AzTrials
AzTrials

DysbiosisNCT06916936

Effect of Peanut Butter on Gut and Metabolic Health

A study testing Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter and Cadbury Milk Chocolate Spread in people with Dysbiosis, run by Florida State University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this is parallel arm, randomized clinical trial is to learn and understand the effect of daily smooth peanut butter consumption on gut and metabolic health of children age 6-13. Read more about this study

Who is it for?
Ages 6 to 13 yearsHealthy volunteers can take part
Conditions the study is for
Dysbiosis
What is being tested?
Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter and Cadbury Milk Chocolate Spread
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
9 Feb 2025to May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 6 to 13 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Enrolled in elementary or middle school (grades 1-8)
  • Aged 6-13 years old
  • Ability to speak and read in English

Who cannot join

  • Intake of antibiotics in the last 3 months
  • Intake of pre/pro/postbiotics in the last 3 months
  • Food allergy to study foods
  • Any allergy to nuts or peanuts
  • Any allergy to the isocaloric snack (chocolate or wheat)
  • Regular consumption of nuts or peanuts greater than 2 servings / week
  • Gastrointestinal disease (ulcerative colitis, Crohn's disease, diverticulosis, peptic ulcers, small intestinal bacterial overgrowth, short bowel syndrome, irritable bowel syndrome, gastroesophageal reflux disease), neurological (multiple sclerosis, meningitis, recent stroke) or endocrine disorders (uncontrolled thyroid disorders, growth hormone disorders, adrenal gland disorders, uncontrolled diabetes - A1C > 9%).
  • Known to be pregnant (self-disclosed)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Cole Patoine, MS, RDN contact

850-644-1828

cjp23a@fsu.edu

FSU College of Education, Health and Human Services contact

850-644-1829

healthandhumansciences@fsu.edu

United States1 site, 1 recruiting
  • Florida State Univresity - The Gut Biome Lab

    Tallahassee, Florida, 32306

    Ravinder Nagpal, PhD, 850-644-1829, rnagpal@fsu.edu

    Cole Patoine, MS, RDN, cjp23a@fsu.edu

    Recruiting

Other trials in United States

About this study

Official title: Effect of Peanut Butter on Gut and Metabolic Health in School-Aged Children

The goal of this is parallel arm, randomized clinical trial is to learn and understand the effect of daily smooth peanut butter consumption on gut and metabolic health of children age 6-13. The main objectives are:

Primary Objective: To determine the prebiotic effect of daily smooth peanut butter consumption for eight weeks on gut health, including microbiome-metabolome arrays, gut epithelial/barrier function, and gut transit time, in school-aged children.

Read more

Secondary Objective(s)

  1. To determine the effect of daily smooth peanut butter consumption for eight weeks on metabolic and inflammatory health markers, and measures of sleep quality in school-aged children.
  2. To determine the potential mechanisms and feasibility of incorporating peanut butter into the diets of school-aged children as part of healthy, personalized nutrition.

Research Intervention(s): Researchers compare two groups to see if there really is an effect of daily smooth peanut butter intake on gut and metabolic health. The two groups are:

  1. The 1st condition (PB) includes a normal diet supplemented daily with personalized portion of smooth PB, sandwiched between two plain unsalted saltine crackers.
  2. The 2nd condition (CTL) includes a normal diet supplemented daily with an isocaloric amount of a nut-free, vegetable oil-based chocolate spread, sandwiched between two plain unsalted saltine crackers.
Conditions
Dysbiosis
Being tested
Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter, Cadbury Milk Chocolate Spread
Keywords
microbiome, gut, nuts, peanut butter, metabolic health, dysbiosis, metagenomic, sleep quality, prebiotic, children
Medical subject headings
Dysbiosis, Sleep Initiation and Maintenance Disorders

What participants receive

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

  • Creamy Richards 100% Peanuts! Creamy Natural Peanut ButterOther

    Peanut Butter (PB) Group: Participants in this group will receive a daily snack consisting of a personalized portion of smooth peanut butter ("Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter") spread between two plain unsalted saltine crackers ("Unsalted Tops Premium Saltine Crackers"). The amount of peanut butter will be limited to 16g per two crackers, but additional crackers will be provided if the personalized portion exceeds this limit

  • Cadbury Milk Chocolate SpreadOther

    Also called Control Snack, CTL, Isocaloric Spread

    Control (CTL) Group: Participants in this group will receive a daily snack consisting of an isocaloric amount of a nut-free, vegetable oil-based chocolate spread ("Cadbury Milk Chocolate") spread between two plain unsalted saltine crackers ("Unsalted Tops Premium Saltine Crackers"). Similar to the peanut butter group, the chocolate spread will be limited to 16g per two crackers, with additional crackers provided if needed.

