Fructose and Lactose Intolerance and Malabsorption in Functional Gastrointestinal Disorders

NCT ID: NCT02085889

Last Updated: 2021-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

3000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-01

Study Completion Date

2022-12-31

Brief Summary

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Background: The association of fructose and lactose intolerance and malabsorption with the symptoms of different functional gastrointestinal disorders (FGID) is unclear. The mechanisms behind the multi-organ symptoms remain unclear. Both FGID and saccharide intolerances are common (\>10% of any given population). Dietary modification based on intolerance diagnostics could provide an effective treatment for FGID, which are otherwise difficult to treat.

Aim: To investigate the prevalence and interrelationships of fructose and lactose intolerance (symptom induction) and malabsorption (breath test gas production) and their association with clinical GI as well as non-GI symptoms in FGID and the outcome of standard dietary intervention. Mechanisms related to symptom genesis will be investigated using metabolomic analysis of plasma and urine by gas chromatography/time-of-flight mass spectrometry (GC/TOFMS).

Methods: Fructose and lactose intolerance (defined by positive symptom index) and malabsorption (defined by increased hydrogen/methane) will be determined in successive male and female FGID patients in a single center using breath-testing. Symptoms will be recorded using standardised questionnaires and the Rome III criteria. The prevalence of the intolerances in the different FGID subgroups and the associations between breath testing results, clinical symptoms and the outcome of dietary modification will be assessed. Factors predictive of the outcome of dietary modulation will be screened for. GC/TOFMS will be used to assess the human and microbial metabolome in urine and plasma.

Detailed Description

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Conditions

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Functional Gastrointestinal Disorders Lactose Intolerance Fructose Intolerance

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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food intolerance

lactose intolerance fructose intolerance neither intolerance

no intervention: observational study

Intervention Type OTHER

observational

Interventions

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no intervention: observational study

observational

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with functional GI disorders according to ROME 3 criteria
* Without evidence of organic disease by standardised testing in GI practice.

Exclusion Criteria

* Current or relevant history of organic disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brain-Gut Research Group

OTHER

Sponsor Role lead

Responsible Party

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Clive H Wilder-Smith, MD

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Clive Wilder-Smith, MD

Role: PRINCIPAL_INVESTIGATOR

Brain-Gut Research Group

Locations

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Gastoenterology Group Practice

Bern, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Clive Wilder-Smith, MD

Role: CONTACT

+41313123737

Facility Contacts

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Clive Wilder-Smith, MD

Role: primary

+41313123737

References

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Wilder-Smith CH, Drewes AM, Materna A, Olesen SS. Extragastrointestinal Symptoms and Sensory Responses During Breath Tests Distinguish Patients With Functional Gastrointestinal Disorders. Clin Transl Gastroenterol. 2020 Aug;11(8):e00192. doi: 10.14309/ctg.0000000000000192.

Reference Type DERIVED
PMID: 32955198 (View on PubMed)

Wilder-Smith CH, Olesen SS, Materna A, Drewes AM. Fermentable Sugar Ingestion, Gas Production, and Gastrointestinal and Central Nervous System Symptoms in Patients With Functional Disorders. Gastroenterology. 2018 Oct;155(4):1034-1044.e6. doi: 10.1053/j.gastro.2018.07.013. Epub 2018 Sep 3.

Reference Type DERIVED
PMID: 30009815 (View on PubMed)

Wilder-Smith CH, Olesen SS, Materna A, Drewes AM. Breath methane concentrations and markers of obesity in patients with functional gastrointestinal disorders. United European Gastroenterol J. 2018 May;6(4):595-603. doi: 10.1177/2050640617744457. Epub 2017 Nov 15.

Reference Type DERIVED
PMID: 29881615 (View on PubMed)

Other Identifiers

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BGRG-2415b

Identifier Type: -

Identifier Source: org_study_id

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