Mediterranean diet and processed food in adults with celiac disease on a gluten-free diet
Official title: MEDITERRANEAN DIET, HIGHLY PROCESSED FOODS AND THEIR IMPACT ON GASTROINTESTINAL SYMPTOMS, NUTRITIONAL STATUS AND QUALITY OF LIFE IN ADULT COELIAC DISEASE PATIENTS ON A GLUTEN FREE DIET: A MULTICENTRE CROSS-SECTIONAL STUDY
Run by Istituti Clinici Scientifici Maugeri SpA · NCT07915063 · Data updated 2026-11-12
This observational study looks at whether following a Mediterranean-style diet or eating more highly processed foods affects GI symptoms and quality of life in adults with celiac disease who have been on a strict gluten-free diet.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Istituti Clinici Scientifici Maugeri SpA Academic / other |
| Locations | 7 sites (Brescia, BS and 6 other locations) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07915063 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (>18 years) with biopsy-confirmed celiac disease, on a strict gluten-free diet for at least 12 months, and with duodenal mucosal recovery on follow-up biopsy, who regularly attend gastroenterology clinics.
✕Probably not a fit
Patients not meeting the inclusion criteria or with persistent villous atrophy or poor adherence may not see a potential benefit from dietary pattern associations.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, cross-sectional study collects information from adults with biopsy-confirmed celiac disease who have adhered to a gluten-free diet for at least 12 months. It evaluates how closely participants’ diets align with the Mediterranean pattern and with highly processed foods, and how these patterns relate to gastrointestinal symptoms, quality of life, and nutritional status. No dietary intervention is imposed; researchers observe associations during a single study visit. The study design is observational, non-therapeutic, and leverages routine clinic visits to minimize additional burden on participants.
Why it matters
Potential benefit: If a link is found, it could inform dietary counseling to help manage symptoms and improve well-being for people with celiac disease.
How similar studies have gone: Previous observational work suggests dietary patterns can influence gut symptoms and quality of life in gluten-free populations, but this study adds a multi-center regional perspective focused on Mediterranean versus highly processed foods.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (age \> 18 years) * Diagnosis of coeliac disease based on positive IgA tissue transglutaminase / endomysial antibodies and villous atrophy on duodenal biopsy in accordance with major international guidelines * Strict adherence to a gluten-free diet (GFD) for at least 12 months * Evidence of duodenal mucosal recovery on a follow-up biopsy * Regularly attending the participating gastroenterology outpatient clinics for follow-up Exclusion Criteria: * Coeliac patients with poor gluten-free diet adherence and/or evidence of persistent villous atrophy on follow-up duodenal biopsy * Patients who follow a vegetarian/vegan diet or other restrictive diets
Where it's running
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ASST Spedali Civili di Brescia, Gastroenterologia
Brescia, Bs, Italy Recruiting -
Università degli Studi di Ferrara
Ferrara, Fe, Italy Recruiting -
Center for Prevention and Diagnosis of Celiac Disease - Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Michigan, Italy Recruiting -
University of Padua, Department of Surgery, Oncology and Gastroenterology
Padua, Pd, Italy Recruiting -
Fondazione IRCCS Policlinico San Matteo, SC Medicina Generale
Pavia, Pv, Italy Recruiting -
ICS Maugeri SpA IRCCS, Gastroenterology Unit
Pavia, Pv, Italy Recruiting
Show 1 more location
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Gastroenterology Unit, Santa Maria delle Croci Hospital
Ravenna, Ra, Italy Recruiting
Study contacts
- Principal investigator: Annalisa Schiepatti, MD, PhD — ICS Maugeri SpA IRCCS
- Study coordinator: Annalisa Schiepatti, MD, PhD
- Email: annalisa.schiepatti@icsmaugeri.it
- Phone: +39 0382592695
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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.