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Trial registered on ANZCTR
Registration number
ACTRN12619000845134
Ethics application status
Approved
Date submitted
30/05/2019
Date registered
14/06/2019
Date last updated
14/06/2019
Date data sharing statement initially provided
14/06/2019
Date results provided
14/06/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Investigating health effects of fibre consumption in healthy humans
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Scientific title
Exploring the use of a high-fibre diet to alter short-chain fatty acids and immune markers in healthy humans: A pilot study
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Secondary ID [1]
298364
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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:
Gut disease
313025
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Asthma
313026
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Inflammatory Bowel Disease
313098
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Allergies
313099
0
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Condition category
Condition code
Diet and Nutrition
311536
311536
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0
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Other diet and nutrition disorders
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Inflammatory and Immune System
311537
311537
0
0
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Normal development and function of the immune system
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Metabolic and Endocrine
311580
311580
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0
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Normal metabolism and endocrine development and function
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Oral and Gastrointestinal
311581
311581
0
0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study has a cross-over design in which participants are randomised to complete a intervention diet and control diet in random order. The intervention diet is a 5-day high-fibre dietary intervention provided in the form of meals to study participants. Participants are provided with 3 main meals day (breakfast, lunch, dinner) and 2 snack items a day (morning tea, afternoon tea). Participants may also eat other foods outside of the provided diet but are given a list of recommended snack foods to help them follow the intervention diet as best as possible. Meals have been developed with a dietitian to ensure they are nutritionally balanced and are cooked by a research chef in a commercial grade kitchen. Meals are portioned, vacuum-sealed and then provided to participants frozen. Participants are given study food diaries to follow and to help assess compliance. The average amount of energy provided by the study meals/snacks is 9277 kj/day. The average amount of total fibre is 39 g/day all of which is naturally contained in the foods provided. These are mainly in the form of resistant starch (7 g/day) and fermentable oligosaccharides (7 g/day). Meals for the high fibre diet high in legumes, wholegrains, fruits and vegetables. Example foods include Rye bread, wholegrain cereals (wheat bran), brown rice, split peas, pear and cannellini beans. These figures have been calculated through the use of food composition software (Foodworks).
Once completed, there is a 5-day wash-out period between the diets.
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Intervention code [1]
314607
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Treatment: Other
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Comparator / control treatment
The study has a cross-over design in which participants are randomised to complete a intervention diet and control diet in random order.
The control diet is a 5-day low fibre diet provided in the form of meals to study participants. This provides an average of 18 g/day and has much lower levels of resistant starch (2 g/day vs 7 g/day) and oligosaccharides (1 g/day vs 7 g/day) compared to the high-fibre diet. This is achieved by making meals with refined grains and flours and low fermentable fibre fruits and vegetables (i.e strawberries, kiwifuit, lettuce, tomato). Participants are provided with 3 main meals day (breakfast, lunch, dinner) and 2 snack items a day (morning tea, afternoon tea). Participants may also eat other foods outside of the provided diet but are given a list of recommended snack foods to help them follow the intervention diet as best as possible. Meals have been developed with a dietitian to ensure they are nutritionally balanced and are cooked by a research chef in a commercial grade kitchen. Meals are portioned, vacuum-sealed and then provided to participants frozen by the study researcher.. Participants are given study food diaries to follow and to help assess compliance. The average amount of energy provided by the study meals/snacks is 9132 kj/day. This figure has been calculated through the use of food composition software (Foodworks).
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Control group
Active
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Outcomes
Primary outcome [1]
320238
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Blood Short-chain fatty acid level
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Assessment method [1]
320238
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Timepoint [1]
320238
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Morning of Day 5 of intervention and control diet
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Secondary outcome [1]
370958
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Proportion of peripheral blood T-regulatory cells
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Assessment method [1]
370958
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Timepoint [1]
370958
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Morning of Day 5 of intervention and control diet
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Secondary outcome [2]
370959
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This is a composite secondary outcome measuring Blood cytokine levels.
