NCT06059716

Brief Summary

The investigators propose to plan for a multi-center randomized controlled trial (M-RCT) to test the effectiveness of novel gluten detection technologies as an adjunct to telemedicine to manage celiac disease in newly diagnosed adults. If successful, the proposed intervention will improve mucosal recovery, promote a shift in current practice of celiac disease management toward long-term monitoring, and represent a significant step toward reducing the severe physical and psychological consequences of celiac disease.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
27mo left

Started Oct 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

4 active sites

Status
recruiting

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 Progress42%
Oct 2024Aug 2028

First Submitted

Initial submission to the registry

October 4, 2022

Completed
12 months until next milestone

First Posted

Study publicly available on registry

September 29, 2023

Completed
1 year until next milestone

Study Start

First participant enrolled

October 8, 2024

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2028

Last Updated

June 27, 2025

Status Verified

April 1, 2025

Enrollment Period

2.9 years

First QC Date

October 4, 2022

Last Update Submit

June 25, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Small Intestinal Healing

    This will be measured with a measure in villus height to crypt depth ratio on small intestinal biopsy.

    12 months

Secondary Outcomes (10)

  • Score on the Celiac Dietary Adherence Test (CDAT)

    12 months

  • Score on the Celiac Disease Symptom Diary (CDSD)

    12 months

  • Score on the Celiac-Disease specific Quality of Life (CDQOL)

    12 months

  • Score on PROMIS 29+2

    12 months

  • Score on the State-Trait Anxiety Inventory (STAI)

    12 months

  • +5 more secondary outcomes

Study Arms (2)

Standard of Care

ACTIVE COMPARATOR

Participants will be provided with continuous Telehealth dietitian follow-up

Behavioral: Continuous telemedicine monitoring

Standard of Care Plus Technology

EXPERIMENTAL

In addition to standard of care, participants will be provided with gluten detection technology so as to assist in navigating the gluten-free diet.

Behavioral: Gluten detection technologyBehavioral: Continuous telemedicine monitoring

Interventions

Portable technology to sense gluten after ingestion

Also known as: Gluten Detect
Standard of Care Plus Technology

Regular follow-up with an expert dietitian

Standard of CareStandard of Care Plus Technology

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Any gender; Age 18-75 years
  • Celiac disease diagnosis by serology and duodenal biopsy (corresponding to •Marsh 3 histology), adequate sampling and interpretable villus height to crypt depth ratio upon review by our study pathologist
  • Diagnosed with celiac disease within 4 months of initial study screening
  • Willingness to use gluten-detection technology
  • Not currently using a gluten detection technology that tests for gluten in urine or stool
  • Seeing a clinician at one of the four recruitment sites
  • Having already had an initial dietitian visit at one of the participating celiac disease centers

You may not qualify if:

  • Currently pregnant or planning to become pregnant during the study
  • Not planning to follow a gluten-free diet
  • Concurrent participation in a clinical trial of an experimental pharmacologic agent (for any condition).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

RECRUITING

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

RECRUITING

Columbia University Irving Medical Center

New York, New York, 10032, United States

RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

RECRUITING

MeSH Terms

Conditions

Celiac Disease

Condition Hierarchy (Ancestors)

Malabsorption SyndromesIntestinal DiseasesGastrointestinal DiseasesDigestive System DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Benjamin Lebwohl, MD, MS

    Columbia University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Benjamin Lebwohl, MD, MS

CONTACT

Randi Wolf, PhD, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

October 4, 2022

First Posted

September 29, 2023

Study Start

October 8, 2024

Primary Completion (Estimated)

August 31, 2027

Study Completion (Estimated)

August 31, 2028

Last Updated

June 27, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will share

Following publication of the trial results, the steering committee may grant access to de-identified data to individuals upon request. This includes the statistical code, questionnaires, and technical processes. The corresponding author of the study will be responsible for conveying the request to the steering committee, communicating with the requestor, and facilitating the transfer of data.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Within 1 year of trial publication
Access Criteria
Following publication of the trial results, the steering committee may grant access to de-identified data to individuals upon request. This includes the statistical code, questionnaires, and technical processes. The corresponding author of the study will be responsible for conveying the request to the steering committee, communicating with the requestor, and facilitating the transfer of data.

Locations