[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100584537":3},{"organization":4,"armGroups":7,"interventions":31,"overallOfficials":53,"centralContacts":58,"locations":67,"responsibleParty":180,"collaborators":36,"id":183,"slug":184,"hasResults":185,"nctId":186,"briefTitle":187,"officialTitle":188,"acronym":189,"eligibilityCriteria":190,"healthyVolunteers":185,"sex":191,"minAge":192,"maxAge":193,"enrollmentInfo":194,"targetDuration":36,"studyType":197,"phases":198,"briefSummary":200,"conditions":201,"keywords":203,"overallStatus":110,"whyStopped":36,"lastUpdateSubmitDate":208,"lastUpdatePostDateStruct":209,"startDateStruct":212,"completionDateStruct":214,"leadSponsor":216,"locationsCount":217},{"fullName":5,"class":6},"All India Institute of Medical Sciences","OTHER",[8,16,21,26],{"label":9,"type":10,"description":11,"interventionNames":12},"Fecal microbiota transplantation(FMT) with Crohns disease exclusion diet (CDED) and advanced therapy","EXPERIMENTAL","1\\. FMT via colonoscopy at 0, 2 and 6 weeks (preceded by 3 days antibiotics, only before first procedure) followed by (if treatment responder) 8 weekly during maintenance till 42 weeks 2. Crohn disease exclusion diet(CDED) throughout the study 3. Advanced therapy as standard dose and schedule",[13,14,15],"Other: Fecal Microbial Transplantation","Other: Crohns Disease Exclusion Diet","Other: Advanced therapy",{"label":17,"type":10,"description":18,"interventionNames":19},"Fecal microbiota transplantation (FMT) with sham diet and Advanced therapy","1\\. FMT via colonoscopy at 0, 2 and 6 weeks (preceded by 3 days antibiotics, only before first procedure) followed by (if treatment responder) 8 weekly during maintenance till 42 weeks 2. Dietary counselling throughout the study 3. Advanced therapy as standard dose and schedule",[13,20,15],"Other: Sham Diet",{"label":22,"type":10,"description":23,"interventionNames":24},"Sham FMT with Crohns disease exclusion diet (CDED) and advanced therapy","1\\. Sham FMT with instillation of clean water at 0, 2 and 6 weeks (preceded by 3 days antibiotics, only before first procedure) followed by (if treatment responder) - 8- weekly during maintenance till 42 weeks 2. CDED throughout the study 3. Advanced therapy as standard dose and schedule",[14,25,15],"Other: Sham transplantation",{"label":27,"type":28,"description":29,"interventionNames":30},"Sham Diet with Sham FMT with advance therapy","SHAM_COMPARATOR","1.Sham FMT with instillation of clean water at 0, 2 and 6 weeks (preceded by 3 days antibiotics, only before first procedure) followed by (if treatment responder) - 8- weekly during maintenance till 42 weeks 2. Dietary counselling throughout the study 3. Advanced therapy as standard dose and schedule.",[25,20,15],[32,37,41,45,49],{"type":6,"name":33,"description":34,"armGroupLabels":35,"otherNames":36},"Fecal Microbial Transplantation","This will involve colonoscopic instillation of fecal transplant",[17,9],null,{"type":6,"name":38,"description":39,"armGroupLabels":40,"otherNames":36},"Crohns Disease Exclusion Diet","The modified diet plan will be given to each study participant",[9,22],{"type":6,"name":42,"description":43,"armGroupLabels":44,"otherNames":36},"Sham transplantation","Sham transplantation will involve saline infusion via colonoscopy",[27,22],{"type":6,"name":46,"description":47,"armGroupLabels":48,"otherNames":36},"Sham Diet","Dietary counselling alone",[17,27],{"type":6,"name":50,"description":51,"armGroupLabels":52,"otherNames":36},"Advanced therapy","Advanced therapy as standard dose and schedule",[17,9,27,22],[54],{"name":55,"affiliation":56,"role":57},"Prof Vineet Ahuja, DM Gastroenterology","Department of Gastroenterology, AIIMS, New Delhi","PRINCIPAL_INVESTIGATOR",[59,63],{"name":55,"role":60,"phone":61,"phoneExt":36,"email":62},"CONTACT","+91-9810707170","vineet.aiims@gmail.com",{"name":64,"role":60,"phone":65,"phoneExt":36,"email":66},"Dr Himanshu Narang, DM Gasteroentrology","+91-8800316504","h92narang@gmail.com",[68,93,108,130,150,165],{"facility":69,"status":70,"city":71,"state":72,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":75,"geoPoint":80,"contacts":81},"Department of Gastroenterology, Lisie Hospital","NOT_YET_RECRUITING","Kochi","Kerala","India","IN",{"type":76,"coordinates":77},"Point",[78,79],76.26022,9.93988,{"lat":79,"lon":78},[82,86,90,91],{"name":83,"role":60,"phone":84,"phoneExt":36,"email":85},"Dr Mathew Philip, DM