Study groups in NCT06916936
Study groupRoleWhat they receive
Peanut Butter ConditionExperimentalPeanut Butter (PB) Group: This condition involves a normal diet supplemented daily with a personalized portion of smooth peanut butter (Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter) sandwiched between two plain unsalted saltine crackers (Unsalted Tops Premium Saltine Crackers). There is a limit of 16g of peanut butter per two crackers. The quantity of peanut butter provided daily will be equivalent to 20% of each participant's individual daily caloric intake. These caloric needs will be established using Dietary Guidelines for Americans (DGA) based on the participant's age and gender.
Receives: Other: Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter
Control Snack ConditionActive comparatorControl (CTL) Group: This condition includes a normal diet supplemented daily with an isocaloric amount of a nut-free, vegetable oil-based chocolate spread (Cadbury Milk Chocolate) also sandwiched between two plain unsalted saltine crackers (Unsalted Tops Premium Saltine Crackers), with the same 16g limit per two crackers. The quantity of chocolate spread provided daily will be equivalent to 20% of each participant's individual daily caloric intake. These caloric needs will be established using Dietary Guidelines for Americans (DGA) based on the participant's age and gender
Receives: Other: Cadbury Milk Chocolate Spread

What is being measured

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

  1. Change in Gut Microbiome Diversity

    Collected fecal samples will be used to determine microbiome profiles, including diversity and composition of bacteria.

    Measured: Baseline (day 0) Midpoint (week 4), and endpoint (week 8)

  2. Change in Oral Microbiome Diversity

    Oral swab samples are collected to determine oral diversity and composition of bacteria in the mouth before and after intervention.

    Measured: Baseline (day 0), Endpoint (week 8)

  3. Change in Fecal Metabolome

    The endpoint of fecal metabolomics will be assessed by collecting fecal samples from participants at the beginning and end of the study. These samples will be analyzed using advanced techniques, such as mass spectrometry, to identify and quantify various metabolites present in the feces. The changes in the levels of specific metabolites, which can reflect shifts in gut microbiome composition and metabolic health, will be compared between pre- and post-intervention periods. This analysis will help determine how regular peanut butter intake affects metabolic processes and gut health.

    Measured: Baseline (day 0) and Endpoint (week 8)

  4. Change in Serum Metabolome

    The endpoint of serum metabolomics will be assessed by collecting blood serum from participants at the beginning and end of the study. These samples will be analyzed using advanced techniques, such as mass spectrometry, to identify and quantify various metabolites present in the serum. The changes in the levels of specific metabolites, which can reflect shifts in gut microbiome composition and metabolic health, will be compared between pre- and post-intervention periods. This analysis will help determine how regular peanut butter intake affects metabolic processes and gut health.

    Measured: Baseline (day 0), and Endpoint (week 8).

Secondary outcomes (18)
  1. Change in Gut Transit Time

    Evaluate changes in gut transit time after peanut butter or control snack consumption from baseline to final analysis, using a blue-dye capsule.

    Measured: Baseline (day 0), and endpoint (week 8)

  2. Change in Waist / Hip Circumference

    Evaluate changes in waist and hip circumference (centimeters), as well as waist-hip ratio at each study visit before, after and during peanut butter consumption, compared to a control snack.

    Measured: baseline (day 0), midpoint (week 4), endpoint (week 8).

  3. Change in Habitual Dietary Intake

    Assess changes in habitual dietary intake via 3-day food logs, analyzed using nutrient analysis software (NDSR).

    Measured: baseline (day 0), midpoint (week 4) and endpoint (week 8).

  4. Change in Body Weight

    the endpoint of body weight (kg) will be measured at each visit to assess changes in weight before and after 8 week consumption peanut butter or a control snack spread.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  5. Change in Urinary Melatonin

    Changes in melatonin (urine metabolite 6-sulphatoxymelatonin) will be assessed before, during and after 8-week consumption of peanut butter or control snack spread.

    Measured: Baseline (day 0) Midpoint (week 4), endpoint (week 8).

