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Inflammatory Bowel DiseasesChic-IBDNCT06016322

Dried Chicory Root in IBD

A study testing Dried Chicory Root in people with Inflammatory Bowel Diseases and Dietary Exposure, run by University Medical Center Groningen at 1 site in Netherlands.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this clinical pilot trial is to test the use of dried chicory root in patients with IBD. The main questions it aims to answer are: what the effect of a 4-week 10-20 g/day WholeFiberTM intervention on fecal calprotectin, IBD-complaints and QoL, serum inflammatory markers, gut microbiota and SCFA levels in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Inflammatory Bowel Diseases, Dietary Exposure
What is being tested?
Dried Chicory Root
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteNetherlands
Study dates
2 Oct 2023to 30 Sep 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women aged ≥18 years;
  • Having a diagnosis of IBD (either UC or CD) and undergoing treatment at the policlinic at the University Medical Center Groningen;
  • Mild or moderate IBD, defined as fecal calprotectin levels ≥100 μg and Harvey Bradshaw Index (HBI) <8 for CD patients or Simple Clinical Colitis Activity Index (SCCAI) <5 for UC patients;
  • Using stable maintenance therapy for at least 12 weeks;
  • Being able to read and speak Dutch;
  • Willing to come to the University Medical Center Groningen for practical reasons (visiting the study site);
  • Willing to continue their regular lifestyle patterns during the study.

Who cannot join

  • Having a medical history that may impact study outcomes, such as a diagnosis of diabetes mellitus type 2, heart disease, renal disease, cancer, celiac disease;
  • Having an ileostomy or colostomy, as this greatly impacts bowel function and gut microbiota composition;
  • Having a clinically significant stenosis;
  • Use of antibiotics <4 weeks before study start;
  • Use of prebiotics, probiotics and/or synbiotic (this should be stopped 4 weeks before start of the study) or other fiber supplements such as psyllium;
  • Use of tube feeding or sib-feeding;
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  • Being pregnant or lactating;
  • Participation in another clinical study at the same time;
  • Unable or unwilling to comply to study rules

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • University Medical Center Groningen

    Groningen, 9713GZ

Other trials in Netherlands

About this study

Official title: The Effect of Dried Chicory Root on Inflammation, Gut Microbiota and Complaints in Patients With Inflammatory Bowel Disease: a Pilot Study

The goal of this clinical pilot trial is to test the use of dried chicory root in patients with IBD. The main questions it aims to answer are:

what the effect of a 4-week 10-20 g/day WholeFiberTM intervention on fecal calprotectin, IBD-complaints and QoL, serum inflammatory markers, gut microbiota and SCFA levels in patients with Crohn's disease and ulcerative colitis Participants will receive 1 sachet of 10g WholeFiberTM for the first 2 weeks (equals 8.5 g fiber), and 2 sachets of 10g WholeFiberTM per day for the last two weeks (equals 17 g fiber).

Researchers will compare the above mentioned outcomes before and after the intervention.

Read the detailed description

Rationale: Inflammatory Bowel Diseases (IBD), of which Ulcerative Colitis (UC) and Crohn's Disease (CD) are the main types, includes recurring episodes of inflammation in the gastro-intestinal tract and severely impacts quality of life (QoL), leads to more hospitalization and increases the mortality risk. An impaired gut microbiota and lower levels of short-chain fatty acids (SCFA) have been linked to the pathophysiology. A higher fiber intake is linked to positive changes in the gut microbiota and increase SCFA-production, however patients with IBD consume too little dietary fiber. WholeFiberTM, a dried vegetable rich in 4 types of prebiotic fiber, may be an easy solution to increase dietary fiber intake, impact the gut microbiota and SCFA, IBD-complaints and health parameters.

Objective: To explore the effect of a 4-week 10-20 g/day WholeFiberTM intervention on fecal calprotectin, IBD-complaints and QoL, serum inflammatory markers, gut microbiota and SCFA levels in patients with CD and UC.

Study design: this is a 4-week pilot study with one arm to explore the effects of a WholeFiberTM intervention. Measurements will take place before and after the intervention, questionnaires will also be conducted halfway.

Study population: in total 12 patients with mild to moderate IBD complaints will be included, of which 6 UC and 6 CD patients, to investigate if there is a difference between the two groups in efficacy of WholeFiberTM.

Intervention: Subjects will receive 1 sachet of 10g WholeFiberTM for the first 2 weeks (equals 8.5 g fiber), and 2 sachets of 10g WholeFiberTM per day for the last two weeks (equals 17 g fiber).

