IDDSI Level 2 ONS study - IDDSIL2

  • Research type

    Research Study

  • Full title

    An evaluation of the tolerance, compliance, acceptability and safety of a new oral nutritional supplement in dysphagic patients

  • IRAS ID

    247105

  • Contact name

    Gary Hubbard

  • Contact email

    gary.hubbard@nutricia.com

  • Clinicaltrials.gov Identifier

    18/LO/0465, REC reference for previous submission ; 242428, IRAS reference for previous submission

  • Duration of Study in the UK

    7 years, 8 months, 31 days

  • Research summary

    Some patients may not be able to swallow normal textures and consistencies of food and drinks - this is called “dysphagia”. Patients may need specific textures and thicknesses of foods and fluids to reduce the risk of them choking or getting food and drink into their lungs. Without appropriate management of swallowing problems and
    nutrition, this may lead to reduced nutritional intake and risk of malnutrition. Oral nutritional supplements (ONS) are commonly used to meet the nutritional requirements of patients with disease-related malnutrition and these are also
    available in different levels of thickness for patients with swallowing problems. A qualified healthcare professional will advise if a patient needs to have thickened drinks and how to do this. A new international framework has been developed which aims to explain all the different levels for drinks and food modification (levels 0-7) for patients with swallowing problems worldwide, with implementation beginning in the UK as of April 2018.

    Nutricia is a medical nutrition company and has developed a ready-to-use pre-thickened ONS suitable for patients needing mildly thick (IDDSI level 2) fluids who are struggling to meet their nutritional needs. This is available as a 125ml bottle in Vanilla or Strawberry flavour.

    The study will investigate the gastrointestinal tolerance, compliance, acceptability and safety of the mildly thick (IDDSI level 2) ready-to-use milkshake style ONS in 40 adult patients with dysphagia requiring oral nutritional support in several sites across England and Wales.

    Patients will be asked to take the study supplement for 28 days, in a quantity advised by their Dietitian. Data will be recorded using questionnaires with no invasive measures.

    The primary outcome is gastrointestinal tolerance with secondary outcomes of compliance, acceptability, safety, nutrient intake and anthropometry.

    Nutricia will fund the research. The ONS is a Food for Special Medical Purposes and
    MHRA exempt (please see attached MHRA exemption letter).

  • REC name

    London - Camden & Kings Cross Research Ethics Committee

  • REC reference

    18/LO/0813

  • Date of REC Opinion

    28 Aug 2018

  • REC opinion

    Further Information Favourable Opinion