NCT07134543

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

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
7mo left

Started Dec 2025

Shorter than P25 for all trials

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress43%
Dec 2025Dec 2026

First Submitted

Initial submission to the registry

August 14, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 21, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

December 1, 2025

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 5, 2026

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

December 23, 2025

Status Verified

December 1, 2025

Enrollment Period

9 months

First QC Date

August 14, 2025

Last Update Submit

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

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

NOT YET RECRUITING

University of Maryland Bioscience Research Building

College Park, Maryland, 20742, United States

RECRUITING

Central Study Contacts

Brantley Hall, PhD

CONTACT

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

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.

Shared Documents
STUDY PROTOCOL

Locations