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Trial registered on ANZCTR
Registration number
ACTRN12611000415909
Ethics application status
Approved
Date submitted
20/04/2011
Date registered
20/04/2011
Date last updated
20/03/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of two different fibre supplements on body weight, body composition, metabolic and cardiovascular risk factors in overweight and obese individuals.
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Scientific title
Overweight and obese individuals and the comparison of two different fibre supplements on body weight, body composition, metabolic and cardiovascular risk factors.
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Secondary ID [1]
260026
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Nil
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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:
Metabolic and cardiovascular risk factors.
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Condition category
Condition code
Public Health
265823
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0
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Health promotion/education
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Diet and Nutrition
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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, double blind, parallel design study over a 52 week period. Study participants will be randomised into one of three groups: the control group who will consume the placebo with their usual diet; the psyllium supplement group who will consume a psyllium supplement with their usual diet, and a PolyGlycopleX (PGX) supplement group who will consume a PGX supplement with their usual diet. The fibre supplementation will consist of 5g of either psyllium Metamucil or 5g of either PGX (InovoBiologic, Inc., Calgary, Canada). Placebo will consist of 5g rice flour with flavouring. The rice flour will provide an appropriate placebo due to its low energy and fibre content and similarity in texture and appearance to the psyllium and PGX supplement. Participants will be instructed to take either 5g of the fibre supplements or placebo, mixed with 250mL water, three times daily 5-10 minutes before breakfast, lunch and dinner. Extra water may be taken ad libitum during or after the meal if desired and subjects will be made aware of this.
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Intervention code [1]
264446
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Treatment: Other
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Comparator / control treatment
Control participants will consume the placebo with their usual diet. The placebo will consist of 5g rice flour with flavouring.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Body weight. Body weight (UM-018 Digital Scales, Tanita Corporation, Tokyo, Japan) will be recorded in light clothing without shoes.
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Assessment method [1]
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Timepoint [1]
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baseline, 4, 8, 12, 16, 20, 26, 32, 38, 44, and 52 weeks.
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Primary outcome [2]
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Body composition measured by whole body dual-energy X-ray absorptiometry (DEXA; Lunar Prodigy)
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Assessment method [2]
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Timepoint [2]
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baseline, 26 weeks and 52 weeks
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Primary outcome [3]
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Lipids, glucose and insulin levels, measured from fasting blood samples.
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Assessment method [3]
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Timepoint [3]
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baseline, 12 weeks, 26 weeks and 52 weeks
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Secondary outcome [1]
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Systolic blood pressure (SBP) and diastolic blood pressure (DBP) measured on the left arm of participants with an automated sphygmomanometer (Dinamap ProCare). Subjects rested in a supine position before and during measurements.
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Assessment method [1]
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Timepoint [1]
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baseline, 4, 8, 12, 16, 20, 26, 32, 38, 44, and 52 weeks.
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Secondary outcome [2]
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Waist and Hip circumferences. Waist circumference will be measured in the standing position at the narrowest area between the lateral lower rib and the iliac crest. Hip measurement will be taken at the largest circumference of the lower abdomen.
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Assessment method [2]
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Timepoint [2]
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baseline, 4, 8, 12, 16, 20, 26, 32, 38, 44, and 52 weeks.
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Eligibility
Key inclusion criteria
Overweight or obese (BMI between 25-40 kg/m2)
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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?
Yes
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Key exclusion criteria
Smoking, lipid lowering medication, use of steroids and other agents that may influence lipid metabolism, use of warfarin, diabetes mellitus, hypo- and hyperthyroidism, cardiovascular events within the last 6 months, major systemic diseases, gastrointestinal problems, proteinuria, liver, renal failure, weight fluctuations over the past 6 months and vegetarianism.
