About this trial
This research will evaluate the effect of diets on bloating/distention, assess changes in abdominal pain, and overall gastrointestinal symptom burden in Systemic Sclerosis. The researchers will do this by comparing outcomes of people assigned to 3 different diets. Following the research specifics of the diets will be available upon contact with the details listed below.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of systemic sclerosis (SSc) as per ACR/EULAR classification criteria
Willingness and ability to comply with dietary intervention and study procedures.
Ability to provide informed consent.
Disqualifiers
Diagnosis of inflammatory bowel disease (Crohn's disease or ulcerative colitis) or celiac disease.
Use of systemic antibiotics within 4 weeks prior to baseline.
History of gastrointestinal surgery (other than cholecystectomy or appendectomy unless in the last 3 months).
Severe cognitive impairment or psychiatric illness that would limit ability to follow dietary instructions.
Trial design
Parallel
Treatments tested in this trial
Diet 1: Restriction of fermentable carbohydrates
Behavioral6 weeks guided diet under the supervision of a dietician restricting fermentable carbohydrates known to trigger GI symptoms.
Diet 2: Elimination of foods harmful to gut barrier and microbiome
Behavioral6 weeks guided diet under the supervision of a dietician eliminating of foods harmful to gut barrier and microbiome
Diet 3: Regular meal patterns, soluble fiber, and portion control
Behavioral6 weeks guided diet under the supervision of a dietician emphasizing regular meal patterns, soluble fiber, and portion control.
Treatment groups
Trial outcomes
Primary outcomes
Change in Bloating severity
As assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Scale v1.1 - Gastrointestinal Gas and Bloating 13a - 13 questions with raw summed scores ranging from 13-36.
Secondary outcomes
Change in Bloating severity
As assessed by the UCLA Scleroderma Clinical Trial Consortium Gastrointestinal Tract (UCLA SCTC GIT 2.0). The bloating score is a subsection of 4 questions with 4 options each. The score ranges from .0-3 where higher numbers indicate more frequent bloating.
Change in Abdominal pain severity
As assessed by the PROMIS Scale v1.0 - Gastrointestinal Belly Pain 5a - 5 questions with raw summed score range of 6-25.
Change in Overall GI symptom
UCLA SCTC GIT 2.0 total score (all sections but constipation) with a range of (0-2.83). Higher scores indicate more severe symtoms.
Sponsors and contacts
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