The effect of a dairy protein hydrolysate on gut health in an inflammatory bowel disease population

ISRCTN ISRCTN64064335
DOI https://doi.org/10.1186/ISRCTN64064335
Sponsor Food for Health Ireland
Funder Enterprise Ireland
Submission date
11/08/2026
Registration date
21/09/2026
Last edited
11/08/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Inflammatory bowel disease (IBD) is characterised by chronic gastrointestinal symptoms (bloating, constipation, blood in stool), which are caused by inflammation in the gut and an imbalance in the gut microbiome (bacteria in the gut). IBD affects many people worldwide and while the disease can be managed through medication, there is no absolute cure. Dietary approaches are important to help ease symptoms in IBD patients. Certain dairy supplements, such as dairy protein derivatives (e.g., casein hydrolysate) may help to improve symptoms in IBD patients. This study aims to understand how supplementation of a casein hydrolysate can potentially improve gut health in an IBD cohort.

Who can participate?
Patients aged over 18 years with IBD in remission (non-active disease)

What does the study involve?
Participants will be randomly assigned to either the intervention group (casein hydrolysate) or the control group (maltodextrin) and will consume 4 g/d of either the casein hydrolysate or the control, for 6 weeks. Participants will come into the St Vincent's University Hospital Gastroenterology Research Unit for two study visits - one at week 0 (baseline) and one at week 6 (post-intervention). During these study visits a range of biological (bloods, faecal) and non-biological (weight, height, quality of life questionnaires) data will be collected.

What are the possible benefits and risks of participating?
There are no direct benefits of participating, although patients will be contributing to important IBD research. There are minimal risks of participating, although it is possible that the casein supplement or maltodextrin supplement may cause gastrointestinal discomfort among IBD patients (certain foods can trigger symptoms in certain people). Participants will be monitored during the study through email and phone calls to assess this, and they are free to drop-out at any time if they wish.

Where is the study run from?
St Vincent's University Hospital (Ireland)

When is the study starting and how long is it expected to run for?
February 2022 to November 2022

Who is funding the study?
Food for Health Ireland, funded by Enterprise Ireland

Who is the main contact?
1. Prof. Glen Doherty, glen.doherty@ucd.ie
2. Dr Cliona Ni Chonnachain, cliona.nichonnachain@ucd.ie

Contact information

Prof Glen Doherty
Principal investigator, Scientific, Public

University College Dublin, School of Medicine, St Vincent's Hospital, Elm Park, Dublin 4
Dublin
D04 V1W8
Ireland

ORCiD logoORCID ID 0000-0003-4384-5049
Phone +353 (01)2214711
Email glen.doherty@ucd.ie

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposeBasic science, Supportive care
Participant information sheet 50073_PIS.pdf
Scientific titleThe effects of casein hydrolysate supplementation on the gut microbiome and gastrointestinal health in an ulcerative colitis cohort: a randomised controlled pilot study
Study objectives To determine the effects of dietary supplementation with a casein hydrolysate (UL-2-132) on parameters of the gut microbiota and quality of life in a UC cohort.
Ethics approval(s)

Approved 15/01/2021, Research Ethics Committee, St Vincent's University Hospital (Research Ethics Department, Education & Research Centre, St. Vincent’s University Hospital, Elm Park, Dublin 4, Dublin, D04T6F4, Ireland; +353 (01) 221 4000; svhgethics@ucd.ie), ref: RS20-065

Health condition(s) or problem(s) studiedUlcerative colitis
InterventionA random number generator was used for randomisation. Participants meeting inclusion criteria were randomly assigned to the intervention group (casein hydrolysate UL-2-132) or control group (maltodextrin) on a 1:1 ratio, determined by a random number generator.

Intervention arm: 4 g/day of a casein hydrolysate for 6 weeks
Control arm: 4 g/day of a maltodextrin control for 6 weeks
Intervention typeSupplement
Primary outcome measure(s)
  1. Gut microbiome abundance and diversity measured using metagenomic sequencing, bioinformatic and statistical analysis at baseline (week 0) and post-intervention (week 6)
Key secondary outcome measure(s)
  1. Quality of life measured using the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), the Short Health Scale (SHS), and the GI Quality of Life Index-10 (GIQLI-10) at baseline (week 0) and post-intervention (week 6)
Completion date25/11/2022

Eligibility

Participant type(s)
Age groupMixed
Lower age limit18 Years
Upper age limit100 Years
SexAll
Target sample size at registration80
Total final enrolment33
Key inclusion criteria1. Ulcerative colitis (UC) patients in remission (faecal calprotectin <100 ug/g)
2. >18 years of age
Key exclusion criteria1. <18 years old
2. Escalation of medical therapy within 3 months prior to the study
3. Inability to provide written informed consent
4. Pregnant or breastfeeding women
5. Dairy allergy
6. Significant comorbid physical or mental health conditions
7. Recent antibiotic or probiotic use (within 3 weeks)
8. Recent or planned exclusion diet or major dietary modification (within 3 months)
Date of first enrolment22/02/2022
Date of final enrolment10/10/2022

Locations

Countries of recruitment

  • Ireland

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 11/08/2026 No Yes

Additional files

50073_PIS.pdf
Participant information sheet

Editorial Notes

11/08/2026: Study's existence confirmed by the Research Ethics Committee, St Vincent's University Hospital.