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Trial registered on ANZCTR
Registration number
ACTRN12614001080617
Ethics application status
Approved
Date submitted
10/09/2014
Date registered
9/10/2014
Date last updated
11/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of kiwifruit on digestion in healthy adult males.
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Scientific title
A randomised controlled cross over study to examine the influence of Actinidin from green kiwifruit on digestion in healthy adult males.
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Secondary ID [1]
285313
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None
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Universal Trial Number (UTN)
U1111-1161-5730
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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:
Gastrointestinal comfort
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Condition category
Condition code
Oral and Gastrointestinal
293296
293296
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A randomised controlled crossover study of 10 healthy males.
Test meals are: 400g steak with two Gold Kiwifruit & 250 ml water X 2 : 400g steak with two Green kiwifruit & 250 ml water X1
Visits: Participants will arrive having fasted overnight following the consumption of a standard meal. On arrival they will complete VAS scales rating feelings of hunger, satisfaction, fullness and comfort. They will be given the test food and asked to eat it in full at their own pace but within15 minutes. They will immediately be asked to swallow the SmartPIll, attach the transponder and complete further VAS scales which will be repeated each hour for a total of 5 hours. Participants will be given an ad libitum lunch after 5 hours to assess energy intake. Items will be given in moderate excess and participants will be asked to stop eating when comfortably full but will remain for a time period of 30 minutes. Meals will be weighed before and after consumption to assess energy intake. After 5 days, the participants will visit to return the transponder for downloading of the data. After least 7 days, participants will return to consume the next randomised test meal until all three meals have been consumed
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Intervention code [1]
290223
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Lifestyle
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Comparator / control treatment
The addition of two Gold HORT 16A kiwifruit which have negligible Actinidin levels to a high protein meal consisting of 400g stir fried steak
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome will be the rate of gastric emptying times as assessed by SmartPill technology.
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Assessment method [1]
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Timepoint [1]
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5 days
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Primary outcome [2]
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The primary outcome will be the rate of small bowel transit times as assessed by SmartPill technology.
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Assessment method [2]
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Timepoint [2]
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5 days
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Secondary outcome [1]
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Subjective feelings of hunger and fullness as assessed by visual analogue scales
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Assessment method [1]
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Timepoint [1]
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0,15 minutes, 1,2,3,4,5 hours
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Secondary outcome [2]
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Subjective feelings of gastric comfort as assessed by questions with set ratings.
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Assessment method [2]
310602
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Timepoint [2]
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0,15 minutes, 1,2,3,4,5 hours
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Secondary outcome [3]
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Energy intake of ad libitum lunch which will be assessed by offering the participants a restricted buffet-style
meal with predominantly cold and one hot meal choice,
along with a selection of beverages. In an attempt to avoid
over-consumption the variation of meal items will be limited. Participants will be advised that they can eat as
much or as little as they chose and that they are to
remain in the room for a period of 45 minutes. The remaining food items will be weighted and the quantity of food consumed estimated.
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Assessment method [3]
310772
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Timepoint [3]
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5 hours
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Eligibility
Key inclusion criteria
10 generally healthy males. BMI 19 to 30 kg/m2
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Major Illness - cardiovascular disease, diabetes, cancer, renal failure, previous gastrointestinal surgery (not including appendectomy), neurological conditions (stroke, multiple sclerosis, spinal cord injury); gastrointestinal disorders such as Crohn's disease, IBS, diverticulitis; major food allergies; allergies to kiwifruit; extreme dietary habits
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Study design
Purpose of the study
Prevention
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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)
Subjects will be enrolled by investigators folllowing a face to face interview and given a unique identifying number for labelling all further trial data. This ID number will be provided to an independent biostatisician who will randomise the participants to the treatment schedule
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation by using a randomization table created by a computer software (i.e. computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
N/a
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A sample of ten participants in a cross-over design was chosen following Timm and others (2011), who found significant differences in colonic and whole gut transit times between high and low fibre meals using similar measurement techniques and ten participants.
