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An investigation into the influence of intestinal transit rate on the metabolism of dietary sulphate
ISRCTN ISRCTN23167543
ClinicalTrials.gov identifier
Public title An investigation into the influence of intestinal transit rate on the metabolism of dietary sulphate
Scientific title
Acronym N/A
Serial number at source N0544093560 - PROJ 30/10/2000
Study hypothesis Influence of intestinal transit on sulphate metabolism.

Hydrogen sulphide (H2S) can be toxic to the colon. The principle source of H2S in the colon is from the conversion of sulphate to sulfide by bacteria. Other sources of H2S production include the fermentation of proteins of animal and plant origin. The majority of dietary sulphate is absorbed in the small intestine with relatively small amounts entering the colon. Intestinal transit speed is known to influence the absorption and breakdown of many dietary substances. In particular intestinal transit speed alters the colonic bacterial flora and fermentation of food. The purpose of this study is to look at the influence of intestinal transit time on the metabolism of sulphate as no data exist. If transit is an influence in sulphate metabolism, then many of the findings linking high concentrations of faecal H2S to diseases such as ulcerative colitis could be explained. A brief clinical and drug history would be taken.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Dietary sulphate metabolism
Participants - inclusion criteria Not provided at time of registration
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 10/01/2001
Anticipated end date 10/01/2004
Status of trial Completed
Patient information material
Target number of participants 12 volunteers
Interventions During the protocol volunteers will take (once a day) either:
1. Senna (a laxative)
2. Loperamide (slows down the colon)
3. Placebo tablet

Volunteers will be asked to take a special diet designed to be low in sulphate. Dr Lewis will be in close contact during the study period to answer any queries and ensure that the senna or loperamide are having the desired effect. In addition they will take tablets containing sulphate. Intestinal transit speed will be measured by two methods. Two stool samples will be collected and a urine sample. After completing the protocol volunteers will have a 2-week washout period repeating the protocol but taking a different transit altering tablet. The volunteers will complete all three protocols.
Primary outcome measure(s) Not provided at time of registration
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Cambridge Consortium - Addenbrooke's (UK)
Trial website
Publications 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17156141
Contact name Dr  Stephen  Lewis
  Address Box No 201A
Department of Gastroenterology
Addenbrooke's NHS Trust
  City/town Cambridge
  Zip/Postcode CB2 2QQ
  Country United Kingdom
  Tel +44 (0)7669 008 863
  Email
Sponsor Record provided by the NHS Trusts Clinical Trials Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)207 307 2622
  Fax +44 (0)207 307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 12/09/2003
Last edited 15/11/2011
Date ISRCTN assigned 12/09/2003
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