Interleukin (IL)-10, IL-17A, IL-1B, IL-6, IL-8 and Tumour necrosis factor (TNF)-a
Measured by multiplex analysis
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Assessment method [2]
370959
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Timepoint [2]
370959
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Morning of day 5 of intervention and control diet
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Eligibility
Key inclusion criteria
Healthy adults
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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
Inflammatory conditions (i.e asthma, inflammatory bowel disease, rheumatoid arthritis, allergy)
Recent bacterial or viral infection (<4 weeks)
Current or recent (<4 weeks) use of probiotics, antibiotics or medications that potentially alter normal gut function
Pregnancy or current breastfeeding
Special dietary requirements (i.e. allergy, vegetarian, vegan)
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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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
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Actual
10/07/2015
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Date of last participant enrolment
Anticipated
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Actual
11/08/2015
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Date of last data collection
Anticipated
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Actual
10/09/2015
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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 in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
302903
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University
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Name [1]
302903
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Monash University
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Address [1]
302903
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Department of Gastroenterology, Central clinical school, Level 6, The Alfred centre, 99 Commercial road, Melbourne, Victoria 3004
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Country [1]
302903
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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
Department of Gastroenterology, Central clinical school, Level 6, The Alfred centre, 99 Commercial road, Melbourne, Victoria 3004
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Country
Australia
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Secondary sponsor category [1]
302861
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None
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Name [1]
302861
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Address [1]
302861
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Country [1]
302861
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303476
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Monash University Human Research Ethics Commitee
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Ethics committee address [1]
303476
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Monash Research Office, 26 Sports Walk, Monash University, Wellington Road, Clayton VIC 3800
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Ethics committee country [1]
303476
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Australia
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Date submitted for ethics approval [1]
303476
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Approval date [1]
303476
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27/05/2015
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Ethics approval number [1]
303476
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Summary
Brief summary
Acetate is a type of short-chain fatty acid that is normally present in the blood. In animal studies, increasing the level of acetate in the blood is associated with reduction of inflammatory processes in the body. The purpose this research project is twofold. 1. We wish to investigate how to increase acetate levels in the blood by comparing diets that have different levels of fibre. Fibre taken in the diet as dietary fibre is converted to small metabolites that include acetate by bacteria found in the lower part of the gut (colon) and this acetate finds its way into the blood stream. 2. We wish to determine if increasing the acetate levels in the blood does change immune cells and key enzyme activities in the blood that may reduce inflammation, just as it does in experimental animals. This study will help us to understand if dietary fibre can be used to reduce inflammation in conditions such as asthma or allergy in the future. In order to investigate this, we are asking for healthy volunteers to participate in a dietary intervention study that will involve consuming a diet with varying fibre level and having blood taken at the end of each diet (Morning of Day 5).. This research has been initiated by Dr. Jane Muir, a dietitian and Head of Translational Research at the Department of Gastroenterology. The results of this project will be used by Mr. Paul Gill as part of his Bachelor of Biomedical science honours degree.
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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
93782
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A/Prof Jane Muir
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Address
93782
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Department of Gastroenterology, Monash University, Level 6, The Alfred centre, 99 Commercial Road, Melbourne, Victoria 3004
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Country
93782
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Australia
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Phone
93782
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+61 3 99030274
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Fax
93782
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Email
93782
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[email protected]
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Contact person for public queries
Name
93783
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Paul Gill
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Address
93783
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Department of Gastroenterology, Monash University, Level 6, The Alfred centre, 99 Commercial Road, Melbourne, Victoria 3004
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Country
93783
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Australia
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Phone
93783
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+61 3 99030396
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Fax
93783
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Email
93783
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[email protected]
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Contact person for scientific queries
Name
93784
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Paul Gill
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Address
93784
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Department of Gastroenterology, Monash University, Level 6, The Alfred centre, 99 Commercial Road, Melbourne, Victoria 3004
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Country
93784
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Australia
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Phone
93784
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+61 3 99030396
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Fax
93784
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Email
93784
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
IPD sharing was not included in approved ethics obtained from Monash University Human research ethics committee.
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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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