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Trial registered on ANZCTR
Registration number
ACTRN12621000487819
Ethics application status
Approved
Date submitted
26/03/2021
Date registered
27/04/2021
Date last updated
28/03/2022
Date data sharing statement initially provided
27/04/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Dietary Intake: Associations with mood and non-communicable disease
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Scientific title
Assessing the association between habitual process-modified protein intake and the ratio of urinary tryptophan metabolites, tryptamine and 5-hydroxyindoleacetic acid, in the general public.
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Secondary ID [1]
303773
0
None
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Universal Trial Number (UTN)
None
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Trial acronym
DIAMOND study
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
depression
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anxiety
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gut microbiota function
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Condition category
Condition code
Diet and Nutrition
319047
319047
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0
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Other diet and nutrition disorders
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Mental Health
319048
319048
0
0
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Depression
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Mental Health
319049
319049
0
0
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Anxiety
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Metabolic and Endocrine
319451
319451
0
0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participant dietary intake of process-modified protein is the exposure of interest. This will be assessed using a 4-day food diary to assess participants' usual food intake. Participants will complete the food diary at eating occasions over the course of four days prior to attending their study visit. It is estimated that participants will spend approximately 2 hours completing the food diary over the course of 4 days. Levels of process-modified protein consumed will be calculated using food composition tables and the NOVA classification system for processed foods.
Participants will attend a single study testing visit at which they will provide a fasting urine (mid-stream, first-void) sample and blood sample (approx. 30 mL). Participants will also complete surveys in relation to their demographics, physical activity level (International Physical Activity Questionnaire (IPAQ)) and mood (Centre for Epidemiological Studies Depression scale (CES-D) and Spielberger State Trait Anxiety Inventory (STAI)). It is estimated that it will take participants approximately 40 minutes to complete these surveys.
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Intervention code [1]
320083
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome is the ratio of tryptamine to 5-hydroxyindoleacetic acid, as measured in urine via liquid chromatography and mass spectrometry.
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Assessment method [1]
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Timepoint [1]
326954
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Single time point of data collection (cross-sectional)
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Secondary outcome [1]
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Score on the Center for Epidemiologic Studies Depression Scale (CES-D).
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Assessment method [1]
393270
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Timepoint [1]
393270
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Single time point of data collection (cross-sectional)
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Secondary outcome [2]
393271
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Score on the Spielberger State Trait Anxiety Scale (STAI).
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Assessment method [2]
393271
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Timepoint [2]
393271
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Single time point of data collection (cross-sectional)
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Secondary outcome [3]
393272
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Exploratory metabolomics analysis of plasma looking to identify amino-acid related metabolites.
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Assessment method [3]
393272
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Timepoint [3]
393272
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Single time point of data collection (cross-sectional)
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Secondary outcome [4]
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Fasting plasma glucose concentration, measured on an Indiko Analyser.
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Assessment method [4]
393273
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Timepoint [4]
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Single time point of data collection (cross-sectional)
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Secondary outcome [5]
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Fasting plasma insulin concentration, measured by ELISA.
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Assessment method [5]
393274
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Timepoint [5]
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Single time point of data collection (cross-sectional)
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Secondary outcome [6]
393275
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Fasting serum cholesterol (total, HDL and LDL) concentration, measured on an Indiko Analyser.
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Assessment method [6]
393275
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Timepoint [6]
393275
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Single time point of data collection (cross-sectional)
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Secondary outcome [7]
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Fasting serum triglyceride concentration, measured on an Indiko Analyser.
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Assessment method [7]
393276
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Timepoint [7]
393276
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Single time point of data collection (cross-sectional)
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Eligibility
Key inclusion criteria
Body mass index between 18.5 and 35 kg/m2
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Minimum age
18
Years
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Maximum age
No limit
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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
Diagnosed with an inflammatory bowel disease (e.g. Ulcerative colitis, Crohn’s disease)
Any dramatic dietary changes in the past 3 months (e.g. becoming vegetarian, starting a restrictive diet)
Taking anti-depressant or anti-anxiety medication
Pregnant or breastfeeding
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Both
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Statistical methods / analysis
Based on alpha = 0.05, a power of 80% and an estimated correlation coefficient of 0.20 between dietary process-modified protein intake and ratio of urinary tryptophan metabolites, 194 participants will be required to demonstrate a statistically significant result.
Regression analysis will be used to assess associations between estimated process-modified protein intake and dependent variables.
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
24/05/2021
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Actual
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Date of last participant enrolment
Anticipated
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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
194
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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]
308176
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University
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Name [1]
308176
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Monash University
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Address [1]
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Wellington Rd, Clayton, Victoria 3168, Australia
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Country [1]
308176
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Australia
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Primary sponsor type
Individual
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Name
Prof Louise Bennett
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Address
School of Chemistry, Faculty of Science, Monash University
Room 318, 13 Rainforest Walk, Clayton, Victoria, 3800, Australia
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Country
Australia
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Secondary sponsor category [1]
308954
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None
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Name [1]
308954
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None
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Address [1]
308954
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None
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Country [1]
308954
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308161
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
308161
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Wellington Rd, Melbourne, Victoria 3168, Australia
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Ethics committee country [1]
308161
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Australia
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Date submitted for ethics approval [1]
308161
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24/03/2021
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Approval date [1]
308161
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13/04/2021
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Ethics approval number [1]
308161
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23731
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Summary
Brief summary
This study will help us learn about how diet, specifically processed-modified protein intake, influences factors related to the health of our gut bacteria and the risk of mood disorders such as depression and anxiety. When we consume high amounts process-modified proteins, these processed proteins may not be digested and used via the normal pathways, but fermented by the gut bacteria, producing various other biologically active compounds. The altered digestion and metabolism of these proteins may be linked with mood disorders, such as depression and anxiety, as a result of altered serotonin production. The researchers will assess how protein is being used in the body through assessing metabolites in blood and urine samples, and assess risk of depression and anxiety using questionnaires, to find out how these are influenced by dietary intake of processed-modified proteins.
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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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Prof Louise Bennett
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Address
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School of Chemistry, Faculty of Science, Monash University
Room 318, 13 Rainforest Walk, Clayton, Victoria, 3800, Australia
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Country
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Australia
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Phone
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+61 3 9905 6136
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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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Margaret Murray
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Address
109751
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School of Chemistry, Faculty of Science, Monash University
Room 218, 13 Rainforest Walk, Clayton, Victoria, 3800, Australia
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Country
109751
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Australia
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Phone
109751
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+61 3 9905 1415
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Fax
109751
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Email
109751
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[email protected]
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Contact person for scientific queries
Name
109752
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Louise Bennett
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Address
109752
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School of Chemistry, Faculty of Science, Monash University
Room 318, 13 Rainforest Walk, Clayton, Victoria, 3800, Australia
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Country
109752
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Australia
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Phone
109752
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+61 3 9905 6136
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Fax
109752
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Email
109752
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The raw data will not be shared in a data repository, registry or open source platform because it will all be made available via publications/thesis in grouped de-identified form.
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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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