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BreastfeedingNCT05379270

Intergenerational Transmission of Low-calorie Sweeteners Via Breast Milk

A study testing Diet soda in people with Breastfeeding, run by George Washington University 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 project aims to measure the widely consumed low-calorie sweeteners (LCS) sucralose and acesulfame-potassium, in maternal breast milk and plasma at pre-specified timepoints over 72 hours and in a single sample of infants' plasma. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Breastfeeding
What is being tested?
Diet soda
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
1 siteUnited States
Study dates
28 Feb 2022to 2 Dec 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • mother gave birth within the past 6 months
  • mother ≥18 years of age
  • exclusively breastfeeding
  • reports consumption of diet, low-calorie sweetener-containing beverages ≥ 1 time per week.
  • infants' corrected age >= 4 weeks

Who cannot join

  • known allergy or contraindication to sucralose or acesulfame-potassium (infant or mother)
  • active nutritional disorder known to cause malabsorption

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The George Washington University

    Washington D.C., District of Columbia, 20052

Other trials in United States

About this study

This project aims to measure the widely consumed low-calorie sweeteners (LCS) sucralose and acesulfame-potassium, in maternal breast milk and plasma at pre-specified timepoints over 72 hours and in a single sample of infants' plasma. Sucralose and acesulfame-potassium concentrations will be measured using liquid chromatography-mass spectrometry (LC-MS). The data generated will inform the design of larger, longer-term, prospective studies needed to investigate clinically-relevant consequences of early life LCS exposure in humans.

Read the detailed description

Low-calorie sweetener (LCS) consumption is highly prevalent among lactating women, yet the current understanding of LCS effects on diet, weight, and health is extremely limited, especially when exposure begins early in life. This project aims to measure the widely consumed LCSs, sucralose and acesulfame-potassium, in maternal breast milk and plasma, at pre-specified, time-points over the course of 72 hours, and in a single sample of infants' plasma (analyzed using a population pharmacokinetics approach).

Mothers will attend an enrollment visit, which will take place virtually and will schedule an in-person visit to take place at Children's National Hospital approximately one week later. During the enrollment visit, informed consent will be obtained and demographic, anthropometric, and dietary data will be collected. During the week prior to their scheduled in-person study visit, mothers will be instructed to continue their usual dietary habits and to complete an online, photo-assisted, 7-day food record.

Mothers will be instructed to arrive fasted for the in-person visit, which will last for approximately 13 hours. Following ingestion of a diet beverage containing sucralose and ace-K, mothers will remain at Children's National for supervised serial sample collection at pre-determined time points over 12 hours, and will provide additional samples on three subsequent consecutive days (72 hours). Mothers will be instructed to continue to complete the online, photo-assisted, food record for the three days following the in-person study visit (until 72 hours following diet beverage consumption).

A plasma sample will be collected from each infant via heel-stick at one of the following pre-specified time intervals following the mother's ingestion of the diet beverage: 1.5-3 hours, 3-5 hours, 5-7 hours, 7-9 hours, 9-14 hours, and 22-36 hours.

Conditions
Breastfeeding
Being tested
Diet soda
Keywords
low-calorie sweeteners, sucralose, acesulfame-potassium, pharmacokinetics, breast milk, lactation
Medical subject headings
Breast Feeding

What participants receive

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

  • Diet sodaOther

    Participants will be asked to drink 24 ounces of a commercially-available diet beverage sweetened with sucralose and acesulfame-potassium.

Study groups in NCT05379270
Study groupRoleWhat they receive
Diet sodaExperimentalParticipants will be asked to ingest 24 of a commercially-available diet beverage sweetened with sucralose and acesulfame-potassium.
Receives: Other: Diet soda

What is being measured

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

  1. Baseline Sucralose Concentration in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured immediately prior to ingestion of the diet beverage containing sucralose and acesulfame-potassium.

    Measured: Day 0 (immediately prior to diet beverage ingestion)

  2. 1-hour Sucralose Concentration in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 1 hour after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1 hour post-ingestion

  3. 2-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 2 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 2 hours post-ingestion

  4. 3-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 3 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 3 hours post-ingestion

  5. 4-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 4 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 4 hours post-ingestion

  6. 6-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 6 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 6 hours post-ingestion

  7. 8-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 8 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 8 hours post-ingestion

  8. 12-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 12 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 12 hours post-ingestion

  9. 24-hour Sucralose Concentrations in Breast Milk

    Mean concentration of sucralose in breast milk collected from mothers measured 24 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 24 hours post-ingestion

  10. Baseline Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured immediately prior to ingestion of the diet beverage containing sucralose and acesulfame-potassium.