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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)
Potential participants will be screened by telephone and attend a briefing to assess suitability. Suitable participants will be allocated to a group by c. central randomisation by phone/fax/computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer program generated randomization plan.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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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
Completed
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Date of first participant enrolment
Anticipated
1/09/2011
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Actual
12/03/2012
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Date of last participant enrolment
Anticipated
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Actual
29/10/2012
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Date of last data collection
Anticipated
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Actual
30/09/2013
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Sample size
Target
150
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Accrual to date
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Final
159
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Recruitment in Australia
Recruitment state(s)
WA
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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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Invovo Biologic
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Address [1]
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104-1240 Kensington Rd N.W., Suite 409
Calgary, Alberta
Canada
Y2N 4Y7
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Country [1]
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Canada
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Primary sponsor type
University
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Name
Curtin University of Technology
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Address
GPO Box U1987
Perth WA 6845
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Curtin University Human Ethics Committee
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Ethics committee address [1]
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GPO Box U1987 Perth WA 6845
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/03/2011
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Approval date [1]
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23/11/2011
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Ethics approval number [1]
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HR41/2011
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Summary
Brief summary
The current dietary fibre recommendations are 25–30 g/day, given the benefits of higher fibre intakes on lower body weight, BMI, waist circumference, improved plasma lipid profiles, improved glycaemia/ insulinaemia and risk reduction for metabolic syndrome, CVD and type 2 diabetes. However, most Australians, Canadians and Americans do not meet the recommendations because most find it difficult to consume enough fruit, vegetables, legumes and whole grains through their daily diet. Therefore, using fibre supplements may be an alternative way to increase daily fibre intakes. A simple strategy of PGX fibre supplementation may offer an easier solution to long-term weight loss and then management as well as improvements in metabolic syndrome without the need for other nutrient modification. The effects of PGX supplementation may be better than that of psyllium due to its higher viscosity levels and its effects on postprandial glucose/insulin. Therefore, the results from this trial have the potential to provide the necessary scientific evidence required to endorse the use of PGX supplementation, over psyllium in the dietary management (prevention and treatment) of chronic diseases.
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Trial website
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Trial related presentations / publications
Effect on body weight and composition in overweight/obese Australian adults over 12 months consumption of two different types of fibre supplementation in a randomized trial. Pal S, Ho S, Gahler RJ, Wood S. Nutr Metab (Lond). 2016 Nov 17;13:82. Effect on Insulin, Glucose and Lipids in Overweight/Obese Australian Adults of 12 Months Consumption of Two Different Fibre Supplements in a Randomised Trial. Pal S, Ho S, Gahler RJ, Wood S. Nutrients. 2017 Jan 29;9(2). pii: E91. doi: 10.3390/nu9020091.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Sebely Pal
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Address
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School of Public Health Curtin University GPO Box U1987 Perth WA 6845
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Country
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Australia
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Phone
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+61 8 9266 4755
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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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Assoc Prof Sebely Pal
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Address
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School of Public Health
Curtin University
GPO Box U1987
Perth WA 6845
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Country
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Australia
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Phone
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+61 8 9266 4755
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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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Assoc Prof Sebely Pal
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Address
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School of Public Health
Curtin University
GPO Box U1987
Perth WA 6845
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Country
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Australia
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Phone
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+61 8 9266 4755
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Fax
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Email
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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
Effect on body weight and composition in overweight/obese Australian adults over 12 months consumption of two different types of fibre supplementation in a randomized trial.
2016
https://dx.doi.org/10.1186/s12986-016-0141-7
Embase
Effect of two different fibre supplements on blood pressure, arterial stiffness and C-reactive protein in adults with overweight and obesity consumed over 12 months, in a randomised controlled trial.
2021
https://dx.doi.org/10.1016/j.hnm.2021.200132
Embase
Micronutrient status of individuals with overweight and obesity following 3 months' supplementation with PolyGlycopleX (PGX) or psyllium: a randomized controlled trial.
2022
https://dx.doi.org/10.1186/s40795-022-00534-7
N.B. These documents automatically identified may not have been verified by the study sponsor.
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