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Gastrointestinal ToleranceNCT06479330

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

A study testing Milk Chocolate in people with Gastrointestinal Tolerance and Healthy Population, run by Mondelēz International, Inc. at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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 more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
Milk Chocolate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteCanada
Study dates
9 Jul 2024to 20 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Non-pregnant, non-lactating, healthy individuals aged 18-55 years, inclusive
  • Body Mass Index (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 informed consent 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
Show all 12Show fewer
  • 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

Who cannot join

  • 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 investigational drug, nutritional supplement, or lifestyle modification

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Inquis Clinical Research

    Toronto, Ontario

Other trials in Canada

About this study

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).

Being tested
Milk Chocolate
Keywords
sugar replacers, gastrointestinal symptoms, Bowel Habits Diary - Bristol Stool Scale (BHD-BSS), Gastrointestinal Tolerance Questionnaire (GITQ), Acute, Chocolate

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Milk ChocolateOther

    Acute intake

Study groups in NCT06479330
Study groupRoleWhat they receive
Control chocolate with sugarPlacebo comparatorMilk chocolate made with sugar at a dose of 45 g (2 servings)
Receives: Other: Milk Chocolate
Maltitol chocolateActive comparatorMilk chocolate with maltitol replacing all sugar at a dose of 45 g (2 servings)
Receives: Other: Milk Chocolate
Kestose chocolateActive comparatorMilk chocolate with kestose oligofructose replacing all sugar at a dose of 45 g (2 servings)
Receives: Other: Milk Chocolate
Kestose + cocoa and polydextrose premix dose 1 chocolateActive comparatorMillk chocolate with kestose oligofructose + cocoa and polydextrose premix dose 1 replacing all sugar at a dose of 45 g (2 servings)
Receives: Other: Milk Chocolate
Kestose + cocoa and polydextrose premix dose 2 chocolateActive comparatorMillk chocolate with kestose oligofructose + cocoa and polydextrose premix dose 2 replacing all sugar at a dose of 45 g (2 servings)
Receives: Other: Milk Chocolate

What is being measured

The primary outcome is the main question the study is designed to answer.

  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).

    Measured: tAUC between 0 and 24 hours

Secondary outcomes (32)
  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

    Measured: 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)

    Measured: 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

    Measured: Evaluation performed over 24 hour after consumption of study products

  4. Time for maximum score for abdominal bloating

    Time of the maximum score

    Measured: 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

    Measured: 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)

    Measured: 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

    Measured: 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)

    Measured: 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

    Measured: 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

    Measured: 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)

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

  12. Time for maximum score for flatulence

    Time of the maximum score

    Measured: 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

    Measured: 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)

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

  15. Time for maximum score for burping

    Time of the maximum score

    Measured: 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

    Measured: 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)

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

  18. Time for maximum score for reflux

    Time of the maximum score

    Measured: 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

    Measured: 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)

    Measured: 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

    Measured: 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

    Measured: 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)

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

  24. Time for maximum score for nausea

    Time of the maximum score

    Measured: 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

    Measured: 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)

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

  27. Time for maximum score for vomiting

    Time of the maximum score

    Measured: 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

    Measured: Evaluation performed over 24 hour after consumption of study products

  29. straining during bowel movement

    Proportion of participants having to strain or not

    Measured: Evaluation performed over 24 hour after consumption of study products

  30. discomfort during bowel movement

    Proportion of participants having discomfort or not

    Measured: Evaluation performed over 24 hour after consumption of study products

  31. incomplete evacuation

    Proportion of participants declaring incomplete evacuation or not

    Measured: 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.

    Measured: Evaluation performed over 24 hour after consumption of study products

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2024
  2. Study start9 Jul 2024
  3. Primary completion16 Oct 2024
  4. Study completion20 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
In a 5-way cross-over, there is a set of 10 balanced sequences to which participants will be randomly assigned. Blocks of 1 or 2 sets of sequences will be randomly ordered to create a balanced sequence for n=60 participants. Orders will be assigned to participants in the order they attended for the first visit after being recruited.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06479330
Sponsor's protocol ID
KBE070 / INQ-2402
Status last verified
Mar 2026
First submitted
19 Jun 2024
Last updated
1 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Milk Chocolate in people with Gastrointestinal Tolerance and Healthy Population, run by Mondelēz International, Inc. at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Area Under the Curve (tAUC) of composite gastrointestinal Symptom score (time frame: tAUC between 0 and 24 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2026.

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