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Gut MicrobiomeNCT03058575

Effects of a Novel Food Product Containing Microbiota Accessible Carbohydrates on the Human Microbiome

A study testing Dietary MACs in people with Gut Microbiome, run by Access Business Group at 1 site in United States.

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 is a randomized, 2-period crossover study aimed at assessing the effect of taking a food supplement containing a blend of microbial accessible carbohydrates on the diversity of the gut microbiome. Read more about this study

Who is it for?
Ages 40 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Gut Microbiome
What is being tested?
Dietary MACs
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited States
Study dates
16 Jan 2017to 30 Sep 2017
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 40 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subject is male or female, 40-60 years of age, inclusive.
  • Subject has a waist circumference ≥102 cm (40 inches) in men or ≥89 cm (35 inches) in women at visit 1a (week -1).
  • Subject does not smoke or use any products containing nicotine (including use of any tobacco products) for the past 6 months prior to Visit 1b and has no plans to change smoking habits during the study period.
  • For males, subject is willing to shave prior to facial imaging test days (total of 6 clinic visits).
  • Subject is willing and able to comply with the visit schedule and fecal sample collection requirements (a total of 8 fecal samples) during the study period.
  • Subject does not plan to willingly change his or her habitual diet, physical activity patterns, or body weight during the study period.
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  • Subject is willing and able to consume a low-calorie, 6-10 oz chocolate shake, as directed, for 8 weeks.
  • Subject has no health conditions that would prevent him/her from fulfilling the study requirements as judged by the Investigator on the basis of medical history and routine laboratory test results.
  • Subject understands the study procedures and signs forms providing informed consent to participate in the study and authorization for release of relevant protected health information to the study Investigator.

Who cannot join

  • Subject has abnormal laboratory test results of clinical significance at Visit 1b (week -1), at the discretion of the Investigator. One re-test will be allowed on a separate day prior to Visit 2 (week 0), for subjects with abnormal laboratory test results.
  • Subject has a history or presence of clinically important endocrine (including hyperparathyroidism, type 1 or 2 diabetes mellitus and/or hypoglycemia), cardiovascular (including, but not limited to history of myocardial infarction, peripheral arterial disease, stroke), pulmonary (including uncontrolled asthma), hepatic, renal, hematologic, immunologic, dermatologic, neurologic, rheumatic (including gout), biliary, and/or psychiatric disorders, that, in the opinion of the Investigator, could interfere with the interpretation of the study results.
  • Subject has had a recent (within 2 weeks of Visit 1b; week -1) episode of acute GI illness such as nausea/vomiting or diarrhea.
  • Subject has a history or presence of a diagnosed GI disease, including but not limited to, irritable bowel syndrome, inflammatory bowel disease, Celiac disease, or Crohn's disease.
  • Subject has a recent history (within 6 weeks of Visit 1b, week -1) of constipation (defined as <3 bowel movements per week).
  • Subject has a history or presence of cancer in the prior two years, except for non-melanoma skin cancer.
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  • Subject has a history of bariatric surgery for weight reducing purposes.
  • Subject has extreme dietary habits, including but not limited to, intentional consumption of a high fiber diet, and/or vegan/other vegetarian diets, in the opinion of the Investigator.
  • Subject has had a weight loss or gain >4.5 kg in the 6 months prior to Visit 1b (week -1).
  • Subject has uncontrolled hypertension (systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg) as defined by the blood pressure measured at Visit 1b (week -1). One re-test will be allowed on a separate day prior to Visit 2 (week 0), for subjects whose blood pressure exceeds either of these cut points, in the judgment of the Investigator.
  • Subject has used any antibiotics within 3 months of Visit 2 (week 0).
  • Subject has used medications (over-the-counter or prescription) and/or dietary supplements, known to influence GI function, including but not limited to prebiotics or probiotics, laxatives, enemas, fiber supplements, suppositories, anti-diarrheal agents, and/or anti-spasmodics within 2 weeks of Visit 2 (week 0).
  • Subject uses non-steroidal, anti-inflammatory drugs on a daily basis.
  • Subject uses antacids, proton pump inhibitors, or histamine blockers on a daily basis within 1 week of Visit 2 (week 0).
  • Subject has started lipid lowering prescription medication(s) within 4 weeks of Visit 2 (week 0). Subjects must be on a stable dose (defined as consistent dose) for at least 4 weeks prior to Visit 2 (week 0) and throughout the study period.
  • Subject has a known allergy or sensitivity to any component or ingredient in the study product.
  • Subject is a female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period. The method of contraception must be recorded in the source documentation.
  • Subject is a premenopausal female using a form of contraception that does not result in a normal menstrual cycle (normal cycle defined as a 21 to 35 d).
  • Subject has a recent history of (within 1 month of Visit 1b) or strong potential for alcohol or substance abuse. Alcohol abuse is defined as >14 drinks per week or more than 4 drinks at any one time (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits).
  • Subject has been exposed to any non-registered drug product within 30 d prior to Visit 1b (week -1).
  • Individual has a condition the Investigator believes would interfere with his or her ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results, or put the subject at undue risk.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Biofortis Innovation Services

