Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06896305

Impact of Exclusion Diet in Addition to Anti-TNF Therapy in Crohn's Disease and Ulcerative Colitis: a Prospective, Randomized, Double-arm, Open-label Study

Led by IRCCS Ospedale San Raffaele · Updated on 2026-01-22

80

Participants Needed

1

Research Sites

123 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This clinical study protocol aims to prospectively compare the efficacy of standard therapy with anti-TNF agents combined with the Crohn's Disease Exclusion Diet (CDED) versus anti-TNF therapy alone in adult patients with active Crohn's disease or ulcerative colitis. The study will involve patients starting therapy with anti-TNF agents due to active Crohn's disease or ulcerative colitis as per standard clinical practice and in accordance with European (ECCO) guidelines. One group will receive standard medical therapy only, the other will additionally receive dietary advice on how to adhere on a specific exclusion diet, the CDED. By prospectively evaluating the impact of this combined approach, the study seeks to provide evidence on whether CDED can improve response to treatment and therefore improve quality of life for patients with Crohn's disease and ulcerative colitis.

CONDITIONS

Official Title

Impact of Exclusion Diet in Addition to Anti-TNF Therapy in Crohn's Disease and Ulcerative Colitis: a Prospective, Randomized, Double-arm, Open-label Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Willing and able to give informed consent for participation in the study
  • Male or female adults aged 18 years or older
  • Confirmed diagnosis of moderate-to-severe Crohn's disease or ulcerative colitis
  • Planned to start anti-TNF therapy
  • Able and willing to comply with the Crohn's Disease Exclusion Diet (CDED)
Not Eligible

You will not qualify if you...

  • Diagnosis of undetermined inflammatory bowel disease
  • Metabolic or gastrointestinal conditions interfering with the study (e.g., celiac disease, diabetes)
  • Body mass index lower than 17 or greater than 30
  • Previous intestinal resection surgery
  • Currently on exclusive enteral nutrition (EEN)
  • Previous or current adherence to Crohn's Disease Exclusion Diet (CDED)
  • Pregnant or breastfeeding women
  • History of severe allergic reactions or intolerance to foods recommended in CDED
  • Significant other health conditions that may interfere with the study or risk participant safety
  • Unable or unwilling to comply with study protocols or follow-up schedules

AI-Screening

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Trial Site Locations

Total: 1 location

1

IRCCS Ospedale San Raffaele

Milan, Michigan, Italy, 20132

Actively Recruiting

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Research Team

T

Tommaso Lorenzo Parigi, MD

CONTACT

A

Annunziata Bruno, MS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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