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ToleranceNCT05794100

Evaluating the Impact of Different Sugar Replacer Combinations on Gastrointestinal Tolerance

A study of Tolerance and Healthy Population, run by Mondelēz International, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a randomized, double-blind, crossover trial aiming at evaluating the gastrointestinal tolerance of 3 sugar replacers mixes at 3 different doses. The investigators will also try to understand the factors that could explain the presence or absence of symptoms Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Tolerance, Healthy Population
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteUnited States
Study dates
11 Oct 2021to 30 Jul 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female, 18-55 years of age, inclusive at Visit 1 (Day -11).
  • BMI of 18.5 to 32.0 kg/m2, inclusive, at Visit 1 (Day -11).
  • Have normal bowel movement habit (<3 bowel movements/d to >2 bowel movements/week) based on the BHD-BSS collected at Visit 2 (Day -4).
  • Consumes fiber at an amount no more than the average American diet [based on consumption of high-fiber containing plant-based foods (e.g., fruits, vegetables, legumes, pulses, nuts, and products labeled as good or excellent sources of fiber)].
  • Smokes 10 cigarettes or less in a day and has no plan to change nicotine habits during the study period.
  • Non-user or former users (cessation ≥12 mo) of any marijuana or hemp products and has no plans to use marijuana or hemp products during the study period.
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  • Willing to maintain habitual dietary, lifestyle, and physical activity (with exceptions per study instructions) throughout the trial and willing to adhere to dietary, lifestyle, and physical activity requirements of the study.
  • Willing to limit alcohol consumption to ≤3 standard drinks/d and ≤7 standard drinks/week throughout the trial.
  • Willing to refrain from exclusionary medications, supplements, and products throughout the study.
  • No health conditions that would prevent him/her from fulfilling the study requirements as judged by the Clinical Investigator on the basis of medical history and routine laboratory test results.
  • Understands the study procedures and signs forms providing informed consent to participate in the study and authorizes the release of relevant protected health information to the Clinical Investigator.

Who cannot join

  • Moderate or severe GI symptoms or 3-d total score of >2 for any individual GI symptom based on the baseline GITQ collected at Visit 2 (Day -4). Mild burping and/or flatulence totaling a 3-d score of >2 is acceptable.
  • Has a clinically significant GI-related reaction towards GI symptom-causing foods (e.g., beans and legumes, vegetables high in inulin, sodas or fruit drinks, sugar alcohols, inulin, fructooligosaccharides, gluten, and dairy products [see Appendix 3]) as judged by the Clinical Investigator.
  • Female subjects who typically experience change in GI symptoms or bowel habits (e.g., increased or decreased laxation, bloating, abdominal cramping) at the time of menstruation. Subjects with these issues may be included if they are able to reliably predict the onset and duration of their menstruation-related symptoms (e.g., always occur only during the first two days of menses), in the judgment of the Clinical Investigator. Test visits will be scheduled around menses.
  • Female subjects who is unwilling to wear a tampon during the collection of the 24-h urine samples when these collections occur during the time of menstruation.
  • Abnormal laboratory test results of clinical significance at Visit 1 (Day -11), at the discretion of the Clinical Investigator. One re-test will be allowed on a separate day prior to Visit 2 (Day -4), for subjects with abnormal laboratory test results.
  • Clinically important GI condition that would potentially interfere with the evaluation of the study products (e.g., inflammatory bowel disease, irritable bowel syndrome, gastric reflux, indigestion, dyspepsia, Crohn's disease, celiac disease, history of surgery for weight loss, gastroparesis, and clinically significant lactose or gluten intolerance or other food or ingredient allergies).
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  • Recent (within 2 weeks of Visit 1; Day -11) history of an episode of acute GI illness such as nausea/vomiting or diarrhea (defined as ≥3 loose or liquid stools/d).
  • Self-reported history (within 6 weeks of Visit 1; Day -11) of constipation or diarrhea at the discretion of the Clinical Investigator.
  • Uncontrolled and/or clinically important pulmonary (including uncontrolled asthma), cardiac (including, but not limited to, atherosclerotic disease, history of myocardial infarction, peripheral arterial disease, stroke), hepatic, renal, endocrine (including Type 1 and Type 2 diabetes mellitus), hematologic, immunologic, neurologic (such as Alzheimer's or Parkinson's disease), psychiatric (including depression and/or anxiety disorders) or biliary disorders. Conditions which are well-controlled or resolved will be assessed by the Clinical Investigator on a case-by-case basis.
  • Uncontrolled hypertension (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg) as defined by the blood pressure measured at Visit 1 (Day -11). One re-test will be allowed on a separate day prior to Visit 2 (Day 0), for subjects whose blood pressure exceeds either of these cut points at Visit 1 (Day -11), in the judgment of the Clinical Investigator. If taken, the repeat blood pressure measurement will be used to determine eligibility. Stable use of hypertension medication is allowed [defined as no change in medication regimen within the 3 mo prior to Visit 1 (Day -11)].
  • Any known food allergy as well as intolerance or sensitivity to study product ingredients (Appendix 13).
  • Extreme dietary habits or physical activity patterns at the discretion of the Clinical Investigator.
  • History or presence of cancer in the prior 2 y, except for non-melanoma skin cancer.
  • Major trauma or any other surgical event within 3 mo of Visit 1 (Day -11).
  • Signs or symptoms of an active infection of clinical relevance within 5 d of Visit 1 (Day -11). The visit may be rescheduled such that all signs and symptoms have resolved (at the discretion of the Clinical Investigator) at least 5 d prior to Visit 1 (Day -11)*
  • Weight loss or gain > 4.5 kg in the 3 mo prior to Visit 1 (Day -11).
  • Currently or planning to be on a weight loss regimen during the study.
  • Antibiotic, antifungal, or antiparasitic use within 3 mo of Visit 1 (Day -11) and throughout the study period.
  • Use of steroids within 1 mo of Visit 1 (Day -11) and throughout the study period. Use of nasal and non-prescription topical treatments is allowed.
  • Chronic use (i.e., daily on a regular basis) of anti-inflammatory medications (e.g., NSAIDS) within 1 mo of Visit 1 (Day -11).
  • Use of medications (over-the-counter or prescription) and/or dietary supplements, known to influence GI function, including but not limited to prebiotics or probiotics, laxatives, enemas, fiber supplements and/or suppositories, antacids, anti-diarrheal agents, and/or anti-spasmodic within 3 weeks of Visit 1 (Day -11). Standard multivitamin and mineral supplements are allowed.
  • Participated in endoscopy or endoscopy preparation within 3 mo prior to Visit 1 (Day -11).
  • Exposure to any non-registered drug product within 4 weeks prior to Visit 1 (Day -11).
  • Female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period. Subjects who are pregnant during the study will be discontinued.
  • Recent history (within 12 mo of screening; Visit 1; Day -11) of alcohol or substance abuse. Alcohol abuse is defined as >14 drinks/week (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits).
  • Has a condition the Clinical Investigator believes would interfere with his ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results, or put the subject at undue risk.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Biofortis Innovation Services

