Status:

COMPLETED

Second Line Induction Therapy and Healthy Diet for Patients With Ulcerative Colitis

Lead Sponsor:

University of Miami

Collaborating Sponsors:

Pfizer

Conditions:

Ulcerative Colitis

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to determine whether a diet intervention (the Fasting Mimicking diet) will help induce clinical and biochemical response to an advanced therapy in patients with ulcerative...

Detailed Description

Advanced therapies included will be: JAK inhibitors (tofacitinib or upadacitinib) IL-23 inhibitors (ustekinumab or risankizumab) Anti-TNF (infliximab) Patients will be provided these medications as ...

Eligibility Criteria

Inclusion

  • Patients with ulcerative colitis who are beginning tofacitinib therapy.
  • Patients with ulcerative colitis who are initiating second line biologic therapy with ustekinumab
  • Patients with ulcerative colitis who are initiating second line biologic therapy with infliximab
  • Patients aged 18 years or older.
  • Patients with active disease defined as simple clinical colitis activity index (SCCAI) \>2
  • Patients who have not been on antibiotics for 2 weeks or probiotics.

Exclusion

  • Patients younger than 18 years.
  • Patients that do not meet the inclusion criteria specified above.
  • Patients with clinical signs of fulminant colitis, toxic megacolon, ischemic colitis or impending hospitalization for severe ulcerative colitis.
  • Patients with concomitant infectious colitis.
  • Patients allergic nuts/soy/sesame/oats.
  • Patients who do not like the food items that form part of the kits for the fasting mimicking diet (see below).
  • Patients that are diabetics on a glucose lowering drug.
  • Individuals with a history of syncope/presyncope with fasting or from medical conditions.
  • Women who are pregnant or nursing.
  • Individuals with very low BMI\< or equal to 18.
  • Patients with the following comorbidities: chronic kidney disease, diabetes, active cancer.
  • Prohibited concomitant therapies will include TNF antagonists, azathioprine, methotrexate, and mercaptopurine.
  • Patients who routinely have fasting eating habits

Key Trial Info

Start Date :

September 18 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 7 2023

Estimated Enrollment :

32 Patients enrolled

Trial Details

Trial ID

NCT04505410

Start Date

September 18 2020

End Date

December 7 2023

Last Update

February 28 2025

Active Locations (1)

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1

The University of Miami

Miami, Florida, United States, 33136