ClinicalTrials.gg
Status unknownNCT05666154CLEFDUpdated Jul 3, 2024

Confocal Laser Endomicroscopy Based Diet in Functional Dyspepsia

An interventional study of Real diet and Sham diet in Functional Dyspepsia, sponsored by Universitaire Ziekenhuizen KU Leuven. Status unknown at 1 site in Belgium. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-03.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2024), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
65
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

After a thorough baseline evaluation, functional dyspepsia (FD) patients will be exposed to nutrients while undergoing confocal laser endomicroscopy (CLE). Patients presenting an acute mucosal reaction upon nutrient exposure will be instructed to exclude their respective trigger nutrient or a nutrient without mucosal reaction (=sham diet) from their diet for 4 weeks in a randomized, blinded crossover fashion.

The aim of the trial is to assess the symptomatic response to the targeted diet and further elucidate mechanisms underlying the acute mucosal reactions observed in CLE upon nutrient exposure.

02

Conditions studied

  • Functional Dyspepsia
03

In context

Lead sponsor

Universitaire Ziekenhuizen KU Leuven is the lead sponsor of 959 studies on the registry; 263 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18-70 y/o (70 years included)
  • Male or female subjects
  • FD (PDS, EPS or overlap) according to Rome IV criteria
  • Provide written informed consent to participate in the study
  • Women of child-bearing potential agree to apply a highly effective method of birth control during the entire duration of the trial. Highly effective birth control is defined as those which result in a low failure rate (i.e., less than 1% per year) when used constantly and correctly such as implants, injectables, combined oral contraceptive method, or some intrauterine devices (IUDs), sexual abstinence, or vasectomized partner. Women of non-childbearing potential may be included if surgically sterile (tubal ligation or hysterectomy) or postmenopausal with at least 2 year without spontaneous menses.
  • Subjects who are capable to understand the study and the questionnaires, and to comply with the study requirements.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women
  • History of major surgery of the gastrointestinal tract (cholecystectomy and uncomplicated appendectomy are allowed)
  • Symptoms predominantly associated with irritable bowel syndrome or gastro-esophageal reflux disease
  • IgE-mediated food allergies identified by immunocaps blood tests
  • Known underlying organic gastrointestinal disease
  • Current use of NSAIDs, proton-pump inhibitors, systemic histamine-receptor antagonists, mast cell stabilizers, corticosteroids, opioids (need to be stopped at least 2 weeks). Use of antibiotics in the past 6 weeks.
  • Allergy to Fluorescein or Propofol
  • Known celiac disease
  • Following a diet, interfering with the study diet in opinion to the investigators
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Study design

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

Study arms

  • Active comparator
    Real diet

    Diet excluding the trigger nutrient identified by an acute mucosal reaction in CLE

    Other: Real diet

  • Sham comparator
    Sham diet

    Diet excluding a sham nutrient without acute mucosal reaction in CLE

    Other: Sham diet

  • Active comparator
    Wheat exclusion diet

    In patients without identified trigger nutrient (i.e. no acute mucosal reaction to any nutrient), wheat will be excluded as an empirical diet in crossover fashion with soy.

    Other: Wheat exclusion diet

  • Active comparator
    Soy exclusion diet

    In patients without identified trigger nutrient (i.e. no acute mucosal reaction to any nutrient), wheat will be excluded as an empirical diet in crossover fashion with soy.

    Other: Soy exclusion diet

Interventions

  • OtherReal diet

    Diet excluding either trigger nutrient in a blinded crossover fashion (CLE positive individuals with identified trigger)

  • OtherSham diet

    Diet excluding either sham nutrient in a blinded crossover fashion (CLE positive individuals with identified trigger) or wheat and soy in a blinded crossover fashion (CLE negative individuals without identified trigger)

  • OtherWheat exclusion diet

    Diet excluding wheat in a blinded crossover fashion (CLE negative individuals without identified trigger)

  • OtherSoy exclusion diet

    Diet excluding soy in a blinded crossover fashion (CLE negative individuals without identified trigger)

06

What researchers measure

Primary outcomes

  1. Responder rates in targeted diet vs sham diet

    Response defined by an improvement of minimum 0.5 points on the LPDS scale

    Time frame: After 4 weeks of dietary intervention

Secondary outcomes

  1. Baseline duodenal transepithelial electrical resistance between groups

    Differences in baseline permeability measures (TEER and flux, measured with ussing chambers on duodenal biopsies) between CLE positive and negative patients and healthy volunteers using Ussing chambers

    Time frame: At baseline

  2. Baseline duodenal flux of horse-radish peroxidase between groups

    Differences in baseline permeability measures (flux, measured with ussing chambers on duodenal biopsies) between CLE positive and negative patients and healthy volunteers using Ussing chambers

    Time frame: At baseline

  3. Evolution of duodenal flux of horse-radish peroxidase between dietary interventions

    Differences in permeability measures (HRP flux, measured with ussing chambers on duodenal biopsies) between dietary interventions (i.e. verum, sham, wheat and soy) during the dietary interventions using urinary Lactulose/Mannitol/Sucralose ratio

    Time frame: Baseline and after 4 weeks of diet

  4. Evolution of duodenal transepithelial electrical resistance between dietary interventions

    Differences in permeability measures (TEER, measured with ussing chambers on duodenal biopsies) between dietary interventions (i.e. verum, sham, wheat and soy) during the dietary interventions using urinary Lactulose/Mannitol/Sucralose ratio

    Time frame: Baseline and after 4 weeks of diet

  5. Baseline mucosal immune cell composition between groups

    Differences in baseline mucosal mast-cell and eosinophil counts between CLE positive and negative patients

    Time frame: Baseline

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Undecided

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 Jul 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05666154
Responsible party
Sponsor
First posted
Dec 27, 2022
Start date
Dec 5, 2021
Primary completion
Jul 31, 2025 (estimated)
Completion
Aug 31, 2025 (estimated)
Last update
Jul 3, 2024

Study contacts

Jolien Schol, MD
Contact
jolien.schol@kuleuven.be
+3216345663

Oversight

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

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This study is status unknown, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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