    Addison, Illinois, 60101

Other trials in United States

About this study

This study is a randomized, double-blind, crossover trial aiming at evaluating the gastrointestinal tolerance of 3 sugar replacers mixes at 3 different doses. The investigators will also try to understand the factors that could explain the presence or absence of symptoms

Read the detailed description

This study is a randomized, double-blind, crossover trial with 23 visits consisting of one screening visit, one baseline visit, and 21 study visits (10 test periods each consisting of 2 test visits and one drop-off visit) across 11 weeks. For this study, 60 generally healthy subjects will be randomized to a test sequence and will consume one control product and nine test products over the course of the study. Before consumption of any study products, breath hydrogen lactulose assessment and collection of stool samples for microbiome analysis will be completed. Additionally, midway through the study, data will be reviewed in a blinded manner and a stool sample will be collected from a subset of 30 subjects for in vitro fermentation tests. Gastrointestinal symptoms and stool information will be collected using the Gastrointestinal Tolerance Questionnaire (GITQ) and Bowel Habit Diary with Bristol Stool Scale (BHD-BSS). The GITQ and BHD-BSS will be administered for 3 days and 7 days prior to study product consumption, respectively. Additionally, the GITQ and BHD-BSS will be collected throughout the day of study product consumption and the 2 days after product consumption. 24-h urine samples will be collected after study product consumption for urinary allulose analysis.

Being tested
Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Keywords
Sugar replacer, Gastrointestinal symptoms, GITQ, BHD-BSS, Acute, microbiota

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Acute intake of one of the products (active comparator 1 to 9) or Placebo comparatorOther

    Also called No sugar chewable candies

    One pack of each product (1 to 10) will be consumed on a separate occasion

Study groups in NCT05794100
Study groupRoleWhat they receive
Test 1Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + Allulose provided at a dose of 1 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 2Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + Allulose provided at a dose of 1.75 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 3Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + Allulose provided at a dose of 2.5 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 4Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + FOS provided at a dose of 1 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 5Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + FOS provided at a dose of 1.75 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 6Active comparatorNo-sugar chewable candy containing Soluble Corn Fiber + Inulin + FOS provided at a dose of 2.5 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 7Active comparatorNo-sugar chewable candy containing Maltitol + Polydextrose provided at a dose of 1 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 8Active comparatorNo-sugar chewable candy containing Maltitol + Polydextrose provided at a dose of 1.75 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 9Active comparatorNo-sugar chewable candy containing Maltitol + Polydextrose provided at a dose of 2.5 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator
Test 10Placebo comparatorControl chewable candy made with sugar and provided at a dose of 1 serving equivalent
Receives: Other: Acute intake of one of the products (active comparator 1 to 9) or Placebo comparator

