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CompletedNCT02064205Updated Jun 6, 2022Results posted

Appetite Suppression Trial With Polydextrose

An interventional study of 12.5 g polydextrose and glucose syrup in Body Weight and Non-restrained Eaters, sponsored by W.J. Pasman. Completed at 1 site in Netherlands. Open to female participants aged 20 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-06-06.

Sponsored by W.J. Pasman · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
20 Years to 45 Years
Sex
Female
01

Study summary

Overweight and obesity are a global epidemic, which causes a rapid increase in the frequency of diabetes and cardiovascular diseases. Food ingredients that influence the mechanisms that regulate satiety may play a role in weight management. Suppression of appetite may reduce energy intake, which in return may lead to body weight reduction. This study aims to verify the appetite suppressive effect of polydextrose in comparison to a placebo in normal weight and overweight women.

Read the detailed description

Polydextrose is a well-tolerated, low calorie glucose polymer (4kJ/g) that can be easily incorporated into various food applications to replace sugar and fat (Auerbach et al., 2007). Polydextrose is poorly digested in the upper gastrointestinal tract and therefore shows fiber-like properties. The addition of polydextrose to foods may increase the satiating properties of foods.

Previous studies have shown that:

  • Consuming polydextrose-containing preloads (6.25 - 25.0 g polydextrose) resulted in a significant lower energy intake at lunch compared to the control (Astbury et al., 2013; Ranawana et al., 2013; Hull et al., 2012; King et al., 2005).
  • Polydextrose is able to modify appetite ratings at low (6.25 - 12.5 g polydextrose) (Hull et al., 2012) and high doses (56.7 g/d) (Konings et al., 2013).
  • Polydextrose (15.0 g) induced enhanced GLP-1 response after a high-fat meal in obese participants (Tiihonen et al., 2012).

Therefore, it is hypothesized that with the consumption of 12.5 g polydextrose as compared with the placebo, appetite will be suppressed, resulting in:

  • a lower consumption at lunch (energy intake at lunch)
  • change in appetite scores (VAS)
  • change in satiety hormones (CCK, PYY, GLP-1, ghrelin)
  • change in glucose and insulin
  • change in stomach emptying rate
  • change in gastric wellbeing
02

Conditions studied

  • Body Weight
  • Non-restrained Eaters

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Keywords

  • pre-load
  • satiety
  • energy intake
  • appetite
03

In context

Body Weight

1,223 studies on the registry are indexed under Body Weight; 131 are open to participants now.

This study's enrollment of 32 is below the median of 64 across 947 interventional studies indexed under Body Weight.

Browse Body Weight studies →

Lead sponsor

W.J. Pasman is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy, female participants aged 20-45 years inclusive
  2. BMI: 20-30 kg/m2 inclusive
  3. Written consent regarding participation after full information regarding all details of the study
  4. Normal Dutch eating habits (consuming mostly three main meals per day; used to eat bread for lunch)

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy
  2. On-going or recent treatment for diabetes, hypertension, coronary heart disease, psychiatric conditions, inflammatory chronic disease - rheumatoid arthritis, Crohn Disease, ulcerous colitis, chronic constipation, eating disorders, or any disease condition which interferes with ADME of the investigational product
  3. Reported postmenopausal
  4. Having menstruation problems, e.g. PCOS
  5. Reported to be on a slimming diet or other dietary treatment (currently or during last two months, like vegetarian diet, lactose restricted diet etc.)
  6. Aversion towards products (yoghurt) provided in the study
  7. On-going use of any slimming preparations
  8. Any kind of dysfunction of digestive tract, food allergy, chronic constipation, recent/actual gastroenteritis
  9. Restrained eaters (score DEBQ >3.4)
  10. Participants consuming more than 23g of dietary fiber per day - P75 according to the Dutch National Food Consumption Survey - (as assessed with a general short questionnaire which gives estimation on the fiber intake. Exact fiber intake will not be calculated)
  11. Smoker in the last 3 months
  12. Heavy coffee drinkers (more than 6 cups a day)
  13. High level of physical activity: Participants who perform more than 3 hours of intense training/sport activity per week (this will not include normal cycling transport)
  14. Heavy alcohol consumers, no more than 14 units per week (1 unit represents 1 standard glass/portion of alcohol, independent of the type of alcoholic drink).

Remark:

When enough subjects are eligible (> 32), the women with the highest BMI will be selected to participate. At least 50% of the subjects will have a BMI ranging of 25-30. Also at least 50% of the women will be in the age range of 25-45 years. When more than 32 subjects are eligible the eldest subjects will be included.

With respect to eligibility of the subjects:

the BMI criterion always comes for age criterion, meaning that overweight is stressed to be of more importance for this study than age. Overweight will always come first, even when already > 50% of the women with a BMI 25-30 have been included. In this way the overweight group of women will be studied as much as possible.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
32 participants (actual)

Study arms

  • Active comparator
    polydextrose or glucose syrup at breakfast

    Breakfast with pre-load four hours before lunch

    Dietary Supplement: 12.5 g polydextrose · Dietary Supplement: glucose syrup

  • Placebo comparator
    Pre-load with yogurt and polydextrose or glucose later

    Breakfast without pre-load. Pre-load with yogurt provided 1.5h before lunch.

