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Trial registered on ANZCTR
Registration number
ACTRN12625000711415p
Ethics application status
Submitted, not yet approved
Date submitted
13/11/2024
Date registered
4/07/2025
Date last updated
4/07/2025
Date data sharing statement initially provided
4/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of FODMAP enzymes to treat symptoms in patients with irritable bowel syndrome
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Scientific title
Evaluation of FODMAP enzymes to treat symptoms in patients with irritable bowel syndrome
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Secondary ID [1]
313375
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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
335744
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Condition category
Condition code
Oral and Gastrointestinal
333163
333163
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Diet and Nutrition
332299
332299
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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
This study is a 1 week cross-over feeding trial using a FODMAP enzyme. This will involve consumption of 3 Intoleran Quatrase enzymes in oral capsule form with each provided meal and snack for 1 week. Participants will be expected to consume the capsules with their meals. Food and enzyme diaries will be kept during the week.
The wash out period between the two interventions will be a minimum of 3 weeks.
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Intervention code [1]
329957
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Treatment: Other
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Comparator / control treatment
This study is a 1 week cross-over feeding trial using a glucose-based placebo pill. This will involve consumption of 3 identical oral capsules with each provided meal and snack for 1 week. Food and enzyme diaries will be kept during the week.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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IBS symptoms at the end of intervention
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Assessment method [1]
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IBS-SSS questionnaire
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Timepoint [1]
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Day 7 of the intervention and placebo
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Secondary outcome [1]
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Psychological indices included anxiety, stress and depression
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Assessment method [1]
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DASS-21
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Timepoint [1]
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At the end of both interventions (day 7)
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Secondary outcome [2]
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Breath hydrogen at the start and end of interventions
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Assessment method [2]
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hourly breath collection for 12 hours
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Timepoint [2]
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the day before start of intervention and placebo and the last day of intervention and placebo
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Secondary outcome [3]
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Quality of life at the end of intervention
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Assessment method [3]
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IBS-QOL questionnaire
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Timepoint [3]
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Day 7 of the intervention and placebo
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Secondary outcome [4]
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markers intestinal barrier function
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Assessment method [4]
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blood and urine samples will be collected at the Alfred Hospital to assess intestinal barrier function evaluated via the combined following; dual-sugar permeability test, liposaccharide-binding protein, soluble CD14 and intestinal and fatty acid binding protein-2.
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Timepoint [4]
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study conclusion (6 weeks post-intervention commencement)
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Eligibility
Key inclusion criteria
Meet the ROME IV criteria for IBS and reported good symptoms control on a low FODMAP diet
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
any organic gastrointestinal condition, patients on restrictive diets (excluding FODMAP) who are unable to consume the provided diet, supplementary prebiotics or probiotics, pregnant or breastfeeding, inability to speak or read English
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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)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by 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
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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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2025
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Actual
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Date of last participant enrolment
Anticipated
30/06/2026
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Actual
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Date of last data collection
Anticipated
30/08/2026
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Actual
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Sample size
Target
34
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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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Commercial sector/Industry
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Name [1]
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Intoleran
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Address [1]
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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 University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Alfred Health
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Address [1]
320147
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Country [1]
320147
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
316502
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
316502
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https://www.monash.edu/researchoffice/ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
316502
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01/05/2025
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Approval date [1]
316502
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Ethics approval number [1]
316502
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Ethics committee name [2]
316501
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Alfred Hospital Ethics Committee
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Ethics committee address [2]
316501
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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12/12/2024
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Approval date [2]
316501
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Ethics approval number [2]
316501
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Summary
Brief summary
Irritable bowel syndrome (IBS) affects at least 10% of the world's population. Our current go-to symptom management strategy, the low FODMAP diet, is an extremely restrictive diet. 1/4 of people with IBS having disordered eating behaviours making them inappropriate for dietary restriction. Therefore the aim of this study is to evaluate the efficacy of a FODMAP enzyme in a pill form to help break down these foods that contribute to IBS symptoms without the need for a restrictive diet. This study will be a randomised cross-over controlled feeding trial which will require 34 participants to eat provided study meals for a week while taking either the FODMAP enzyme or a placebo. They will then have a minimum 3 week washout before another week of study meals on the pill they did not have the first time allowing each participant to be their own control. Across the study duration will will assess IBS symptoms, breath hydrogen, fatigue, quality of life and psychological indices. We will also be take blood and urine samples to assess intestinal barrier function ('leaky gut'). The primary endpoint will be IBS symptoms as measured by IBS-SSS at completion. We hypothesis that IBS symptoms will be significantly less in the FODMAP enzyme group.
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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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Miss Ellen Anderson
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Address
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School of Translational Science, Monash University, Level 6, 99 Commerical Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 400199981
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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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Ellen Anderson
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Address
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School of Translational Science, Monash University, Level 6, 99 Commerical Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 400199981
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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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Ellen Anderson
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Address
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School of Translational Science, Monash University, Level 6, 99 Commerical Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 400199981
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
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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