This study plans to learn more about the effects that creatine monohydrate has on disease activity in ulcerative colitis. Creatine is a substance that is naturally produced by the body and is found in foods, such as meat and fish. Creatine helps to provide energy to some body tissues, such as the colon. In the colon, this energy allows cells to form a tight barrier between molecules in digested food and bacteria and the body's infection-fighting cells within the colon underneath this barrier. If the barrier becomes "leaky" molecules may pass through and lead to inflammation. This "leakiness" may contribute to the colon inflammation seen in ulcerative colitis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
21 grams creatine monohydrate total per day
7 grams of dextrose dissolved in 500mL water, taken three times daily
University of Colorado Hospital
Denver, Colorado, United States
Improvement in endoscopic assessment of mucosal inflammation in ulcerative colitis.
As defined by the Mayo endoscopic score for ulcerative colitis.
Time frame: 8 weeks
Clinical response in ulcerative colitis disease activity.
As defined by the Mayo composite score for ulcerative colitis.
Time frame: 8 weeks
Intestinal permeability
As measured by urinary saccharide excretion
Time frame: 8 weeks
Patient symptom severity
As measured by inflammatory bowel disease questionnaire (IBDQ), simple Crohn's and colitis activity index (SCCAI), and Mayo composite scores.
Time frame: 8 weeks
Colonic inflammation
As assessed by fecal calprotectin, CRP, and histologic scoring.
Time frame: 8 weeks
Creatine kinase modulation
As assessed by CK transcript and protein in colonic tissue and serum levels.
Time frame: 8 weeks
Clinical remission of ulcerative colitis disease activity.
As defined by the Mayo composite score for ulcerative colitis.
Time frame: 8 weeks
Creatine modulation
As defined by colonic tissue and serum levels.
Time frame: 8 weeks
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