Inflamatory Bowel Disease
Conditions
Keywords
microbiome, inflammatory bowel disease, probiotics
Brief summary
In this study the intestinal microbiome and metabolic profiles of patients with inflammatory bowel disease will be determined upon probiotic intervention.
Interventions
multi-strain probiotics
Observation
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed informed consent * Diagnosis of inflammatory bowel disease according to actual guidelines (Porto Criteria) * General good health * Ability to understand and follow study procedures and understand informed consent * Age 5 -18 years * No probiotic therapy 4 weeks before entering into the study.
Exclusion criteria
* Participation in other clinical studies interfering with study procedures. * Inability or contraindications to undergo the investigated intervention * Severe or acute flare of disease (for UC PUCAI score ≥35, for CD wPCDAI \>40) * Treatment escalation within last 4 weeks for uncontrolled disease. * Antibiotic or probiotic therapy within the last 4 weeks.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| abundance of specific bacteria | 22 weeks | operational taxonomic units (OTC) presence of total counts at T0, T1,T2,T3 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| microbiome analysis | 22 weeks | diversity (Shannon Index) and composition (beta diversity metrics (Bray-Curtis dissimilarity)) at T0,T1,T2,T3 |
| clinical response | 22 weeks | clinical activity scores: ΔPUCAI for UC, ΔPCDAI for CD at T0,T1,T2,T3 |
| laboratory response - local | 22 weeks | fecal calprotection at T0,T1,T2,T3 |
| laboratory response - systemic | 22 weeks | Composite assessment of C-reactive protein, thrombocytes and ESR at T0,T1,T2,T3 |
Contacts
Division of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Switzerland