Healthy ParticipantsFIGNCT07209202
Fructose Intestinal Gluconeogenesis
A study testing High fructose meal, Low fructose meal and 13C labeled fructose, oral in people with Healthy Participants and Obese But Otherwise Healthy Participants, run by Touro University, California at 1 site in United States.
Trial summary
This study will test the hypothesis that within a defined range of fructose intake, the ability to convert fructose to glucose (via gluconeogenesis) in the small intestine plays a protective role for the liver, shielding it from the deleterious effects of fructose. Read more about this study
- Who is it for?
- Ages 20 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy Participants, Obese But Otherwise Healthy Participants
- What is being tested?
- High fructose meal, Low fructose meal and 13C labeled fructose, oral
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- 2 Mar 2026to Jun 2030
- 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 20 to 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- BMI 30 to 38 kg/m2 (obese group) or BMI 19 to 25 kg/m2 (lean group)
Who cannot join
- Pregnancy or lactation within the past six months;
- Type 1 or 2 diabetes mellitus (including fasting glucose ≥126 mg/dL, HgbA1c ≥6.5%);
- History of liver disease or AST and ALT 2x above the upper limit of normal;
- Fasting triglyceride > 300 mg/dl; total cholesterol levels above the 95th percentile for age and sex;
- Hemoglobin (Hgb) <12.5g/d or hematocrit<3x Hgb value;
- Report of HIV or hepatitis B or C infection;
Show all 12Show fewer
- History of cancer, other than basal cell or squamous cell carcinoma or kidney disease stage 3 or higher or patients currently on dialysis;
- Use of any anti-diabetic medications or hypolipidemic agents in the past six months;
- History of surgical procedure for obesity;
- Change in body weight >5% in the past six months (by self-report);
- History of other conditions known to affect insulin sensitivity and lipid metabolism (e.g., polycystic ovary syndrome), history of galactosemia, hereditary fructose intolerance, or who test positive for fructose malabsorption at screening;
- Known intolerance to acetaminophen.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Lisa Johnson, RN contact
United States1 site, 1 recruiting
- Recruiting
Touro University California
Vallejo, California, 95492
Sally Chiu, PhD, schiu2@touro.edu
About this study
Official title: Fructose Metabolism Effects on the Liver: Unraveling the Role of Defective Intestinal GNG in Individuals With Obesity
This study will test the hypothesis that within a defined range of fructose intake, the ability to convert fructose to glucose (via gluconeogenesis) in the small intestine plays a protective role for the liver, shielding it from the deleterious effects of fructose. We will investigate whether this protective effect of the intestine is impaired in individuals with obesity.
Read the detailed description
Qualified participants will undergo a sugar tolerance test at baseline and then randomized to undergo four separate outpatient tracer/feeding studies in a crossover fashion. After an overnight fast, a six-hour fed tracer study will be initiated, during which participants will consume liquid meals containing stable isotopes at regular intervals and receive other isotopes intravenously. Meal composition will differ only by fructose content (High vs. Low) and tracer (oral vs. intravenous 13C-labeled fructose). Blood and urine samples will be collected frequently throughout the study. Each visit will be performed approximately three weeks apart. Vital signs and anthropometrics will be measured at each clinic visit.
- Being tested
- High fructose meal, Low fructose meal, 13C labeled fructose, oral, 13C labeled fructose, intravenous
- Keywords
- Fructose, Sugar
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
High fructose mealOther
Liquid meals containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein.
Low fructose mealOther
55% total carbohydrate (6% fructose), 30% fat, 15% protein.
13C labeled fructose, oralOther
Tracer amount of 13C labeled fructose administered orally in the meals.
13C labeled fructose, intravenousOther
Tracer amount of 13C fructose administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| High fructose meals, oral 13C fructose | Experimental | Liquid meals will be fed, containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein, and a tracer amount of 13C fructose. Receives: Other: High fructose meal; Other: 13C labeled fructose, oral |
| High Fructose Meals, IV 13C Fructose | Experimental | Liquid meals will be fed, containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein. A tracer amount of 13C fructose will be administered intravenously. Receives: Other: High fructose meal; Other: 13C labeled fructose, intravenous |
| Low fructose meals, oral fructose tracer | Experimental | Liquid meals will be fed, containing 55% total carbohydrate (6% fructose), 30% fat, 15% protein, and a tracer amount of 13C fructose. Receives: Other: Low fructose meal; Other: 13C labeled fructose, oral |
| Low fructose meals, IV 13C fructose tracer | Experimental | Liquid meals will be fed, containing 55% total carbohydrate (6% fructose), 30% fat, 15% protein. A tracer amount of 13C fructose will be administered intravenously. Receives: Other: Low fructose meal; Other: 13C labeled fructose, intravenous |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fru-GNG
Total amount of fructose converted to glucose
Measured: 6 hours
Fru-hGNG
Amount of fructose converted to glucose in the liver
Measured: 6 hours
Fru-iGNG
Amount of fructose converted to glucose in the intestine
Measured: 6 hours
De novo lipogenesis (DNL)
Percent of newly synthesized palmitate
Measured: 6 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2025
- Study start2 Mar 2026
- Primary completionJun 2030 (estimated)
- Study completionJun 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Healthy ParticipantsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Touro University, California
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Jean-marc Schwarz, Touro University, California
- Investigators
- Jean-Marc Schwarz, PhD, Principal investigator, Touro University, CaliforniaGrace M Jones, PhD, Principal investigator, Touro University, California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07209202
- Sponsor's protocol ID
- M-2624
- Other IDs
- R01DK140477
- Acronym
- FIG
- Status last verified
- Mar 2026
- First submitted
- 30 Sep 2025
- Last updated
- 6 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The de-identified clinical and laboratory data set will be made available upon request to academic investigators.
