Crohn's Disease
Conditions
Keywords
Crohn's Disease, Pediatric, VSL#3, Permeability, Probiotic, Zonulin
Brief summary
The purpose of this study is to determine the effect of a probiotic formulation, VSL#3, on intestinal permeability in pediatric patients with Crohn's disease.
Detailed description
Children with Crohn's disease have altered intestinal permeability. A pilot study in children showed that probiotics may decrease intestinal permeability. In this double blind, randomized controlled trial, we will observe the effect of VSL#3 on small bowel permeability using a double sugar absorption test. PCDAI was monitored, but not analyzed.
Interventions
1 packet BID
1 inactive packet BID
Sponsors
Study design
Eligibility
Inclusion criteria
* Current diagnosis of small bowel or colonic Crohn's disease as defined by histological and endoscopic criteria. * Males or females ages 11-17 years. * Crohn's disease in remission as defined by a Pediatric Crohn's Disease Activity Index (PCDAI) \< 10 * Patients on maintenance doses of aminosalicylates, 6-MP and/or Azathioprine for at least 2 months. * Procurement of written informed consent signed by the subject's legal guardian and study investigator(s) and patient assent.
Exclusion criteria
* Patients with documented intestinal stricture. * Patients with signs of symptoms of systemic or intestinal infection. * Antibiotic use the previous 1 month. * Probiotic use in the previous 2 months (excluding yogurt). * Use of the following medications; Methotrexate, Cyclosporine, Tacrolimus and Infliximab. * Patients with diagnosis of other co-morbid diseases such as heart disease, renal disease, immunodeficiency, diabetes, or thyroid disease. * Patients with indwelling catheters. * Patients with short bowel syndrome * Positive urine pregnancy test for female subjects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intestinal Permeability - measured by Sugar Absorption Test | 3 months |
Countries
United States