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Trial registered on ANZCTR
Registration number
ACTRN12624000643572p
Ethics application status
Submitted, not yet approved
Date submitted
4/04/2024
Date registered
20/05/2024
Date last updated
20/05/2024
Date data sharing statement initially provided
20/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The Impact of Dietary Histamine in Chronic Pain – Pilot Study
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Scientific title
Assessing the impact of an exogenous histamine-reducing dietary intervention on pain as measured by the Brief Pain Inventory (BPI) in adults.
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Secondary ID [1]
311885
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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:
Chronic pain
333463
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Condition category
Condition code
Anaesthesiology
330130
330130
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
4-week low histamine diet that will require participants to avoid eating foods that are naturally high in histamine (e.g., tomato, eggplant, olives, spinach), as well as foods, fluids and food additives that can release histamines into the body. When enrolling onto the study, participants will be provided with a 'Diet Information Sheet' that has been developed by Dietitians and a clinician specialising in histamine intolerance. This sheet contains detailed information about foods that participants can and can't eat. Participants will discuss the diet with the study Dietitian, and also complete the baseline survey during this initial 90-minute introductory session, Participants will then meet with a study Dietitian at the end of every week for 4-weeks, either in-person or via Zoom for a 60-minute appointment to discuss the diet and any questions they might have. The last of these 4 weekly appointments will be approximately 90-minutes as the participants will also complete the follow-up survey. Dietary adherence will be tracked by a study Dietitian at the weekly 60-minute dietetics sessions with a food symptom diary and a compliance survey.
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Intervention code [1]
328350
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Lifestyle
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Intervention code [2]
328413
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
337884
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Change in pain
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Assessment method [1]
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Pain scores on the 4-item pain severity subsection of the Brief Pain Inventory (BPI).
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Timepoint [1]
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Baseline and 4 weeks post commencement of dietary intervention
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Secondary outcome [1]
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Change in quality of life outcome
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Assessment method [1]
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Assessment of Quality of Life (AQoL-8D) utility score.
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Timepoint [1]
433598
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Baseline and 4 weeks post commencement of dietary intervention
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Secondary outcome [2]
433599
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Depression
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Assessment method [2]
433599
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Scores on the Depression Anxiety and Stress Scale 21 (DASS-21)
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Timepoint [2]
433599
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Baseline and 4 weeks post commencement of dietary intervention
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Eligibility
Key inclusion criteria
(a)All patients aged 18 years and over referred to Pain Management Research Centre at Royal North Shore Hospital
(b) Adults (age 18 years and over)
(c) Patient-reported food allergy or intolerance and/or GI pain, discomfort, or bloating, and
(d) Multi-site pain (2 or more sites), and
(e) Chronic pain (at least 3 months)
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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
(a) Any active cancer
(b) Inability to read or speak English sufficiently
(c) Patients seeking further medical/ surgical interventions for pain
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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)
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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
Single group
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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
We will compare pain scores on the 4-item pain severity subsection of the Brief Pain Inventory (BPI) pre and post dietary intervention using paired samples t-test. Similar analysis using paired t-test will be conducted to analyse secondary outcomes.
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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
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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
40
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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]
26373
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
42345
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2065 - St Leonards
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Funding & Sponsors
Funding source category [1]
316233
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University
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Name [1]
316233
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GenIMPACT, Macquarie University
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Address [1]
316233
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Country [1]
316233
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Australia
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Primary sponsor type
University
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Name
GenIMPACT, Macquarie University
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Address
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Country
Australia
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Secondary sponsor category [1]
318422
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None
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Name [1]
318422
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Address [1]
318422
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Country [1]
318422
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Other collaborator category [1]
283000
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Hospital
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Name [1]
283000
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PMRC - Pain Management Research Centre
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Address [1]
283000
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Country [1]
283000
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Australia
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Other collaborator category [2]
283001
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Hospital
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Name [2]
283001
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Royal North Shore Hospital
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Address [2]
283001
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Country [2]
283001
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315056
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Northern Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
315056
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https://www.nslhd.health.nsw.gov.au/Research/ResearchOffice/Pages/HREC.aspx
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Ethics committee country [1]
315056
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Australia
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Date submitted for ethics approval [1]
315056
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22/02/2024
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Approval date [1]
315056
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Ethics approval number [1]
315056
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Summary
Brief summary
Chronic pain is one of the most common, distressing, and burdensome forms of disability in Australia, with around 20% of Australians experiencing chronic pain (>3 months) at any one time. Chronic pain is associated with markedly reduced quality of life, high levels of distress and often co-occurs with depression, anxiety, fatigue, sleep disturbance and relationship strain. Some studies have found an association between a low histamine diet and reduced migraine and other symptoms. This study aims to assess to assess the impact of an exogenous histamine-reducing dietary intervention on pain as measured by the Brief Pain Inventory (BPI) 1 month after commencing the low histamine diet, and the cost effectiveness of the intervention.
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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
133526
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Prof Deborah Schofield
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Address
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GenIMPACT, Macquarie University, 4 Eastern Road, Sydney, NSW 2019
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Country
133526
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Australia
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Phone
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+61403399464
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Fax
133526
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Email
133526
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[email protected]
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Contact person for public queries
Name
133527
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Philippa Smith
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Address
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GenIMPACT, Macquarie University, 4 Eastern Road, Sydney, NSW 2019
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Country
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Australia
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Phone
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+61298504882
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Fax
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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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Deborah Schofield
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Address
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GenIMPACT, Macquarie University, 4 Eastern Road, Sydney, NSW 2019
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Country
133528
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Australia
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Phone
133528
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+61298504882
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Fax
133528
0
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Email
133528
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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
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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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