ClinicalTrials.gg
CompletedNCT02636413Updated Dec 28, 2016

Evaluation of LacTEST for the Diagnosis of Hypolactasia in Adults and Elderly Patients Presenting With Clinical Symptoms of Lactose Intolerance

A Phase 4 interventional study of gaxilose and lactose in Lactose Intolerance, sponsored by VenterPharma. Completed at 6 sites in Spain. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2016-12-28.

Sponsored by VenterPharma · Phase 4, Interventional, and Diagnostic

Phase
Phase 4
Study type
Interventional
Enrollment
1
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate both the impact of LacTEST on diagnostic thinking and on patient management, and its reproducibility (Test-Retest), for the diagnosis of hypolactasia in adults and elderly patients presenting with clinical symptoms of lactose intolerance.

02

Conditions studied

  • Lactose Intolerance

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03

In context

Lactose Intolerance

53 studies on the registry are indexed under Lactose Intolerance; 6 are open to participants now.

This study's enrollment of 1 is below the median of 41 across 41 interventional studies indexed under Lactose Intolerance.

Browse Lactose Intolerance studies →

Lead sponsor

This is the only study on the registry with VenterPharma as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults of either sex, between 18 and 70 years old.
  2. Capacity for understanding and giving the to participate in this study.
  3. Patients with clinical suggestive of lactose intolerance, primary or secondary, who have not been diagnosed and that fulfil the requirements allowed by the gaxilose summary of product characteristics (SmPC).

Exclusion criteria

Exclusion Criteria:

  1. Pregnant women or breast-feeding women.
  2. Unable or reticent to give the or to comply with the study requirements.
  3. Patients with (GFR) less than 90 ml/min/1.73m2.
  4. Portal hypertension: ascites, cirrhosis.
  5. Medical records of total gastrectomy and/or vagotomy.
  6. Patients diagnosed with myxedema.
  7. Patients with Diabetes Mellitus.
  8. Patients who are participating or have participated in any clinical trial within the 3 months previous to their inclusion in the study.
  9. Patients who are drug abuse consumers.
  10. Patients under treatment with antibiotics, sulphamides and antiparasitics, who cannot suspend the treatments 7 days prior to the performance of the hydrogen breath test.
  11. Patients with any recognized and already existing disorder that might interfere with the any of the lactose intolerance diagnosis tests.
  12. Patients who have taken aspirin of indomethacin in the 48h preceding the performance of the Gaxilose test.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    LacTEST

    0,45 g of gaxilose po, once, per diagnostic test performed.

    Drug: gaxilose

  • Active comparator
    Hydrogen Breath Test

    25 to 50 g of lactose po, once, per diagnostic test performed.

    Dietary Supplement: lactose

Interventions

  • Druggaxilose

    After gaxilose administration, urine collection, cuantification (firstly from 0 to 4 hours, and total urine from 0 to 5 hours), and xilose cuantification afterwards.

    Also known as: LacTEST

  • Dietary supplementlactose

    After lactose administration, expired hydrogen measurement at pre-specified intervals.

    Also known as: Hydrogen Breath Test (HBT)

06

What researchers measure

Primary outcomes

  1. Visual Analogical Scale

    The primary objective is to demonstrate non-inferiority of gaxilose test, compared with Hydrogen Breath Test (HBT) using a validated method (VAS results pre and post-test), on the impact on diagnostic thinking for the diagnosis of hypolactasia.

    Time frame: Through study completion, up to 10 months.

Secondary outcomes

  1. Physician's Questionnaire

    To demonstrate non-inferiority of gaxilose test, compared with Hydrogen Breath Test (HBT), on the impact on patient management for the diagnosis of hypolactasia, through a Physician's Qestionnaire.

    Time frame: Through study completion, up to 10 months.

  2. Intraclass Correlation Coefficient

    To demonstrate gaxilose test reproducibility \[ICC (2,1)\] with urine accumulated from 0-4h after gaxilose administration, and with urine accumulated from 0-5h after gaxilose administration.