Initial calculations have been made on the available data.VAS data will be analysed using a repeated measures Linear
Mixed Model ANOVA. MANOVA will be
also used to generate a full model for VAS incorporating
all dependent variables. Energy and macronutrient intake
data from the ad lib lunch meal will be analysed using univariate ANOVA Univariate ANOVA. The trial will be analysed on the basis of intention to treat (ITT). Statistical significance will be based on 95% limits (P < 0.05).
Timm, Derek. The use of a wireless motility device (SmartPill 'Registered Trademark') for the measurement of gastrointestinal transit time after a dietary fibre intervention. British Journal of Nutrition; 2011: 105;1337-1342
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/10/2014
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Actual
20/10/2014
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Date of last participant enrolment
Anticipated
31/10/2014
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Actual
3/11/2014
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Date of last data collection
Anticipated
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Actual
15/12/2014
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Canterbury
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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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Zespri International Ltd
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Address [1]
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40 Maunganui Road
Mt Maunganui
New Zealand 3116
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Country [1]
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New Zealand
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Primary sponsor type
Government body
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Name
The New Zealand Institute for Plant & Food Research Limited
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Address
Gerald Street, Lincoln, Christchurch 8140
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Country
New Zealand
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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]
288623
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Health and Disability Council
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Ethics committee address [1]
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Ministry of Health No 1 The Terrace PO Box 5013 Wellington 6145
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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15/09/2014
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Approval date [1]
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20/10/2014
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Ethics approval number [1]
291648
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Summary
Brief summary
The consumption of green kiwifruit, Actinidia deliciosa cv. ‘Hayward”, has been thought to assist in the digestion of food for many years and this has largely been attributed to the presence of the proteolytic enzyme actinidin. Actinidin has been shown to enhance the digestion of protein during the digestive process reducing feelings of over fullness and gastric discomfort following a high protein meal. This study aims to examine the effect of consuming green kiwifruit (containing high levels of the enzyme Actinidin) alongside a high protein meal of 400g steak and measuring the transit rate of the food through the Gastrointestinal tract using SmartPill technology. SmartPill is a wireless single use, ingestible capsule that uses sensor technology to measure pH, pressure and temperature throughout the entire gastrointestinal tract (GIT) over a five day period . They will also be asked to rate feelings of fullness and gastric comfort using visual analogue scales over a 5 hour period. Following an interval of at least seven days, the participants will then cross over to repeat the study and consume the same meat meal with Gold kiwifruit (contains low levels of Actinidin) as a comparison.
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Trial website
N/a
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Trial related presentations / publications
Commercial report completed and accepted by Zespri International Ltd. 01/02/2015
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Public notes
N/a
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Contacts
Principal investigator
Name
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A/Prof Richard Gearry
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Address
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Gastroenterology & Endoscopy
Christchurch School of Medicine
University of Otago
PO Box 3932
Christchurch 8140
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Country
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New Zealand
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Phone
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64 3 3786236
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Fax
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64 3 3786299
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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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Sarah Eady
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Address
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Plant & Food Research
PO Box 4704
Christchurch 8140
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Country
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New Zealand
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Phone
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64 3 3259671
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Fax
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64 3 3252074
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Email
51343
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[email protected]
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Contact person for scientific queries
Name
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Sarah Eady
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Address
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Plant & Food Research
PO Box 4704
Christchurch 8140
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Country
51344
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New Zealand
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Phone
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64 3 3259671
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Fax
51344
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64 3 3252074
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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
Dimensions AI
A Pilot Randomized Cross-Over Trial to Examine the Effect of Kiwifruit on Satiety and Measures of Gastric Comfort in Healthy Adult Males
2017
https://doi.org/10.3390/nu9070639
N.B. These documents automatically identified may not have been verified by the study sponsor.
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