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Trial registered on ANZCTR
Registration number
ACTRN12624000626561
Ethics application status
Approved
Date submitted
1/05/2024
Date registered
14/05/2024
Date last updated
14/05/2024
Date data sharing statement initially provided
14/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Screening and prevalence of high nutrition risk, energy expenditure and nitrogen turnover in inflammatory bowel disease (IBD)
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Scientific title
Screening and prevalence of high nutrition risk, energy expenditure and nitrogen turnover in inflammatory bowel disease (IBD)-Ulcerative colitis and metabolic monitoring
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Secondary ID [1]
311820
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nil known
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Universal Trial Number (UTN)
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Trial acronym
SPENT – IBD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ulcerative Colitis
333349
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Condition category
Condition code
Oral and Gastrointestinal
330030
330030
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
4
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Target follow-up type
Days
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Description of intervention(s) / exposure
Participants will be asked to complete a 72 hour weighed food diary. Participants will weigh all their food consumed and record this in the free app "easy diet diary" over a 72 hour period.
During the final 24 hours of the weighed food diary, participants will be asked to complete a 24-hour urine and stool collection. These will be stored in a portable refrigerator provided by the study team.
On the morning of day 4, Participants will then attend a single appointment with a researcher lasting approximately 1 hour to complete indirect calorimetry (2x 10 minute measures) and body composition assessment including SGA. Participants will return stool and urine samples at this time.
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Intervention code [1]
328578
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Early Detection / Screening
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Comparator / control treatment
A subset of age and gender matched healthy controls will be included in the study.
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Control group
Active
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Outcomes
Primary outcome [1]
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Protein nitrogen balance presented in grams/kg/day
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Assessment method [1]
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Nitrogen balance studies: Completed through nitrogen excretion from 24-hour urine save and assessment of mean nitrogen intake from 3-day weighed food diary.
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Timepoint [1]
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Cross sectional single time point.
Participants collect a 3 day weighed food diary and attend a single appointment the morning of day 4.
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Primary outcome [2]
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Resting energy expenditure presented in Kcal/kg/day
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Assessment method [2]
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Indirect calorimetry via standard published assessment methods
Indirect calorimetry will be completed using the COSMED QNRG indirect calorimeter. Resting energy expenditure will be measured over 2x 10minute steady state time periods. Cosmed Q-NRG + metabolic monitor will be used as per standard procedures by a trained operator. Energy expenditure outputs in Kcal/kg/day will be averaged over the 2x 10-minute steady state measures.
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Timepoint [2]
337784
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Cross sectional analysis - Single timepoint
Timepoint will occur on the morning of day 4, following the 3 day weighed food diary.
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Secondary outcome [1]
433321
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Malnutrition will be measured using the validated subjective global assessment (SGA).
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Assessment method [1]
433321
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SGA will be completed by trained clinicians where SGA A scores equate to well nourished, SGA B describes mild to moderately malnutrition and C describes severely malnutrition.
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Timepoint [1]
433321
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Cross sectional analysis - Single timepoint
This will be completed following indirect calorimetry on the morning of day 4.
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Secondary outcome [2]
433322
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Nutrition risk measured with the inflammatory bowel disease - nutrition screening tool (IBD-NST)
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Assessment method [2]
433322
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Participant-completed digital assessment form where a score of 0 indicates low nutrition risk, scores of 1-2 moderate nutrition risk and a score of Score= 3 correlates with high nutrition risk.
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Timepoint [2]
433322
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Cross sectional analysis - Single timepoint
This will be completed following indirect calorimetry on the morning of day 4.
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Secondary outcome [3]
433324
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Weight status presented in kilograms (Kgs) and converted into body mass index (BMI)
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Assessment method [3]
433324
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Body mass will be measured on digital scales and height on a stadiometer. Body mass index (BMI) <18.5 kg/m2, Healthy weight range will be defined as BMI =18.6 kg/m2 and <24.9 kg/m2 Overweight body status will be defined as BMI =25kg/m2 and <29.9kg/m2, Obese body status will be defined as BMI =30kg/m2.
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Timepoint [3]
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Cross sectional study - single time point
This will be completed following indirect calorimetry on the morning of day 4.
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Eligibility
Key inclusion criteria
Established diagnosis of ulcerative colitis
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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?
Yes
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Key exclusion criteria
Age under 18 years
Pregnancy and breastfeeding
Indeterminant colitis
Axis 1 psychiatric comorbidities that prevent completion of informed consent
Inability to provide informed written consent
Protein losing enteropathy
Nephrotic syndrome
Liver disease
stage 4 or stage 5 chronic kidney disease
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Case control
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Timing
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Statistical methods / analysis
Power calculations have been completed and a sample size of 31 healthy controls and 62 patients with UC are required.
Descriptive statistics will be presented for characteristics of studied individuals.
Mean and standard deviation will be presented for normally distributed continuous variables, and median and interquartile ranges for skewed continuous variables.
Frequency and percentage will be used for categorical variables.
Relationships between energy and protein expenditure, body composition and disease state will be investigated using linear regression and mixed effects models.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/06/2024
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Actual
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Date of last participant enrolment
Anticipated
26/06/2025
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Actual
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Date of last data collection
Anticipated
30/06/2025
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Actual
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Sample size
Target
93
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
26498
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The Queen Elizabeth Hospital - Woodville
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Recruitment postcode(s) [1]
42540
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5011 - Woodville
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Funding & Sponsors
Funding source category [1]
316156
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University
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Name [1]
316156
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The University of Adelaide
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Address [1]
316156
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Country [1]
316156
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Australia
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Primary sponsor type
University
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Name
The University of Adelaide
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Address
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Country
Australia
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Secondary sponsor category [1]
318590
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None
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Name [1]
318590
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Address [1]
318590
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Country [1]
318590
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314986
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Central Adelaide Local Health Network HREC
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Ethics committee address [1]
314986
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https://www.rah.sa.gov.au/research/for-researchers/central-adelaide-local-health-network-human-research-ethics-committee
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Ethics committee country [1]
314986
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Australia
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Date submitted for ethics approval [1]
314986
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29/06/2023
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Approval date [1]
314986
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11/07/2023
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Ethics approval number [1]
314986
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2023/HRE00114
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Summary
Brief summary
This prospective cross sectional observational study aims to explore the protein and energy expenditure of patients with ulcerative colitis. Patients will undergo indirect calorimetry and nitrogen balance studies to determine their metabolic demand. The primary endpoint is nitrogen balance measured in nitrogen(g)/kg participant body weight/day. The secondary endpoint is resting metabolic rate in kcal/kg/day. Patient metabolic outputs will be compared to that of healthy controls. It is hypothesized that patients with ulcerative colitis do not have increased metabolic demands compared with healthy controls.
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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 Samantha Plush
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Address
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The Department of Gastroenterology and Hepatology, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville south, SA, 5011
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Country
133326
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Australia
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Phone
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+61 0401693177
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Fax
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Email
133326
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[email protected]
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Contact person for public queries
Name
133327
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Samantha Plush
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Address
133327
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The Department of Gastroenterology and Hepatology, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville south, SA, 5011
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Country
133327
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Australia
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Phone
133327
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+61 0401693177
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Fax
133327
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Email
133327
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[email protected]
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Contact person for scientific queries
Name
133328
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Samantha Plush
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Address
133328
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The Department of Gastroenterology and Hepatology, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville south, SA, 5011
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Country
133328
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Australia
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Phone
133328
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+61 0401693177
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Fax
133328
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Email
133328
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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
As per ethics approval
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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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