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OpenTrials
Completed

NCT Number: NCT06479330

Evaluating the Impact of Incremental Doses of a Sugar Replacer Blend on Gastrointestinal Tolerance in Chocolate

This study is a randomized, double-blind, crossover trial aiming at evaluating the gastrointestinal tolerance of sugar replacer ingredients and blends (maltitol, kestose (Oligofructose), kestose + cocoa and polydextrose premix at different doses)

Completed

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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, Canada

About this study

The study will have a randomized, double-blind, crossover design with 5 visits consisting of one screening visit and 5 study visits (3-14-day interval between the start of each visit) across 2-8 weeks. Participants will be randomized to a test sequence and will consume one control product and 4 test products made with the sugar replacer ingredients or blend of ingredients over the course of the study. At each visit, eligible participants will come to the lab between 8-11am, and ~1-2 hours after consuming their usual breakfast at home. After rating the severity of gastrointestinal symptoms, participants will consume one of the investigational products with a drink of water (250ml) and then be free to leave. The severity of 8 gastrointestinal symptoms (abdominal bloating, abdominal pain, flatulence, burping, reflux (heartburn), stomach rumbling (borborygmus), nausea and vomiting) will be rated at 2, 4, 6, 10 and 24 hours after starting to eat. Over the 24 hour period following consuming the investigational product a Bowel Habit Diary will be kept. For each bowel movement passed during the 24 hour period, participants will be asked to record: the time, if they had to strain, if they experienced discomfort, if they felt there was incomplete evacuation and the consistency of the stool rated 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

Milk Chocolate

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 8 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 8 gastrointestinal symptoms (abdominal bloating, abdominal pain, flatulence, burping, reflux, stomach rumbling, nausea, 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

  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. 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

  8. 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)

  9. 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

  10. 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

  11. 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)

  12. 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

  13. 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

  14. 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)

  15. 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

  16. 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

  17. 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)

  18. 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

  19. 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

  20. 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)

  21. 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

  22. 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

  23. 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)

  24. 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

  25. 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

  26. 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)

  27. 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

  28. Number of bowel movements

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

    Number of bowel movements over the 24 hours

  29. straining during bowel movement

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

    Proportion of participants having to strain or not

  30. discomfort during bowel movement

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

    Proportion of participants having discomfort or not

  31. incomplete evacuation

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

    Proportion of participants declaring incomplete evacuation or not

  32. 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
2024
Primary completion
2024
Study completion
2024
First posted
Jun 28, 2024
Registry last updated
Apr 1, 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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