Wheat mystery: which part really upsets IBS sufferers?
NCT ID NCT03664531
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether purified gluten or whole wheat (which contains gluten plus other proteins) causes stomach and gut symptoms in people with irritable bowel syndrome (IBS). Twenty-nine adults with IBS who had previously felt better on a gluten-free diet took part. They ate special bars containing either purified gluten, whole wheat, or a gluten-free sham bar for one week each, while staying on a gluten-free diet. The goal was to see which bar made their symptoms worse, helping to pinpoint what in wheat might be the real trigger.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- purified gluten and whole wheat (gluten with amylase-trypsin inhibitors)
- What this could lead to
- If successful, this could help identify which components of wheat cause symptoms in people with irritable bowel syndrome, leading to better dietary advice.
- What could go wrong
- This is a small, completed trial with only 29 participants, so results may not apply to everyone with IBS. It tests short-term effects, not long-term outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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29 people
The number who actually took part.
- Started
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Jan 2019
- Finished
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Jun 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * IBS diagnosis based on Rome IV criteria. * Previously improved while on a gluten-free diet. * Compliance with the study procedures (according to the investigator's own judgement). * Signing the Study Informed Consent form. Exclusion Criteria: * Concurrent systemic disease and/or laboratory abnormalities considered by investigators to be risky or that could interfere with data collection. * Concurrent organic gastrointestinal disease (i.e. Celiac disease, Inflammatory Bowel Disease, peptic ulcer disease, etc.) other than benign polyps, diverticulosis, hemorrhoids, lipoma and melanosis coli. * Major abdominal surgery with the exception of hernia repair, appendectomy, Caesarian section, tubal ligation, cholecystectomy, hysterectomy, and hemorrhoidectomy. * History of active cancer in the last 5 years, other than skin basal cells cancer. * Pregnant or breastfeeding women. * Current use of antibiotics or antibiotic treatment within 1 months before the first visit. * Consumption of probiotics within 1 month prior to the first visit. * Use of non-authorized medications (see Unauthorized Medications section). * Patients on a high fibre diet (\>35 g/day for males, \> 25 g/day for females), consuming high inulin containing foods (\>5 g/day), and/or consuming dietary fibre supplements (as assessed by dietary assessment questionnaire) in the 4 weeks prior to the first visit. * Patients currently participating or having participated in a trial within the past month.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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McMaster University Medical Centre
Hamilton, Ontario, L8N 3Z5, Canada
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