Status:

COMPLETED

Citrulline: A Plasmatic Marker to Assess and Monitor Small Bowel Crohn's Disease Patients

Lead Sponsor:

St Mark's Hospital Foundation

Conditions:

Crohn's Disease

Short Bowel Syndrome

Eligibility:

All Genders

18-80 years

Brief Summary

Citrulline is an amino acid produced in the intestine and in the liver, but the liver does not contribute significantly to circulating citrulline concentrations. The intestine is thus the only organ t...

Detailed Description

Preliminary studies reported that plasma citrulline concentrations may be a reliable biochemical marker for intestinal dysfunction and absorptive enterocyte mass. The relationship between citrulline c...

Eligibility Criteria

Inclusion

  • Crohn's disease (CD) with massive small bowel resection at least 24 months previously (\< 50cm remaining)
  • Crohn's disease with small bowel resection at least 24 months previously (50-150cm remaining)
  • CD with no resection
  • Mesenteric infarction with massive resection \> 24 months previously (\< 50cm remaining)
  • Mesenteric infarction with massive resection \> 24 months previously (50-150cm remaining); coeliac disease.
  • Healthy volunteers.
  • Body mass index within the normal range

Exclusion

  • Patients with surgical resection of stomach, duodenum or pancreas; or upper gastrointestinal (UGI) bypass.
  • Oral feeding \> 1.0-fold the estimated basal metabolic rate as assessed using Harris and Benedict equations.
  • Patients with fistulating Crohn's disease
  • Patients on steroids
  • Patients with other important disease, which may interfere with the study (especially diabetes and renal impairment). Alcoholism, drug abuse or any other circumstances, which may compromise the patient's ability to comply with the study requirements.
  • Pregnancy.
  • Corticosteroid use or octreotide during, or in, the month before the study.
  • Use of glucagon-like peptide 2 (GLP2), growth hormone (GH) or glutamine or triglycerides.

Key Trial Info

Start Date :

May 1 2003

Trial Type :

OBSERVATIONAL

End Date :

June 1 2005

Estimated Enrollment :

54 Patients enrolled

Trial Details

Trial ID

NCT00138879

Start Date

May 1 2003

End Date

June 1 2005

Last Update

December 15 2005

Active Locations (1)

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1

St Mark's Hospital

London, Middlesex, United Kingdom, HA1 3JX