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Difference in area under the curve (AUC) of the composite Gastrointestinal symptom score of each test product versus control

    AUC of the composite Gastrointestinal symptoms score based on GITQ (gastro-intestinal tolerance questionnaire)

    Measured: AUC between 0 to 48 hours after intake of products

Secondary outcomes (13)
  1. Difference in the continuous AUC of the composite GI symptom score between doses within each formulation

    Area under the curve (AUC) of the composite GI symptoms score based on GITQ (gastro-intestinal tolerance questionnaire)

    Measured: AUC between 0 to 48 hours after intake of products

  2. Difference in the continuous AUC of the composite GI symptom score between formulations within each dose

    AUC of the composite GI symptoms score based on GITQ

    Measured: AUC between 0 to 48 hours after intake of products

  3. Difference in the continuous AUC for each individual GI symptom score of test products as compared to control, dose within each formulation, and formulation within each dose

    AUC of the composite GI symptoms score based on GITQ (gastro-intestinal tolerance questionnaire)

    Measured: AUC between 0 to 48 hours after intake of products

  4. Proportion of subjects who have a composite GI symptom score larger than 1 at each measured time point

    AUC of the composite GI symptoms score based on GITQ (gastro-intestinal tolerance questionnaire)

    Measured: AUC between 0 to 48 hours after intake of products

  5. Proportion of subjects with diarrhea based on BHD-BSS (Bowel Habit Diary - Brictol Stool Scale)

    diarrhea

    Measured: Evaluation over 24 hours following intake of products

  6. Proportion of subjects that report any (score >0) or moderate-to-severe (score >1) symptom at each measured time point for each individual outcome

    Individual GI symptoms from GITQ (gastro-intestinal tolerance questionnaire)

    Measured: Evaluation performed at time 0, 120, 240, 360, 600 minutes and 24 and 48 hours

  7. Summary of the maximum detected score for each individual GI symptom

    Individual GI symptoms from GITQ (gastro-intestinal tolerance questionnaire)

    Measured: Evaluation performed at time 0, 120, 240, 360, 600 minutes and 24 and 48 hours

  8. Summary of the time of the maximum detected score for each individual symptom

    Individual GI symptoms from GITQ (gastro-intestinal tolerance questionnaire)

    Measured: Evaluation performed at time 0, 120, 240, 360, 600 minutes and 24 and 48 hours

  9. Proportion of subjects that report any (score >0) or moderate-to-severe (score >1) bothersome loose stools on the GITQ at each measured time point

    Loose stools from BHD-BSS (Bowel Habit Diary - Brictol Stool Scale)

    Measured: Evaluation performed at time 0, 120, 240, 360, 600 minutes and 24 and 48 hours

  10. Difference between test and control products, between dose within each formulation, and between formulation within each dose for all parameters of the BHD-BSS (Bowel Habit Diary - Brictol Stool Scale)

    Bowel movment characteristics from BHD-BSS (Bowel Habit Diary - Brictol Stool Scale)

    Measured: At each bowel movement over 48 hours

  11. Urinary allulose

    Difference between test and control products, between dose (number of servings) within each formulation, and between formulation within each dose on urinary Allulose

    Measured: Collect over 24 hours

  12. Gut Microbiota composition

    Microbial composition by sequencing

    Measured: Baseline

  13. Correlation analyses between microbiota composition and GITQ individual parameters

    Mechanism of action

    Measured: AUC 0 to 48 hours for composite scores and evaluations performed at time 0, 120, 240, 360, 600 minutes and 24 and 48 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Apr 2023
  2. Study start11 Oct 2021
  3. Primary completion30 May 2022
  4. Study completion30 Jul 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
Each subject will be allocated to a sequence of consumption of the 10 different products
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05794100
Sponsor's protocol ID
KBE062 / BIO-2110
Status last verified
Mar 2023
First submitted
25 Nov 2021
Last updated
3 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study of Tolerance and Healthy Population, run by Mondelēz International, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in area under the curve (AUC) of the composite Gastrointestinal symptom score of each test product versus control (time frame: AUC between 0 to 48 hours after intake of products). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2023.

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