    Dietary Supplement: 12.5 g polydextrose · Dietary Supplement: glucose syrup

Interventions

  • Dietary supplement12.5 g polydextrose

    Appetite suppressing supplement is added in yogurt and provided with breakfast (four hours before lunch) or 1.5h before lunch. Also yogurt with control (glucose syrup) is tested for its satiating effect.

    Also known as: Litesse®Ultra TM

  • Dietary supplementglucose syrup

    Glucose syrup is used a control product for the polydextrose

06

What researchers measure

Primary outcomes

  1. Energy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.

    Yogurt with a polydextrose (fiber with satiating effect) is consumed in the morning with breakfast or later in the morning. The satiating effect of the addition of polydextrose is tested on the amount of food consumed with lunch four hours or 1.5h later.

    Time frame: Four hours or 1.5 hour after consumption of a pre-load at up to day 22

Secondary outcomes

  1. The Appetite Suppressive Effect of Polydextrose During Meal Consumption (Satiation) and Satiety (After Food Consumption)

    The appetite suppressive effect of polydextrose measured with Visual Analogue rating Scales (VAS). The AUCs were calculated for the scores obtained before - first score after meal intake (satiation) and for score after meal till start of next meal (in between meals, satiety). The VAS scores ranged from 0-100 for hunger and fullness (HUNGER: 0 = no hunger , 100 = very hungry; FULNESS: 0 = not full, 100 = very full)

    Time frame: one day

  2. Evaluate Effect of Pre-load on Satiety Hormones in Normal Weight and Overweight Women.

    The satiety hormones CCK, GLP-1, ghrelin and PYY are measured before (t=0) and after breakfast consumption (at t=30, 60, 90, 150, 240) . This is done on day 01, day 08, day 15 and day 22 with at least four days wash-out in-between. The satiety hormones were only measured in the conditions when the pre-load was given with breakfast (condition A and B). Area under the curves were calculated of the time curves.

    Time frame: Four hour curves (t=0, 30, 60, 90, 150 and 240 min) of day 01, day 08, day 15 and day 22.

07

Results

Posted Jul 27, 2016

Participant flow

Recruitment lasted from May 2014 - August 2014. 121 subjects were planned for screening. 46 subjects met the inclusion criteria, 37 subjects did not show up, and 38 subjects had screening failures. The CRO that conducted the clinical trial was: QPS Netherlands B.V. Groningen The Netherlands

Participant flow — Overall Study
MilestoneAll Study Participants
Started32
Condition a32
Condition b32
Condition c31
Condition d32
Completed31
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryEnergy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.

Yogurt with a polydextrose (fiber with satiating effect) is consumed in the morning with breakfast or later in the morning. The satiating effect of the addition of polydextrose is tested on the amount of food consumed with lunch four hours or 1.5h later.

Time frame:
Four hours or 1.5 hour after consumption of a pre-load at up to day 22
Reported as:
Mean · kJ
Energy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.
kJPolydextrose Syrup at Breakfast [A]Glucose Syrup at Breakfast (Control) [B]Pre-load With Polydextroseglucose Before Lunch [C]Pre-load With Yogurt and Glucose Before Lunch [D]
Energy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.2694 ± 10282537 ± 9332317 ± 9402335 ± 1051
Statistical analysis
  • Pre-load With Polydextroseglucose Before Lunch [C] vs Pre-load With Yogurt and Glucose Before Lunch [D] · Mixed Models Analysis · p = 0.2918 · Mean difference (final values): 18
SecondaryThe Appetite Suppressive Effect of Polydextrose During Meal Consumption (Satiation) and Satiety (After Food Consumption)

The appetite suppressive effect of polydextrose measured with Visual Analogue rating Scales (VAS). The AUCs were calculated for the scores obtained before - first score after meal intake (satiation) and for score after meal till start of next meal (in between meals, satiety). The VAS scores ranged from 0-100 for hunger and fullness (HUNGER: 0 = no hunger , 100 = very hungry; FULNESS: 0 = not full, 100 = very full)

Time frame:
one day
Reported as:
Mean · mm*min
The Appetite Suppressive Effect of Polydextrose During Meal Consumption (Satiation) and Satiety (After Food Consumption)
mm*minPolydextrose Syrup Preload With Yogurt With Breakfast [A]Glucose Syrup as Proload With Breakfast (Control) [B]Pre-load With Polydextrose Before Lunch [C]Pre-load With Glucose Syrup Before Lunch [D]
Hunger score358.3 ± 183.4336.8 ± 158.9356.7 ± 169.1280.2 ± 167.2
Fullness score during first phase-424.7 ± 192.4-443.0 ± 190.7-326.6 ± 207.6-308.2 ± 155.6
Hunger score (satiety period)4898.9 ± 34244134.9 ± 2962.9962.8 ± 1232.2592.9 ± 987.2
Fulness score (satiety period)-6009.9 ± 3670.8-5048.3 ± 4088.4-734.8 ± 1263.5-1077.4 ± 1118.1
Statistical analysis
  • Pre-load With Polydextrose Before Lunch [C] vs Pre-load With Glucose Syrup Before Lunch [D] · Mixed Models Analysis · p = 0.0109
SecondaryEvaluate Effect of Pre-load on Satiety Hormones in Normal Weight and Overweight Women.

