Impact of sucralose on gut health in Crohn's disease
Official title: The Effect of Non-Nutritive Food Sweeteners in Inflammatory Bowel Disease
Run by University Hospitals Cleveland Medical Center · NCT07769437 · Data updated 2026-11-12
This study tests whether the non-nutritive sweetener sucralose changes gut bacteria in adults with Crohn's disease compared to healthy controls.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | University Hospitals Cleveland Medical Center Academic / other |
| Locations | 3 sites (Chagrin Falls, Ohio and 2 other locations) |
| Status | Recruiting |
| Started | February 3, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | September 25, 2026 |
| Trial ID | NCT07769437 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-70 with Crohn's disease in remission (Harvey-Bradshaw index < 6) or healthy controls without IBD/IBS.
✕Probably not a fit
Individuals with active Crohn's disease, recent antibiotic use, pregnancy, or other exclusion criteria may not benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Participants with Crohn's disease in remission and healthy controls will undergo a 35-day study. The first 14 days remove all non-nutritive sweeteners from the diet, followed by 21 days of sucralose intervention at a dose of 2.5 mg/kg per day. The study collects fecal and urine samples before and after each phase, and includes one virtual visit and two in-person visits for clinical assessments and blood draws. The goal is to see how sucralose may alter the gut microbiota and related markers in Crohn's disease. Results could inform whether sucralose exposure affects gut health differently in IBD patients versus healthy individuals.
Why it matters
Potential benefit: If successful, the study could clarify whether sucralose affects gut bacteria in Crohn's disease, potentially guiding dietary recommendations.
How similar studies have gone: Prior similar approaches have explored diet and microbiota, but this specific sucralose in Crohn's disease model is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age range from: 18 to 70 years. * Male or female. * Documented diagnosis of Crohns disease. CD outpatients in remission; Harvey Bradshaw- index in remission (\<6 score). * Capable of providing consent to participate. * Able to complete daily surveys and take oral nutrition. * Able to record meal intake. * Healthy controls with no diagnosis of IBD or Irritable Bowel Syndrome (IBS). Exclusion Criteria: * Short bowel syndrome. * Hospitalized patients. * Individuals who lack consent capacity, including the mentally ill, prisoners, cognitively impaired participants, dementia patients. * Known drug abuse. * Known parasitic disease of the digestive system. * Symptomatic intestinal stricture/narrowing. * Presence of an ostomy. * Known active malignancy. * Antibiotic use within last 14 days. * Well-founded doubt about the patients cooperation. * Existing pregnancy or lactation. * History of \<1 natural bowel movements per 3 consecutive days. * Unable to access to technology that permits the daily completion of study related activities. * Change in IBD medication within past 4 weeks. * Body mass Index \<18 kg/m or ≥35 kg/m. * Documented C.difficile colitis within four weeks of screening. * Bariatric surgery * Phenylketonuria
Where it's running
-
UH Minoff Health Center
Chagrin Falls, Ohio, United States Recruiting -
University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States Recruiting -
UH Westlake Health Center
Westlake, Ohio, United States Recruiting
Study contacts
- Principal investigator: Fabio Cominelli, MD PhD — University Hospitals Cleveland Medical Center
- Study coordinator: Abigail Raffner, RD PhD
- Email: Abigail.Raffner@uhhospitals.org
- Phone: 216-327-6003
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Postoperative biologic therapy in Crohn's disease: which agent works best to prevent recurrence after surgery?
This study looks back at adults with Crohn's disease to see if different biologic medicines given after ileocecal or other bowel surgery help prevent endoscopic recurrence within a year.
-
Reduce ultra-processed foods to help kids with Crohn's stay in remission longer
This study tests whether and how reducing ultra-processed foods with dietitian guidance helps children and teens with Crohn's disease stay in remission longer.
-
Endoscopic stricturotomy vs balloon dilation for small bowel Crohn’s stricture
This trial tests whether endoscopic stricturotomy can be safely and effectively used to treat small bowel fibrotic strictures in Crohn’s disease, compared with endoscopic balloon dilation.
-
Prediction of postoperative recurrence in Crohn's disease after surgery
A multicenter study will test a multimodal model to predict which Crohn's patients are likely to have disease recur after intestinal resection.
-
Perianal fistula imaging comparison using TPUS, MRI, EUS, and EUA
This study tests how well four imaging methods—transperineal ultrasound, MRI, endoscopic ultrasound, and examination under anesthesia—detect and describe perianal fistulas in adults with Crohn's disease or unknown cause.
-
Familial IBD Early Risk
This study tests whether clinical, environmental, and immune factors in first-degree relatives of people with Crohn’s disease or ulcerative colitis can predict who will develop IBD.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.