Impact of Bread Diet on Intestinal Dysbiosis and Irritable Bowel Syndrome Symptoms in Quiescent Ulcerative Colitis
1 other identifier
interventional
31
1 country
1
Brief Summary
The present study aimed to compare the in vivo prebiotic properties of bread produced by traditional breadmaking techniques with that made using a modern breadmaking method on Irritable Bowel Syndrome-like symptoms in patients with quiescent Ulcerative Colitis. The expected outcome of the differential effects was a change in the faecal microbiome composition, which may indicate changes in the mucosa-associated microbiota.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Dec 2019
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
Study Start
First participant enrolled
December 16, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 16, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
August 16, 2021
CompletedFirst Submitted
Initial submission to the registry
December 1, 2022
CompletedFirst Posted
Study publicly available on registry
December 19, 2022
CompletedDecember 20, 2022
December 1, 2022
1.7 years
December 1, 2022
December 18, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in IBS-like symptomatology
Changes in IBS-like symptomatology were tested by IBS-Symptom Severity Score. The overall IBS-SSS score was calculated by totalling the punctuation of its five items. Each ranged from 0 to 100: (i) abdominal pain, (ii) number of days of abdominal pain during the last 10 days (number of days with abdominal pain x10), (ii) abdominal distension, (iv) satisfaction of defecatory behaviour, (v) interference of IBS symptoms in life. The possible range was then 0-500.
Measurements were assessed at baseline (T0) and eight weeks (T1)
Secondary Outcomes (1)
Changes in the abundance of bacterial markers
Measurements were assessed at baseline (T0) and eight weeks (T1)
Study Arms (2)
Treatment bread
ACTIVE COMPARATORDietary treatment consisted of daily consumption of 200 grams of bread produced following traditional breadmaking techniques
Control bread
PLACEBO COMPARATORDietary treatment consisted of daily consumption of 200 grams of bread produced following modern breadmaking techniques
Interventions
Consumption of 200 grams per day of either treatment or control bread for eight weeks
Eligibility Criteria
You may qualify if:
- Patients diagnosed with ulcerative colitis according to established clinical and histological criteria as common clinical practice
- Remission of ulcerative colitis defined as a total Mayo score ≤2 and faecal calprotectin values under 250 ng/g
- Subjects aged over 18 years
- Moderate-to-severe IBS-like symptomatology defined by Rome IV criteria and IBS Symptom Severity Score (IBS-SSS) \> 175.
You may not qualify if:
- Presence of flare-up of UC
- Coeliac disease, colectomy, or intestinal resection
- Antibiotic intake, prebiotic or probiotic treatment within 3 months before the study
- Any malignancy, pregnancy, or breastfeeding
- Intake of medication potentially influencing gastrointestinal function
- Disability to give informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Doctor Josep Trueta
Girona, Catalonia, 17007, Spain
Related Publications (1)
Lluansi A, Lliros M, Carreras-Torres R, Bahi A, Capdevila M, Feliu A, Vila-Quintana L, Elias-Masiques N, Cueva E, Peries L, Torrealba L, Miquel-Cusachs JO, Sabat M, Busquets D, Lopez C, Delgado-Aros S, Garcia-Gil LJ, Elias I, Aldeguer X. Impact of bread diet on intestinal dysbiosis and irritable bowel syndrome symptoms in quiescent ulcerative colitis: A pilot study. PLoS One. 2024 Feb 16;19(2):e0297836. doi: 10.1371/journal.pone.0297836. eCollection 2024.
PMID: 38363772DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Xavier Aldeguer
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta (IdiBGi)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head of Gastroenterology Department
Study Record Dates
First Submitted
December 1, 2022
First Posted
December 19, 2022
Study Start
December 16, 2019
Primary Completion
August 16, 2021
Study Completion
August 16, 2021
Last Updated
December 20, 2022
Record last verified: 2022-12
Data Sharing
- IPD Sharing
- Will not share