Innovative Tools to Produce Legume-based Foods for Increased Consumer Acceptance (LeguComf)
Primary Purpose
IBS - Irritable Bowel Syndrome
Status
Active
Phase
Not Applicable
Locations
Finland
Study Type
Interventional
Intervention
Control cracker
Enzyme-treated cracker
Sponsored by
About this trial
This is an interventional prevention trial for IBS - Irritable Bowel Syndrome
Eligibility Criteria
Inclusion Criteria:
- IBS (Rome IV criteria) or functional bloating
- over 18 years old
Exclusion Criteria:
- IBD (inflammatory bowel disease)
- coeliac disease
- pregnancy or breastfeeding
- antibiotics within the last 3 months
- colonoscopy and preparations for it within 4 weeks
Sites / Locations
- University of Helsinki
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Control cracker
Enzyme-treated cracker
Arm Description
All participants eat control crackers, which contain high amounts of GOS (approx. 5g GOS/daily portion of crackers)
All participants eat enzyme-treated crackers, which contain minimal amounts of GOS (less than 1g GOS/daily portion of crackers)
Outcomes
Primary Outcome Measures
The intensity of stomach pain measured by a visual analogue scale
Study participants report the intensity of experienced stomach pain on a scale of zero (no pain at all) to 100 (very intense pain) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of stomach cramps measured by a visual analogue scale
Study participants report the intensity of experienced stomach cramps on a scale of zero (no cramps at all) to 100 (very intense cramps) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of bloating measured by a visual analogue scale
Study participants report the intensity of experienced bloating on a scale of zero (no bloating) to 100 (very bloated) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of flatulence measured by a visual analogue scale
Study participants report the intensity of experienced flatulence on a scale of zero (no flatulence at all) to 100 (very intense flatulence) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of stomach noise measured by a visual analogue scale
Study participants report the intensity of experienced stomach noise on a scale of zero (no noise at all) to 100 (very loud noise) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of nausea measured by a visual analogue scale
Study participants report the intensity of experienced nausea on a scale of zero (no nausea at all) to 100 (very intense nausea) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of heartburn measured by a visual analogue scale
Study participants report the intensity of experienced heartburn on a scale of zero (no heartburn at all) to 100 (very intense heartburn) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of an unpleasant feeling in the upper abdomen or the feeling of feeling full fast related to eating measured by a visual analogue scale
Study participants report the intensity of an unpleasant feeling in the upper abdomen or the feeling of feeling full fast related to eating on a scale of zero (no no described unpleasant feeling at all) to 100 (very intense unpleasant feeling) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The intensity of a sudden need to defecate measured by a visual analogue scale
Study participants report the intensity of a sudden need to defecate on a scale of zero (no need to defecate at all) to 100 (very intense need to defecate) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
The composition of gut microbiota analyzed from fecal samples using 16S rRNA amplicon sequencing
The composition of gut microbiota is analyzed from fecal samples using 16S rRNA amplicon sequencing and qPCR (quantitative polymerase chain reaction). The differences between the treatments will be analyzed statistically.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05118243
Brief Title
Innovative Tools to Produce Legume-based Foods for Increased Consumer Acceptance
Acronym
LeguComf
Official Title
Innovative Tools to Produce Legume-based Foods for Increased Consumer Acceptance
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 6, 2021 (Actual)
Primary Completion Date
August 2022 (Anticipated)
Study Completion Date
December 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Helsinki
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of this study is to investigate the effects of enzymatic treatment to reduce GOS (galactooligosaccharides) in legume-based crackers in IBS (irritable bowel syndrome) persons. The crackers are pea-based: the control crackers contain high amounts of GOS, while the enzymatically treated crackers contain a minimal amount of GOS. The participants will eat each type of cracker for three days (daily dose of 12 crackers) and report their gut symptoms (e.g. flatulence, stomach pain, bloating) by using a mobile app. There is a washout period of four days between the different crackers. In addition, the participants will keep food records on the cracker eating days as well as collect five fecal samples during the study. The participants will also report their physical activity and the number of defecations on each day. The study is carried out in a double-blinded crossover setting.
Detailed Description
A human intervention study with volunteers suffering from either irritable bowel syndrome (IBS) or functional bloating (FB) will be carried out to investigate the effects of enzymatic treatment of pea-based product on gastrointestinal symptoms and gut microbiota composition as well as hydrogen production due to carbohydrate fermentation. Enzyme-treated product will be compared to a control product.
The aim of the study is to investigate, whether enzyme-treated cracker, compared to a control product, will reduce gastrointestinaI symptoms, or have an impact on fecal microbiome or carbohydrate fermentation measured by breath hydrogen concentration. The effects of eating enzyme-treated crackers on food intake, exercise and stool frequency will also be investigated.