  6. Change in Urinary Serotonin

    Changes in urinary serotonin (urine metabolite 5-HIAA) will be assessed before, during and after 8-week consumption of peanut butter or control snack spread.

    Measured: Baseline (day 0) Midpoint (week 4), endpoint (week 8).

  7. Change in Body Fat Percentage

    Evaluate changes in body composition, including fat mass, expressed as a percentage of total weight (%). This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during peanut butter or control snack consumption.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  8. Change in Lipid Profiles

    Relevant biomarkers are to be collected via venous blood samples to determine changes in cardiometabolic health including HDL, LDL, total cholesterol, and triglycerides. All will be expressed in units of mg/dL.

    Measured: Baseline (day 0), endpoint (week 8)

  9. Change in Biomarkers of Inflammation

    Relevant biomarkers are to be collected via venous blood samples to determine changes in inflammation, including but not limited to C-reactive protein (CRP), IL-1 (Interleukin-1), IL-1 beta, IL-6, IL-10, IL-17, IL-23, Tumor Necrosis Factor Alpha (TNF-a), Interferon-gamma (IFN-Y). All will be expressed in units of pg/mL.

    Measured: Baseline (day 0), Endpoint (week 8)

  10. Change in Biomarkers of Intestinal Barrier Function

    Relevant biomarkers are to be collected via venous blood samples to determine changes in intestinal barrier function including LPS (lipopolysaccharides), LBP (lipopolysaccharide binding protein), CD14, Secretory IgA. All will be expressed in units of pg/mL.

    Measured: Baseline (day 0), endpoint (week 8).

  11. Change in Lean Mass

    Evaluate changes in body composition, including lean mass (kg). This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during peanut butter or control snack consumption.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  12. Change in Biomarkers of Appetite

    Relevant biomarkers are to be collected via venous blood samples to determine changes in appetite including Insulin, Glucagon, glucagon-like peptide 1 (GLP-1), Adiponectin, Leptin, Ghrelin, and Peptide YY. All will be expressed in units of pg/mL.

    Measured: baseline (day 0), endpoint (week 8)

  13. Change in Rested, Seated Blood Pressure

    This outcome measure will measure changes in blood pressure taken at rest in the seated position at each visit, before during and after peanut butter or control snack consumption, expressed as systolic over diastolic blood pressure in units of millimeters of mercury (mmHg).

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  14. Change in Fasting Blood Glucose

    Venous blood samples will be collected to determine changes in fasting blood glucose (expressed as mg/DL).

    Measured: Baseline (day 0), endpoint (week 8).

  15. Dietary Adherence

    Assess adherence to the intervention and control snack throughout the study, as determined by dietary adherence logs kept by the participants each week. Adherence is expressed as a daily percent (%) consumption of their assigned snack

    Measured: Daily, baseline through endpoint (week 8)

  16. Change in Total Body Water

    Evaluate changes in body composition, including, total body water (L). This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during peanut butter or control snack consumption.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  17. Change in Intracellular Fluid

    Evaluate changes in body composition, including intracellular fluid (L). This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during peanut butter or control snack consumption.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

  18. Change in Extracellular Fluid

    Evaluate changes in body composition, including extracellular fluid (L). This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during peanut butter or control snack consumption.

    Measured: Baseline (day 0), midpoint (week 4), endpoint (week 8).

Timeline

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

  1. First posted8 Apr 2025
  2. Study start9 Feb 2025
  3. Primary completionMay 2027 (estimated)
  4. Study completionMay 2027 (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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06916936
Sponsor's protocol ID
STUDY00005388
Other IDs
FA0000072215
Status last verified
Apr 2026
First submitted
26 Mar 2025
Last updated
9 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Deidentified IPD will not be retain past three years, at the time of this submission the researchers does not plan to make IPD available

Questions about this trial

What is this clinical trial studying?

A study testing Creamy Richards 100% Peanuts! Creamy Natural Peanut Butter and Cadbury Milk Chocolate Spread in people with Dysbiosis, run by Florida State 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 3 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 9 Apr 2026. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Cole Patoine, MS, RDN (850-644-1828, cjp23a@fsu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Gut Microbiome Diversity (time frame: Baseline (day 0) Midpoint (week 4), and endpoint (week 8)). The study lists 4 primary outcomes in all. 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 9 Apr 2026; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in