    Addison, Illinois, 60101

Other trials in United States

About this study

Official title: A Randomized, Controlled, Crossover Study to Evaluate the Effects of a Novel Food Product Containing Microbiota Accessible Carbohydrates on the Human Microbiome and Associated Parameters

This is a randomized, 2-period crossover study aimed at assessing the effect of taking a food supplement containing a blend of microbial accessible carbohydrates on the diversity of the gut microbiome. Impacts to the skin, scalp and oral microbiomes; blood inflammatory biomarkers; quality and quantity of sleep; gastrointestinal quality of life; bowel habits, and facial skin features will also be evaluated.

Read the detailed description

The human body is home to trillions of microbes, which have been shown to play important roles in many aspects of human biology, such as immune function and metabolism. Research in this area has primarily focused on the role that dietary factors have in modulating the gastrointestinal (GI) microbiota with associated changes in host health parameters. Specifically, dietary microbiota accessible carbohydrates (MACs), which include compounds such as resistant starches and other dietary fibers that are typically resistant to digestion, have been shown to serve as a primary source of energy for the distal gut microbiota. Metabolism of MACs by the GI microbiota is important in shaping this microbial ecosystem. A Western diet, typically low in MAC content (e.g., dietary fiber), is associated with a marked reduction in microbial diversity and depletion of specific types of potentially beneficial microbes.

Until only recently, the bulk of microbiota studies have been conducted in animals, and human studies on the GI microbiota have focused primarily on delineating the gut bacterial composition and corresponding changes in taxonomy in response to a particular dietary intervention (e.g., with prebiotics). Additionally, investigations on dietary factors influencing the skin (or scalp) and oral cavity microbiomes have only recently garnered attention. Human intervention studies that increase consumption of dietary MACs are needed to better understand how changes in the composition and function of these bacteria influence host parameters.

Conditions
Gut Microbiome
Being tested
Dietary MACs, Control
Keywords
Microbiome, Gut, Skin, Fiber, Starch

What participants receive

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

  • Dietary MACsDietary supplement

    All subjects will have a dose-escalation period when randomized to the active arm that will occur as follows:

    Day 1: 1 scoop of product (morning, in the clinic)

    Day 2: 1 scoop of product (morning)

    Day 3: 2 scoops of product (morning and evening)

    Day 4: 2 scoops of product (morning and evening)

    Days 5-60: 3 scoops of product (morning, afternoon, evening)

    Other Names:

    Dietary fiber supplement

  • ControlOther

    No Intervention for 8 weeks

Study groups in NCT03058575
Study groupRoleWhat they receive
Dietary MACsExperimentalDietary fiber supplement (blend of resistant starch and dietary fiber food ingredients providing 15g of microbiota accessible carbohydrate/1 scoop serving) will be provided in a powder that will be mixed with 6-10 oz of water (depending on desired thickness) and consumed as a chocolate shake.
Receives: Dietary Supplement: Dietary MACs
ControlOtherNo Intervention
Receives: Other: Control

What is being measured

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

  1. Change from Baseline in Fecal Microbiome Shannon Diversity Index

    The Shannon Diversity Index of the fecal microbiome will be measured at each of the time points via taxonomic profiling using 16S ribosomal RNA gene amplicon sequencing

    Measured: Baseline, 2, 4 and 8 Weeks

Secondary outcomes (28)
  1. Change from Baseline in Fecal Microbiome Composition

    The fecal microbial composition will be measured via taxonomic profiling using 16S ribosomal RNA gene amplicon sequencing

    Measured: Baseline, 2, 4 and 8 Weeks

  2. Change from Baseline in Forehead Skin Microbiome Composition

    The forehead skin microbial composition will be measured via taxonomic profiling using 16S ribosomal RNA gene amplicon sequencing

    Measured: Baseline, 2, 4 and 8 Weeks

  3. Change from Baseline in Scalp Skin Microbiome Composition

    The scalp skin microbial composition will be measured via taxonomic profiling using 16S ribosomal RNA gene amplicon sequencing

    Measured: Baseline, 2, 4 and 8 Weeks

  4. Change from Baseline in Oral (Buccal) Microbiome Composition

    The oral microbial composition will be measured via taxonomic profiling using 16S ribosomal RNA gene amplicon sequencing

    Measured: Baseline, 2, 4 and 8 Weeks

  5. Change from Baseline in Fecal Short Chain Fatty Acids (Butyrate)

    Fecal short chain fatty acids (e.g., butyrate) will be measured at each of the time points.

    Measured: Baseline, 2, 4 and 8 Weeks

  6. Change from Baseline in Blood Inflammatory Marker (C-Reactive Protein)

    The inflammatory marker C-Reactive Protein in the blood will be measured at each of the time points.

    Measured: Baseline, 4 and 8 Weeks

  7. Change from Baseline in Blood Inflammatory Marker (IL-10)

    The inflammatory marker IL-10 in the blood will be measured at each of the time points.

    Measured: Baseline, 4 and 8 Weeks

  8. Change from Baseline in Blood Inflammatory Marker (IL-6)

    The inflammation marker IL-6 in the blood will be measured at each of the time points.

    Measured: Baseline, 4 and 8 Weeks

  9. Change from Baseline in Blood Inflammatory Marker (TNF-Alpha)

    The inflammation marker TNF-alpha in the blood will be measured at each of the time points.

    Measured: Baseline, 4 and 8 Weeks

  10. Change from Baseline in Blood Inflammatory Marker (Lipopolysaccharides)

    The inflammation marker lipopolysaccharides in the blood will be measured at each of the time points.

    Measured: Baseline, 4 and 8 Weeks

  11. Change from Baseline in Blood Testosterone Hormone Levels

    Blood Testosterone Levels (free and total) will be measured at each of the time points.

    Measured: Baseline and 8 Weeks

  12. Change from Baseline in Blood Estradiol Levels

    Blood Estradiol Levels will be measured at each of the time points

    Measured: Baseline and 8 Weeks

  13. Change from Baseline in Fasting Blood Lipid Profiles

    Blood lipid profiles (including total cholesterol, HDL-cholesterol, non-HDL-cholesterol, calculated LDL-cholesterol, and triglycerides) will be measured at each of the time points

    Measured: Baseline and 8 Weeks

  14. Change from Baseline in Satiety

    An appetite questionnaire will be used to measure satiety at each of the time points

    Measured: Baseline, 2, 4 and 8 Weeks

  15. Change from Baseline in Heart Rate Variance

    Heart Rate Variance will be measured using a standardized method at each of the time points

    Measured: Baseline, 4 and 8 Weeks

  16. Change from Baseline in Bowel habits

    Bowel habits will be recorded using a diary at each of the time points.

    Measured: Baseline, 2, 4 and 8 weeks

  17. Change from Baseline in Stool Quality

    Subjects will record the quality of their stool using the Bristol Stool Scale at each of the time points

    Measured: Baseline, 2, 4 and 8 Weeks

  18. Change in Gastrointestinal Quality of Life (GIQOL)

    The electronic GIQOL Instrument will be used to asses GI QoL at each of the time points.

    Measured: 4 and 8 Weeks

  19. Change in Sleep Quantity

    Each subject will wear an activity tracker (Actigraph) to measure the amount of sleep obtained from baseline to 8 weeks.

    Measured: Baseline through 8 Weeks

  20. Change from Baseline in Sleep Quality

    The electronic Pittsburgh Sleep Quality Index Instrument will be used to measure the change from baseline in Sleep Quality Index

    Measured: Baseline, 4 and 8 Weeks

  21. Change from Baseline in Facial Wrinkling

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial wrinkling around the eye (crow's feet wrinkles).

    Measured: Baseline, 4 and 8 Weeks

  22. Change from Baseline in Facial Hyperpigmentation

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial hyperpigmentation around the eyes and on the left and right cheeks.

    Measured: Baseline, 4 and 8 Weeks

  23. Change from Baseline in Facial Redness

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial red features on the left and right cheeks.

    Measured: Baseline, 4 and 8 Weeks

  24. Change from Baseline in Facial Porphyrins

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial porphyrins on the forehead, nose and on the left and right cheeks.

