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Completed

NCT Number: NCT07372482

Evaluating the Impact of Fat and Sugar Replacer Blends on Gastrointestinal Tolerance in Biscuits

This study is a randomized, double-blind, crossover trial aiming at evaluating the gastrointestinal tolerance and bowel habits of sugar- and fat- replacer ingredients and blends (maltitol, polydextrose, allulose and EPG)

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Inquis Clinical Research

Toronto, Ontario, M5C 2N8, Canada

About this study

The study will have a randomized, double-blind, crossover design with 8 visits consisting of one screening visit and 7 study visits (3 to 14-day interval between the start of each visit) across 4-12 weeks. Participants will be randomized to a test sequence and, during the course of the study, will complete 7 trial arms. At each visit eligible participants will come to INQUIS between 8-11am, and ~1-2h after consuming their usual breakfast at home. After rating the severity of GI symptoms, participants will consume one of the investigational products with a drink of water (250ml) and then be free to leave. The severity of 11 symptoms will be rated at 0, 2, 4, 6, 10 and 24h: Abdominal bloating, Abdominal pain, Gas/flatulence, Gas with discharge, Burping, Reflux (heartburn), Stomach rumbling (borborygmus), Urgency of bowel movement, Oily spotting (leakage), Nausea and Vomiting. The severity of each symptom will be rated by the subject as None, Mild, Moderate or Severe (these ratings will be assigned scores of 0, 1, 2 or 3, respectively). For each bowel movement (BM) passed during the 24h period, participants will be asked to record: the time, if they had to strain (yes or no), if they experienced discomfort (yes or no), if they felt there was incomplete evacuation (yes or no), if they had oily evacuation (oil separated from the stools) (yes or no), if they had oily stool (oily lumps in the stool) (yes or no) and the consistency of the stool rated using the using the Bristol Stool Scale (BSS).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Non-pregnant, non-lactating, healthy individuals aged 18-55 years, inclusive
  • Body Mass Index (BMI) 18.5-32.0kg/m², inclusive
  • No major illness, trauma or surgery requiring hospitalization within 3 months of the screening visit
  • Ability to understand the study procedures and willing to provide informed consent to participate in the study
  • Non-smokers or smokers who smoke <10 cigarettes/day and are willing not to change nicotine habits during the study period
  • Willing to limit alcohol consumption to ≤3 standard drinks/day and ≤7 standard drinks/week during the study period
  • Willing to refrain from any marijuana or hemp products during the study period
  • Normal bowel habits (>2 bowel movements/week and <3 bowel movements per day)
  • Consumes ≤4 servings/day of fruits and vegetables combined and ≤3 (women) or ≤4 (men) servings/day of whole grains using the definitions of "serving" .
  • Participants must have a cell phone/tablet/computer and be willing and able to use it to collect study data
  • Participants must be eligible to receive income in Canada and be covered by a health insurance plan such as OHIP (Ontario Health Insurance Plan)
  • Participants are willing to follow current COVID guidelines with respect to attending study visits

Exclusion criteria

  • Failure to meet any one of the inclusion criteria
  • Chronic moderate to severe gastrointestinal symptoms
  • Use of systemic antibiotics, antifungals or antiparasitics in the past 3 months and during the experimental period
  • Use of medications, supplements, and products which may affect the results (laxative, anti-diarrhea, anti-constipation drugs, high fiber supplements)
  • Individuals with any medical conditions or use of supplements or medications that increase risk to the subject or others or may affect the results, as judged by the Principal - Investigator
  • Unwillingness or inability to comply with the experimental procedures and to follow INQUIS safety guidelines
  • Known intolerance, sensitivity, or allergy to any ingredients in the study test products
  • Subject is currently participating or recently (within 30 days of screening) participated in a clinical trial involving long-term exposure (greater than 24 hours) to an investigational drug, nutritional supplement, or lifestyle modification

Treatment and study plan

Test sandwiched biscuits with creme

Other

Acute intake

Control sandwiched biscuit with sugar

Other

Acute intake

Primary outcomes

  1. Total Area Under the Curve (tAUC) of composite gastrointestinal Symptom score

    Time frame: tAUC between 0 and 24 hours

    total area under the curve (tAUC) of the composite GastroIntestinal symptom score (sum of the scores for the 11 GI symptoms). The score values can range from 0 up to 24 with the higher values showing the higher levels of symptoms (worse conditions).

