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Trial registered on ANZCTR
Registration number
ACTRN12616001502426
Ethics application status
Approved
Date submitted
27/10/2016
Date registered
31/10/2016
Date last updated
31/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exploring a European Food Safety Authority health claim: Effect of Partial Sucrose Replacement with Fructose in sugary beverages on metabolic responses
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Scientific title
Glycaemic, uricaemic and blood pressure effects of partial sucrose replacement with fructose in sugary beverages in young healthy adults
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Secondary ID [1]
290394
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Nil
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Universal Trial Number (UTN)
U1111-1189-1340
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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:
Postprandial glycaemic control
300727
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Postprandial uricaemic control
300728
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Postprandial blood pressure
300729
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Condition category
Condition code
Diet and Nutrition
300564
300564
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
300565
300565
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0
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Metabolic disorders
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Diet and Nutrition
300574
300574
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This will be a randomised crossover study involving five visits on five days. On two days, 12 healthy adults will receive beverages sweetened with 50g sucrose (duplicate control). On three days participants will receive beverages sweetened with 16.7g fructose + 33.3g sucrose; 25g fructose + 25g sucrose; and 33.3g fructose + 16.7g sucrose. Beverages will be consumed on mornings after an overnight fast. The order that the beverages are given will be randomised to each participant. Blood will be sampled via cannula by a registered nurse at intervals over two-hours following consumption of the beverages. The washout will be 2-7 days between treatments. All beverages will be given under supervision to ensure they are fully consumed. The study will be run by a MSc student in Human Nutrition under the supervision of a senior lecturer in the University of Otago Clinic Rooms.
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Intervention code [1]
296226
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Lifestyle
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Intervention code [2]
296227
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Treatment: Other
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Intervention code [3]
296229
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Prevention
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Comparator / control treatment
A beverage sweetened with 50g sucrose will be used as the comparator/control.
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood glucose response
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Assessment method [1]
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Timepoint [1]
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Blood glucose concentrations will be measured at baseline (before consumption) and at 15, 30, 45, 60, 75, 90 and 120 minutes thereafter
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Primary outcome [2]
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Blood uric acid concentration
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Assessment method [2]
299983
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Timepoint [2]
299983
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Blood uric acid concentrations will be measured at baseline (before consumption) and at 15, 30, 45, 60, 75, 90 and 120 minutes thereafter
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Secondary outcome [1]
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Postprandial blood pressure using a digital automatic blood pressure monitor (OMRON model Hem-907)
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Assessment method [1]
328744
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Timepoint [1]
328744
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Blood pressure will be measured at baseline (before consumption) and at 15, 30, 45, 60, 75, 90 and 120 minutes thereafter.
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Eligibility
Key inclusion criteria
Participants will be normoglycemic male and female adults aged between 18 and 60y inclusive.
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Minimum age
18
Years
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Maximum age
60
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
Diagnosis of diabetes mellitus, cardiovascular disease, cancer, diseases of the digestive system; pregnant, known food allergies or taking medication that affects glucose absorption and metabolism.
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Study design
Purpose of the study
Prevention
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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)
The person who will determine whether a person is eligible for inclusion in the trial will be unaware, when this decision is made, to which order the person will be allocated. Allocation concealment will be achieved with the use of sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A biostatistician will randomise the order of beverage type using a computerised 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
The study will be powered to detect a 30% difference in incremental area under the curve (iAUC) between the sucrose control and the blended sugar test beverages. A difference of 30% iAUC has been associated with clinical benefit (Wolever et al, 1992). Using variability data from previous work, a sample size of 11 was adequate to detect a 30% reduction in iAUC with 80% power using the 5% level of significance. A sample of 12 was also sufficient to detect a 50% difference in uric acid AUC between control and test beverages. Blood pressure was a secondary outcome and the study was not powered for this factor.
A mixed effects regression model will be used to determine if there are any significant differences between the sucrose control and the glycemic and uricaemic responses to the test beverages. The model will be adjusted for treatment order. Uric acid concentrations are sex dependent, therefore the uric acid data will also be adjusted for sex.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
25/02/2016
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Date of last participant enrolment
Anticipated
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Actual
19/09/2016
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Date of last data collection
Anticipated
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Actual
5/10/2016
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Sample size
Target
12
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Accrual to date
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Final
12
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Recruitment outside Australia
Country [1]
8353
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New Zealand
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State/province [1]
8353
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Otago
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Funding & Sponsors
Funding source category [1]
294800
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University
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Name [1]
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University of Otago
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Address [1]
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Department of Human Nutrition
PO Box 56
Dunedin 9054
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Country [1]
294800
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Department of Human Nutrition
PO Box 56
Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
293639
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None
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Name [1]
293639
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Address [1]
293639
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Country [1]
293639
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296199
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University of Otago Human Ethics Committee
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Ethics committee address [1]
296199
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Department of Human Nutrition PO Box 56 Dunedin 9054
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Ethics committee country [1]
296199
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New Zealand
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Date submitted for ethics approval [1]
296199
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12/05/2015
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Approval date [1]
296199
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02/06/2015
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Ethics approval number [1]
296199
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15/075
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Summary
Brief summary
European beverage manufacturers are permitted to use health claims when fructose partially replaces sucrose on the basis that fructose raises blood sugars to a lesser extent when sucrose is fully exchanged for fructose. However, the claim relates to a one-third to two-third ratio of fructose:sucrose as being effective without confirmatory evidence. Additionally, fructose has the potential to acutely raise blood pressure and plasma uric acid, which would be regarded as undesirable effects. Hence the aim of this work is to test the glycaemic, uricaemic and blood pressure raising potential of sweetened beverages containing sucrose and fructose added in various proportions to test beverages. Our hypotheses are that partial replacement of sucrose with fructose will lower postprandial glycemic response and raise uricaemia with no effect on blood pressure.
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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 Bernard Venn
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Address
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University of Otago
Department of Human Nutrition
PO Box 56
Dunedin 9054
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Country
69950
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New Zealand
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Phone
69950
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+6434795068
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Fax
69950
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Email
69950
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[email protected]
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Contact person for public queries
Name
69951
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Bernard Venn
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Address
69951
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University of Otago
Department of Human Nutrition
PO Box 56
Dunedin 9054
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Country
69951
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New Zealand
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Phone
69951
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+643 4795068
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Fax
69951
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Email
69951
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[email protected]
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Contact person for scientific queries
Name
69952
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Bernard Venn
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Address
69952
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University of Otago
Department of Human Nutrition
PO Box 56
Dunedin 9054
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Country
69952
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New Zealand
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Phone
69952
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+643 4795068
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Fax
69952
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Email
69952
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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
Source
Title
Year of Publication
DOI
Embase
Glycaemic, uricaemic and blood pressure response to beverages with partial fructose replacement of sucrose.
2018
https://dx.doi.org/10.1038/s41430-018-0134-x
N.B. These documents automatically identified may not have been verified by the study sponsor.
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