    Time frame: Through study completion, up to 10 months.

  3. Number of participants with treatment-related adverse events as assessed by the most recent version of MedDRA thesaurus.

    To assess the safety profile of both tests performed, by assessing the frecuency of treatment-related AEs.

    Time frame: Through study completion, up to 10 months.

07

Study locations

6 sites
  • Hospital Universitario Marqués de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Universitario de Getafe
    Getafe, Madrid 28905, Spain
  • Hospital Universitario Doctor Josep Trueta
    Girona, 17007, Spain
  • Hospital Universitario de La Princesa
    Madrid, 28006, Spain
  • Hospital Universitario Ramón y Cajal
    Madrid, 28034, Spain
  • Hospital Universitario Virgen de la Victoria
    Málaga, 29010, Spain
08

References and documents

Publications

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  • Sahi T. Genetics and epidemiology of adult-type hypolactasia. Scand J Gastroenterol Suppl. 1994;202:7-20. doi: 10.3109/00365529409091740. PubMed 8042019 ↗
  • Villako K, Maaroos H. Clinical picture of hypolactasia and lactose intolerance. Scand J Gastroenterol Suppl. 1994;202:36-54. doi: 10.3109/00365529409091743. PubMed 8042017 ↗
  • Suchy FJ, Brannon PM, Carpenter TO, Fernandez JR, Gilsanz V, Gould JB, Hall K, Hui SL, Lupton J, Mennella J, Miller NJ, Osganian SK, Sellmeyer DE, Wolf MA. NIH consensus development conference statement: Lactose intolerance and health. NIH Consens State Sci Statements. 2010 Feb 24;27(2):1-27. PubMed 20186234 ↗
  • Newcomer AD, McGill DB, Thomas PJ, Hofmann AF. Prospective comparison of indirect methods for detecting lactase deficiency. N Engl J Med. 1975 Dec 11;293(24):1232-6. doi: 10.1056/NEJM197512112932405. PubMed 1186802 ↗
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  • Shaukat A, Levitt MD, Taylor BC, MacDonald R, Shamliyan TA, Kane RL, Wilt TJ. Systematic review: effective management strategies for lactose intolerance. Ann Intern Med. 2010 Jun 15;152(12):797-803. doi: 10.7326/0003-4819-152-12-201006150-00241. Epub 2010 Apr 19. PubMed 20404262 ↗
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  • Hovde O, Farup PG. A comparison of diagnostic tests for lactose malabsorption--which one is the best? BMC Gastroenterol. 2009 Oct 31;9:82. doi: 10.1186/1471-230X-9-82. PubMed 19878587 ↗
  • Arola H. Diagnosis of hypolactasia and lactose malabsorption. Scand J Gastroenterol Suppl. 1994;202:26-35. doi: 10.3109/00365529409091742. PubMed 8042016 ↗
  • Aragon JJ, Canada FJ, Fernandez-Mayoralas A, Lopez R, Martin-Lomas M, Villanueva D. A direct enzymatic synthesis of beta-D-galactopyranosyl-D-xylopyranosides and their use to evaluate rat intestinal lactase activity in vivo. Carbohydr Res. 1996 Sep 2;290(2):209-16. doi: 10.1016/0008-6215(96)00113-9. PubMed 8823908 ↗
  • Hermida C, Corrales G, Canada FJ, Aragon JJ, Fernandez-Mayoralas A. Optimizing the enzymatic synthesis of beta-D-galactopyranosyl-D-xyloses for their use in the evaluation of lactase activity in vivo. Bioorg Med Chem. 2007 Jul 15;15(14):4836-40. doi: 10.1016/j.bmc.2007.04.067. Epub 2007 May 6. PubMed 17512743 ↗
