Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Investigating the impact of a Mediterranean diet on rheumatoid arthritis

Official title: The Triad of Nutrition, Intestinal Microbiota and Rheumatoid Arthritis (TASTY)

Run by Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa · NCT06758817 · Data updated 2026-11-12

This study tests if following a Mediterranean diet with fermented foods can help people with rheumatoid arthritis feel better and improve their gut health.

More Diet Interventions trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorLisbon Academic Medical Center - Centro Académico de Medicina de Lisboa
Research network
Locations2 sites (Lisbon, Portugal and 1 other locations)
StatusRecruiting
StartedJanuary 2, 2023
Main results expectedSeptember 30, 2025
Study endsDecember 31, 2025
Registry record updatedJanuary 6, 2025
Trial IDNCT06758817 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults over 18 with active rheumatoid arthritis and low to medium adherence to the Mediterranean diet.

Probably not a fit

Patients with certain conditions such as diabetes, inflammatory bowel disease, or those on specific medications may not benefit from this study.

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

What this trial studies

This trial aims to explore the effects of a Mediterranean Diet enriched with fermented foods (MedDiet+) on gut microbiota and outcomes related to rheumatoid arthritis (RA). A total of 100 RA patients will be recruited and randomly assigned to either the MedDiet+ intervention group or a control group receiving general dietary recommendations. Over a 12-week period, participants in the intervention group will follow a personalized dietary plan, receive educational resources, and participate in culinary workshops, all supervised by registered dietitians. The study will assess various health outcomes, including disease activity, quality of life, and microbiota changes.

Why it matters

Potential benefit: If successful, this intervention could improve disease management and quality of life for patients with rheumatoid arthritis.

How similar studies have gone: While dietary interventions in RA have been explored, this specific approach combining the Mediterranean diet with fermented foods is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* RA patients (ACR/EULAR2010 criteria)
* Age \>18-years
* Disease duration \>1-year
* Active disease (DAS28 \> 2.6units)
* On stable medication for 12 weeks
* Low/medium MedDiet adherence (PREDIMED\<10)
* Willing to comply with study protocol

Exclusion Criteria:

* Prednisolone dose ≥ 7.5 mg/day
* Antibiotic therapy 4-weeks prior to baseline
* Persistent use of NSAID's
* Inflammatory or irritable bowel disease
* Celiac disease
* Chronic diarrhea
* Diabetes
* Other immune-mediated inflammatory diseases besides RA
* Major organ dysfunction
* Cancer diagnosed in the last five years
* Health conditions which may difficult participation (cognitive impairment/psychiatric disease)
* Pregnant or lactating individuals

Where it's running

  • Unidade Local de Saude de Santa Maria
    Lisbon, Portugal, Portugal
    Recruiting
  • Faculdade Medicina de Lisboa
    Lisbon, Portugal, Portugal
    Recruiting

Study contacts

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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.