Crohn Disease Clinical Trial
Official title:
Microbiome Modification to Enhance Stelara Response in Crohn's Disease
This pilot study is being completed to determine whether a low-serine diet vs a high serine diet will reduce inflammation and symptoms in Crohn's disease (CD), as well as determine whether a low-serine diet (vs. a high serine diet) will improve responses in patients initiating therapy with Ustekinumab (Stelara), an FDA-approved biologic therapy for Crohn's disease.
Eligible participants that will be given Ustekinumab as part of their standard of care will be enrolled in this study. The study hypotheses include that a low serine diet (compared to a high serine diet) in patients with active CD will: - Reduce the relative abundance of Adherent invasive ecoli (AIEC), and increase the relative abundance of Bacteroides and Faecalibacterium in stool of patients with Crohn's disease. - Make patients more likely to respond to ustekinumab (anti-Interleukin12/23) therapy with control of inflammation as measured by the mean Simple endoscopic subscore Crohn's disease (SES-CD) in each group at week 25. ;
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