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CompletedNCT05382897Updated Sep 11, 2025

Fasting-mimicking Diet in Treatment of Depressive Symptoms in IBD

An interventional study of Plant-based fasting-mimicking diet in Inflammatory Bowel Diseases, Crohn Disease and Ulcerative Colitis, sponsored by University of Alberta. Completed at 2 sites in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by University of Alberta · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Inflammatory bowel disease (IBD) is a chronic illness characterized by inflammation of the intestine. Many individuals with IBD suffer from depressive symptoms and anxiety which can lead to a decreased quality of life, poor treatment compliance, and higher morbidity and mortality. The object of this clinical trial is to investigate the effects of a fasting mimicking diet in IBD patients who are suffering with symptoms of depression. Participants will carry out 3 cycles of a 5-day period of a plant-based low caloric diet or a plant-based caloric sufficient diet following by 3 weeks of eating normally. Effects of the dietary intervention on microbes in the gut, immune and metabolic function, and depressive symptoms will be measured. The overall goal is to develop a safe and effective treatment to improve mental health in patients with IBD by targeting the gut microbiome through dietary interventions.

Read the detailed description

The primary objective of this proof of principle study is to investigate the effects of a fasting mimicking diet on depressive symptoms in patients with inflammatory bowel disease.

The specific aims of this project include:

  1. Determine whether a fasting-mimicking diet is effective in ameliorating depressive symptoms in patients with Crohn's disease or ulcerative colitis
  2. Determine if beneficial effects seen during the interventional period are sustained following cessation of fasting
  3. Examine effects of the intervention on the gut microbiome and metabolome
02

Conditions studied

  • Inflammatory Bowel Diseases
  • Crohn Disease
  • Ulcerative Colitis

Keywords

  • depression
  • diet
  • microbiome
  • fasting
  • inflammatory bowel disease
03

In context

Inflammatory Bowel Diseases

1,460 studies on the registry are indexed under Inflammatory Bowel Diseases; 437 are open to participants now.

This study's enrollment of 42 is below the median of 70 across 770 interventional studies indexed under Inflammatory Bowel Diseases.

Browse Inflammatory Bowel Diseases studies →

Lead sponsor

University of Alberta is the lead sponsor of 800 studies on the registry; 168 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 and ≤ 65 years at the time of screening
  • Diagnosis of Crohn's disease in clinical remission or with mild-moderate disease with Harvey Bradshaw Index (HBI\<8) or diagnosis of ulcerative colitis in clinical remission with partial Mayo (pMayo\<7)
  • Suffering from mild-moderate depression with PHQ-9 ≥5 and ≤ 19

Exclusion criteria

Exclusion Criteria:

  • Subjects who are reliant on partial or total parenteral nutrition
  • Subjects with prior gastrointestinal surgery and consequences such as short bowel syndrome, ostomy of small or large intestine, total colectomy, proctocolectomy, or ileoanal pouch
  • Subjects with diabetes or celiac disease
  • Subjects with a body mass index (BMI) lower than 18
  • Subjects suffering from malnutrition or at high risk of malnutrition assessed by a score of ≥6 on the abridged patient generated subjective global assessment (PGSGA)
  • Subjects allergic to nuts
  • Subjects currently on a fasting/intermittent type caloric restricted diet
  • History of psychotic or bipolar disorders or experiencing suicidal thoughts
  • Pregnant women, women who are breast feeding, or women planning on becoming pregnant
  • Subjects with immune-compromised condition other than inflammatory bowel disease (e.g. AIDS, lymphoma)
  • Subjects with severe uncontrolled cardiovascular or respiratory disease or active malignancy
  • Unable to read English or provide informed consent
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    Fasting-Mimicking Diet

    Participants will be followed for 3 weeks for baseline assessment and then consume a plant-based fasting-mimicking diet for 5 days once a month for 3 months.

    Other: Plant-based fasting-mimicking diet

  • Experimental
    Caloric-Sufficient Diet

    Participants will be followed for 3 weeks for baseline assessment and then consume a plant-based caloric-sufficient diet for 5 days once a month for 3 months.

