Using the Smart Underwear Device to Determine a Baseline of Flatus Activity Normalized to Fiber Intake
1 other identifier
observational
500
1 country
2
Brief Summary
The goal of this observational study is to quantify the typical frequency of flatulence in healthy adults, normalized by fiber intake, using the Smart Underwear device. The study will enroll a maximum of 500 adults across the United States who will wear the device for three consecutive days while continuing their usual daily activities. The main questions it aims to answer are:
- What is the average frequency of flatus events in a general adult population?
- How does dietary fiber intake influence flatus frequency and microbiome activity? Researchers will collect gas sensor data from the Smart Underwear device alongside dietary information logged in a mobile app to assess the relationship between diet and microbiome activity. Participants will:
- Complete an online eligibility survey, consent form, and background questionnaire.
- Wear the Smart Underwear device for at least 12 hours per day for three consecutive days.
- Log all meals with photos using a custom smartphone app.
- Complete a short post-wear survey about device comfort and usability. All study procedures will be conducted remotely. Data will be analyzed in de-identified form to evaluate baseline flatulence patterns, normalized to fiber intake, in the general adult population.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2025
Shorter than P25 for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 14, 2025
CompletedFirst Posted
Study publicly available on registry
August 21, 2025
CompletedStudy Start
First participant enrolled
December 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 5, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
December 23, 2025
December 1, 2025
9 months
August 14, 2025
December 19, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Microbiome Activity Index
The Microbiome Activity Index is a composite measure reflecting gut microbiome activity, calculated from both flatus frequency and hydrogen gas concentration. The index uses the absolute value of the first derivative of the hydrogen sensor signal to better capture flatus intensity, reduce baseline noise, and mitigate sensor saturation at high hydrogen levels. This composite approach ensures a more accurate representation of gut microbiome activity than relying on flatus count or hydrogen concentration alone. Data are collected using a wearable device ("Smart Underwear") and uploaded to the Human Flatus Atlas app.
12 hours each day for 3 days
Secondary Outcomes (4)
Total flatus count
12 hours each day for 3 days
Flatus Per Hour
12 hours each day for 3 days
Microbiome Activity Index Comparative Score
12 hours each day for 3 days
Fiber-Normalized Flatus Frequency
12 hours each day for 3 days
Study Arms (1)
American adults
American adults that are at least 18 years old, live in the United States, are not pregnant or lactating, and agree to wear the Smart Underwear device.
Eligibility Criteria
Residents of the US
You may qualify if:
- years old or older
- Lives in the US
- Is not pregnant or lactating
- Is willing to wear the Smart Underwear device as instructed in the study procedures
You may not qualify if:
- Younger than 18 years old
- Lives outside the US
- Is pregnant or lactating
- Is not willing to wear the Smart Underwear device as instructed in the study procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Bioscience Research Building
College Park, Maryland, 20742, United States
University of Maryland Bioscience Research Building
College Park, Maryland, 20742, United States
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- ECOLOGIC OR COMMUNITY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 14, 2025
First Posted
August 21, 2025
Study Start
December 1, 2025
Primary Completion (Estimated)
September 5, 2026
Study Completion (Estimated)
December 1, 2026
Last Updated
December 23, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
We plan to share de-identified, aggregate individual participant data limited to total enrollment numbers and demographic characteristics (e.g., age range, sex distribution, and other baseline variables) collected during the study. No other data, including outcome or clinical data, will be shared. Supporting Information The shared dataset will not contain any information that could directly or indirectly identify participants. Data will be available in aggregate format only, and will be provided upon reasonable request from qualified researchers for the purposes of scientific transparency and verification of study population characteristics.