The study is carried out in a randomized, double-blinded, placebo-controlled crossover design. The study includes two 1-week treatment periods with 1-week run-in period before the intervention. Participants (N=35 at the maximum) are adult males and females who meet Rome IV criteria for IBS or FB.
Exclusion criteria will be as follows:
coeliac disease
inflammatory bowel disease
pregnancy or breastfeeding
antibiotics within the last 3 months
colonoscopy and preparations for it within 4 weeks
During both treatment weeks each participant will receive three-day portion of either α-galactosidase-treated or control pea-based crackers. The participants will be advised to avoid foods that trigger their gastrointestinaI symptoms and otherwise follow their habitual diets for the whole 3-week study period. They will be asked to report severity of nine gastrointestinaI symptoms, keep food record, collect fecal samples, measure breath hydrogen and report their physical activity as well as stool frequency.
The participants will report their gastrointestinal symptoms throughout the study weeks (twice a day on cracker eating days, once on washout days). Physical activity and stool frequency will also be reported daily. Fecal samples will be collected during the run-in period (at baseline) and on third and seventh day of each treatment week. Breath hydrogen will be measured on second day of both treatment weeks. Nutrient intake and food consumption will be analyzed from 3-day food records during the run-in week and each treatment week (total 9 days). Nutrient intake will be calculated using a new Finnish 'Aromi Diet' software.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
IBS - Irritable Bowel Syndrome
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Masking Description
The study is double-masked - neither the researchers or the participants know which cracker they are eating.
Allocation
Randomized
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Control cracker
Arm Type
Active Comparator
Arm Description
All participants eat control crackers, which contain high amounts of GOS (approx. 5g GOS/daily portion of crackers)
Arm Title
Enzyme-treated cracker
Arm Type
Active Comparator
Arm Description
All participants eat enzyme-treated crackers, which contain minimal amounts of GOS (less than 1g GOS/daily portion of crackers)
Intervention Type
Other
Intervention Name(s)
Control cracker
Intervention Description
The gut symptoms caused by control crackers are studied in IBS persons
Intervention Type
Other
Intervention Name(s)
Enzyme-treated cracker
Intervention Description
The gut symptoms caused by enzyme-treated crackers are studied in IBS persons
Primary Outcome Measure Information:
Title
The intensity of stomach pain measured by a visual analogue scale
Description
Study participants report the intensity of experienced stomach pain on a scale of zero (no pain at all) to 100 (very intense pain) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of stomach cramps measured by a visual analogue scale
Description
Study participants report the intensity of experienced stomach cramps on a scale of zero (no cramps at all) to 100 (very intense cramps) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of bloating measured by a visual analogue scale
Description
Study participants report the intensity of experienced bloating on a scale of zero (no bloating) to 100 (very bloated) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of flatulence measured by a visual analogue scale
Description
Study participants report the intensity of experienced flatulence on a scale of zero (no flatulence at all) to 100 (very intense flatulence) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of stomach noise measured by a visual analogue scale
Description
Study participants report the intensity of experienced stomach noise on a scale of zero (no noise at all) to 100 (very loud noise) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of nausea measured by a visual analogue scale
Description
Study participants report the intensity of experienced nausea on a scale of zero (no nausea at all) to 100 (very intense nausea) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of heartburn measured by a visual analogue scale
Description
Study participants report the intensity of experienced heartburn on a scale of zero (no heartburn at all) to 100 (very intense heartburn) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of an unpleasant feeling in the upper abdomen or the feeling of feeling full fast related to eating measured by a visual analogue scale
Description
Study participants report the intensity of an unpleasant feeling in the upper abdomen or the feeling of feeling full fast related to eating on a scale of zero (no no described unpleasant feeling at all) to 100 (very intense unpleasant feeling) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The intensity of a sudden need to defecate measured by a visual analogue scale
Description
Study participants report the intensity of a sudden need to defecate on a scale of zero (no need to defecate at all) to 100 (very intense need to defecate) using a mobile application. The data will be summarized in Excel form and the differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
Title
The composition of gut microbiota analyzed from fecal samples using 16S rRNA amplicon sequencing
Description
The composition of gut microbiota is analyzed from fecal samples using 16S rRNA amplicon sequencing and qPCR (quantitative polymerase chain reaction). The differences between the treatments will be analyzed statistically.
Time Frame
2 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
IBS (Rome IV criteria) or functional bloating
over 18 years old
Exclusion Criteria:
IBD (inflammatory bowel disease)
coeliac disease
pregnancy or breastfeeding
antibiotics within the last 3 months
colonoscopy and preparations for it within 4 weeks
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anne-Maria Pajari
Organizational Affiliation
University of Helsinki
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Helsinki
City
Helsinki
State/Province
Uusimaa
ZIP/Postal Code
00014
Country
Finland
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Data cannot be shared
Learn more about this trial
Innovative Tools to Produce Legume-based Foods for Increased Consumer Acceptance
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