    Other: Plant-based fasting-mimicking diet

Interventions

  • OtherPlant-based fasting-mimicking diet

    Participants will be on a low caloric plant-based diet or a caloric-sufficient plant-based diet for 3 x 5 day cycle each month followed by 3 weeks of eating normally for a total period of 3 months.

06

What researchers measure

Primary outcomes

  1. Changes in Patient Health Questionnaire (PHQ-9)

    A change in depressive symptoms as assessed through the Patient Health Questionnaire (PHQ)-9. \[Min:0; Max 27; good to poor\]

    Time frame: From baseline through 12 and 24 weeks

Secondary outcomes

  1. Changes in Harvey-Bradshaw Index (HBI) in patients with Crohn's disease

    Changes in disease status as assessed by HBI in Crohn's disease patients

    Time frame: From baseline through 12 and 24 weeks

  2. Changes in partial Mayo Score in patients with ulcerative colitis

    Changes in disease status as assessed by partial Mayo Score in patients with ulcerative colitis

    Time frame: From baseline through 12 and 24 weeks

  3. Changes in clinical markers of disease

    Changes in serum C-reactive protein (CRP)

    Time frame: From baseline through 12 and 24 weeks

  4. Changes in clinical markers of disease

    Changes in fecal calprotectin

    Time frame: From baseline through 12 and 24 weeks

  5. Changes in levels of fatigue

    Changes in level of fatigue as assessed by the inflammatory bowel disease-fatigue (IBD-F) self-assessment scale (0-20; low to high)

    Time frame: From baseline through 12 and 24 weeks

  6. Changes in general anxiety

    Changes in general anxiety as assessed by the Hospital Anxiety and Depression scale (HADS) (0-21; low to high)

    Time frame: From baseline through 12 and 24 weeks

  7. Changes in quality of Life

    Changes in quality of life as assessed by Short Inflammatory Bowel Disease Questionnaire (SIBDQ) (score 10-70, poor to good)

    Time frame: From baseline through 12 and 24 weeks

  8. Changes in weight

    Changes in weight in kilograms

    Time frame: From baseline through 12 and 24 weeks

  9. Changes in body mass index (BMI)

    Changes in BMI as assessed by weight in kilograms divided by the square of height in meters

    Time frame: From baseline through 12 and 24 weeks

  10. Changes in gene expression in peripheral blood mononuclear cells

    Changes in immune function as assessed by changes in gene expression of peripheral blood mononuclear cells

    Time frame: From baseline through 12 and 24 weeks

  11. Changes in blood cytokines

    Changes in plasma concentrations of cytokines (TNF, IL-6, IL-8, IFNγ, IL-1β, IL-9, IL-10, IL-12, IL-17, TGFβ)

    Time frame: From baseline through 12 and 24 weeks

  12. Changes in blood hormones

    Changes in plasma concentrations of hormones (ghrelin, leptin, BDNF, GLP-1, glucagon, insulin)

    Time frame: From baseline through 12 and 24 weeks

  13. Changes in gut microbiome

    Changes in gut microbiome as assessed by 16s rRNA analysis

    Time frame: From baseline through 12 and 24 weeks

  14. Changes in fecal short chain fatty acids

    Changes in fecal concentrations of short chain fatty acids

    Time frame: From baseline through 12 and 24 weeks

  15. Changes in fecal bile acids

    Changes in fecal concentrations of primary and secondary bile acids

    Time frame: From baseline through 12 and 24 weeks

07

Study locations

2 sites
  • University of Alberta Hospital
    Edmonton, Alberta T6G 2E1, Canada
  • University of Alberta Human Nutrition Research Unit
    Edmonton, Alberta T6G 2E1, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05382897
Lead sponsor
University of Alberta
Collaborators
W. Garfield Weston Foundation
Responsible party
Sponsor
First posted
May 19, 2022
Start date
Jul 1, 2022
Primary completion
Feb 2, 2025
Completion
Feb 2, 2025
Last update
Sep 11, 2025

Study contacts

Karen Madsen, PhD
principal investigator · University of Alberta

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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