The Inside Study: Oligosaccharides Versus Placebo in Functional Constipation

Sponsor
Wageningen University and Research (Other)
Overall Status
Recruiting
CT.gov ID
NCT04282551
Collaborator
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) (Other), FrieslandCampina, Amersfoort, The Netherlands (Other), Sensus (Royal Cosun), the Netherlands. (Other)
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Study Details

Study Description

Brief Summary

In the present randomised double blind controlled study, the investigators will study the effects of oligosaccharides vs a placebo on the change in stool consistency and stool frequency in children with functional constipation.

Condition or Disease Intervention/Treatment Phase
  • Other: dietary intervention with oligosaccharides
N/A

Detailed Description

Functional constipation (FC) in children is a common gastrointestinal (GI) disorder with a worldwide prevalence ranging from 0.7% to 29.6%. Complaints include infrequent bowel movement, painful defecation due to hard and/or large stools, fecal incontinence, and abdominal pain. Although the condition is rarely life-threatening, it strongly impairs quality of life. Oligosaccharides have been shown to relieve constipation symptoms in young adults and elderly. However, sufficient evidence is lacking linking oligosaccharides intake to improve symptoms in children with FC. The investigators hypothesize that oligosaccharides might be able to relieve symptoms of constipation in young children as well, among which softening stools.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
198 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Parallel study with three arms of 13 weeks in total per participant.Parallel study with three arms of 13 weeks in total per participant.
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
The Effect of Oligosaccharides Versus a Placebo on Bowel Habits in Children With Functional Constipation
Actual Study Start Date :
Jun 24, 2020
Anticipated Primary Completion Date :
Nov 1, 2022
Anticipated Study Completion Date :
Nov 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: oligosaccharide group 1

Other: dietary intervention with oligosaccharides
intervention with oligosaccharide 1 or 2, or placebo, given once a day

Experimental: oligosaccharide group 2

Other: dietary intervention with oligosaccharides
intervention with oligosaccharide 1 or 2, or placebo, given once a day

Placebo Comparator: placebo group

Other: dietary intervention with oligosaccharides
intervention with oligosaccharide 1 or 2, or placebo, given once a day

Outcome Measures

Primary Outcome Measures

  1. Stool consistency [Stool consistency will be measured at different time points during a study period of 13 weeks.]

    Change in stool consistency measured by the a stool questionnaire; 5 points stool scale from 1 hard to 5 watery (modified Bristol Stool Form Scale)

Secondary Outcome Measures

  1. Stool frequency in number of cases (%) [These outcome measures will be measured at different time point during a study period of 13 weeks.]

    Stool frequency - number of times a child has stools a day as reported in a diary.

  2. Stool consistency in number of cases (%) [These outcome measures will be measured at different time point during a study period of 13 weeks.]

    Stool consistency - % of stools in a certain stool scale score as measured via a 5 point stool scale

Eligibility Criteria

Criteria

Ages Eligible for Study:
1 Year to 3 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

In order to be eligible to participate in this study, a subject must meet all of the following criteria, as considered by a medical doctor:

  • Written informed consent

  • Aged 1-3 years

  • Children that meet the Rome IV criteria for functional constipation

Exclusion Criteria:

A potential subject who meets any of the following criteria will be excluded from participation in this study:

  • Children who suffer from any other GI complaints than functional constipation, known structural GI abnormalities, or previous GI surgery

  • Any condition that would make it unsafe for the child to participate.

  • Children with clinically significant cardiac, vascular, liver, pulmonary, psychiatric disorders, severe renal insufficiency, human immunodeficiency virus, acquired immunodeficiency syndrome, hepatitis B or C or known abnormalities of haematology, urinalysis, or blood biochemistry

  • Children who are allergic to cow's milk or fish

  • Use of antibiotics or other medicines or food supplements, and breast milk-feeding, 4 weeks prior to the study, except for the allowed escape medication

  • Children that participate in another clinical trial

Contacts and Locations

Locations

Site City State Country Postal Code
1 Emma Children's Hospital, UMC Amsterdam Amsterdam Noord-Holland Netherlands 1105AZ

Sponsors and Collaborators

  • Wageningen University and Research
  • Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • FrieslandCampina, Amersfoort, The Netherlands
  • Sensus (Royal Cosun), the Netherlands.

Investigators

  • Principal Investigator: Clara Belzer, PhD, Wageningen University and Research
  • Principal Investigator: Marc A Benninga, PhD, Emma Children's Hospital, UMC Amsterdam

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Clara Belzer, Associate Professor, Wageningen University and Research
ClinicalTrials.gov Identifier:
NCT04282551
Other Study ID Numbers:
  • NL70126.081.19
First Posted:
Feb 24, 2020
Last Update Posted:
Oct 12, 2021
Last Verified:
Oct 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Clara Belzer, Associate Professor, Wageningen University and Research
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 12, 2021