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Trial registered on ANZCTR
Registration number
ACTRN12619001384145
Ethics application status
Approved
Date submitted
27/08/2019
Date registered
10/10/2019
Date last updated
5/03/2021
Date data sharing statement initially provided
10/10/2019
Date results provided
5/03/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of prior consumption of gymnema sylvestre on desire for sugar-sweetened products in adults
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Scientific title
Effect of prior consumption of gymnema sylvestre on desire for sugar-sweetened products in adults
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Secondary ID [1]
299123
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Nil known
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Universal Trial Number (UTN)
U1111-1239-2873
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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:
Sugar intake
314184
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Condition category
Condition code
Metabolic and Endocrine
312543
312543
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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
Upon arrival to the sensory laboratory, participants will be provided one muesli bar (standard serve) each to reduce hunger (45 min prior to testing). During the 45 minutes prior to the sensory testing, participants will then complete a Food Frequency Questionnaire, body composition measures and demographic questionnaire.
Participants will record their hunger and desire for sugar-sweetened product (confectionery). They will then consume a small standardised serving (13g) of their favourite confectionary (from 6 popular brands; which will be provided by the research team), and we will record pleasantness ratings as well as desire for consuming a second serving.
They will then randomly be given the tablet (by the research assistant) containing gymnema sylvestre (4mg per tablet) or isocaloric placebo, and asked to ingest the product. Participants and research assistants will be blinded to the tablets provided.
Participants will then rate their desire for another serving (i.e. 13 g) of their preferred confectionary and will be offered up to five servings, which will be given one after the other (after consumption, they will be given 1 minute before selecting a subsequent serving). They will be asked to rate desire for consuming another serving and pleasantness of the confectionary after each serving has been consumed.
If an offering is accepted, it will be consumed and perceptual ratings will be recorded. If an offering is declined, testing and data collection for that participant will end.
This is a crossover trial; there will be a minimum of three days between trials (the effects of one gymnema-containing tablet last between 30-60 min).
This is an acute trial, so participants will not need to record consumption/adherence.
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Intervention code [1]
315395
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Treatment: Other
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Comparator / control treatment
Placebo mint will be used (contains exactly the same ingredients apart from gymnema sylvestre)
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Control group
Placebo
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Outcomes
Primary outcome [1]
321191
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Number of servings of sugar-sweetened confectionary consumed post ingestion of gymnema sylsvestre-containing mint/tablet.
The research assistant will count how many servings are consumed by the participant at each visit (and verify consumption by the empty confectionary wrapper).
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Assessment method [1]
321191
0
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Timepoint [1]
321191
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Acute (within 30-40 min of consuming the mint/tablet
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Secondary outcome [1]
374260
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Perceived hunger level
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Assessment method [1]
374260
0
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Timepoint [1]
374260
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Assessed using Likert scale within 30-40 min of consuming the mint/tablet containing gymnema sylvestre.
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Secondary outcome [2]
374261
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Effect of body fat percentage on changes to amount of confectionery eaten and sensory ratings, following consumption of gymnema sylvestre-containing mint/tablet
Body fat (%) will be assessed using bio-electrical impedance analysis (BIA)
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Assessment method [2]
374261
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Timepoint [2]
374261
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Will be assessed using bio-electrical impedance analysis (BIA) prior to consuming gymnema-containing mint/tablet
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Secondary outcome [3]
374262
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Effect of 'super-tasting' ability on changes to amount of confectionery eaten and sensory ratings, following consumption of gymnema sylvestre-containing mint/tablet
Participants’ taster status will be determined using propylthiouracil (PROP) solution. Participants will be asked to taste this solution and indicate the perceived bitterness intensity. This will be used to classify subjects as either super-tasters, tasters or non-tasters. This information will be useful in interpreting the sensory data based on individual differences in taste sensitivity.