Secondary outcomes

  1. Total Area Under the Curve of each individual gastrointestinal symptom

    Time frame: tAUC between 0 and 24 hours

    Total Area Under the Curve of each of the individual 11 gastrointestinal symptoms (Abdominal bloating, Abdominal pain, Gas/flatulence, Gas with discharge, Burping, Reflux (heartburn), Stomach rumbling (borborygmus), Urgency of bowel movement, Oily spotting (leakage), Nausea and Vomiting). Each symptom range from 0 up to 3 with 3 showing the highest / worse condiiton of symptoms

  2. Frequency of composite score > 1 at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants who have a composite GastoInestinal symptom score >1 (moderate-to-severe) at each time point. The composite score can range from 0 up to 24 with the higher values showing the higher levels of symptoms (worse conditions)

  3. Frequency of Diarrhea within 24 hours

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants with diarrhea, defined as 3 or more type 6 or 7 stools (based on the BSS) within the 24 hour period after consumption of the study products

  4. Time for maximum score for abdominal bloating

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score for bloating

  5. Maximum score for abdominal bloating

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  6. Maximum score for abdominal bloating

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  7. Time of maximum score for abdominal pain

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  8. Maximum score for abdominal pain

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  9. Maximum score for abdominal pain

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  10. Time for maximum score for flatulence

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  11. Maximum score for flatulence

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  12. Maximum score for flatulence

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  13. Time for maximum score for gas with discharge

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  14. Maximum score for gas with discharge

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  15. Maximum score for gas with discharge

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  16. Time for maximum score for burping

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  17. Maximum score for burping

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  18. Maximum score for burping

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  19. Time for maximum score for reflux

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  20. Maximum score for reflux

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  21. Maximum score for reflux

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  22. Time for maximum score for stomach rumbling

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  23. Maximum score for stomach rumbling

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  24. Maximum score for stomach rumbling

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  25. Time for maximum score for Oily spotting (leakage)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  26. Maximum score for Evaluation oily spotting (leakage)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  27. Maximum score for oily spotting (leakage)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  28. Time for maximum score for nausea

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  29. Maximum score for nausea

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  30. Maximum score for nausea

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  31. Time for maximum score for vomiting

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Time of the maximum score

  32. Maximum score for vomiting

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Proportion of participants reporting any (score>0) or moderate/severe (score >1) at each time point

  33. Maximum score for vomiting

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

    Maximum detected score (which can range from 0 up to 3)

  34. Number of bowel movements

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Number of bowel movements over the 24 hours

  35. straining during bowel movement

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants having to strain or not

  36. discomfort during bowel movement

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants having discomfort or not

  37. incomplete evacuation

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants declaring incomplete evacuation or not

  38. oily evacuation (oil separated from the stools)

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants declaring having oily evacuation (oil separated from the stools)

  39. oily stool (oily lumps in the stool)

    Time frame: Evaluation performed over 24 hour after consumption of study products

    Proportion of participants declaring having oily stool (oily lumps in the stool)

  40. Stool consistency based on bristol stool scale

    Time frame: Evaluation performed over 24 hour after consumption of study products

    mean stool consistency on Bristol Stool Scale (BSS). The scale provide values from 1 to 7 depending on the type of stool with 1 being the driest stools and 7 the most liquid one.

Sponsors and collaborators

Lead sponsor

Mondelēz International, Inc.

Industry

Collaborators

  • INQUIS Clinical Research

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 28, 2026
Registry last updated
Mar 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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