Effects of Bread Gluten Content on Gastrointestinal Volumes
EGG
1 other identifier
interventional
15
1 country
2
Brief Summary
The investigators will apply non invasive Magnetic Resonance Imaging (MRI) techniques developed in Nottingham to evaluate the gastric emptying, small bowel water content, colonic gas and volumes in healthy volunteers eating three breads with different amount of gluten (none, normal, or high gluten) in three consecutive weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable healthy
Started Mar 2014
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 25, 2014
CompletedFirst Posted
Study publicly available on registry
April 4, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedOctober 6, 2015
October 1, 2015
4 months
March 25, 2014
October 5, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in gastric volume from baseline to 360 minutes after feeding
baseline and 0, 60, 120, 180, 240, 300, 360 minutes after feeding
Secondary Outcomes (1)
Change in small bowel water content from baseline to 360 minutes after feeding
baseline and 0, 60, 120, 180, 240, 300, 360 minutes after feeding
Other Outcomes (3)
Change in colonic total volume from baseline to 360 minutes after feeding
baseline and 0, 60, 120, 180, 240, 300, 360 minutes after feeding
Change in VAS for symptom scores (fullness, hunger, desire to eat, bloating, nausea, abdominal discomfort / pain) from baseline to 360 minutes after feeding
baseline, 0, 60, 120, 180, 240, 300, 360 minutes after feeding
Change in colonic gas volumes from baseline to 360 minutes after feeding
baseline and 0, 60, 120, 180, 240, 300, 360 minutes after feeding
Study Arms (3)
Gluten free white bread
OTHERSliced loaf of gluten free white bread
Normal gluten content white wheat bread
OTHERSliced loaf of normal gluten content white wheat bread
High gluten content white wheat bread
OTHERSliced loaf of high gluten content white wheat bread
Interventions
Eligibility Criteria
You may qualify if:
- Aged 18-55
- Able to give informed consent
You may not qualify if:
- Unable to abstain from smoking for the duration of the study
- Pregnancy declared by candidate
- History declared by the candidate of pre-existing gastrointestinal disorder, including but not limited to: Inflammatory Bowel Disease, Coeliac Disease, Pancreatitis, Gallstone disease (biliary colic, cholecystitis), Diverticulitis, Cancer of the gastrointestinal tract, Irritable Bowel Syndrome
- Reported history of previous resection of any part of the gastrointestinal tract other than appendix or gallbladder
- Any medical condition making participation potentially compromising participation in the study e.g. diabetes mellitus, respiratory disease limiting ability to lie in the scanner
- Contraindications for MRI scanning i.e. metallic implants, pacemakers, history of metallic foreign body in eye(s) and penetrating eye injury
- Reported alcohol dependence
- Antibiotic or probiotic treatment in the past 4 weeks
- Inability to lie flat or exceed scanner limits of weight \<120kg
- Poor understanding of English language
- Participation in night shift work the week prior to the study day. Night work is defined as working between midnight and 0600
- Strenuous exercise greater than 10 hours per week (i.e. no competition training the week prior to the study).
- Participation in any medical trials for the past 3 months
- Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g. cognitive dysfunction, chaotic lifestyle related to substance abuse
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Sir Peter Mansfield Magnetic Resonance Centre, University of Nottingham
Nottingham, NG7 2RD, United Kingdom
Nottingham Digestive Diseases Centre, E floor West Block, QMC Campus, Nottingham University Hospitals
Nottingham, NG7 2UH, United Kingdom
Related Publications (5)
Marciani L. Assessment of gastrointestinal motor functions by MRI: a comprehensive review. Neurogastroenterol Motil. 2011 May;23(5):399-407. doi: 10.1111/j.1365-2982.2011.01670.x. Epub 2011 Jan 30.
PMID: 21276139BACKGROUNDMarciani L, Pritchard SE, Hellier-Woods C, Costigan C, Hoad CL, Gowland PA, Spiller RC. Delayed gastric emptying and reduced postprandial small bowel water content of equicaloric whole meal bread versus rice meals in healthy subjects: novel MRI insights. Eur J Clin Nutr. 2013 Jul;67(7):754-8. doi: 10.1038/ejcn.2013.78. Epub 2013 Apr 17.
PMID: 23594839BACKGROUNDLobo DN, Hendry PO, Rodrigues G, Marciani L, Totman JJ, Wright JW, Preston T, Gowland P, Spiller RC, Fearon KC. Gastric emptying of three liquid oral preoperative metabolic preconditioning regimens measured by magnetic resonance imaging in healthy adult volunteers: a randomised double-blind, crossover study. Clin Nutr. 2009 Dec;28(6):636-41. doi: 10.1016/j.clnu.2009.05.002. Epub 2009 Jun 4.
PMID: 19500889BACKGROUNDHoad CL, Marciani L, Foley S, Totman JJ, Wright J, Bush D, Cox EF, Campbell E, Spiller RC, Gowland PA. Non-invasive quantification of small bowel water content by MRI: a validation study. Phys Med Biol. 2007 Dec 7;52(23):6909-22. doi: 10.1088/0031-9155/52/23/009. Epub 2007 Nov 8.
PMID: 18029983BACKGROUNDMarciani L, Cox EF, Hoad CL, Pritchard S, Totman JJ, Foley S, Mistry A, Evans S, Gowland PA, Spiller RC. Postprandial changes in small bowel water content in healthy subjects and patients with irritable bowel syndrome. Gastroenterology. 2010 Feb;138(2):469-77, 477.e1. doi: 10.1053/j.gastro.2009.10.055. Epub 2009 Nov 10.
PMID: 19909743BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Marina Coletta, Fellow in Gastroenterology
Visiting fellow in Gastroenterology
- PRINCIPAL INVESTIGATOR
Luca Marciani, Lecturer
Lecturer in Gastrointestinal Imaging
- STUDY DIRECTOR
Robin Spiller, Professor
Professor of Gastroenterology
- PRINCIPAL INVESTIGATOR
Giles Major, Fellow
University of Nottingham
- PRINCIPAL INVESTIGATOR
Gemma Chaddock, BSc
University of Nottingham
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 25, 2014
First Posted
April 4, 2014
Study Start
March 1, 2014
Primary Completion
July 1, 2014
Study Completion
August 1, 2014
Last Updated
October 6, 2015
Record last verified: 2015-10