RecruitingPhase 4NCT06774079

Glucagon-like Peptide-1 Receptor Agonist (GLP-1 RA) and Diet in Inflammatory Bowel Disease (IBD) Patients

A Randomized Clinical Trial to Determine the Effect of Dual Glucose-dependent Insulinotropic Polypeptide (GIP)/GLP-1 Receptor Agonist-mediated Weight Loss and Diet on Crohn's Disease Clinical Response: a Pilot Study


Sponsor

University of Miami

Enrollment

24 participants

Start Date

Mar 5, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to use diet and an injectable medication called tirzepatide (Zepbound) glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist (GIP-GLP-1 RA) medication as adjunctive therapy (another treatment used together with the primary treatment) for Crohn's disease patients with mild disease who are on stable doses of biologic medication (infliximab or adalimumab) and who have a body mass index (BMI) of at least 27.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a GLP-1 receptor agonist drug (the same type as Ozempic/Wegovy, used for weight loss) combined with dietary changes can help reduce inflammation and improve symptoms in people with Crohn's disease who are overweight. Crohn's disease is a chronic inflammatory bowel condition. **You may be eligible if...** - You are 18 years or older - You have a confirmed diagnosis of Crohn's disease - Your symptoms are mildly active (score of 5–7 on the Harvey Bradshaw Index) - Your BMI is 27 or above (overweight range) - You are on a stable dose of anti-TNF medication **You may NOT be eligible if...** - You have ulcerative colitis or infectious colitis (not Crohn's) - Your BMI is below 27 - You have type 1 or type 2 diabetes - You or a family member has had medullary thyroid cancer or Multiple Endocrine Neoplasia type 2 - You are under 18 Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTirzepatide

Patients in this arm will receive tirzepatide starting at 2.5 mg subcutaneous (SC) weekly for 4 weeks, then increase to 5 mg SC weekly for 4 weeks and then 7.5 mg SC weekly for the last 4 weeks of the intervention period. Place of injection includes abdomen, thigh, or upper arm.

BEHAVIORALMediterranean diet

The diet is comprised of a content of 25-30 grams of fiber per day (from fruits, vegetables, whole grains) that is low in animal protein and minimally processing of foods The diet arm will receive dietary guidance from our dietician on weekly 30-minute guided sessions. Participants will be encouraged to adhere to the diet for up to three meals per day for the duration of the study.


Locations(1)

University of Miami

Miami, Florida, United States

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NCT06774079


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