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Trial registered on ANZCTR
Registration number
ACTRN12614000176662
Ethics application status
Approved
Date submitted
11/02/2014
Date registered
12/02/2014
Date last updated
12/02/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of glucose to assist fructose absorption in various forms to eliminate symptoms in Irritable Bowel Syndrome (IBS) fructose malabsorbers
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Scientific title
Use of glucose to assist fructose absorption in various forms to eliminate symptoms in Irritable Bowel Syndrome (IBS) fructose malabsorbers
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Secondary ID [1]
284075
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Irritable Bowel Syndrome
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Condition category
Condition code
Diet and Nutrition
291474
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Breath hydrogen production and symptoms will be measured after drinking 6 different sugar solutions over 6 days (separated by at least 1 day in between, depending on symptoms).
The sugar solutions will be made up to 375ml with water, the sugars tested will include:
*Glucose- 50g in 375ml
*Sucrose- 50g in 375ml
*Fructose- 25g in 375ml
*Fructose- 25g + Glucose- 25g in 375ml
*Fructans- 10g in 375ml
*Fructans- 10g + Glucose- 25g in 375ml
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Intervention code [1]
288764
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Treatment: Other
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Intervention code [2]
288778
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Other interventions
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Comparator / control treatment
Each subject will act as their own control.
Participants with IBS will be compared to a healthy control group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Breath hydrogen production will be measured every 20 minutes for the first 4 hours after drinking the sugar solution. Following this, hourly breath samples will be collected for an additional 8 hours.
Breath samples are collected by participants breathing into a special mouthpiece connected to breath collection bags.
Prior to testing, participants were instructed how to take breath samples by connecting the mouth piece to the breath sample bag, inhale and exhale normally so that the breath sample bag was inflated fully, then seal the bag immediately so that minimal air escaped.
Each sample will be subsequently analysed by researchers to test for hydrogen production.
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Assessment method [1]
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Timepoint [1]
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Breath hydrogen will be measured every 20 minutes for the first 4 hours after drinking the sugar solution, and subsequently hourly for the following 8 hours (total 12 hours).
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Secondary outcome [1]
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Symptom production will be measured via two symptoms diaries (completed at bed time each day). One diary uses a Likert Scale, whilst the other uses a Visual Analogue Scale (VAS) which asks participants to rate the severity of their symptoms on a 100mm line. The diaries will include questions regarding bowel movements and frequency, abdominal pain and discomfort, wind, nausea, heartburn and tiredness/lethargy.
Possible risks, side effects and discomforts include some wind, bloating, abdominal pain and discomfort and a temporary (less than 24 hours) increase in the number of bowel actions. This is not expected to be any more than usual symptoms that IBS patients would experience.
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Assessment method [1]
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Timepoint [1]
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Symptoms will be assessed at bedtime each day.
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Eligibility
Key inclusion criteria
- Malabsorb a 35g dose of fructose with a breath hydrogen rise of above 15ppm from baseline considered a positive result, with results being no more than 3 months old. If results were older than this they were retested.
- Have a functional gastrointestinal disorder OR have no significant gastrointestinal symptoms,
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Other gastrointestinal disease (e.g., Crohn’s, Ulcerative colitis, Coeliac) or diabetes
- Pregnant or breastfeeding.
- Can not have taken antibiotics, probiotics or had colonoscopy preparation in the past 2 weeks.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2013
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Actual
26/08/2013
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Date of last participant enrolment
Anticipated
31/03/2014
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Department of Gastroenterology
Central Clinical School
Monash University
Level 6, The Alfred Centre
99 Commercial Road
Prahran VIC 3004
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash Univesity
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Address
Department of Gastroenterology
Central Clinical School
Monash University
Level 6, The Alfred Centre
99 Commercial Road
Prahran VIC 3004
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
287409
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Country [1]
287409
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital Ethics Commitee
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
290543
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Approval date [1]
290543
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Ethics approval number [1]
290543
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Summary
Brief summary
Our research team has identified dietary triggers that might be responsible for the induction of symptoms in the majority of patients with IBS. These triggers involve a group of small carbohydrates that are commonly found in a wide variety of foods. These carbohydrates can be poorly absorbed in the small intestine and include; fructose (in apples, pears and fruit juice), lactose (milk), fructans (onions), galacto-oligosaccharides (legumes) and sugar alcohols (stone fruits and artificial sweeteners). We have named this group of compounds FODMAPs - Fermentable Oligo- Di- and Mono-saccharides And Polyols. There is already good evidence that the absorption of one of these FODMAPS; fructose, is greatly enhanced in the presence of glucose. However there is no data investigating this absorption method in IBS sufferers, specifically whether the addition of glucose to fructose eliminates symptoms. We hypothesize that the addition of glucose will reduce breath hydrogen production and reduce gastrointestinal symptoms.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Jane Muir
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Address
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Department of Gastroenterology
Central Clinical School
Monash University
Level 6, The Alfred Centre
99 Commercial Road
Prahran VIC 3004
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Country
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Australia
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Phone
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+61 3 9903-0274
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Caroline Tuck
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Address
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Department of Gastroenterology
Central Clinical School
Monash University
Level 6, The Alfred Centre
99 Commercial Road
Prahran VIC 3004
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Country
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Australia
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Phone
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+61 3 9903-0264
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Caroline Tuck
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Address
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Department of Gastroenterology
Central Clinical School
Monash University
Level 6, The Alfred Centre
99 Commercial Road
Prahran VIC 3004
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Country
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Australia
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Phone
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+61 3 9903-0264
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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