    Measured: Day 0 (immediately prior to diet beverage ingestion)

  11. 1-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 1 hour after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1 hour post-ingestion

  12. 2-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 2 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 2 hours post-ingestion

  13. 3-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 3 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 3 hours post-ingestion

  14. 4-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 4 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 4 hours post-ingestion

  15. 6-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 6 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 6 hours post-ingestion

  16. 8-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 8 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 8 hours post-ingestion

  17. 12-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 12 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 12 hours post-ingestion

  18. 24-hour Acesulfame-potassium Concentrations in Breast Milk

    Mean concentration of acesulfame-potassium in breast milk collected from mothers measured 24 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 24 hours post-ingestion

  19. Baseline Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured immediately prior to ingestion of the diet beverage containing sucralose and acesulfame-potassium.

    Measured: Day 0 (immediately prior to diet beverage ingestion)

  20. 30-min Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 30 minutes after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 30 minutes post-ingestion

  21. 1 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 1 hour after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1 hour post-ingestion

  22. 1.5 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 1 hour and 30 minutes after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1.5 hours post-ingestion

  23. 2 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 2 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 2 hours post-ingestion

  24. 3 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 3 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 3 hours post-ingestion

  25. 4 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 4 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 4 hours post-ingestion

  26. 6 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 6 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 6 hours post-ingestion

  27. 8 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 8 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 8 hours post-ingestion

  28. 12 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 12 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 12 hours post-ingestion

  29. 24 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 24 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 24 hours post-ingestion

  30. 48 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 48 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 48 hours post-ingestion

  31. 72 Hour Sucralose Concentration in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured 72 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 72 hours post-ingestion

  32. Baseline Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of sucralose in plasma collected from mothers measured immediately prior to ingestion of the diet beverage containing sucralose and acesulfame-potassium.

    Measured: Day 0 (immediately prior to diet beverage ingestion)

  33. 30 Min Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 30 minutes after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 30 minutes post-ingestion

  34. 1 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 1 hour after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1 hour post-ingestion

  35. 1.5 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 1 hour and 30 minutes after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 1.5 hours post-ingestion

  36. 2 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 2 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 2 hours post-ingestion

  37. 3 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 3 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 3 hours post-ingestion

  38. 4 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 4 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 4 hours post-ingestion

  39. 6 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 6 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 6 hours post-ingestion

  40. 8 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 8 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 8 hours post-ingestion

  41. 12 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 12 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 12 hours post-ingestion

  42. 24 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 24 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 24 hours post-ingestion

  43. 48 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 48 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 48 hours post-ingestion

  44. 72 Hour Acesulfame-potassium Concentrations in Maternal Plasma

    Mean concentration of acesulfame-potassium in plasma collected from mothers measured 72 hours after ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: 72 hours post-ingestion

  45. Sucralose Concentrations in Infant Plasma

    Mean concentration of sucralose in plasma collected from infants at a single time point following maternal ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: At one of five prespecified intervals post maternal diet beverage ingestion: 1.5-3 hours, 3-5 hours, 5-7 hours, 7-9 hours, or 9-14 hours.

  46. Acesulfame-potassium Concentrations in Infant Plasma

    Mean concentration of acesulfame-potassium in plasma collected from infants at a single time point following maternal ingestion of a diet beverage containing sucralose and acesulfame-potassium.

    Measured: At one of five prespecified intervals post maternal diet beverage ingestion: 1.5-3 hours, 3-5 hours, 5-7 hours, 7-9 hours, or 9-14 hours.

Timeline

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

  1. First posted18 May 2022
  2. Study start28 Feb 2022
  3. Primary completion2 Dec 2022
  4. Study completion2 Dec 2022

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05379270
Sponsor's protocol ID
NCR213471
Status last verified
Oct 2025
First submitted
11 May 2022
Last updated
12 Nov 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sylvetsky AC, Kuttamperoor JT, Langevin B, Murphy J, Arcaro KF, Smolyak S, Walter PJ, Cai H, Daines DH, van den Anker JN, Gopalakrishnan M. Intergenerational transmission of sucralose and acesulfame-potassium from mothers to their infants via human milk: a pharmacokinetic study. Am J Clin Nutr. 2024 Oct;120(4):846-853. doi: 10.1016/j.ajcnut.2024.08.001. Epub 2024 Aug 5.

    PubMed 39111550

Questions about this trial

What is this clinical trial studying?

A study testing Diet soda in people with Breastfeeding, run by George Washington University 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 5 inclusion and 2 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 12 Nov 2025. 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?

Yes. Results are posted in the registry (first posted 12 Nov 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Baseline Sucralose Concentration in Breast Milk (time frame: Day 0 (immediately prior to diet beverage ingestion)). The study lists 46 primary outcomes in all. 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 NCT05379270, which also lists 1 linked publication.

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 12 Nov 2025.

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