ClinicalTrials.gg
CompletedNCT06479330Updated Apr 1, 2026

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

An interventional study of Milk Chocolate in Gastrointestinal Tolerance and Healthy Population, sponsored by Mondelēz International, Inc.. Completed at 1 site in Canada. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-01.

Sponsored by Mondelēz International, Inc. · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

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)

Read the detailed description

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).

02

Conditions studied

  • Gastrointestinal Tolerance
  • Healthy Population

Keywords

  • sugar replacers
  • gastrointestinal symptoms
  • Bowel Habits Diary - Bristol Stool Scale (BHD-BSS)
  • Gastrointestinal Tolerance Questionnaire (GITQ)
  • Acute
  • Chocolate
03

In context

Lead sponsor

Mondelēz International, Inc. is the lead sponsor of 27 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
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

  • Non-pregnant, non-lactating, healthy individuals aged 18-55 years, inclusive
  • (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 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

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 drug, nutritional supplement, or lifestyle modification
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Placebo comparator
    Control chocolate with sugar

    Milk chocolate made with sugar at a dose of 45 g (2 servings)

    Other: Milk Chocolate

  • Active comparator
    Maltitol chocolate

    Milk chocolate with maltitol replacing all sugar at a dose of 45 g (2 servings)

    Other: Milk Chocolate

  • Active comparator
    Kestose chocolate

    Milk chocolate with kestose oligofructose replacing all sugar at a dose of 45 g (2 servings)

    Other: Milk Chocolate

  • Active comparator
    Kestose + cocoa and polydextrose premix dose 1 chocolate

    Millk chocolate with kestose oligofructose + cocoa and polydextrose premix dose 1 replacing all sugar at a dose of 45 g (2 servings)

    Other: Milk Chocolate

  • Active comparator
    Kestose + cocoa and polydextrose premix dose 2 chocolate

    Millk chocolate with kestose oligofructose + cocoa and polydextrose premix dose 2 replacing all sugar at a dose of 45 g (2 servings)

    Other: Milk Chocolate

Interventions

  • OtherMilk Chocolate

    Acute intake

06

What researchers measure

Primary outcomes

  1. Total Area Under the Curve (tAUC) of composite gastrointestinal Symptom score

    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).

    Time frame: tAUC between 0 and 24 hours

Secondary outcomes

  1. Total Area Under the Curve of each individual gastrointestinal symptom

    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

    Time frame: tAUC between 0 and 24 hours

  2. Frequency of composite score > 1 at each time point

    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)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  3. Frequency of Diarrhea within 24 hours

    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

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

  4. Time for maximum score for abdominal bloating

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  5. Maximum score for abdominal bloating

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  6. Maximum score for abdominal bloating

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  7. Maximum score for abdominal pain

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  8. Maximum score for abdominal pain

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  9. Time of maximum score for abdominal pain

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  10. Maximum score for flatulence

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  11. Maximum score for flatulence

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  12. Time for maximum score for flatulence

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  13. Maximum score for burping

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  14. Maximum score for burping

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  15. Time for maximum score for burping

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  16. Maximum score for reflux

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  17. Maximum score for reflux

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  18. Time for maximum score for reflux

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  19. Maximum score for stomach rumbling

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  20. Maximum score for stomach rumbling

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  21. Time for maximum score for stomach rumbling

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  22. Maximum score for nausea

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  23. Maximum score for nausea

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  24. Time for maximum score for nausea

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  25. Maximum score for vomiting

    Proportion of participants reporting any (score\>0) or moderate/severe (score \>1) at each time point

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  26. Maximum score for vomiting

    Maximum detected score (which can range from 0 up to 3)

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  27. Time for maximum score for vomiting

    Time of the maximum score

    Time frame: Evaluation performed at time 0, 2, 4, 6, 10 and 24 hours

  28. Number of bowel movements

    Number of bowel movements over the 24 hours

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

  29. straining during bowel movement

    Proportion of participants having to strain or not

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

  30. discomfort during bowel movement

    Proportion of participants having discomfort or not

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

  31. incomplete evacuation

    Proportion of participants declaring incomplete evacuation or not

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

  32. Stool consistency based on bristol stool scale

    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.

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

07

Study locations

1 site
  • Inquis Clinical Research
    Toronto, Ontario, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2024 to primary completion in Oct 2024, 3 months.

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

Registered
Jun 19, 2024
First posted
Jun 28, 2024
StartActual
Jul 9, 2024
Primary completionActual
Oct 16, 2024
CompletionActual
Dec 20, 2024
Last update
Apr 1, 2026
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 Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06479330
Collaborators
INQUIS Clinical Research
Responsible party
Sponsor
First posted
Jun 28, 2024
Start date
Jul 9, 2024
Primary completion
Oct 16, 2024
Completion
Dec 20, 2024
Last update
Apr 1, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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