  • Hermida C, Guerra P, Martinez-Costa OH, Sanchez V, Sanchez JJ, Solera J, Fernandez-Mayoralas A, Codoceo R, Frias J, Aragon JJ. Phase I and phase IB clinical trials for the noninvasive evaluation of intestinal lactase with 4-galactosylxylose (gaxilose). J Clin Gastroenterol. 2013 Jul;47(6):501-8. doi: 10.1097/MCG.0b013e318272f507. PubMed 23328304 ↗
  • Lord SJ, Irwig L, Simes RJ. When is measuring sensitivity and specificity sufficient to evaluate a diagnostic test, and when do we need randomized trials? Ann Intern Med. 2006 Jun 6;144(11):850-5. doi: 10.7326/0003-4819-144-11-200606060-00011. PubMed 16754927 ↗
  • Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Making. 1991 Apr-Jun;11(2):88-94. doi: 10.1177/0272989X9101100203. PubMed 1907710 ↗
  • Lijmer JG, Leeflang M, Bossuyt PM. Proposals for a phased evaluation of medical tests. Med Decis Making. 2009 Sep-Oct;29(5):E13-21. doi: 10.1177/0272989X09336144. Epub 2009 Jul 15. PubMed 19605881 ↗
  • Van den Bruel A, Cleemput I, Aertgeerts B, Ramaekers D, Buntinx F. The evaluation of diagnostic tests: evidence on technical and diagnostic accuracy, impact on patient outcome and cost-effectiveness is needed. J Clin Epidemiol. 2007 Nov;60(11):1116-22. doi: 10.1016/j.jclinepi.2007.03.015. Epub 2007 Aug 29. PubMed 17938052 ↗
  • Blanchard TK, Mackenzie R, Bearcroft PW, Sinnatamby R, Gray A, Lomas DJ, Constant CR, Dixon AK. Magnetic resonance imaging of the shoulder: assessment of effectiveness. Clin Radiol. 1997 May;52(5):363-8. doi: 10.1016/s0009-9260(97)80131-6. PubMed 9171790 ↗
  • Stanko LK, Jacobsohn E, Tam JW, De Wet CJ, Avidan M. Transthoracic echocardiography: impact on diagnosis and management in tertiary care intensive care units. Anaesth Intensive Care. 2005 Aug;33(4):492-6. doi: 10.1177/0310057X0503300411. PubMed 16119491 ↗
  • Blaivas M, Kuhn W, Reynolds B, Brannam L. Change in differential diagnosis and patient management with the use of portable ultrasound in a remote setting. Wilderness Environ Med. 2005 Spring;16(1):38-41. doi: 10.1580/1080-6032(2005)16[38:ciddap]2.0.co;2. PubMed 15813146 ↗
  • Hobby JL, Dixon AK, Bearcroft PW, Tom BD, Lomas DJ, Rushton N, Matthewson MH. MR imaging of the wrist: effect on clinical diagnosis and patient care. Radiology. 2001 Sep;220(3):589-93. doi: 10.1148/radiol.2203001429. PubMed 11526253 ↗
  • Wilt TJ, Shaukat A, Shamliyan T, Taylor BC, MacDonald R, Tacklind J, Rutks I, Schwarzenberg SJ, Kane RL, Levitt M. Lactose intolerance and health. Evid Rep Technol Assess (Full Rep). 2010 Feb;(192):1-410. PubMed 20629478 ↗
  • Srinivasan U, Jones E, Weir DG, Feighery C. Lactase enzyme, detected immunohistochemically, is lost in active celiac disease, but unaffected by oats challenge. Am J Gastroenterol. 1999 Oct;94(10):2936-41. doi: 10.1111/j.1572-0241.1999.01441.x. PubMed 10520848 ↗
  • Phillips AD, Avigad S, Sacks J, Rice SJ, France NE, Walker-Smith JA. Microvillous surface area in secondary disaccharidase deficiency. Gut. 1980 Jan;21(1):44-8. doi: 10.1136/gut.21.1.44. PubMed 7364319 ↗
  • Kaufman SS, Lyden ER, Brown CR, Iverson AK, Davis CK, Sudan DL, Fox IJ, Horslen SP, Shaw BW Jr, Langnas AN. Disaccharidase activities and fat assimilation in pediatric patients after intestinal transplantation. Transplantation. 2000 Feb 15;69(3):362-5. doi: 10.1097/00007890-200002150-00009. PubMed 10706043 ↗
