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The main purpose of this study is to evaluate the natural history of celiac disease in asymptomatic, screen-detected subjects having positive endomysial antibodies and the effects of an intervention with a gluten-free diet. The investigators hypothesize that these subjects may have decreased general health and benefit of the dietary treatment regardless of the small-bowel mucosal structure.
Asymptomatic, endomysial-antibody positive adults will be randomized to either continue with a normal, gluten-containing diet or start an intervention with a gluten-free diet irrespective of the small-bowel mucosal morphology. Several celiac-disease associated histological, serological and clinical markers will be evaluated both at baseline and after one year on trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| gluten-containing diet | No Intervention | ||
| Active comparator, gluten-free diet | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gluten-free diet | Dietary Supplement | gluten-containing cereals removed from diet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Small-bowel mucosal morphology and inflammation | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Endomysial antibodies | one year | |
| Tissue transglutaminase antibodies | one year | |
| Antibodies to deamidated gliadin |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katri Kaukinen, MD | University of Tampere, Tampere University hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pediatric Research Centre, Tampere University Hospital and University of Tampere | Tampere | Pirkanmaa | 33014 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24837306 | Derived | Kurppa K, Paavola A, Collin P, Sievanen H, Laurila K, Huhtala H, Saavalainen P, Maki M, Kaukinen K. Benefits of a gluten-free diet for asymptomatic patients with serologic markers of celiac disease. Gastroenterology. 2014 Sep;147(3):610-617.e1. doi: 10.1053/j.gastro.2014.05.003. Epub 2014 May 13. |
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| ID | Term |
|---|---|
| D002446 | Celiac Disease |
| ID | Term |
|---|---|
| D008286 | Malabsorption Syndromes |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D055050 | Diet, Gluten-Free |
| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
| D004032 | Diet |
| D009747 |
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| one year |
| Intestinal tissue transglutaminase-specific IgA deposits | one year |
| Bone mineral density | one year |
| Body composition | one year |
| Health-related quality of life | one year |
| Laboratory parameters | one year |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |