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CompletedNCT05045495Updated May 24, 2022

Adult Pilot Study for Reference Ranges and Optimal Cut-offs for the Sucrose Challenge Test and Sucrose Breath Test

An observational study in Congenital Sucrase-Isomaltase Deficiency, sponsored by QOL Medical, LLC. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-05-24.

Sponsored by QOL Medical, LLC · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
211
Ages
18 Years and older
Sex
All
01

Study summary

An adult pilot study to establish the normal reference range and optimal cutoffs for the oral 50g Sucrose Challenge Test (SCT) and the 50g 13C-Sucrose Breath Test (CBT) for patients with CSID and healthy controls. This study will enroll 120 healthy controls and 50 CSID patients. No study drug will be administered during this study.

Read the detailed description

In an effort to mimic the real-world diagnostic setting for these tests, this study will be conducted virtually using a central site with telemedicine capabilities and electronic data capture software to collect data in real time via a mobile app. Subject will complete 3 visits within 21 days. Eligible subjects will undergo the following tests:

  1. 50g 13C-Sucrose Breath Test (CBT)
  2. Sucrose Intolerance Hydrogen Methane Breath Test (HBT)
  3. Sucrose Challenge Test (SCT)
  4. Buccal swab for CSID Genetic Testing (GT)

The primary aim is to establish the reference/normal ranges and optimal cutoff values for the SCT and CBT.

02

Conditions studied

  • Congenital Sucrase-Isomaltase Deficiency

Keywords

  • CSID
03

In context

Lead sponsor

QOL Medical, LLC is the lead sponsor of 5 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Healthy volunteers and subjects with CSID.

Inclusion criteria

  • Subject must provide informed consent prior to any study procedures being performed.
  • Subject is a U.S. resident, and speaks and understands English
  • Subject is male or female, ≥ 18 years old.
  • CSID Cases must have been on Sucraid for at the last 12 months.
  • Healthy Volunteers do not have a CSID diagnosis or other chronic gastrointestinal conditions.
  • Subject must have their own Android or Apple device to access the mobile patient app.

Exclusion criteria

Exclusion Criteria:

  • Females who are lactating or pregnant.
  • Subjects with allergy to sucrose.
  • Subjects with causes of abdominal pain or altered bowel habits other than symptoms -related to CSID (in CSID group) such as SIBO, IBD, celiac disease, pancreatitis, or -gastrointestinal bleeding.
  • Diabetes mellitus.
  • Use of systemic antibiotics, had a barium study, colonoscopy, unexplained runny diarrhea, or similar within 14 days prior to informed consent. Potential subjects can be re-screened once they meet this criterion.
  • Recent febrile illness.
  • Subject has major physical or psychiatric illness within the last 6 months that in the opinion of the investigator would affect the subject's ability to complete the trial.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
211 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Healthy Volunteer

    120 Healthy Volunteers will perform the 50-gram sucrose challenge test, Sucrose hydrogen methane breath test, 13C-sucrose breath test and collect buccal swab samples for genetic testing.

    Diagnostic Test: Sucrose Hydrogen Methane Breath Test

  • CSID Case

    50 CSID cases defined by being on Sucraid for at least 12 months will perform the 50-gram sucrose challenge test, Sucrose hydrogen methane breath test, 13C-sucrose breath test and collect buccal swab samples for genetic testing.

    Diagnostic Test: Sucrose Hydrogen Methane Breath Test

Interventions

  • Diagnostic testSucrose Hydrogen Methane Breath Test

    Subjects will collect 2 buccal swabs for the sucrase genetic test and then subjects will simultaneously conduct the sucrose challenge test, sucrose hydrogen methane breath test, and the 13C-sucrose following ingestion of 50-grams of sucrose (table sugar) mixed with 8 ounce of water.

    Also known as: 13C-Sucrose Breath Test, Sucrase Genetic Test (Buccal Swab), Sucrose Challenge Test

06

What researchers measure

Primary outcomes

  1. Establish the normal reference range for the 50g Sucrose Challenge Test (SCT)

    Reference ranges will be estimated by the lower 2.5th percentile and upper 97.5th percentile of the distribution of test results for the case and control populations.

    Time frame: 4 hours post ingestion of sucrose

  2. Establish the optimal cutoff values for the 50g Sucrose Challenge Test (SCT)

    The mean and peak symptom severity score following sucrose ingestion will serve as markers of sucrase activity. The cutoff for the SCT will be determined by the maximum Youden Index that differentiates cases and controls.

    Time frame: 4 hours post ingestion of sucrose

  3. Establish the normal reference range for the 50g 13C-Sucrose Breath Test (CBT)

    Reference ranges will be estimated by the lower 2.5th percentile and upper 97.5th percentile of the distribution of test results for the case and control populations.

    Time frame: 4 hours post ingestion of sucrose

  4. Establish the optimal cutoff values for the 50g 13C-Sucrose Breath Test (CBT)

    The mean and peak symptom severity score following sucrose ingestion will serve as markers of sucrase activity. The cutoff for the SCT will be determined by the maximum Youden Index that differentiates cases and controls.

    Time frame: 4 hours post ingestion of sucrose

Secondary outcomes

  1. Compare the positive predictive values (PPV) of the Sucrose Challenge Test (SCT) with the PPV of the Sucrose Hydrogen Methane Breath Test (HBT)

    PPV of SCT relative to the HBT and percentage of Sucraid® Responders in CSID cases and asymptomatic controls, and in cases confirmed by each of the following three diagnostic tools: HBT, CBT, and SCT.

    Time frame: 4 hours post ingestion of sucrose

  2. Compare the negative predictive values (NPV) of the Sucrose Challenge Test (SCT) with the NPV of the Sucrose Hydrogen Methane Breath Test (HBT)

    NPV of SCT relative to the HBT and percentage of Sucraid® Responders in CSID cases and asymptomatic controls, and in cases confirmed by each of the following three diagnostic tools: HBT, CBT, and SCT.

    Time frame: 4 hours post ingestion of sucrose

  3. Compare the positive predictive values (PPV) of the 13C-Sucrose Breath Test (CBT) with the positive predictive value of the Sucrose Hydrogen Methane Breath Test (HBT)

    PPV of the CBT relative to the HBT and percentage of Sucraid® Responders in CSID cases and asymptomatic controls, and in cases confirmed by each of the following three diagnostic tools: HBT, CBT, and SCT.

    Time frame: 4 hours post ingestion of sucrose

  4. Compare the negative predictive value (NPV) of the 13C-Sucrose Breath Test (CBT) with the NPV of the Sucrose Hydrogen Methane Breath Test (HBT)

    NPV of the CBT relative to the HBT and percentage of Sucraid® Responders in CSID cases and asymptomatic controls, and in cases confirmed by each of the following three diagnostic tools: HBT, CBT, and SCT.

    Time frame: 4 hours post ingestion of sucrose

07

Study locations

1 site
  • Science 37-Recruiting Nationally
    Culver City, California 90230, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05045495
Lead sponsor
QOL Medical, LLC
Responsible party
Sponsor
First posted
Sep 16, 2021
Start date
Aug 30, 2021
Primary completion
Feb 28, 2022
Completion
Feb 28, 2022
Last update
May 24, 2022

Study contacts

Weng Tao, M.D., Ph. D
principal investigator · QOL Medical

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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