Non Celiac Gluten Sensitivity
Conditions
Brief summary
Non-celiac gluten sensitivity (NCGS) is an emerging clinical entity defined as the presence of intestinal and/or extraintestinal symptoms induced by the ingestion or gluten and relieved by a gluten free diet (GFD) in patients without celiac disease or wheat allergy. The pathologic mechanism of the disorder is unknown, and there are no known biomarkers or associated histopathologic findings. In this prospective, randomized controlled trail, we are investigating the utility of patient reported symptom questionnaires, as well as stool gluten and urine quantification tools in patients with NCGS and healthy controls.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
include * Patients \> 18 years of age * Patients willing to maintain gluten free diet for 6 weeks
Exclusion criteria
(NCGS): * Patients \< 18 years of age * Patients with positive serology suggestive of celiac disease and/or biopsy-proven celiac disease and/or Human leukocyte antigen (HLA) DQ2 or DQ8 positivity. * Patients with a diagnosis of inflammatory bowel disease * Patients with a diagnosis of acute gastroenteritis * Patients who are pregnant * Type 1 Diabetes Mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient estimated gluten intake after administration of gluten compared to baseline level on GFD, using the Celiac Dietary Adherence Test (CDAT) | 12 weeks |
| NCGS symptoms, using the Celiac Symptom Index (CSI)10 after administration of gluten compared to baseline level on GFD | 12 weeks |
| Stool gluten immunogenic peptides (GIP) level after administration of gluten compared to baseline level on GFD. | 12 weeks |
| Urine gluten immunogenic peptides (GIP) level after administration of gluten compared to baseline level on GFD | 12 weeks |
| Patient Estimation of Gluten Intake captured via (PEGI) questionnaire | 12 weeks |
Countries
United States