Gastroenterology","+91-9846045469","drmathewphilip@gmail.com",{"name":87,"role":60,"phone":88,"phoneExt":36,"email":89},"Dr Kiran Josy, DM Gastroenterology","+91-9745243939","drkiranjosy@gmail.com",{"name":83,"role":57,"phone":36,"phoneExt":36,"email":36},{"name":87,"role":92,"phone":36,"phoneExt":36,"email":36},"SUB_INVESTIGATOR",{"facility":94,"status":70,"city":95,"state":96,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":97,"geoPoint":101,"contacts":102},"Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College, Sion","Mumbai","Maharashtra",{"type":76,"coordinates":98},[99,100],72.88261,19.07283,{"lat":100,"lon":99},[103,107],{"name":104,"role":60,"phone":105,"phoneExt":36,"email":106},"Dr Sanjay Chandnani, DM Gastroenterology","+91-9049708800","sanjy.med@gmail.com",{"name":104,"role":57,"phone":36,"phoneExt":36,"email":36},{"facility":109,"status":110,"city":111,"state":112,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":113,"geoPoint":117,"contacts":118},"Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences","RECRUITING","New Delhi","National Capital Territory of Delhi",{"type":76,"coordinates":114},[115,116],77.2148,28.62137,{"lat":116,"lon":115},[119,121,123,124,126,128],{"name":120,"role":60,"phone":61,"phoneExt":36,"email":62},"Prof Vineet Ahuja, DM Gasteroentrology",{"name":122,"role":60,"phone":65,"phoneExt":36,"email":66},"Dr Himanshu Narang, DM Gastroentrology",{"name":55,"role":57,"phone":36,"phoneExt":36,"email":36},{"name":125,"role":92,"phone":36,"phoneExt":36,"email":36},"Prof Govind Makharia, DM Gastroenterology",{"name":127,"role":92,"phone":36,"phoneExt":36,"email":36},"Dr Purva Mathur, MD Microbiology",{"name":129,"role":92,"phone":36,"phoneExt":36,"email":36},"Dr Prasenjit Das, MD Pathology",{"facility":131,"status":70,"city":132,"state":133,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":134,"geoPoint":138,"contacts":139},"Department of Gastroenterology, Dayanand Medical College","Ludhiana","Punjab",{"type":76,"coordinates":135},[136,137],75.85379,30.91204,{"lat":137,"lon":136},[140,144,148,149],{"name":141,"role":60,"phone":142,"phoneExt":36,"email":143},"Prof Ajit Sood, DM Gastroenterology","+91-9815400718","ajitsood10@gmail.com",{"name":145,"role":60,"phone":146,"phoneExt":36,"email":147},"Dr Arshdeep Singh, DM Gastroenterology","+91-9815337764","drarshdeepsingh@gmail.com",{"name":141,"role":57,"phone":36,"phoneExt":36,"email":36},{"name":145,"role":92,"phone":36,"phoneExt":36,"email":36},{"facility":151,"status":70,"city":152,"state":153,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":154,"geoPoint":158,"contacts":159},"Department of Gastroenterology, Institute of Medical Sciences","Varanasi","Uttar Pradesh",{"type":76,"coordinates":155},[156,157],83.01041,25.31668,{"lat":157,"lon":156},[160,164],{"name":161,"role":60,"phone":162,"phoneExt":36,"email":163},"Dr Devesh Prakash Yadav, DM Gastroenterology","+91-8130856563","devesh.thedoc@gmail.com",{"name":161,"role":57,"phone":36,"phoneExt":36,"email":36},{"facility":166,"status":70,"city":167,"state":36,"zip":36,"country":73,"countryCode":74,"cosmosGeoPoint":168,"geoPoint":172,"contacts":173},"Department of Gastroentrology, Postgraduate Institute of Medical Education and Research","Chandigarh",{"type":76,"coordinates":169},[170,171],76.7884,30.73629,{"lat":171,"lon":170},[174,178],{"name":175,"role":60,"phone":176,"phoneExt":36,"email":177},"Dr Vishal Sharma, DM Gasteroentrology","+91-8872813399","docvishalsharma@gmail.com",{"name":179,"role":57,"phone":36,"phoneExt":36,"email":36},"Dr Vishal Sharma, DM Gastroenterology",{"type":57,"investigatorFullName":181,"investigatorTitle":182,"investigatorAffiliation":5,"oldNameTitle":36,"oldOrganization":36},"Prof. Vineet Ahuja","Professor","100584537","a-study-to-evaluate-the-effect-of-fecal-transplant-and-dietary-changes-on-disease-activity-in-patients-with-crohn-disease-on-advanced-therapies-100584537",false,"NCT06890637","A Study to Evaluate the Effect of Fecal Transplant and Dietary Changes on Disease Activity in Patients With Crohn Disease on Advanced Therapies","Efficacy of Microbiome Manipulation Strategies (Fecal Microbial Transplant or Crohns Disease Exclusion Diet or Both) With Advanced Therapies (BiOlOgics and Small Molecules) to Break the Therapeutic Ceiling in Active Crohns Disease (BOOST-CD): A Multicenter Double Blind Factorial Randomized Controlled Trial","BOOST-CD","Inclusion Criteria:\n\n1. Patients with active Crohn disease in whom FMT is feasible\n2. Active Crohn's disease who are candidates for advanced therapy (steroid refractory, Immunomodulator intolerant or refractory and moderately severe disease at the time of inclusion) or patients who have an intolerance to or have lost response to advanced therapies must have had their last treatment at least five half-lives prior randomization.