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fructose Metabolism Effects on the Liver: Unraveling the Role of Defective Intestinal GNG in Individuals With Obesity
- ClinicalTrials.gov ID
- NCT07209202
- Acronym / sponsor ID
- FIG / M-2624
- Keywords
- Fructose, Sugar
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Touro University, CaliforniaUniversity, hospital or other
- Collaborators
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Study start
- 2 Mar 2026 (actual)
- Primary completion
- Jun 2030 (estimated)
- Study completion
- Jun 2030 (estimated)
- First posted
- 6 Oct 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will test the hypothesis that within a defined range of fructose intake, the ability to convert fructose to glucose (via gluconeogenesis) in the small intestine plays a protective role for the liver, shielding it from the deleterious effects of fructose. We will investigate whether this protective effect of the intestine is impaired in individuals with obesity.
Detailed description
Qualified participants will undergo a sugar tolerance test at baseline and then randomized to undergo four separate outpatient tracer/feeding studies in a crossover fashion. After an overnight fast, a six-hour fed tracer study will be initiated, during which participants will consume liquid meals containing stable isotopes at regular intervals and receive other isotopes intravenously. Meal composition will differ only by fructose content (High vs. Low) and tracer (oral vs. intravenous 13C-labeled fructose). Blood and urine samples will be collected frequently throughout the study. Each visit will be performed approximately three weeks apart. Vital signs and anthropometrics will be measured at each clinic visit.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| High fructose meals, oral 13C fructose | Experimental | Other: High fructose meal, Other: 13C labeled fructose, oralLiquid meals will be fed, containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein, and a tracer amount of 13C fructose. |
| High Fructose Meals, IV 13C Fructose | Experimental | Other: High fructose meal, Other: 13C labeled fructose, intravenousLiquid meals will be fed, containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein. A tracer amount of 13C fructose will be administered intravenously. |
| Low fructose meals, oral fructose tracer | Experimental | Other: Low fructose meal, Other: 13C labeled fructose, oralLiquid meals will be fed, containing 55% total carbohydrate (6% fructose), 30% fat, 15% protein, and a tracer amount of 13C fructose. |
| Low fructose meals, IV 13C fructose tracer | Experimental | Other: Low fructose meal, Other: 13C labeled fructose, intravenousLiquid meals will be fed, containing 55% total carbohydrate (6% fructose), 30% fat, 15% protein. A tracer amount of 13C fructose will be administered intravenously. |
Who may qualify
- Ages
- 20 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- BMI 30 to 38 kg/m2 (obese group) or BMI 19 to 25 kg/m2 (lean group)
Key exclusion criteria (12 listed)
- Pregnancy or lactation within the past six months;
- Type 1 or 2 diabetes mellitus (including fasting glucose ≥126 mg/dL, HgbA1c ≥6.5%);
- History of liver disease or AST and ALT 2x above the upper limit of normal;
- Fasting triglyceride > 300 mg/dl; total cholesterol levels above the 95th percentile for age and sex;
- Hemoglobin (Hgb) <12.5g/d or hematocrit<3x Hgb value;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| High fructose mealLiquid meals containing 55% total carbohydrate (16% fructose), 30% fat, 15% protein. | Other | High Fructose Meals, IV 13C Fructose, High fructose meals, oral 13C fructose |
| Low fructose meal55% total carbohydrate (6% fructose), 30% fat, 15% protein. | Other | Low fructose meals, IV 13C fructose tracer, Low fructose meals, oral fructose tracer |
| 13C labeled fructose, oralTracer amount of 13C labeled fructose administered orally in the meals. | Other | High fructose meals, oral 13C fructose, Low fructose meals, oral fructose tracer |
| 13C labeled fructose, intravenousTracer amount of 13C fructose administered intravenously | Other | High Fructose Meals, IV 13C Fructose, Low fructose meals, IV 13C fructose tracer |
Primary outcome
Fru-GNG
Time frame: 6 hours
Total amount of fructose converted to glucose
Fru-hGNG
Time frame: 6 hours
Amount of fructose converted to glucose in the liver
Fru-iGNG
Time frame: 6 hours
Amount of fructose converted to glucose in the intestine
De novo lipogenesis (DNL)
Time frame: 6 hours
Percent of newly synthesized palmitate
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2026.
- Individual participant dataSharing planned: Yes. The de-identified clinical and laboratory data set will be made available upon request to academic investigators.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Lisa Johnson, RN contact
Jean-Marc Schwarz, PhD principal investigator
Touro University, California
Grace M Jones, PhD principal investigator
Touro University, California
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing High fructose meal, Low fructose meal and 13C labeled fructose, oral in people with Healthy Participants and Obese But Otherwise Healthy Participants, run by Touro University, California 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 1 inclusion and 12 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 6 Mar 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 Sally Chiu, PhD (707-638-5404, schiu2@touro.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Fru-GNG (time frame: 6 hours). 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 6 Mar 2026.