Psoriasis
Conditions
Keywords
mare milk, gut microbiome, psoriasis, immune markers
Brief summary
This study evaluates the effect of dietary supplement consisting of sublimated mare milk on intestinal microbiota among psoriasis and healthy participants.
Detailed description
The gut microbiome is believed to play an important role in the immune system regulation, since intestines are the largest lymphoid organ in a human body. Deviations from healthy composition of intestinal flora are associated with various diseases including allergy and autoimmunity. Psoriasis is the one of the long-lasting autoimmune diseases that is characterized by patches on the skin and further health complications throughout the life. However, lack of studies does not allow proper evaluation of role of gut microbiome in psoriasis patients. Therefore, potential interplay between gut microbiome and immune system in psoriasis would be studied in this clinical trial. Particularly, the investigators hypothesize that sublimated mare milk supplement can have an impact on gut immune system and gut microbiome composition in the psoriasis patients. In this trial, there will be two parallel groups: crossover psoriasis patients (standard treatment first for 3 months, next 3 months standard treatment plus sublimated mare milk supplement) and healthy volunteers group. Subsequently, association of intestinal flora with immune status will be analyzed and compared between these groups.
Interventions
The dietary supplement mare milk product, which is obtained from fresh (few hours) through sublimation process. This product is first mixed with warm water (37-38 degrees of Celsius) and then will be given to participants.
Sponsors
Study design
Eligibility
Inclusion criteria
. Inclusion criteria for experimental group: * Patients with a verified diagnosis of moderate to severe psoriasis * Aged 30 to 45 years * Absence of an allergic reaction to dairy products * Lack of prescription of antibacterial drugs for the last 3 months prior to admission * Willingness to consent to participate in the study Inclusion criteria for healthy volunteers group. * Patients with no diagnosis of psoriasis * Aged 30 to 45 years
Exclusion criteria
* Presence of chronic dermatoses, diseases of the organs of the gastrointestinal tract * Presence of severe concomitant diseases of the kidneys, liver, cardiovascular, respiratory and other body systems, oncological, mental health and decompensated endocrine diseases, tuberculosis, and HIV infection * Pregnancy and/or lactation * Patient involvement in other clinical trials within the last 3 months * Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in composition of microorganisms in stool after the supplement intervention. | Baseline, 6 weeks, 12 weeks | Change in composition of intestinal microbiota will be determined comparing with the baseline results using DNA sequencing Illumina MiSeq System. |
| Change from baseline of biomarkers of inflammation in intestines. | Baseline, 6 weeks, 12 weeks | The change of immunity will be evaluated from stool specimens according to baseline results of inflammatory cytokines, interleukins, and antibodies. Number of patients, in whom change is statistically significant, will be reported in the results. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PASI index for psoriasis | Baseline & 12 weeks | Dermatological status of PASI index will be evaluated according to the international protocols for treatment of psoriasis (NICE guidance). |
| Change from baseline in Vitamin D levels | Baseline & 12 weeks | Blood levels of Vitamin D will be compared between baseline and later periods in psoriasis patients. |
Countries
Kazakhstan