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Xylitol for Inflammatory Bowel Disease
Phase 1
Waitlist Available
Led By Jessica R Allegretti, MD
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 52 weeks
Summary
This trial will assess safety & effectiveness of xylitol to treat C. difficile in IBD patients. 72 patients will be randomized and take capsules twice daily for 4 wks, with tests at baseline & 4, 8, 26 & 52 weeks.
Who is the study for?
This trial is for adults over 18 with Inflammatory Bowel Disease (IBD), including Crohn's disease, ulcerative colitis, or indeterminate colitis. Participants must be scheduled for an outpatient colonoscopy and willing to give informed consent.
What is being tested?
The study tests if xylitol can help remove C. difficile bacteria in IBD patients compared to a placebo (sucralose). Patients are randomly chosen to get either xylitol or sucralose in capsule form twice daily for four weeks, with follow-up testing up to one year.
What are the potential side effects?
Potential side effects of xylitol may include digestive discomfort such as bloating, gas, and diarrhea. Sucralose is generally recognized as safe but could also cause similar digestive issues.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 52 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~52 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
C.difficile decolonization
safety and tolerability
Secondary study objectives
C. difficile infection
IBD clinical outcomes
biomass of C.difficile
Trial Design
3Treatment groups
Experimental Treatment
Placebo Group
Group I: Dose B of XylitolExperimental Treatment1 Intervention
Patients in this are will be receiving 15g/day of Xylitol over a 4 week period.
Group II: Dose A of XylitolExperimental Treatment1 Intervention
Patients in this arm will be receiving 7.5g/day of Xylitol over a 4 week period.
Group III: PlaceboPlacebo Group1 Intervention
Patients in this arm will be receiving placebo over a 4 week period.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Xylitol
2023
Completed Phase 4
~430
Find a Location
Who is running the clinical trial?
Brigham and Women's HospitalLead Sponsor
1,666 Previous Clinical Trials
11,843,367 Total Patients Enrolled
Jessica R Allegretti, MDPrincipal InvestigatorBrigham and Women's Hospital
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I cannot follow the study's required procedures.I am 18 years old or older.I have had surgery on my colon, such as a colectomy, ostomy, J-pouch, or other, but not an appendectomy.I have been diagnosed with a form of inflammatory bowel disease.I am scheduled for an outpatient colonoscopy.I am unable to give my consent.I regularly take antibiotics for a long-term condition.
Research Study Groups:
This trial has the following groups:- Group 1: Placebo
- Group 2: Dose B of Xylitol
- Group 3: Dose A of Xylitol
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.