  • Kirschner BS, DeFavaro MV, Jensen W. Lactose malabsorption in children and adolescents with inflammatory bowel disease. Gastroenterology. 1981 Nov;81(5):829-32. PubMed 6895202 ↗
  • Van Biervliet S, Eggermont E, Carchon H, Veereman G, Deboeck K. Small intestinal brush border enzymes in cystic fibrosis. Acta Gastroenterol Belg. 1999 Jul-Sep;62(3):267-71. PubMed 10547891 ↗
  • Parnes HL, Fung E, Schiffer CA. Chemotherapy-induced lactose intolerance in adults. Cancer. 1994 Sep 1;74(5):1629-33. doi: 10.1002/1097-0142(19940901)74:53.0.co;2-l. PubMed 8062196 ↗
  • Bond JH, Levitt MD. Quantitative measurement of lactose absorption. Gastroenterology. 1976 Jun;70(6):1058-62. PubMed 1269865 ↗
  • Maxwell C. Sensitivity and accuracy of the visual analogue scale: a psycho-physical classroom experiment. Br J Clin Pharmacol. 1978 Jul;6(1):15-24. doi: 10.1111/j.1365-2125.1978.tb01676.x. PubMed 666944 ↗
  • Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990 Aug;13(4):227-36. doi: 10.1002/nur.4770130405. PubMed 2197679 ↗
  • Hobby JL, Tom BD, Todd C, Bearcroft PW, Dixon AK. Communication of doubt and certainty in radiological reports. Br J Radiol. 2000 Sep;73(873):999-1001. doi: 10.1259/bjr.73.873.11064655. PubMed 11064655 ↗
  • Dixon AK. The impact of medical imaging on the physician's diagnostic and therapeutic thinking. Eur Radiol. 1998;8(3):488-90. doi: 10.1007/s003300050423. No abstract available. PubMed 9510594 ↗
  • Mackenzie R, Dixon AK, Keene GS, Hollingworth W, Lomas DJ, Villar RN. Magnetic resonance imaging of the knee: assessment of effectiveness. Clin Radiol. 1996 Apr;51(4):245-50. doi: 10.1016/s0009-9260(96)80340-0. PubMed 8617035 ↗
  • Pitkanen E. The conversion of D-xylose into D-threitol in patients without liver disease and in patients with portal liver cirrhosis. Clin Chim Acta. 1977 Oct 1;80(1):49-54. doi: 10.1016/0009-8981(77)90262-5. PubMed 908147 ↗
  • CRANE RK. Intestinal absorption of sugars. Physiol Rev. 1960 Oct;40:789-825. doi: 10.1152/physrev.1960.40.4.789. No abstract available. PubMed 13696269 ↗
  • Monsalve-Hernando C, Crespo L, Ferreiro B, Martin V, Aldeguer X, Opio V, Fernandez-Gil PL, Gaspar MJ, Romero E, Lara C, Santander C, Torrealba L, Savescu T, Hermida C. Phase IV noninferiority controlled randomized trial to evaluate the impact on diagnostic thinking and patient management and the test-retest reproducibility of the Gaxilose test for hypolactasia diagnosis. Medicine (Baltimore). 2018 Nov;97(46):e13136. doi: 10.1097/MD.0000000000013136. PubMed 30431582 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 28, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02636413
Lead sponsor
VenterPharma
Responsible party
Sponsor
First posted
Dec 21, 2015
Start date
Oct 2015
Primary completion
Oct 2016
Completion
Oct 2016
Last update
Dec 28, 2016

Study contacts

Laura Crespo, MD, PhD
principal investigator · Hospital Universitario Ramón y Cajal

Oversight

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

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