    Measured: Baseline, 4 and 8 Weeks

  25. Change from Baseline in Facial Skin Texture

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial skin texture on the left and right cheeks.

    Measured: Baseline, 4 and 8 Weeks

  26. Change from Baseline in Facial Skin Pores

    Standardized facial images will be captured using the VISIA CR facial imaging system under multiple lighting modalities. Images will be analyzed using quantitative image analysis to assess facial skin pores on the left and right cheeks.

    Measured: Baseline, 4 and 8 Weeks

  27. Beauty Quality of Life

    The electronic Beauty Quality of Life Instrument will be used to measure BeautyQOL at 8 Weeks

    Measured: 8 Weeks

  28. Test Product Likability

    An electronic product likability questionnaire will be used to measure the subjects response to how much they liked the test product at 8 weeks. Product attributes will include flavor, sweetness, texture, thickness, and ease of consumption.

    Measured: 8 Weeks

Timeline

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

  1. First posted23 Feb 2017
  2. Study start16 Jan 2017
  3. Primary completion11 Jul 2017
  4. Study completion30 Sep 2017

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
This is a randomized, 2-period crossover study.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03058575
Sponsor's protocol ID
BIO-1611
Status last verified
Jan 2018
First submitted
24 Jan 2017
Last updated
23 Jan 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Beresniak A, de Linares Y, Krueger GG, Talarico S, Tsutani K, Duru G, Berger G. Validation of a new international quality-of-life instrument specific to cosmetics and physical appearance: BeautyQoL questionnaire. Arch Dermatol. 2012 Nov;148(11):1275-82. doi: 10.1001/archdermatol.2012.2696.

    PubMed 23165832
  • De Filippo C, Cavalieri D, Di Paola M, Ramazzotti M, Poullet JB, Massart S, Collini S, Pieraccini G, Lionetti P. Impact of diet in shaping gut microbiota revealed by a comparative study in children from Europe and rural Africa. Proc Natl Acad Sci U S A. 2010 Aug 17;107(33):14691-6. doi: 10.1073/pnas.1005963107. Epub 2010 Aug 2.

    PubMed 20679230
  • El Kaoutari A, Armougom F, Gordon JI, Raoult D, Henrissat B. The abundance and variety of carbohydrate-active enzymes in the human gut microbiota. Nat Rev Microbiol. 2013 Jul;11(7):497-504. doi: 10.1038/nrmicro3050. Epub 2013 Jun 10.

    PubMed 23748339
  • Eypasch E, Williams JI, Wood-Dauphinee S, Ure BM, Schmulling C, Neugebauer E, Troidl H. Gastrointestinal Quality of Life Index: development, validation and application of a new instrument. Br J Surg. 1995 Feb;82(2):216-22. doi: 10.1002/bjs.1800820229.

    PubMed 7749697
  • Hooper LV, Littman DR, Macpherson AJ. Interactions between the microbiota and the immune system. Science. 2012 Jun 8;336(6086):1268-73. doi: 10.1126/science.1223490. Epub 2012 Jun 6.

    PubMed 22674334
  • Karlsson F, Tremaroli V, Nielsen J, Backhed F. Assessing the human gut microbiota in metabolic diseases. Diabetes. 2013 Oct;62(10):3341-9. doi: 10.2337/db13-0844.

    PubMed 24065795
  • McGill CR, Fulgoni VL 3rd, Devareddy L. Ten-year trends in fiber and whole grain intakes and food sources for the United States population: National Health and Nutrition Examination Survey 2001-2010. Nutrients. 2015 Feb 9;7(2):1119-30. doi: 10.3390/nu7021119.

    PubMed 25671414
  • Sonnenburg ED, Sonnenburg JL. Starving our microbial self: the deleterious consequences of a diet deficient in microbiota-accessible carbohydrates. Cell Metab. 2014 Nov 4;20(5):779-786. doi: 10.1016/j.cmet.2014.07.003. Epub 2014 Aug 21.

    PubMed 25156449

Questions about this trial

What is this clinical trial studying?

A study testing Dietary MACs in people with Gut Microbiome, run by Access Business Group at 1 site in United States.

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 9 inclusion and 21 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 23 Jan 2018. 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 United States. 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. 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?

Change from Baseline in Fecal Microbiome Shannon Diversity Index (time frame: Baseline, 2, 4 and 8 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03058575, which also lists 8 linked publications.

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 23 Jan 2018.

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