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Effects of a Nutritional Solution to Improve Intestinal Permeability in Celiac Patients (Protalsafe)

Primary Purpose

Celiac Disease

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Protalsafe
Placebo
Sponsored by
Société Guaranteed Gluten Free (GGF)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Celiac Disease focused on measuring synbiotic, nutrition, permeability, gluten free diet, quality of life, digestive comfort

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • celiac disease diagnosis at least 1 year ago
  • diagnosis proven through biopsy report or general practioner letter or health insurance cover
  • not following a strict gluten free diet (Pavie score 1-3)
  • covered by health insurance
  • not in exclusion period from another study

Exclusion Criteria:

  • pregnant, breastfeeding women or planing pregnancy
  • gluten intolerance of non celiac origin or any other dietary intolerance of allergy
  • digestive pathology other than celiac disease
  • chronic transit problems (diarrhoea or constipation)
  • uncontrolled pathology
  • diabetes
  • medical treatment impacting outcome markers (corticosteroids, NSAIDS, immune suppressor drugs, pancreatic enzymes, amphetamines)
  • recent or regular intake of prebiotics, probiotics, food supplements including B vitamins, iron or calcium.
  • antibiotics in the past month
  • excessive alcohol intake
  • drug user
  • planing to change tobacco use
  • any other reason why the investigator feels the subject may not be compliant
  • adults under judicial protection

Sites / Locations

  • Institut Pasteur de Lille

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Treatment

Placebo

Arm Description

Protalsafe product, daily, 12 weeks

Placebo product, daily, 12 weeks

Outcomes

Primary Outcome Measures

Lactulose/mannitol recovery in 5-hour urine sample
ratio of the two sugars following ingestion
serum zonulin
circulating concentration

Secondary Outcome Measures

microbiota profile
taxonomic sequencing
digestive health
gastrointestinal symptoms rating scale (GSRS), 13 questions with answers rating from 0 to 3
digestive comfort
visual analogic scale on digestive symptoms, 5 questions with 10cm scale rating from no symptoms (left) to worsening
quality of life- digestive health
celiac disease quality of life questionnaire (F-CDQ), subset of digestive questions
quality of life
celiac disease quality of life questionnaire (F-CDQ)
circulating inflammation markers
concentration of cytokines interleukin-6, tumor necrosis factor-alpha and interleukin-10

Full Information

First Posted
March 19, 2018
Last Updated
April 19, 2018
Sponsor
Société Guaranteed Gluten Free (GGF)
Collaborators
Institut Polytechnique UniLaSalle, Institut Pasteur de Lille, Association Française des Intolérants au Gluten (AFDIAG)
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1. Study Identification

Unique Protocol Identification Number
NCT03483805
Brief Title
Effects of a Nutritional Solution to Improve Intestinal Permeability in Celiac Patients
Acronym
Protalsafe
Official Title
Randomized, Double-blind, Controlled and Parallel Study of the Effect of a New Nutritional Solution to Improve Intestinal Permeability in Celiac Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
December 21, 2016 (Actual)
Primary Completion Date
January 12, 2018 (Actual)
Study Completion Date
January 12, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Société Guaranteed Gluten Free (GGF)
Collaborators
Institut Polytechnique UniLaSalle, Institut Pasteur de Lille, Association Française des Intolérants au Gluten (AFDIAG)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Celiac disease (or gluten intolerance) is recognized as one of the most common chronic diseases: prevalence of 1 in 100 to 1/300 people in Europe and the United States. To date, the treatment consists of a total elimination of any source of gluten from the diet. This eviction generates many daily constraints that would explain that more than 50% of patients do not follow this diet correctly. Hidden sources of gluten in a number of foods also carry the burden of this difficulty in effective exclusion. The objective of the ProtAlSafe study is to develop an innovative nutritional approach in the form of a dietary supplement to improve quality of life of patients. The product is not intended to replace a strict gluten-free diet but to propose a nutritional approach in the form of a dietary supplement to improve quality of life of patients. The expected benefits for people consuming the test product are an overall improvement in quality of life and an improvement in biological markers (intestinal permeability, chronic inflammation, etc.) associated with celiac disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Celiac Disease
Keywords
synbiotic, nutrition, permeability, gluten free diet, quality of life, digestive comfort

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
Protalsafe product, daily, 12 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo product, daily, 12 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Protalsafe
Intervention Description
mix of prebiotic, probiotic and plant extract in powder form, to be diluted in water
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
maize maltodextrin in powder form, to be diluted in water
Primary Outcome Measure Information:
Title
Lactulose/mannitol recovery in 5-hour urine sample
Description
ratio of the two sugars following ingestion
Time Frame
after 12 weeks of treatment
Title
serum zonulin
Description
circulating concentration
Time Frame
after 12 weeks of treatment
Secondary Outcome Measure Information:
Title
microbiota profile
Description
taxonomic sequencing
Time Frame
baseline and after 12 weeks of treatment
Title
digestive health
Description
gastrointestinal symptoms rating scale (GSRS), 13 questions with answers rating from 0 to 3
Time Frame
baseline and after 12 weeks of treatment
Title
digestive comfort
Description
visual analogic scale on digestive symptoms, 5 questions with 10cm scale rating from no symptoms (left) to worsening
Time Frame
baseline and after 12 weeks of treatment
Title
quality of life- digestive health
Description
celiac disease quality of life questionnaire (F-CDQ), subset of digestive questions
Time Frame
baseline and after 12 weeks of treatment
Title
quality of life
Description
celiac disease quality of life questionnaire (F-CDQ)
Time Frame
baseline and after 12 weeks of treatment
Title
circulating inflammation markers
Description
concentration of cytokines interleukin-6, tumor necrosis factor-alpha and interleukin-10
Time Frame
baseline and after 12 weeks of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: celiac disease diagnosis at least 1 year ago diagnosis proven through biopsy report or general practioner letter or health insurance cover not following a strict gluten free diet (Pavie score 1-3) covered by health insurance not in exclusion period from another study Exclusion Criteria: pregnant, breastfeeding women or planing pregnancy gluten intolerance of non celiac origin or any other dietary intolerance of allergy digestive pathology other than celiac disease chronic transit problems (diarrhoea or constipation) uncontrolled pathology diabetes medical treatment impacting outcome markers (corticosteroids, NSAIDS, immune suppressor drugs, pancreatic enzymes, amphetamines) recent or regular intake of prebiotics, probiotics, food supplements including B vitamins, iron or calcium. antibiotics in the past month excessive alcohol intake drug user planing to change tobacco use any other reason why the investigator feels the subject may not be compliant adults under judicial protection
Facility Information:
Facility Name
Institut Pasteur de Lille
City
Lille
Country
France

12. IPD Sharing Statement

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Effects of a Nutritional Solution to Improve Intestinal Permeability in Celiac Patients

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