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Non Nutritive Sweeteners ConsumptionSOSweetNCT05099393

Effect of Non-nutritive Sweeteners on Vascular Function in Humans

A study testing Non Nutritive Sweeteners in people with Non Nutritive Sweeteners Consumption, run by University Hospital, Grenoble at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In recent decades, low-to-null caloric, non-nutritive sweeteners (NNS) have been increasingly used, replacing and offering an alternative to food and beverages sweetened by high-energy, added sugars. Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Non Nutritive Sweeteners Consumption
What is being tested?
Non Nutritive Sweeteners
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteFrance
Study dates
28 Mar 2022to Nov 2024
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 18 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or female aged≥ 18 years
  • Signed informed consent
  • Body mass index:
  • 25 kg/m² ≥ BMI ≥ 18,5 kg/m² (lean subjects)
  • >30 kg/m2, with waist-to-hip ratio >0.9 (subjects with obesity)
  • Person who is affiliated to a social security scheme or who is a beneficiary of such a scheme

Who cannot join

  • Any chronic disease with vascular impact (including type 2 diabetes)
  • Active tobacco use (any quantity)
  • Participant involved in another interventional clinical study
  • History of hypersensitivity reaction to products used
  • The persons mentioned in articles L1121-5 to L1121-9 of the public health code may not be included in this research (Pregnancy or Lactation ; Females with childbearing potential, defined as a premenopausal female and not using an effective form of birth control. (Effective birth control methods include: oral, implant or patch hormone contraception; intrauterine device; abstinence and outercourse; tubal ligation; vasectomy.) ; Person deprived of liberty by judicial order ; Person under guardianship or curatorship ; Minors ; Adults who are incapable or unable to give their consent ; Cross-over situations)
  • Subject who would receive more than 4500 euros in compensation due to his or her participation in other research involving the human person in the 12 months preceding this study

Trial locations and contacts

1 site in 1 country.

Matthieu ROUSTIT, Pr contact

04 76 76 92 60

MRoustit@chu-grenoble.fr

alicia Guigui, Dr contact

04 76 76 92 60

aguigui@chu-grenoble.fr

France1 site, 1 recruiting
  • Grenoble University hospital

    Grenoble

    Guigui alicia, aguigui@chu-grenoble.fr

    Recruiting

Other trials in France

About this study

In recent decades, low-to-null caloric, non-nutritive sweeteners (NNS) have been increasingly used, replacing and offering an alternative to food and beverages sweetened by high-energy, added sugars. Indeed, by providing consumers with products that have a sweet taste with low energy content, NNS appear to be the magic bullet to enhance weight loss and reduce cardio-metabolic diseases. However, a recent meta-analysis of randomized trials does not show any benefit of NNS consumption on body weight loss. Moreover, epidemiological, descriptive and experimental studies have recently reported that NNS consumption is paradoxically associated with weight gain, glucose intolerance and increased risk of type 2 diabetes and/or cardiovascular events. Among the approved NNS, sucralose and AceK, both high intensity (respectively ~500-600 and 200 times sweeter than sugar) are the most widely used in foods and drinks, accounting more than 62 % of the global artificial sweetener market. Recent experimental data show an effect of sucralose and AceK (and other NNS) consumption on vascular reactivity in response to a physiological stress (hyperglycemic load) in rats. Since sweet taste receptors (T1R) have been recently found in the endothelium, investigators hypothesize that NNS, and especially sucralose and AceK, a potent T1R agonist, impairs micro- and macrovascular reactivity in humans, which, to the best of our knowledge, has never been explored.

Read the detailed description

In recent decades, low-to-null caloric, non-nutritive sweeteners (NNS) have been increasingly used, replacing and offering an alternative to food and beverages sweetened by high-energy, added sugars. Indeed, by providing consumers with products that have a sweet taste with low energy content, NNS appear to be the magic bullet to enhance weight loss and reduce cardio-metabolic diseases. However, a recent meta-analysis of randomized trials does not show any benefit of NNS consumption on body weight loss. Moreover, epidemiological, descriptive and experimental studies have recently reported that NNS consumption is paradoxically associated with weight gain, glucose intolerance and increased risk of type 2 diabetes and/or cardiovascular events. Among the approved NNS, sucralose and AceK, both high intensity (respectively ~500-600 and 200 times sweeter than sugar) are the most widely used in foods and drinks, accounting more than 62 % of the global artificial sweetener market. Recent experimental data show an effect of sucralose and AceK (and other NNS) consumption on vascular reactivity in response to a physiological stress (hyperglycemic load) in rats. Since sweet taste receptors T1R have been recently found in the endothelium, investigators hypothesize that NNS, and especially sucralose and AceK, a potent T1R agonist, impairs micro- and macrovascular reactivity in humans, which, to the best of our knowledge, has never been explored.

