Vaccines and Dietary Oats in the Treatment of Ulcerative Colitis

This study has been terminated.
(Lack of patients compatible with the protocol´s criteria)
Sponsor:
Collaborator:
Helse Vest
Information provided by:
Haukeland University Hospital
ClinicalTrials.gov Identifier:
NCT00751933
First received: September 11, 2008
Last updated: August 13, 2009
Last verified: September 2008
  Purpose

Ulcerative colitis is a chronic inflammatory bowel disease caused by an imbalance between natural defence mechanisms in the intestinal mucosa and microbes in the intestinal lumen. We hypothesise that an improvement or even normalisation of this balance may be achieved by the use of vaccines and dietary oats. The combined use of oral typhoid vaccine and cholera/ETEC-vaccine is supposed to stimulate mucosal defence factors, while dietary oats modifies the microbial environment inside the intestinal lumen. Or study aim is to show if such treatment brings symptom relief to patients with ulcerative colitis.


Condition Intervention Phase
Ulcerative Colitis
Biological: Vaccine Vivotif + Vaccine Dukoral + oats
Biological: Vaccine Vivotif + Vaccine Dukoral
Dietary Supplement: Oats
Other: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Factorial Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Controlled Study of Salmonella Ty21a and Cholera/ ETEC-vaccine and the Role of Oats in Daily Diet as a New Treatment in Patients With Mild or Moderate Ulcerative Colitis.

Resource links provided by NLM:


Further study details as provided by Haukeland University Hospital:

Primary Outcome Measures:
  • Symptom score improvement of 3 or more during or after 6 months [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Symptom score improvement of 2 or more during or after 6 months [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 36
Study Start Date: October 2008
Estimated Study Completion Date: June 2010
Estimated Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 2
Vaccination with Vivotif and Dukoral
Biological: Vaccine Vivotif + Vaccine Dukoral
Vivotif 1 capsule at study day 1,3,5 and 7. Dukoral oral mixture taken with sodium hydrogen carbonate in water at study day 1 and 14.
Other Names:
  • Ty21a
  • Vibrio cholera O1 Ogawa, inactivated
Experimental: 3
Dietary supplement with oats
Dietary Supplement: Oats
One daily portion of oats porridge made from oats grain 1dL and water, 6 days a week for 6 months.
Placebo Comparator: 4
Placebo instead of vaccines No dietary supplement
Other: Placebo
Placebo capsules instead of Vivotif capsules Placebo mixture instead of liquid Dukoral vaccine
Experimental: 1
Vaccination with Vivotif and Dukoral + dietary supplement with oats.
Biological: Vaccine Vivotif + Vaccine Dukoral + oats

Vivotif 1 capsule at study day 1,3,5 and 7. Dukoral oral mixture taken with sodium hydrogen carbonate in water at study day 1 and 14.

One daily portion of oats porridge made from oats grain 1dL and water, 6 days a week for 6 months.

Other Names:
  • Ty21a
  • Vibrio cholera O1 Ogawa, inactivated

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ulcerative colitis of at least 4 months duration
  • disease activity index score (Walmsley) >5 and </=13
  • patients taking no ulcerative colitis relevant medicine, or stable doses of aminosalicylates or maximum 10mg prednisolon daily the last 2 weeks before study entry. They must remain on the same dose throughout the study (6 months).
  • stool examination negative for enteric pathogens, clostridium difficile toxin and parasites

Exclusion Criteria:

  • ulcerative colitis disease activity index >13
  • symptoms of bowel obstruction
  • other serious medical condition
  • use of any of the study vaccines during the last two years
  • use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first vaccine dose, or planned use during study period
  • pregnant or planning to become pregnant
  • breastfeeding
  • chronic administration of prednisolone more than 10mg per day or steroids of equivalent dose the last 2 weeks before the first vaccine dose
  • treatment with anti-tumor necrosis factor within 3 months prior to the first vaccine dose
  • use of other immunosuppressants or immune modifying drugs within 30 days prior to the first vaccine dose
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00751933

Locations
Norway
Department of Medicine, Haukeland Universtiy Hospital
Bergen, Norway, 5021
Sponsors and Collaborators
Haukeland University Hospital
Helse Vest
Investigators
Principal Investigator: Gunnar Nysæter, MD Department of Medicine,Haukeland University Hospital, Bergen, Norway
  More Information

No publications provided

Responsible Party: Professor Arnold Berstad, Institute of Medicine, University of Bergen, Norway
ClinicalTrials.gov Identifier: NCT00751933     History of Changes
Other Study ID Numbers: 16816 NSD, 2007-002415-88 (SLV/EudraCT), 911305 (Helse Vest RHF), 82/2007 (P REK Nord), 16816 (NSD)
Study First Received: September 11, 2008
Last Updated: August 13, 2009
Health Authority: Norway: Norwegian Medicines Agency
Norway: Norwegian Social Science Data Services
Norway:National Committee for Medical and Health Research Ethics

Keywords provided by Haukeland University Hospital:
Ulcerative colitis
Vaccines
Oats

Additional relevant MeSH terms:
Colitis
Colitis, Ulcerative
Ulcer
Gastroenteritis
Gastrointestinal Diseases
Digestive System Diseases
Colonic Diseases
Intestinal Diseases
Inflammatory Bowel Diseases
Pathologic Processes

ClinicalTrials.gov processed this record on August 28, 2014