Colitis, Ulcerative, Inflammatory Bowel Diseases
Conditions
Keywords
glycopeptides, human microbiome, caseinomacropeptide, whey protein, 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. In a pilot study the investigators found, that orally administered CGMP seems to have a beneficial effect comparable to that of mesalazine in active distal ulcerative colitis. The investigators wish to evaluate the effects in a larger group of patients with active ulcerative colitis by studying the clinical effects and assessing the anti-inflammatory and microbiome modulating properties.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ulcerative colitis (verified by mucosal histology and endoscopy) * Clinically active ulcerative colitis (SCCAI ≥ 3)
Exclusion criteria
* Endoscopically inactive disease (Endoscopic Mayo Score of 0) * Lactose or milk protein intolerance * Celiac disease * Not able to understand or speak Danish. * Pregnant or nursing. * Growth of pathogenic bacteria in stool culture from 4 weeks before and until randomization (Salmonella, Campylobacter, Yersinia or Clostridium Difficile.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Response | 12 weeks | The number of patients with clinical response (reduction of SCCAI-score of at least 2 points) |
| Fecal inflammatory marker | 12 weeks | The number of patients with a fecal-calprotectin below 150 mg/kg |
| Clinical remission | 12 weeks | The number of patients in clinical remission (SCCAI ≤ 2) |
| Endoscopic remission | 12 weeks | The number of patients in endoscopic remission/macroscopic mucosal healing (Endoscopic Mayo Score of 0) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Steroid-free remission | 12 weeks | The number of patients in steroid-free remission (SCCAI ≤ 2) |
| Clinical remission at follow-up | 26 weeks | The number of patients in clinical remission (SCCAI ≤ 2) |
| Endoscopic response | 12 weeks | The number of patients with endoscopic response (reduction of Endoscopic Mayo Score of at least 1point) |
Countries
Denmark