December 15, 2022
Study Start
February 19, 2020
Primary Completion
January 31, 2025
Study Completion
January 31, 2025
Last Updated
July 3, 2024
Record last verified: 2024-07
Data Sharing
- IPD Sharing
- Will not share