This is a prospective, single-center, controlled, randomized, double-blind, three-period crossover study

The principal objective is to evaluate the effect of a NNS daily consumption (sucralose or AceK) during 4 weeks on macrovascular endothelial function, in lean and obese subjects compared to placebo.

The principal outcome / endpoint will be based on flow-mediated dilation (FMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected for shear rate, according to current recommendations, after 4 week of NNS (sucralose or AceK) daily consumption compared to placebo

CONDUCT OF THE RESEARCH : Patients will be screened and, if eligible, proposed a 3-period crossover trial (sucralose, AceK, placebo). The order will be randomized. These 3 periods will be separated with wash out periods between one and two weeks. The 3 periods of 4 weeks will be with one visit at the beginning and at the end of each period, i.e. a total of 6 visits. During each beginning and end of period visit, microvascular and macrovascular reactivity tests will be conducted. At the first visit only, microdialysis will be performed.

Number of subjects : 40 Length of the inclusion period: 24 months Length of treatment: 3 one-month periods, and maximum 4 weeks of wash-outs Length of participation for each subject: 4 months Total length of the study (with statistical analysis): 36 months

STATISTICAL ANALYSIS ; The analysis of the primary outcome will be carried on using an analysis of covariance (ANCOVA), adjusted on baseline FMD, with a risk alpha of 0.05 and a power of 80%, two-sided. Investogators estimated within-subject correlation to be close to 0.7, as shown in previous results by our group.5 In order to maximise power, for secondary objectives, the effects of sucralose, AceK, sex, and obesity, will be assessed using mixed-effects models, with the subject as a random factor.

EXPECTED IMPACT : This is a hot topic since recent studies in animals and humans do not support the claims previously submitted to regulatory agencies that NNS, including sucralose and AceK, are stable compounds that are not metabolized in vivo; and have no effect on metabolism. Questioning the physiological inactivity of these extensively used molecules is mandatory since there is a rise in the consumption of NNS-containing products. Moreover, very recent studies are observing an increase in the consumption of diet products, especially in vulnerable groups (obese, diabetic patients, children or pregnant women). New data on the effect of chronic NNS consumption will help revisit the regulatory status of NNS and bring extensive knowledge on the role of T1R receptors on vascular function, which has been hardly ever studied so far. Finally and importantly, vascular function is largely recognized as a strong precursor of cardiovascular disease.

Being tested
Non Nutritive Sweeteners

What participants receive

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

  • Non Nutritive SweetenersDietary supplement

    The 2 arms will participate in 3 periods and each of these periods will correspond to the intake of either sucralose, AceK or a placebo.

    The order will be defined randomly. There will be 3 periods and each period will last 4 weeks. 7 to 14 days of break will be respected between each period.

Study groups in NCT05099393
Study groupRoleWhat they receive
subject with obesityExperimentalcomposed of subject with obesity (Body mass index > 30)
Receives: Dietary Supplement: Non Nutritive Sweeteners
lean subjectExperimentalcomposed of healthy volunteers (Body mass index < 30)
Receives: Dietary Supplement: Non Nutritive Sweeteners

What is being measured

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

  1. Macrovascular endothelial function

    Flow-mediated dilation (FMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected for shear rate, according to current recommendations,6 after 4 week of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

Secondary outcomes (28)
  1. Macrovascular non-endothelial function

    Nitrate-mediated dilation (NMD), expressed as a percent change from baseline diameter, and corrected on the shear rate, in accordance with guidelines, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  2. Macrovascular endothelial function

    Flow-mediated dilation (FMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected on the shear rate, in accordance with guidelines, in response to a glycemic stress, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  3. Macrovascular non endothelial function

    Nitrate-mediated dilation (NMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected on the shear rate, in accordance with guidelines, in response to a glycemic stress, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  4. Microvascular endothelial function

    Microvascular reactivity to iontophoresis of acetylcholine (ACh), measured with laser speckle contrast imaging (LSCI), after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  5. Microvascular non endothelial function

    Microvascular reactivity to iontophoresis of sodium nitroprussiate (SNP), measured with laser speckle contrast imaging (LSCI), after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  6. Microvascular endothelial and non endothelial function

    Microvascular reactivity to local thermal heating, measured with laser speckle contrast imaging (LSCI), after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  7. Microvascular endothelial function

    Microvascular reactivity to iontophoresis of acetylcholine (ACh), measured with laser speckle contrast imaging (LSCI), in response to a glycemic stress, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  8. Microvascular non endothelial function

    Microvascular reactivity to iontophoresis of sodium nitroprussiate (SNP), measured with laser speckle contrast imaging (LSCI), in response to a glycemic stress, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  9. Microvascular endothelial and non endothelial function

    Microvascular reactivity to local thermal hyperheamia, measured with laser speckle contrast imaging (LSCI), in response to a glycemic stress, after 4 weeks of NNS (sucralose or AceK) daily consumption compared to placebo.