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Assessment method [3]
374262
0
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Timepoint [3]
374262
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Will be assessed using PROP prior to consuming gymnema-containing mint/tablet
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Secondary outcome [4]
374263
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Effect of having a 'sweet tooth' (assessed using food frequency questionnaire; composite analysis) on changes to amount of confectionery eaten and sensory ratings, following consumption of gymnema sylvestre-containing mint/tablet
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Assessment method [4]
374263
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Timepoint [4]
374263
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A food frequency questionnaire will be used (composite analysis) to assess 'sweet tooth' prior to consuming gymnema-containing mint/tablet
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Secondary outcome [5]
375383
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Desire to eat another sugar-sweetened product (confectionery)
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Assessment method [5]
375383
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Timepoint [5]
375383
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Will be assessed using a Likert scale within 30-40 minutes of consuming gymnema-containing mint/tablet
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Secondary outcome [6]
375384
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Pleasantness ratings of confectionary
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Assessment method [6]
375384
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Timepoint [6]
375384
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Will be assessed using a Likert scale within 30-40 minutes of consuming gymnema-containing mint/tablet
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Eligibility
Key inclusion criteria
Healthy adults aged 18-45 years old
Non-smoking
Non-diabetic
English-speaking
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Minimum age
18
Years
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Maximum age
45
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
Known allergies to gymnema sylvestre
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All participants will be given the control/placebo treatment first trial; they will then have the experimental condition in the second trial
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Non-randomized; all will take part in control trial first (followed by experiential condition in second trial)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Statistical analyses will be completed using the Statistical Package for the Social Sciences (SPSS, Chicago, IL). All data will be inspected visually and statistically for normality. Normally distributed data will be described using mean ± SD and non-normally distributed data using median and ranges. Two-way analysis of variance (ANOVA) will be used to determine the difference between conditions at each time point evaluated. A suitable post-hoc test (Holm-Bonferroni adjusted paired t-test) will be used to ascertain differences between time points. Pearson’s correlation will be used to examine relationships between outcome measures. P<0.05 will be considered indicative of statistical significance. Furthermore, effect sizes (Cohen’s d) will be calculated (where applicable) to show practical significance.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/10/2019
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Date of last participant enrolment
Anticipated
29/11/2019
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Actual
10/10/2019
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Date of last data collection
Anticipated
6/12/2019
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Actual
10/10/2019
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Sample size
Target
50
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Accrual to date
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Final
56
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Recruitment outside Australia
Country [1]
21814
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New Zealand
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State/province [1]
21814
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AUCKLAND
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Funding & Sponsors
Funding source category [1]
303664
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Commercial sector/Industry
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Name [1]
303664
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Nu Brands Ltd
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Address [1]
303664
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936 N Laurel Avenue
Los Angeles CA 90046
USA
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Country [1]
303664
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United States of America
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Primary sponsor type
University
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Name
Massey University
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Address
Private Bag 11222
Palmerston North 4442
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Country
New Zealand
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Secondary sponsor category [1]
303765
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None
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Name [1]
303765
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Address [1]
303765
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Country [1]
303765
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304185
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Massey University Human Ethics Committee
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Ethics committee address [1]
304185
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Massey University Private Bag 11222 Palmerston North 4442
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Ethics committee country [1]
304185
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New Zealand
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Date submitted for ethics approval [1]
304185
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29/07/2019
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Approval date [1]
304185
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20/09/2019
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Ethics approval number [1]
304185
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MUHEC SOA 19/47
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Summary
Brief summary
Gymnema sylvestre (gymnema) is a plant-derived sweetness inhibitor which impairs one’s ability to taste sugar by temporarily blocking sweet receptors on the tongue. It is therefore a taste modulator which interferes with the ability of sucrose to activate the sweet receptors on the tongue leading to a decrease in sweetness perception without affecting the other basic tastes. This effect is reversible and lasts between 30-60 minutes. Gymnema is popular not only due to its anti-saccharine effect, but also because of its hypoglycemic effect and hence its use in diabetes management. To demonstrate its sucrose perception suppressing ability, tea is prepared from gymnema leaves and panellists asked to swish and amount in their mouths prior to tasting foods and sweet products (Noel et al. 2017; Hudson et al., 2018). Utilization of this plant is expanding from Ayurvedic medicine to applications in food product development (Perera and Pavitha, 2017). There is some uncertainty about observing this kind of effect (Shroeder and Flannery-Schroeder, 2005) when the leaves are processed as the case will be if the active ingredient is used in the formulation of a tablet. There is therefore the need to determine if the doses of the active ingredient used in the tablets reduces perception of sweetness. But, most importantly for this project, whether this decrease in sugar perception leads to an aversion to sugar-sweetened products. Therefore, the aim of the study is to determine whether prior consumption of gymnema is associated with a decrease in perceived hunger ratings, desire for sugar-sweetened products and pleasantness ratings of sugar-sweetened products.
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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
96074
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A/Prof AJMOL ALI
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Address
96074
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School of sport, Exercise and Nutrition
Massey University
Private Bag 102904
North Shore, Auckland
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Country
96074
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New Zealand
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Phone
96074
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+64 9 213 6414
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Fax
96074
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Email
96074
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[email protected]
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Contact person for public queries
Name
96075
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AJMOL ALI
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Address
96075
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School of sport, Exercise and Nutrition
Massey University
Private Bag 102904
North Shore, Auckland
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Country
96075
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New Zealand
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Phone
96075
0
+64 9 213 6414
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Fax
96075
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Email
96075
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[email protected]
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Contact person for scientific queries
Name
96076
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AJMOL ALI
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Address
96076
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School of sport, Exercise and Nutrition
Massey University
Private Bag 102904
North Shore, Auckland
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Country
96076
0
New Zealand
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Phone
96076
0
+64 9 213 6414
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Fax
96076
0
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Email
96076
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Only mean and standard deviation data will be available (via the subsequent publications)
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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
Source
Title
Year of Publication
DOI
Embase
Consuming gymnema sylvestre reduces the desire for high-sugar sweet foods.
2020
https://dx.doi.org/10.3390/nu12041046
N.B. These documents automatically identified may not have been verified by the study sponsor.
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