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Trial registered on ANZCTR
Registration number
ACTRN12615000542594
Ethics application status
Approved
Date submitted
16/04/2015
Date registered
28/05/2015
Date last updated
30/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of low-chemical elimination diet with a low fermentable oligo, di, mono-saccharide and polyol (low FODMAP) diet for the management of functional gastrointestinal disorders (FGID)
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Scientific title
A randomized cross-over trial in adult patients with functional bowel disorders comparing the efficacy of a low-chemical elimination diet with a low-FODMAP diet for symptom control and quality of life improvement.
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Secondary ID [1]
286587
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nil
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Universal Trial Number (UTN)
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Trial acronym
FGID and diet study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Functional gastrointestinal disorders
294777
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Condition category
Condition code
Oral and Gastrointestinal
295060
295060
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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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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Randomised cross-over comparison of low-chemical (low salicylates, amines, glutamates, additives) with a low FODMAP (low fermentable oligo, di, mono-saccharides and polyols) diets. Each diet will run for 3 weeks and be administered by a dietitian. No washout period is required. Improvement in symptoms would be expected to some extent after 3 weeks and participants will be allowed time at the end of the second diet (where they will maintain a low chemical diet (and low FODMAP if indicated). If no improvement after 6 weeks, participants will be returned to a normal diet. Food diaries will be utilised throughout the protocol to monitor adherence and nutritional adequacy. As part of the study, participants would consult the dietitian at randomisation, and prior to cross-over (each 30-60min). Email and phone access to the dietitian is provided ongoing.
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Intervention code [1]
291645
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Treatment: Other
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Comparator / control treatment
Head-to-head comparison of low-chemical elimination diet and low-FODMAP diet
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Control group
Active
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Outcomes
Primary outcome [1]
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Symptom control. Questionnaires will be administered before commencing the trial, at the end of the interventions. A standard daily symptom diary will be used in conjunction with the dietary intake diary. These questionnaires are 'Patient information forms' developed by the RPAH Allergy Unit for use with all patients.
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Assessment method [1]
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Timepoint [1]
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Symptom type, severity and frequency will be assessed by questionnaire at baseline and on completion of each intervention (weeks 3 and 6). Symptoms occurrence and severity is also recorded on a daily basis via symptom diary.
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Secondary outcome [1]
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Quality of life will be assessed with a standardized IBS-QOL instrument modified for use in patients with food intolerances.
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Assessment method [1]
314160
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Timepoint [1]
314160
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At baseline and after 3 weeks on each diet.
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Eligibility
Key inclusion criteria
Functional bowel disorder
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Minimum age
18
Years
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Maximum age
No limit
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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
Active asthma, past asthma triggered by food or drinks, history of laryngeal oedema or anaphylactoid reactions, or other gastrointestinal disorders (e.g. inflammatory bowel disease, coeliac disease)
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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)
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Methods used to generate the sequence in which subjects will be randomised (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
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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
2/07/2018
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3702
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
9535
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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RPAH Allergy Unit
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Address [1]
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9-11 Layton St, Camperdown NSW 2050
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Country [1]
291106
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Australia
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Primary sponsor type
Hospital
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Name
Royal Prince Alfred Hospital Allergy Unit
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Address
9-11 Layton St, Camperdown NSW 2050
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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]
289783
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Address [1]
289783
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Country [1]
289783
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292685
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SLHD Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
292685
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Missenden Rd, Camperdown NSW 2050
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Ethics committee country [1]
292685
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Australia
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Date submitted for ethics approval [1]
292685
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Approval date [1]
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25/03/2015
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Ethics approval number [1]
292685
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X15-0060
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Summary
Brief summary
The aim is to compare the effectiveness of two widely used diets: (1) the RPAH low chemical elimination diet, and (2) the low FODMAP diet. Patients will be randomly allocated to a 3-week period on one of these diets, after which they will cross-over for a further 3 weeks on the other diet. The main outcome measure will be symptom response. In addition to keeping a standard daily food & symptom diary, participants will be asked to complete questionnaires before, during and after the intervention period to assess impact on quality of life. Their dietary intake will also be analysed by a dietitian to ensure ongoing nutritional adequacy.
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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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Mrs Wendy Stuart-Smith
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Address
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RPAH Allergy Unit
9-11 Layton St,
Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 9515 3322
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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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Wendy Stuart-Smith
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Address
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RPAH Allergy Unit
9-11 Layton St,
Camperdown NSW 2050
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Country
56299
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Australia
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Phone
56299
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+61 2 9515 3322
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Fax
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Email
56299
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[email protected]
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Contact person for scientific queries
Name
56300
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Wendy Stuart-Smith
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Address
56300
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RPAH Allergy Unit
9-11 Layton St,
Camperdown NSW 2050
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Country
56300
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Australia
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Phone
56300
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+61 2 9515 3322
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Fax
56300
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Email
56300
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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
No additional documents have been identified.
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