Clinical trial Recruiting at 1 site Interventional Ages 3 to 18

Gut response to a Mediterranean diet in children with cystic fibrosis

Official title: Gastrointestinal Response of Pediatric Cystic Fibrosis Patients on Mediterranean Diet

Run by Dartmouth-Hitchcock Medical Center · NCT07223255 · Data updated 2026-11-12

This project will try a Mediterranean-style diet in children with cystic fibrosis to see if it lowers gut inflammation, shifts the gut microbiome toward healthier bacteria, and supports better nutrition.

More Cystic Fibrosis (CF) trials

Quick facts

Study typeInterventional
Ages3 Years to 18 Years
SexAll
Enrollment20 (estimated)
SponsorDartmouth-Hitchcock Medical Center
Academic / other
Locations2 sites (Lebanon, New Hampshire and 1 other locations)
StatusRecruiting
StartedSeptember 1, 2026
Main results expectedJune 2027
Study endsJune 2027
Registry record updatedJuly 2, 2026
Trial IDNCT07223255 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children aged 3 years or older with confirmed cystic fibrosis, a BMI Z-score ≥ -1, on a full solids diet (pancreatic insufficient children on PERT and pancreatic sufficient children not on PERT are eligible), whose families agree to follow an exclusive Mediterranean-style diet for six months and can attend regular clinic visits.

Probably not a fit

Children who are malnourished, require tube feeding, have poorly controlled CF lung disease, advanced CF liver disease, or comorbid malabsorptive gastrointestinal diseases (e.g., celiac disease, Crohn's) are excluded and unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study enrolls children aged 3 and older with confirmed cystic fibrosis who have a BMI Z-score of -1 or higher and are on a solids-based diet. Families will follow an exclusive Mediterranean-style diet for six months while participants continue routine CF care and clinic follow-up. Investigators will monitor gastrointestinal inflammation markers, gut microbiome composition, and nutritional status before and after the intervention. The trial responds to changing nutritional needs in the era of highly effective modulators, when obesity and altered metabolism are increasingly observed in pediatric CF.

Why it matters

Potential benefit: If successful, the diet could provide concrete guidance to reduce gut inflammation, promote a healthier gut microbiome, and help maintain appropriate weight and overall health for children with CF.

How similar studies have gone: Mediterranean-style diets have shown anti-inflammatory effects and favorable microbiome shifts in metabolic and inflammatory bowel conditions, but this specific intervention is novel and largely untested in pediatric cystic fibrosis.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male and female pediatric patient with cystic fibrosis age 3 and older
* Nutritional status defined as a BMI Z-score of at least -1 or above
* Confirm diagnosis of CF defined by 2 CF causing mutations on genetic testing or sweat chloride greater than 60 mEq/L
* Children with pancreatic insufficient CF and on PERT
* Children with pancreatic sufficient CF not on PERT
* Child must be on a full, solids based diet
* Family willing to child adhere to an exclusive Mediterranean style diet for a period of 6 months
* Child must be able to follow-up at regular CF clinic visits and attend any additional study visits if necessary

Exclusion Criteria:

* Children with malnutrition
* Children who require nutritional supplementation via any type of feeding tube
* Children with poorly controlled CF lung disease
* Children with advanced CF liver disease
* Children with a comorbid gastrointestinal disease such as celiac disease, Crohn's disease or other malabsorptive process to be reviewed by PI
* Children with significant food allergies or other gastrointestinal allergy
* Family is unwilling to adhere to prescribed dietary intervention

Where it's running

  • Dartmouth Health Children's
    Manchester, New Hampshire, United States
    Recruiting
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.