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Trial registered on ANZCTR
Registration number
ACTRN12616000716460
Ethics application status
Approved
Date submitted
20/05/2016
Date registered
30/05/2016
Date last updated
30/05/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Glycaemic response to varying the proportions of carbohydrate and vegetables within a meal
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Scientific title
The effect of consuming meals with different proportions of carbohydrate and vegetables by healthy young adults on glycaemic response
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Secondary ID [1]
289257
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None
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Universal Trial Number (UTN)
U1111-1183-4253
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postprandial glycaemia
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Condition category
Condition code
Diet and Nutrition
298894
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
298970
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0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a dietary intervention study in which healthy young adults will consume test meals with differing proportions of carbohydrate (rice or pasta based meals) and non-starchy vegetables. Half of the participants will be randomised to receive pasta-based meals and the other half to receive rice-based meals. Within each intervention group participants will consume a meal with 30g and 60g of available carbohydrate at two separate testing sessions. The amount of rice and pasta corresponding to the 30 and 60g available carbohydrate will be 100 and 200g, respectively. The amount of non-starchy vegetables on the plate will be 250 and 150g, respectively (ie: a gram for gram replacement of rice or pasta with non-starchy vegetables). The amount of mince and sauce will be constant at 200g. The total weight of each meal will be 550g. Participant’s blood glucose concentration will be measured prior to consuming the meal and then at 15, 30, 45, 60 and 90 minutes after this time point. The order of test meal consumption will be randomised. The meals will be served hot (>65 deg C). Participants will consume the meals with instruction to finish all of the food on the plate in their own time while under supervision at the study site. The washout period between successive lunch meals will be one week.
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Intervention code [1]
294801
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Lifestyle
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Intervention code [2]
294857
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Treatment: Other
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Intervention code [3]
294858
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Prevention
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Comparator / control treatment
Participants will consume a third test meal with 45g of available carbohydrate at a separate testing session. This will act as the control as it is the amount of available carbohydrate that Diabetes New Zealand recommends individuals with type 2 diabetes mellitus to consume within a starchy food at a main meal. The meals with 30g and 60g of available carbohydrate represent a one serving (15g available carbohydrate) difference from this control meal.
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood glucose concentration will be measured on fingerprick samples using a Hemocue glucose analyser at each timepoint. The blood glucose data will be plotted and incremental area-under-the-curve will be calculated using the trapezoidal rule.
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Assessment method [1]
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Timepoint [1]
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Baseline and thereafter at 15, 30, 45, 60 and 90 min following consumption of test meal
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Secondary outcome [1]
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Blood glucose concentration at 90 min
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Assessment method [1]
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Timepoint [1]
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90 min following consumption of the test meal
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Eligibility
Key inclusion criteria
Healthy university students
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
A dietary requirement that we cannot cater to. There will be no other exclusion criteria.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be randomly assigned to receive either rice or pasta-based meals and to the order they will receive the meals. The person who will determine if a subject is eligible for inclusion in the trial will be unaware, when this decision is made, to which group the subject will be allocated. Randomisation will be performed by the department statistician, the researchers will remain unaware of allocations until the laboratory phase.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Males will be block randomised to ensure equal sex distribution between the two groups, controlling for any potential sex variability in glycaemic response. Simple randomisation will be used for order treatment and all randomisation will be done using Stata statistical analysis software.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Crossover refers to the different proportions of starchy carbohydrate and vegetables on the plate, each person consumes three meals in randomised order containing 30, 45 and 60g starchy carbohydrate. There is also a parallel component to the study in which participants will be randomised to the starchy carbohydrate of either rice or pasta-based meals.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A sample size of 34 participants in both the pasta and rice arms of the study would have 90% power to detect a 30% difference in AUC at the alpha 0.05 level. It was decided to recruit more participants than this to allow for expected dropout. A 30% difference was chosen to be clinically relevant as this corresponds to the difference in AUC between a low and high GI food.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
2/03/2016
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Date of last participant enrolment
Anticipated
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Actual
9/03/2016
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
68
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Accrual to date
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Final
74
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Otago
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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Department of Human Nutrition
PO Box 56
Dunedin
9054
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Department of Human Nutrition
PO Box 56
Dunedin
9054
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
292469
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Address [1]
292469
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Country [1]
292469
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Otago Human Ethics Committee
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Ethics committee address [1]
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PO Box 56 Dunedin 9054
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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02/02/2015
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Approval date [1]
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16/02/2015
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Ethics approval number [1]
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14/204
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Summary
Brief summary
A randomised controlled crossover trial in which participant’s blood glucose concentrations will be measured following the consumption of three test meals. Each meal will have different proportions of carbohydrate and non-starchy vegetables. The amount of starchy carbohydrate on the plate will be 30, 45 and 60g. The comparator will be the meal containing 45g starchy carbohydrate. There will also be a parallel design in which the the starchy carbohydrate will be rice or pasta. Participants will be randomised to either rice or pasta-based meals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Bernard Venn
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Address
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University of Otago
Department of Human Nutrition
PO box 56
Dunedin
9054
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Country
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New Zealand
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Phone
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+6434795068
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Bernard Venn
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Address
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University of Otago
Department of Human Nutrition
PO box 56
Dunedin
9054
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Country
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New Zealand
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Phone
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+6434795068
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Bernard Venn
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Address
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University of Otago
Department of Human Nutrition
PO box 56
Dunedin
9054
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Country
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New Zealand
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Phone
66004
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+6434795068
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Fax
66004
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Email
66004
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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