\n3. Aged between 18-75 years\n4. CDAI greater than 150 and\u002For SES-CD equal or greater than 6 (or equal or greater than 4 if isolated ileal disease)\n\nExclusion Criteria:\n\n1. Patients in remission (CDAI less than 150)\n2. Stricturing disease (non-passable stricture) in whom FMT is not feasible\n3. Fistulising phenotype or Perianal fistula or abscess\n4. Isolated L4 disease\n5. Active TB or Sepsis\n6. Pregnant or lactating women\n7. Patients with co-morbidities like CAD\u002FCLD\u002FCKD\n8. Previous surgery for CD\n9. Declining consent or not willing for FMT or diet advice\n10. Patients with current or recent history of clinically severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, metabolic, endocrine, pulmonary, cardiac, or neurological disease.\n11. Positive assay or stool culture for pathogens (ova and parasite examination, bacteria) or positive test for Clostridioides difficile toxin at screening#\n12. Patients infected with human immunodeficiency virus (HIV) #The patients with positive assay will be treated appropriately and tests will be repeated.\n\nThose with negative assay and persistent activity will be included in the study","ALL","18 Years","75 Years",{"count":195,"type":196},168,"ESTIMATED","INTERVENTIONAL",[199],"NA","Advanced therapies including biologics and small molecules target specific inflammatory pathways. IBD's multifactorial etiology means that blocking a single pathway may not be sufficient for all patients. Even when combination of advanced therapies are used, the incremental benefits often diminish, reflecting the therapeutic ceiling. Furthermore, safety concerns also limit the potential to push beyond this ceiling. Increasing the dose or adding more immunosuppressive agents can lead to a higher risk of infections, malignancies, and other adverse effects, making it impractical to continually intensify treatment. Understanding the therapeutic ceiling in IBD highlights the need for innovative approaches that go beyond current strategies. Given the diverse microbial and immunological landscapes in IBD combining fecal microbiota transplantation (FMT) and Crohn's Disease Exclusion Diet (CDED) with advanced therapies represents a promising approach to break the therapeutic ceiling in CD. This strategy leverages the complementary mechanisms of action of FMT\u002FCDED and advance therapies, potentially offering a more comprehensive treatment modality that addresses the complex and multifactorial nature of IBD. FMT involves the transfer of gut microbiota from a healthy donor to a patient, aiming to restore a balanced microbial community in the intestines. This can help modulate the immune system and reduce inflammation, which are central to Crohn's disease pathology. This study seeks to provide evidence on whether addition of microbiota manipulation by FMT and CDED offers additional benefits when used alongside advance therapies in active CD. The findings from this RCT are expected to significantly enhance treatment strategies, ensuring that patients receive the most effective and appropriate care based on robust scientific evidence. This multi-center double blind placebo-controlled RCT will randomize patients in 1:1:1:1 ratio to FMT, CDED and advance therapy vs sham FMT with advance therapy and CDED vs FMT, Advance therapy and sham diet vs Advance therapy with sham FMT and sham diet for induction and maintenance of remission in patients of active Crohn's disease. Randomization will be held centrally to ensure concealment of allocation. Random numbers will be generated by computerized random number schedule (The RAND), and the randomization list and numbered packing of the intervention will be prepared by a person not involved in the study. Randomization will be performed using permuted blocks of 8. Both the patient and the investigator will be blinded to the intervention",[202],"Crohns Disease",[204,205,33,206,207,50],"Randomized Controlled Trial","Factorial Design","Crohns disease exclusion diet","Crohns disease","2025-04-01",{"date":210,"type":211},"2025-04-04","ACTUAL",{"date":213,"type":211},"2025-03-15",{"date":215,"type":196},"2028-03-15",{"name":5,"class":6},6]