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Trial registered on ANZCTR
Registration number
ACTRN12618000220268
Ethics application status
Approved
Date submitted
8/01/2018
Date registered
12/02/2018
Date last updated
12/02/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
High amylase resistant starch to decrease stool output in people with short bowel syndrome
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Scientific title
High amylase resistant starch to decrease stool output in people with short bowel syndrome
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Secondary ID [1]
293732
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Nil
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Universal Trial Number (UTN)
U1111-1207-3542
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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:
Short Bowel Syndrome
306101
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Condition category
Condition code
Oral and Gastrointestinal
305224
305224
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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
Addition of 50g per day of high amylase resistant starch to usual diet to determine changes in stool output.
Participants will act as their own control as this is a crossover trial. Each participant will complete the control and intervention arm of the trial.
Each arm of the trial will last for 1 week, as week one is a control (usual diet and fluids) period no wash out is required.
Participants will self administer the resistant starch by adding 1tbl per glass of St marks solution 4 times daily.
Resistant starch is a soluble tasteless powder which is undetectable in food and fluids.
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Intervention code [1]
299984
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Treatment: Other
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Comparator / control treatment
Participants will act as their own control by completing a one week observation period prior to the intervention.
The control period involves the participants taking their usual diet which includes 1L per day of st Marks oral rehydration solution. Participants are advised not to make any changes to their usual diet during the control / intervention
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Control group
Active
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Outcomes
Primary outcome [1]
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Total daily stool output (g/d) measured via collecting, weighing and then discarding the stool on days 2, 4 and 7 of each trial week.
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Assessment method [1]
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Timepoint [1]
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Stool output (g/d) will be measured on days 2, 4 and 7 of each trial week (i.e. both control and intervention period)..
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Secondary outcome [1]
341775
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Number of daily bowel actions recorded daily by the participant in the participant diary
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Assessment method [1]
341775
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Timepoint [1]
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Daily for the two weeks of intervention, Results of control versus intervention are then compared.
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Eligibility
Key inclusion criteria
Adults with short bowel syndrome and colon in continuity
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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
Fluid restriction
Absence of colon
Inability to take food / fluids orally
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not required as cross over trial
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
n/a
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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
paired t tests
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
14/10/2013
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Date of last participant enrolment
Anticipated
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Actual
6/01/2016
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Date of last data collection
Anticipated
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Actual
18/02/2016
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Sample size
Target
8
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Accrual to date
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Final
5
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
9698
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
18467
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
298346
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Austin Health
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Address [1]
298346
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145 Studley road
Heidelberg 3084
Victoria
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Country [1]
298346
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
145 Studley road
Heidelberg 3084
Victoria
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Country
Australia
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Secondary sponsor category [1]
297470
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None
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Name [1]
297470
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Address [1]
297470
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Country [1]
297470
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299339
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
299339
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145 Studley road Heidelberg 3084 Victoria
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Ethics committee country [1]
299339
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Australia
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Date submitted for ethics approval [1]
299339
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18/02/2013
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Approval date [1]
299339
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07/04/2013
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Ethics approval number [1]
299339
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H2013 / 04982
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Summary
Brief summary
Short bowel syndrome is defined as not having enough bowel to be able to absorb enough nutrition from food to maintain body weight. Short bowel syndrome causes diarrhoea and large fluid losses as a result of not being able to absorb what has been eaten / drunk. This means many people with short bowel syndrome rely on intravenous nutrition and or hydration. Recent studies have shown that adding resistant starch (a form of carbohydrate found in food) to rehydration solutions that you drink can reduce diarrhoea in cases from a number of different causes. There are no studies investigating the use of resistant starch to reduce stool output in participants with short bowel syndrome. It appears as though resistant starch works when it is fermented by the bacteria that live in the large bowel. A by-product of this fermentation are short chain fatty acids (SCFA). SCFA’s increase the large bowel’s ability to absorb water and salts leading to less diarrhoea and fluid loss. The aim of this study is to determine if adding resistant starch to a rehydration solution that you drink can reduce diarrhoea and fluid loss in people with short bowel syndrome. If it is effective it may have the potential to reduce the amount of IV fluids needed for some people. Resistant starch is present naturally in some foods and is approved as a food additive to increase the dietary fibre content. This trial is aimed to determine if resistant starch can decrease diarrhea in people with short bowel syndrome. It is a 2 week trial. Participants will complete both the control and the intervention. In the treatment group you will be provided with 50g of starch powder to add to St Marks’s oral rehydration solution. You will be asked to drink 4 glasses of St Mark’s solution daily, each containing a tablespoon of the powder. In the control group participants will be asked to drink 4 glasses of St Mark’s solution daily without any additions. During each study period participants will otherwise eat and drink as normal and asked not to make any dietary changes during the study periods. During the trial period participants will be asked to record the number of bowel actions they have each day and on days 2, 4 and 7 you will be asked to weigh each bowel action with scales that will be provided to record a daily total. Results will be compared between groups
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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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Ms Kate Hamilton
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Address
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Nutrition Department, Austin Health
145 Studley road
Heidelberg 3084
Victoria
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Country
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Australia
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Phone
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61 03 9496 5011
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Fax
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61 03 94963168
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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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Kate Hamilton
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Address
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Nutrition Department, Austin Health
145 Studley road
Heidelberg 3084
Victoria
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Country
80111
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Australia
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Phone
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61 03 9496 5011
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Fax
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61 03 9496 3168
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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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Kate Hamilton
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Address
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Nutrition Department, Austin Health
145 Studley road
Heidelberg 3084
Victoria
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Country
80112
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Australia
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Phone
80112
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61 03 9496 5011
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Fax
80112
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61 03 9496 3168
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Email
80112
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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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