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CompletedNCT05911347COCOA2Updated Aug 15, 2024

Effect of Modified Cellulose on Colonic Fermentation of Inulin

An interventional study of Psyllium and Methylcellulose in Irritable Bowel Syndrome, sponsored by University of Nottingham. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-15.

Sponsored by University of Nottingham · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A 3-way randomised cross-over study to test the hypothesis that combining either psyllium or methylcellulose to form a gel incorporating inulin will reduce gas production as compared to inulin given with a placebo, maltodextrin. Subjects will attend on 3 separate days separated by a minimum of one week an consume one of 3 test meals. Serial breath samples with be obtained to measure hydrogen and methane over the next 24 hours. Primary endpoint: Area under curve (AUC) from time 0-6 hours (AUC 0-6) of breath hydrogen (ppm.hour) after treatment intake. The investigators will also assess whole gut transit time using the blue muffin and correlate breath hydrogen production with in vitro fermentation results.

Read the detailed description

A 3-way randomised cross-over study to test the hypothesis that combining either psyllium or methylcellulose to form a gel incorporating inulin will reduce gas production as compared to inulin given with a placebo, maltodextrin. Subjects will attend on 3 separate days separated by a minimum of one week an consume one of 3 test meals. Serial breath samples with be obtained to measure hydrogen and methane over the next 24 hours.

Primary endpoint: Area under curve (AUC) from time 0-6 hours (AUC 0-6) of breath hydrogen (ppm.hour) after treatment intake. Whole gut transit time will be assessed from the time that stool turns blue after ingestion of a muffin labelled with blue food colouring.

Secondary endpoint:

  1. AUC (0-24h) breath hydrogen / methane
  2. Oro-cecal transit time and whole gut transit time.
  3. Gas production/ metabolites/ microbiota during in vitro fermentation studies at Quadram
  4. Effect of habitual dietary FODMAPs intake on breath hydrogen response to inulin.

The interventions will be dietary interventions, using all food grade materials (sugars and fibres) provided in commonly used doses:

Breath hydrogen will be correlated with in vitro carbohydrate fermentation profile assessed using stool samples collected before intervention

02

Conditions studied

  • Irritable Bowel Syndrome

Keywords

  • FODMAP
  • Inulin
  • Psyllium
  • Cellulose
03

In context

Irritable Bowel Syndrome

1,084 studies on the registry are indexed under Irritable Bowel Syndrome; 196 are open to participants now.

This study's enrollment of 30 is below the median of 70 across 869 interventional studies indexed under Irritable Bowel Syndrome.

Browse Irritable Bowel Syndrome studies →

Lead sponsor

University of Nottingham is the lead sponsor of 463 studies on the registry; 78 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

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

  • Aged 18 or older.
  • Able to give informed consent.
  • Scoring ≤5 (i.e., mild, or less) for symptoms of flatulence, bloating, abdominal pain, loose stool, and hard stool in previous 2 weeks using a modified Gastrointestinal Symptom Rating Scale (5).
  • Agrees to consume the meals provided.
  • Agrees to not smoke during the breath sampling period.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy declared by candidate.
  • History declared by the candidate of pre-existing gastrointestinal disorder that may affect bowel function.
  • Reported history of previous resection of the oesophagus, stomach, or intestine (excluding appendix).
  • Intestinal stoma.
  • Any medical condition making participation potentially compromising participation in the study e.g., diabetes mellitus, respiratory disease limiting ability to use breath hydrogen analyser, known intolerance to one of the test substances.
  • Will not agree to dietary restrictions required.
  • Unable to stop drugs known to alter GI motility including mebeverine, opiates, monoamine oxidase inhibitors, phenothiazines, benzodiazepines, calcium channel antagonists for the duration of the study (Selective serotonin reuptake inhibitors, low dose tricyclic antidepressants, antihistamines, and oral contraceptive pill will be recorded in the CRF but will not be an exclusion criteria).
  • Participants who are taking antibiotics or probiotics as it might alters gut microbiota.
  • Poor understanding of English language.
  • Participation in night shift work the week prior to the study day. Night work is defined as working between midnight and 6.00 AM.
  • Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g., cognitive dysfunction, chaotic lifestyle related to substance abuse.
  • Having taken part in a research study in the last 3 months involving invasive procedures or an inconvenience allowance.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Psyllium

    Psyllium 15 g+ inulin 15 gm in 375ml water

    Dietary Supplement: Psyllium

  • Placebo comparator
    maltodextrin

    Maltodextrin 15 g + inulin 15 gm in 375 ml water

    Dietary Supplement: Maltodextrin

  • Experimental
    Methylcellulose

    Methylcellulose 15g + Inulin 15 g in 375 ml water

    Dietary Supplement: Methylcellulose

Interventions

  • Dietary supplementPsyllium

    15g psyllium added to inulin solution to form a gel

  • Dietary supplementMethylcellulose

    15 g methylcellulose added to inulin solution to form a gel

  • Dietary supplementMaltodextrin

    15g maltodextrin added to inulin solution to form a gel

06

What researchers measure

Primary outcomes

  1. Breath hydrogen

    AUC 0-6 hours after ingestion

    Time frame: 0-6 hoursafter ingestion

Secondary outcomes

  1. Breath hydrogen

    AUC 0-24 hours

    Time frame: 0-24 hours post ingestion

  2. Breath methane

    AUC 0-24 hours

    Time frame: 0-24 hours post ingestion

  3. Transit time

    whole gut transit time

    Time frame: Whole gut transit measured once before intervention

07

Study locations

1 site
  • University Hospital Clinical Research Centre
    Nottingham, Nottinghamshire NG7 2UH, United Kingdom
08

References and documents

Publications

  • Gunn D, Abbas Z, Harris HC, Major G, Hoad C, Gowland P, Marciani L, Gill SK, Warren FJ, Rossi M, Remes-Troche JM, Whelan K, Spiller RC. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut. 2022 May;71(5):919-927. doi: 10.1136/gutjnl-2021-324784. Epub 2021 Aug 5. PubMed 34353864 ↗
  • Reid JESJ, Alhasani AT, MacCalman T, Amor D, Aliyu AI, Modasia AA, Harris H, Warren FJ, Hoad C, Gowland PA, Yakubov GE, Crooks C, Corsetti M, Marciani L, Spiller RC. A randomised, placebo-controlled trial in healthy humans of modified cellulose or psyllium evaluating the role of gelation in altering colonic gas production during inulin co-administration. Food Funct. 2026 Feb 23;17(4):1794-1805. doi: 10.1039/d5fo03532e. PubMed 41636227 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2023 to primary completion in Aug 2023, 3 months.

Of 297 non-industry interventional studies with no phase under Irritable Bowel Syndrome, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 39. This study's 3 months is below that.

Counting every sponsor, half of 345 studies reached it within 19 months; a quarter within 9 and three quarters within 38.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 9, 2023
First posted
Jun 22, 2023
StartActual
May 9, 2023
Primary completionActual
Aug 31, 2023
CompletionActual
Aug 31, 2023
Last update
Aug 15, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05911347
Collaborators
University of East Anglia
Responsible party
Sponsor
First posted
Jun 22, 2023
Start date
May 9, 2023
Primary completion
Aug 31, 2023
Completion
Aug 31, 2023
Last update
Aug 15, 2024

Study contacts

Robin D Spiller, MD
principal investigator · University of Nottingham

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 Jun 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Methylcellulose

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