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| Name | Class |
|---|---|
| Arla Foods | INDUSTRY |
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Casein glycomacropeptide (CGMP) has anti-inflammatory properties in experimental rodent colitis and using human in vitro inflammation models. Its use as a food ingredient has proven safe and with no influence on dietary intake. We hypothesize that orally administered CGMP has a beneficial effect comparable to that of mesalazine in active distal ulcerative colitis.
GCMP has mainly been used as food additive in patients with specific dietary needs, i.e. in infant formulas, adipositas, or in patient with phenylketonuria. Due to its antiinflammatory properties we hypothesize that it may be used alone or along with conventional therapy in inflammatory diseases such as ulcerative colitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CGMP protein | Experimental | Casein glycomacropeptide 30 gram/day, unchanged prophylactic 5ASA dose |
|
| Standard oral 5ASA maximal dose | Active Comparator | Increase from prophylactic dose 5ASA (mesalazine) to maximal oral dose, i.e. 4800 grams of mesalazine (Asacol/Mezavant) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CGMP protein | Drug | Casein glycomacropeptide purified powder dissolved in 300 ML water once daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fecal calprotectin reduction | Relative reduction in fecal calprotectin measured before and after 4 weeks | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical activity index | Simple Clinical Colitis Index, range 0-20 | 4 weeks |
| Quality of life | Quality of life measured yb Short Health Scale (4 items ranged 0-10, total range 0-40) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hendrik Vilstrup, Professor | Professor, University of Aarhus | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of medicine V (Hepatology and Gastroenterology) | Aarhus C | Aarhus C | 8000 | Denmark |
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| D015212 | Inflammatory Bowel Diseases |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D019804 | Mesalamine |
| ID | Term |
|---|---|
| D062368 | meta-Aminobenzoates |
| D062365 | Aminobenzoates |
| D001565 | Benzoates |
| D000146 | Acids, Carbocyclic |
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| Maximal oral 5ASA | Drug | 4800 grams/day of Mesalazine (Asacol/Mezavant) |
|
|
| 4 weeks |
| Endoscopic Mayo score | Grade of inflammation (range 0-3) in rectum according to Mayo score, visually judged during endoscopy | 4 weeks |
| Serial fecal calprotectin | fecal calprotectin week 0-4-6-8 | 8 weeks |
| D003108 |
| Colonic Diseases |
| D007410 | Intestinal Diseases |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000636 | Aminosalicylic Acids |
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D006880 | Hydroxy Acids |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010636 | Phenols |