Main study parameters/endpoints: the primary parameter is change in fecal calprotectin after the 4-week intervention, which is a marker for inflammation in the gut. Secondary parameters are improvements in IBD-complaints, QoL, serum markers, and changes in the gut microbiota and increase in fecal SCFA-production. Moreover, it will be explored whether the response on the intervention will be different between UC and CD. Furthermore, an evaluation questionnaire will be conducted to assess feasibility and acceptance of the WholeFiberTM intervention in this population.

Being tested
Dried Chicory Root
Keywords
Inflammatory bowel disease, dietary fiber, gut microbiome, inflammation
Medical subject headings
Inflammatory Bowel Diseases, Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dried Chicory RootDietary supplement

    Also called WholeFiber Trademark (TM)

    Subjects will receive 1 sachet of 10g WholeFiberTM for the first 2 weeks (equals 8.5 g fiber), and 2 sachets of 10g WholeFiberTM per day for the last two weeks (equals 17 g fiber).

    WholeFiberTM is a fiber-rich dried vegetable made from the chicory root that contains four types of prebiotic fibers (inulin, pectin, cellulose, hemi-cellulose).

Study groups in NCT06016322
Study groupRoleWhat they receive
Before and after study in 6 patients with UC and 6 patients wiht CDExperimentalThis is a 4-week before-after pilot study to explore the effectiveness of a WholeFiber Trademark (TM) intervention (a dried vegetable rich in prebiotic intrinsic fibers) on inflammation, fecal gut microbiota and metabolites, IBD-complaints and QoL and assesses its feasibility. In this before-after study, 12 patients with IBD will receive WholeFiberTM; of which 6 patients with CD and 6 patients with UC to assess if there is a difference in effect between these groups of patients.
Receives: Dietary Supplement: Dried Chicory Root

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. change in fecal calprotectin

    To explore the effect of a 4-week 10-20 g/day WholeFiberTM intervention on fecal calprotectin levels in patients with CD and UC.

    Measured: difference between baseline and after 4-week intervention

Secondary outcomes (36)
  1. Change in IBD complaints by HBI for CD

    To explore the effect of a 4-week WholeFiberTM intervention on IBD-complaints in patients with CD measured by the Harvey Bradshaw Index (HBI)

    Measured: difference between baseline and after 4-week intervention

  2. Change in IBD complaints by SCCAI for UC

    To explore the effect of a 4-week WholeFiberTM intervention on IBD-complaints in patients UC measured by the Simple Clinical Colitis Activity Index (SCCAI)

    Measured: difference between baseline and after 4-week intervention

  3. Change in QOL measured by IBDQ

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on QoL measured by the IBDQ (Irvine 1999)

    Measured: difference between baseline and after 4-week intervention

  4. Change in the Food-related Quality of Life (FrQOL)

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on Food-related QoL measured by a validated instrument by Hughes et al 2015

    Measured: difference between baseline and after 4-week intervention

  5. Change in stool consistency

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on stool consistency. Stool consistency will be measured using the validated Bristol Stool Chart.

    Measured: difference between baseline and after 4-week intervention

  6. Change in stool frequency

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on stool frequency. Patients will be asked how often they defecated per day during the past week

    Measured: difference between baseline and after 4-week intervention

  7. Change in fecal microbiota composition: Shannon-index

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on fecal microbiota composition. Next generation sequencing will be used ot determine bacterial richness (Shannon-index)

    Measured: difference between baseline and after 4-week intervention

  8. Change in fecal microbiota composition by beta-diversity

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on fecal microbiota composition. Next generation sequencing will be used ot determine bacterial interindividual variations (beta-diversity)

    Measured: difference between baseline and after 4-week intervention

  9. Change in fecal SCFA levels: lactate

    To explore the effect of a 4-week WholeFiberTM intervention on fecal lactate in patients with CD and UC measured by a conductivity detector.

    Measured: difference between baseline and after 4-week intervention

  10. Change in fecal SCFA levels: formate

    To explore the effect of a 4-week WholeFiberTM intervention on fecal formate in patients with CD and UC measured by a conductivity detector.

    Measured: difference between baseline and after 4-week intervention

  11. Change in fecal SCFA levels; butyrate

    To explore the effect of a 4-week WholeFiberTM intervention on fecal butyrate in patients with CD and UC measured by a conductivity detector.

    Measured: difference between baseline and after 4-week intervention

  12. Change in fecal SCFA levels: propionate

    To explore the effect of a 4-week WholeFiberTM intervention on fecal propionate in patients with CD and UC measured by a conductivity detector.

    Measured: difference between baseline and after 4-week intervention

  13. Change in fecal SCFA levels: acetate

    To explore the effect of a 4-week WholeFiberTM intervention on fecal acetate in patients with CD and UC measured by a conductivity detector.

