Status:

COMPLETED

Effects of Gastric Acid on Colonic Microbiome

Lead Sponsor:

Daniel Freedberg, MD

Conditions:

Clostridium Difficile

Eligibility:

MALE

18+ years

Phase:

PHASE4

Brief Summary

The colonic microbiome is essential in human health and disease. Clostridium difficile-associated diarrhea (CDAD), a highly morbid form of infectious diarrhea, is caused by antibiotics which perturb t...

Detailed Description

Study Design We will recruit 12 adult volunteers for a crossover study with a total duration of 12 weeks. Subjects will be observed off of PPIs for 4 weeks and then will be placed on PPIs for 4 weeks....

Eligibility Criteria

Inclusion

  • 18 or more years old
  • Able to give informed consent

Exclusion

  • Use of systemic antibiotics within the past year
  • Use of acid suppression medications (PPIs or H2-receptor antagonists) within the past year (antacids permitted if more than one month from date of enrollment)
  • History of chronic gastrointestinal mucosal disease (e.g. inflammatory bowel disease, celiac disease, microscopic colitis)
  • Any clinically significant or uncontrolled major morbidity, including but not limited to serious cardiac or respiratory disease or uncontrolled HIV
  • Abnormal bowel frequency (minimum once every 2 days, maximum 3 times per day)
  • Use of clopidogrel or medications with potential significant interaction with PPIs
  • Osteoperosis or history of non-traumatic bone fracture
  • History of adverse reactions to PPIs
  • Initiation of any new medication within the month prior to enrollment
  • Pregnancy
  • Inability to give informed consent

Key Trial Info

Start Date :

August 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2015

Estimated Enrollment :

14 Patients enrolled

Trial Details

Trial ID

NCT01901276

Start Date

August 1 2013

End Date

March 1 2015

Last Update

August 15 2024

Active Locations (1)

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1

Columbia University

New York, New York, United States, 10032