ClinicalTrials.gg
RecruitingNCT07769437Updated Sep 25, 2026

Non-nutritive Sweeteners in Inflammatory Bowel Disease

An interventional study of Sucralose (non-nutritive sweetener) in Inflamatory Bowel Disease and Crohn Disease (CD), sponsored by University Hospitals Cleveland Medical Center. Recruiting at 3 sites in United States. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by University Hospitals Cleveland Medical Center · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Feb 2025, registered Aug 2026).
  • Started Feb 2025; still recruiting 1 year 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 660 studies in Crohn Disease with a site in United States — 123 open to participants now, 164 under way, 35 of them phase 3. Crohn Disease · United States.

Planned enrollment
310th of 528
40 · median 60
Started
2025
with 29 others
No phase
128 of 660
28 open now
Primary completion
2026-12
later than 30 of 162 live
Registered
656th of 660
by date

Among the 660 studies in Crohn Disease with a site in United States, this one is the 310th largest by planned enrollment of the 528 interventional ones, is one of 30 that started in 2025, is one of 128 with no phase, reaches primary completion later than 30 of the 162 other live ones, and was the 656th registered.

By phase

660 studies; the count open now beside each. This study's row is marked.

Phase 2141 · 23 open
No phasethis study128 · 28 open
Observational128 · 28 open
Phase 3124 · 21 open
Phase 158 · 5 open
Phase 441 · 8 open
Phase 1/228 · 7 open
Phase 2/310 · 2 open
Other kind2 · 1 open

By the year they started

First in 1995; this study’s year is marked. 30 started in 2025.

Size and results

Median enrollment 60 across the 528 interventional studies, 168 across the 128 observational. Of the 452 that completed or were terminated, 205 (45%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 660 studies in Crohn Disease with a site in United States, or all of them as a file.
02

Study summary

This study will focus on the commonly used non-nutritive sweetener (NNS) sucralose (2 sachets/day resulting in daily dose: sucralose 2.5mg/kg) and its role in changing the gut microbiota in humans with IBD, compared to healthy non-IBD individuals. The investigators will focus on studying IBD patients affected with CD as a proof of principle that could be tested later in other IBD subtype (ulcerative colitis or others specific surgical conditions).

Read the detailed description

Participation in this study will last for a minimum of 35 days (Phase I: 14-days; baseline with removal of all NNS (eg saccharin, sucralose, steviosides, aspartame, acesulfame-k, erythritol) from the diet, Phase II: 21-days; sucralose intervention, and will involve one virtual visit (study visit 1) and two in-person study visits (study visit 2 and study visit 3).

Fecal \& urine samples will be collected before/after each phase. Blood will also be collected.

03

Conditions studied

  • Inflamatory Bowel Disease
  • Crohn Disease (CD)

Keywords

  • sweeteners
  • sucralose
  • inflammatory bowel disease
  • crohn's disease
  • IBD
  • CD
  • artificial sweeteners
04

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 range from: 18 to 70 years.
  • Male or female.
  • Documented diagnosis of Crohns disease. CD outpatients in remission; Harvey Bradshaw- index in remission (\<6 score).
  • Capable of providing consent to participate.
  • Able to complete daily surveys and take oral nutrition.
  • Able to record meal intake.
  • Healthy controls with no diagnosis of IBD or Irritable Bowel Syndrome (IBS).