The satiety hormones CCK, GLP-1, ghrelin and PYY are measured before (t=0) and after breakfast consumption (at t=30, 60, 90, 150, 240) . This is done on day 01, day 08, day 15 and day 22 with at least four days wash-out in-between. The satiety hormones were only measured in the conditions when the pre-load was given with breakfast (condition A and B). Area under the curves were calculated of the time curves.

Time frame:
Four hour curves (t=0, 30, 60, 90, 150 and 240 min) of day 01, day 08, day 15 and day 22.
Reported as:
Mean · (mcg*min)/mL
Evaluate Effect of Pre-load on Satiety Hormones in Normal Weight and Overweight Women.
(mcg*min)/mLPolydextrose Syrup at Breakfast [A]Glucose Syrup at Breakfast (Control) [B]
CCK (AUC)241.15 ± 113.69265.03 ± 112.44
Ghrelin (AUC)-23479 ± 33428-20902 ± 21150
PYY (AUC)1745.5 ± 2861.71210.5 ± 2832.6
GLP-1 (AUC)447.65 ± 298.11316.02 ± 244.98
Statistical analysis
  • Polydextrose Syrup at Breakfast [A] vs Glucose Syrup at Breakfast (Control) [B] · Mixed Models Analysis · p = 0.0216 (GLP-1)

Adverse events

Collected over During the conduct of the study; June - November 2014. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Condition A—0/32 (0%)5/32 (15.6%)
Condition B—0/32 (0%)5/32 (15.6%)
Condition C—0/31 (0%)2/31 (6.5%)
Condition D—0/32 (0%)2/32 (6.3%)
Most frequent other events
Showing 10 of 13
Most frequent other events
EventCondition ACondition BCondition CCondition D
HeadacheNervous system disorders2/320/322/311/32
NauseaGastrointestinal disorders2/320/321/311/32
Abdominal painGastrointestinal disorders1/322/320/310/32
VomittingGastrointestinal disorders0/320/321/310/32
Infections and infestationsInfections and infestations0/321/321/310/32
Abdominal distensionGastrointestinal disorders1/321/320/310/32
DyspepsiaGastrointestinal disorders0/321/320/310/32
Presyncope (light headedness)Nervous system disorders1/320/320/311/32
DizzinessNervous system disorders1/321/320/310/32
catheter site painGeneral disorders0/321/320/310/32

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Overall Baseline Charactistics of 32 Slightly Overweight Women
<=18 years0
Between 18 and 65 years32
>=65 years0
Age, Continuous
Age, Continuous(years)Overall Baseline Charactistics of 32 Slightly Overweight Women
Mean27.4 ± 6.6
Sex: Female, Male
Sex: Female, Male(Participants)Overall Baseline Charactistics of 32 Slightly Overweight Women
Female32
Male0
Region of Enrollment
Region of Enrollment(participants)Overall Baseline Charactistics of 32 Slightly Overweight Women
Netherlands32
Body weight
Body weight(kg)Overall Baseline Charactistics of 32 Slightly Overweight Women
Mean74.4 ± 7.8
Height
Height(meter)Overall Baseline Charactistics of 32 Slightly Overweight Women
Mean1.70 ± 0.04
BMI
BMI(kg/m^2)Overall Baseline Charactistics of 32 Slightly Overweight Women
Mean25.9 ± 2.7
BPsys
BPsys(mm Hg)Overall Baseline Charactistics of 32 Slightly Overweight Women
Mean113.5 ± 9.9

3 further baseline measures are reported on the registry.

08

Study locations

1 site
  • QPS
    Groningen, 9713AG, Netherlands
09

References and documents

Publications

  • Ibarra A, Olli K, Pasman W, Hendriks H, Alhoniemi E, Raza GS, Herzig KH, Tiihonen K. Effects of polydextrose with breakfast or with a midmorning preload on food intake and other appetite-related parameters in healthy normal-weight and overweight females: An acute, randomized, double-blind, placebo-controlled, and crossover study. Appetite. 2017 Mar 1;110:15-24. doi: 10.1016/j.appet.2016.12.002. Epub 2016 Dec 2. PubMed 27916475 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02064205
Lead sponsor
W.J. Pasman
Responsible party
W.J. Pasman (Project Manager Clinical Trials, TNO) — Sponsor-investigator
First posted
Feb 17, 2014
Start date
May 2014
Primary completion
Oct 2014
Completion
Dec 2014
Results posted
Jul 27, 2016
Last update
Jun 6, 2022

Study contacts

Naguib Muhsen, MD
principal investigator · QPS, The Netherlands

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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