Colitis, Ulcerative, Inflammatory Bowel Diseases
Conditions
Keywords
Glycopeptides, Dietary proteins
Brief summary
Casein glycomacropeptide (CGMP) has anti-inflammatory properties in experimental rodent colitis and using human in vitro inflammation models. Its use as a food ingredient has proven safe and with no influence on dietary intake. We hypothesize that orally administered CGMP has a beneficial effect comparable to that of mesalazine in active distal ulcerative colitis.
Detailed description
GCMP has mainly been used as food additive in patients with specific dietary needs, i.e. in infant formulas, adipositas, or in patient with phenylketonuria. Due to its antiinflammatory properties we hypothesize that it may be used alone or along with conventional therapy in inflammatory diseases such as ulcerative colitis.
Interventions
Casein glycomacropeptide purified powder dissolved in 300 ML water once daily
4800 grams/day of Mesalazine (Asacol/Mezavant)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or more * Diagnosed ulcerative colitis * Signs of clinical activity with SCCAI of 3 or more * Extension more than 10 cm and no more than 40 cm from anus
Exclusion criteria
* Rectal temperature more than 38 degrees Celcius * Diagnosed celiac disease or lactose intolerance * Unable to speak or understand Danish * Prior biologics or systemic steroids 4 weeks up to inclusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fecal calprotectin reduction | 4 weeks | Relative reduction in fecal calprotectin measured before and after 4 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical activity index | 4 weeks | Simple Clinical Colitis Index, range 0-20 |
| Quality of life | 4 weeks | Quality of life measured yb Short Health Scale (4 items ranged 0-10, total range 0-40) |
| Endoscopic Mayo score | 4 weeks | Grade of inflammation (range 0-3) in rectum according to Mayo score, visually judged during endoscopy |
| Serial fecal calprotectin | 8 weeks | fecal calprotectin week 0-4-6-8 |
Countries
Denmark