    Measured: difference between baseline and after 4-week intervention

  14. Change in fecal acidity (pH)

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on fecal acidity (pH) by a PCE-228-R pH and redox meter in a stool sample.

    Measured: difference between baseline and after 4-week intervention

  15. Change in fecal redox status

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on fecal redox status, measured by PCE-228-R instrument.

    Measured: difference between baseline and after 4-week intervention

  16. Change in serum leukocytes

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on leukocytes count.

    Measured: difference between baseline and after 4-week intervention

  17. Change in serum thrombocytes

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on thrombocytes.

    Measured: difference between baseline and after 4-week intervention

  18. Change in serum iron status: serum iron

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC serum iron [micromol/L]

    Measured: difference between baseline and after 4-week intervention

  19. Change in serum iron status: Total Iron Binding Capacity (TIBC)

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on Total Iron Binding Capacity (TIBC) [micromol/L]

    Measured: difference between baseline and after 4-week intervention

  20. Change in serum iron status: ferritin

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on ferritin [microg/L]

    Measured: difference between baseline and after 4-week intervention

  21. Change in serum iron status: transferrin

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on transferrin [g/L]

    Measured: difference between baseline and after 4-week intervention

  22. Change in serum ALAT

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on Alanine Aminotransferase (ALAT).

    Measured: difference between baseline and after 4-week intervention

  23. Change in serum ASAT

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on Aspartate Aminotransferase (ALAT).

    Measured: difference between baseline and after 4-week intervention

  24. Change in serum GGT

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on Gamma-Glutamyl Transferase (GGT)

    Measured: difference between baseline and after 4-week intervention

  25. Change in serum creatinine

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on iron status.

    Measured: difference between baseline and after 4-week intervention

  26. Change in C-reactive protein (CRP)

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on C-reactive protein (CRP), which is an inflammation marker.

    Measured: difference between baseline and after 4-week intervention

  27. Change in inflammatory marker IL-6 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-6 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  28. Change in inflammatory marker IL-8 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-8 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  29. Change in inflammatory marker IL-10 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-10 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  30. Change in inflammatory markers IL-12 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-12 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  31. Change in inflammatory markerIL-17a analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-17a on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  32. Change in inflammatory marker IL-22 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-22 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  33. Change in inflammatory marker IL-23 analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker IL-23 on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  34. Change in inflammatory marker TNF-alpha analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker TNF-alpha on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  35. Change in inflammatory marker Interferon(IFN)-gamma analysed by an ELISA kit

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on the inflammatory marker Interferon(IFN)-gamma on an ELISA kit

    Measured: difference between baseline and after 4-week intervention

  36. Change in oxidative stress measured by free thiols

    To explore the effect of a 4-week WholeFiberTM intervention in patients with CD and UC on oxidative stress measured by free thiols.

    Measured: difference between baseline and after 4-week intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Aug 2023
  2. Study start2 Oct 2023 (estimated)
  3. Primary completion1 Apr 2024 (estimated)
  4. Study completion30 Sep 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
Pilot study investigating the effect of additional dietary intake 10-20 gram of a dried vegetable fibre. The difference in outcomes before and after the intervention in fecal calprotectin, IBD complaints, QOL, serum inflammatory markers, gut microbiota and SCFA will be determined
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06016322
Sponsor's protocol ID
NL85061.042.23
Other IDs
KIEM.K23.01.148
Acronym
Chic-IBD
Status last verified
Sep 2023
First submitted
8 Aug 2023
Last updated
21 Sep 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Puhlmann ML, de Vos WM. Back to the Roots: Revisiting the Use of the Fiber-Rich Cichorium intybusL. Taproots. Adv Nutr. 2020 Jul 1;11(4):878-889. doi: 10.1093/advances/nmaa025.

    PubMed 32199025
  • Peters V, Dijkstra G, Campmans-Kuijpers MJE. Are all dietary fibers equal for patients with inflammatory bowel disease? A systematic review of randomized controlled trials. Nutr Rev. 2022 Apr 8;80(5):1179-1193. doi: 10.1093/nutrit/nuab062.

    PubMed 34486663
  • Puhlmann ML, de Vos WM. Intrinsic dietary fibers and the gut microbiome: Rediscovering the benefits of the plant cell matrix for human health. Front Immunol. 2022 Aug 18;13:954845. doi: 10.3389/fimmu.2022.954845. eCollection 2022.

    PubMed 36059540

Questions about this trial

What is this clinical trial studying?

A study testing Dried Chicory Root in people with Inflammatory Bowel Diseases and Dietary Exposure, run by University Medical Center Groningen at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

change in fecal calprotectin (time frame: difference between baseline and after 4-week intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06016322, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Sep 2023.

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Dried Chicory Root in IBD (NCT06016322) | AzTrials