Exclusion criteria

Exclusion Criteria:

  • Short bowel syndrome.
  • Hospitalized patients.
  • Individuals who lack consent capacity, including the mentally ill, prisoners, cognitively impaired participants, dementia patients.
  • Known drug abuse.
  • Known parasitic disease of the digestive system.
  • Symptomatic intestinal stricture/narrowing.
  • Presence of an ostomy.
  • Known active .
  • Antibiotic use within last 14 days.
  • Well-founded doubt about the patients cooperation.
  • Existing pregnancy or lactation.
  • History of \<1 natural bowel movements per 3 consecutive days.
  • Unable to access to technology that permits the daily completion of study related activities.
  • Change in IBD medication within past 4 weeks.
  • \<18 kg/m or ≥35 kg/m.
  • Documented C.difficile colitis within four weeks of screening.
  • Bariatric surgery
  • Phenylketonuria
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Crohn's participants

    Crohn's participants will consume artificial sweetener: sucralose

    Other: Sucralose (non-nutritive sweetener)

  • Experimental
    Healthy Controls

    Healthy control participants will consume artificial sweetener: sucralose

    Other: Sucralose (non-nutritive sweetener)

Interventions

  • OtherSucralose (non-nutritive sweetener)

    Participants will consume 2 sachets/day during the exposure period resulting in the following daily dose: sucralose 2.5mg/kg. This dose is below the acceptable daily intakes (ADI) of 5mg/kg.

06

What researchers measure

Primary outcomes

  1. Change in fecal microbiome measured by metagenome analysis

    Quantify the change in the fecal microbiome using metagenome analysis

    Time frame: Baseline, three weeks pre-intervention, and three weeks after intervention

Secondary outcomes

  1. Change in Fecal Myeloperoxidase activity (MPO)

    Quantify the change in fecal MPO

    Time frame: Baseline, three weeks pre-intervention, three weeks post-intervention

  2. Change in Fecal Calprotectin

    Quantify the change in fecal calprotectin

    Time frame: Baseline, three weeks pre-intervention, three weeks post-intervention

  3. Change in Crohn's Disease Activity Index (CDAI)

    Quantify the change in Crohn's Disease Activity Index. The Crohn's Disease Activity Index (CDAI) is a validated clinical instrument used to quantify Crohn's disease activity. It evaluates 8 components over a 7-day period: number of liquid or very soft stools, severity of abdominal pain, general well-being, extraintestinal complications, use of antidiarrheal medications, presence of an abdominal mass, hematocrit levels, and body weight deviation. Each component is multiplied by a specific weighting factor and summed to calculate a total score. Total scores range from 0 to approximately 600 points, where lower scores indicate lower disease activity. A score of \<150 indicates clinical remission, while a score of \>450 indicates severe disease. A negative change from baseline indicates clinical improvement.

    Time frame: Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention)

  4. Change in C-reactive protein (CRP)

    Quantify change in CRP

    Time frame: Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention)

07

Study locations

3 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2025 (actual). Primary completion is estimated for Dec 2026, 22 months after the start.

Of 287 non-industry interventional studies with no phase under Crohn Disease, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 67. This study's planned 22 months is below that.

Counting every sponsor, half of 299 studies reached it within 45 months; a quarter within 21 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2026
First posted
Aug 18, 2026
StartActual
Feb 3, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Secondary outcomes
1 time frame changed
What changed in the outcomes
  • Time frameChange in C-reactive protein (CRP)Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention_ → Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention)
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Secondary outcomes 1 time frame changed
    What changed in the outcomes
    • Time frameChange in C-reactive protein (CRP)Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention_ → Study visit 2 (three weeks pre-intervention) & 3 (three weeks post-intervention)
    + 3 other changes: verification date, description and criteria formatting

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07769437
Collaborators
Crohn's and Colitis Foundation
Responsible party
Fabio Cominelli (Professor, University Hospitals Cleveland Medical Center) — Principal investigator
First posted
Aug 18, 2026
Start date
Feb 3, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Sep 25, 2026

Study contacts

Abigail Raffner, RD PhD
Contact
Abigail.Raffner@uhhospitals.org
216-327-6003
Sargun Singh, M.B.B.S.
Contact
sargun.singh@uhhospitals.org
216-333-6085
Fabio Cominelli, MD PhD
principal investigator · University Hospitals Cleveland Medical Center
Abigail Raffner, RD PhD
principal investigator · Case Western Reserve University

Oversight

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

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