Investigating the Effect of the Non-nutritive Sweetener Sucralose in Inflammatory Bowel Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorCase Western Reserve University

About this trial

This study will focus on the commonly used non-nutritive sweetener (NNS) sucralose (2 sachets/day resulting in daily dose: sucralose 2.5mg/kg) and its role in changing the gut microbiota in humans with Inflammatory Bowel Disease (IBD), compared to healthy non-IBD individuals. We will focus on studying IBD patients affected with Crohn's Disease (CD) as a proof of principle that could be tested later in other IBD subtypes (ulcerative colitis or others specific surgical conditions).

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age range from 18 to 75 years

Male or female

Documented diagnosis of Crohns disease. CD outpatients in remission; Harvey Bradshaw- index in remission (<6 score)

Capable of providing consent to participate.

Disqualifiers

Short bowel syndrome

Hospitalized patients

Individuals who lack consent capacity, including the mentally ill, prisoners, cognitively impaired participants, dementia patients

Known drug abuse

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sucralose (non-nutritive sweetener)

    Other intervention

    Participants will consume 2 sachets/day during the exposure period resulting in the following daily dose: sucralose 2.5mg/kg. This dose is below the acceptable daily intakes (ADI) of 5mg/kg.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Crohn's participantsExperimental treatment 1 intervention
Group B: Healthy ControlsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in fecal microbiome

Quantify the change in the fecal microbiome as measured by metagenome analysis

Time frame
Baseline, 14 days post-baseline, and 21 days post-intervention

Secondary outcomes

1

Change in Fecal Myleoperoxidase activity (MPO)

Quantify the change in fecal MPO

Time frame
Baseline, 14 days post-baseline, and 21 days post-intervention
2

Change in Fecal Calprotectin

Quantify the change in fecal calprotectin

Time frame
Baseline, 14 days post-baseline, and 21 days post-intervention
3

Change in Short Crohn's Disease Activity Index (sCDAI)

Quantify before/after intervention self-reported indices for Crohn's Disease patients using the sCDAI. The sCDAI, a shortened version of the Crohns Disease Activity Index, is a 4-question survey with abdominal pain, diarrhea frequency, and general well-being domains, reported over the previous 7 days. Score scale for sCDAI is: \<150 define remission, 150-219 mild activity, 220-450 moderate activity, \>450 severe activity.

Time frame
Baseline, 14 days post-baseline, and 21 days post-intervention
4

Change in Crohns Disease Activity Index (CDAI)

Quantify before/after intervention indices for Crohn's Disease patients using the CDAI. CDAI score is: \<150 define remission, 150-219 mild activity, 220-450 moderate activity, \>450 severe activity.

Time frame
Baseline, 14 days post-baseline, and 21 days post-intervention

Other outcomes

Sponsors and contacts

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Case Western Reserve University

Lead sponsor

Crohn's and Colitis Foundation

Collaborator