    Measured: through study completion, an average of 4 months

  10. Macrovascular endothelial function

    Flow-mediated dilation (FMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected on the shear rate, in accordance with guidelines 2 hours after an acute intake of NNS (sucralose or AceK) compared to placebo

    Measured: through study completion, an average of 4 months

  11. Macrovascular non endothelial function

    Nitrate-mediated dilation (NMD) of the brachial artery, expressed as a percent change from baseline diameter, and corrected on the shear rate, in accordance with guidelines 2 hours after an acute intake of NNS (sucralose or AceK) compared to placebo

    Measured: through study completion, an average of 4 months

  12. Microvascular non endothelial function

    Microvascular reactivity to iontophoresis of SNP, measured with laser speckle contrast imaging (LSCI), one hour and a half after an acute intake of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  13. Microvascular endothelial function

    Microvascular reactivity to iontophoresis of Ach, measured with laser speckle contrast imaging (LSCI), one hour and a half after an acute intake of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  14. Microvascular endothelial and non endothelial function

    Microvascular reactivity to local thermal hyperhemia measured with laser speckle contrast imaging (LSCI) one hour and a half after an acute intake of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  15. Metabolic function

    Plasma levels of ghrelin, after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  16. Metabolic function

    Plasma levels of gastric inhibitory peptide (GIP), after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  17. Metabolic function

    Plasma levels of glucagon like peptide (GLP-1), after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  18. Metabolic function

    Plasma levels of peptide tyrosine tyrosine (PYY), after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  19. Metabolic function

    Plasma levels of cholecystokinin (CCK), after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  20. Metabolic function

    Plasma levels of leptin after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  21. Metabolic function

    Glycaemia, after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  22. Metabolomics profiles

    Plasma metabolomics profile after 4 weeks daily consumption of NNS (sucralose or AceK) compared to placebo.

    Measured: through study completion, an average of 4 months

  23. Microvascular and macrovascular endothelial and non endothelial function

    Results of FMD, NMD, local thermal hyperaemie (LTH) and iontophoresis of Ach and SNP compared between lean and obese subjects, in response to an acute or daily consumption of NNS (sucralose or AceK) or placebo.

    Measured: through study completion, an average of 4 months

  24. Microvascular and macrovascular endothelial and non endothelial function

    Results of FMD, NMD, LTH, and iontophoresis of Ach and SNP, compared between male and female subjects, in response to an acute or daily consumption of NNS (sucralose or AceK) or placebo.

    Measured: through study completion, an average of 4 months

  25. Microvascular and macrovascular endothelial and non endothelial function

    Results of FMD, NMD, LTH and iontophoresis of Ach and SNP, according to the basal consumption of sweetener, in response to an acute or daily consumption of NNS (sucralose or AceK) or placebo.

    Measured: through study completion, an average of 4 months

  26. Microdialysis reactivity

    Microvascular reactivity by microdialysis of sucralose measured with laser speckle contrast imaging (LSCI)

    Measured: First visit, one day

  27. Microdialysis reactivity

    Microvascular reactivity by microdialysis of AceK measured with laser speckle contrast imaging (LSCI)

    Measured: First visit, one day

  28. Microdialysis reactivity

    Microvascular reactivity by microdialysis of lactisole measured with laser speckle contrast imaging (LSCI)

    Measured: First visit, one day

Timeline

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

  1. First posted29 Oct 2021
  2. Study start28 Mar 2022
  3. Primary completionOct 2024 (estimated)
  4. Study completionNov 2024 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
Prospective, single-center, controlled, randomized, double-blind, three-period crossover study
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05099393
Sponsor's protocol ID
38RC19.355
Acronym
SOSweet
Status last verified
Dec 2023
First submitted
29 Sep 2021
Last updated
6 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data can be requested by contacting Prof. Roustit mroustit@chu-grenoble.fr

Questions about this trial

What is this clinical trial studying?

A study testing Non Nutritive Sweeteners in people with Non Nutritive Sweeteners Consumption, run by University Hospital, Grenoble at 1 site in France.

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 6 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 6 Dec 2023. 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 France. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Matthieu ROUSTIT, Pr (04 76 76 92 60, MRoustit@chu-grenoble.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Macrovascular endothelial function (time frame: through study completion, an average of 4 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 6 Dec 2023.

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