The 8x5 Diet for Bile Acid Diarrhoea: A Feasibility Randomised Controlled Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Manchester

About this trial

Bile acid diarrhoea is a common cause of chronic watery diarrhoea. Treatment is life-long medication. However, about 50% of people have ongoing, bothersome diarrhoea. Findings from recent research on diet therapies and food intolerances have been used to develop a healthy dietary pattern called The 8x5 Diet. We will test the practicalities of conducting a randomised controlled trial of this dietary intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years, of any ethnic group, living in the United Kingdom and not planning to move home for the next three months

Self-reported diagnosis of bile acid diarrhoea that was confirmed by 7-day SeHCAT testing

Self-reported ongoing chronic diarrhoea despite use of appropriate medication

Able to participate in either diet group with the intention to remain in the group to which they were assigned for the 8 week study period

Disqualifiers

Unable to provide self-reported written confirmation that their diagnosis of bile acid diarrhoea was by SeHCAT testing

Pregnant/breastfeeding/planning a pregnancy in the next six months

Inflammatory bowel disease, previous or current microscopic colitis, or other serious morbidities such as liver disease, pancreatic disease, AIDS/HIV, radiotherapy for cancer, assessed at screening via patient self-report

Diarrhoea that is inadequately active: <3 stools per day or <1 watery stool (Bristol Stool Form types 6-7) per day as the mean of one week

Trial design

Design model

Parallel

Treatments tested in this trial

  • The 8x5 Diet

    Behavioral

    A virtual, dietitian-counselled, healthy dietary pattern defined by its fat intake, its daily eating pattern, keeping adequately hydrated, having a variety of whole grains, fruit and vegetables, and use of certain plant fibres.

Treatment groups

76 Participants
are divided into 2 treatment groups
Group A: The 8x5 DietActive comparator 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Consent

The number (%) of participants who consent to participate in the trial compared to the number (%) that were screened by the research team.

Time frame
Recruitment period (50 weeks)
2

Recruitment

The number (%) of participants randomised compared to the number (%) that were eligible (screened by the research team)

Time frame
Recruitment period (50 weeks)
3

Randomisation

The number (%) of participants who complete their first appointment compared to the number (%) that were randomised, intervention group only.

Time frame
Recruitment period (50 weeks)
4

Retention

Tthe number (%) of participants that completed the study compared to the number (%) randomised to each group.

Time frame
Randomisation to trial completion (8 weeks)

Secondary outcomes

Other outcomes

Sponsors and contacts

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