Interactions of Human Gut Microbiota With Intestinal Sweet Taste Receptors (ISTAR-micro)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Orlando, Florida, United States, 32804
- Translational Research Institute for Metabolism and Diabetes
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Able to provide written informed consent
- Age 18-45 years
- Weight stable (± 3 kg) during the 6 months prior to enrollment
- BMI ≤ 25 kg/m2
- Consumption of less than a can of diet beverage or a spoonful of NCASs weekly (or each equivalent from foods) during the past month
Exclusion Criteria:
- Known coronary artery disease, angina or congestive heart failure
- Type 1 or Type 2 Diabetes (A1c ≥6.5%)
- Bleeding disorders
- Hemoglobin level < 12.5 g/dL for women; hemoglobin level < 13.0 g/dL for men
- Acute or chronic infections
- Hepatitis and/or cirrhosis
- Severe asthma or chronic obstructive pulmonary disease
- Renal insufficiency or nephritis (creatinine > 1.6 mg/dl)
- Prior bariatric surgery
- Inflammatory bowel disease or malabsorption
- Cancer within the last 3 years (except non-melanoma skin cancer or treated cervical carcinoma in situ)
- Psychiatric disorders or eating disorders
- Cushing's disease or syndrome
- Untreated or inadequately controlled hypo- or hyperthyroidism (abnormal TSH)
- Active rheumatoid arthritis or other inflammatory rheumatic disorder
- Pregnant or nursing women
- Smoking (smoking within the past 3 months)
- Less than 4 bowel movements per week
Known hypersensitivity to saccharin, lactisole or any of its excipients.
Excluded medications include but are not limited to:
- Anti-diabetic agents
- Oral, injected or chronic topical steroids (inhaled steroids for mild asthma are acceptable)
- Antibiotic use (within the past 3 months)
- Other drugs known to affect immune or metabolic function
- Orlistat, phentermine, topiramate or other weight loss or anorectic agents (tricyclic antidepressants, atypical antipsychotics or other psychiatric drugs with effects on body weight)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Group 1- Healthy Lean subjects
Group 1 will receive Sodium Saccharin 200mg capsule, 2x/day, Day 1-14
|
Once we test the fasting plasma glucose (after an overnight fast), subject will receive a 75g glucose beverage they will have to drink within 5 minutes.
Then after drinking the beverage, 8 blood samples will be collected through the IV catheter, over the next 3 hours.
Assessment of consumption of non-caloric artificial sweeteners
Subjects will provide a stool sample.
Subjects in group 1 and group 3 will be provided with sodium saccharin.
|
|
ACTIVE_COMPARATOR: Group 2- Healthy Lean subjects
Group 2 will receive Placebo 500mg capsule, 2x/day, Day 1-14
|
Once we test the fasting plasma glucose (after an overnight fast), subject will receive a 75g glucose beverage they will have to drink within 5 minutes.
Then after drinking the beverage, 8 blood samples will be collected through the IV catheter, over the next 3 hours.
Assessment of consumption of non-caloric artificial sweeteners
Subjects will provide a stool sample.
Subjects in group 2 will be provided with placebo.
|
|
ACTIVE_COMPARATOR: Group 3- Healthy Lean subjects
Group 3 will receive Sodium Saccharin 200mg + lactisole 335mg capsule, 2x/day, Day 1-14
|
Once we test the fasting plasma glucose (after an overnight fast), subject will receive a 75g glucose beverage they will have to drink within 5 minutes.
Then after drinking the beverage, 8 blood samples will be collected through the IV catheter, over the next 3 hours.
Assessment of consumption of non-caloric artificial sweeteners
Subjects will provide a stool sample.
Subjects in group 1 and group 3 will be provided with sodium saccharin.
Subjects in group 3 and group 4 will be provided with lactisole.
|
|
ACTIVE_COMPARATOR: Group 4- Healthy Lean subjects
Group 4 will receive Lactisole 335mg capsule, 2x/day, Day 1-14
|
Once we test the fasting plasma glucose (after an overnight fast), subject will receive a 75g glucose beverage they will have to drink within 5 minutes.
Then after drinking the beverage, 8 blood samples will be collected through the IV catheter, over the next 3 hours.
Assessment of consumption of non-caloric artificial sweeteners
Subjects will provide a stool sample.
Subjects in group 3 and group 4 will be provided with lactisole.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Blood analyzed by way of NOVA StatStrip Meter and Milliplex Map Kit.
Time Frame: 6 weeks
|
6 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Short chain fatty acid analyses
Time Frame: 6 weeks
|
Stool sample aliquoted and frozen by way of ribosomal sequencing, which will be used to determine what bacteria is in the fecal sample.
|
6 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Swithers SE. Artificial sweeteners produce the counterintuitive effect of inducing metabolic derangements. Trends Endocrinol Metab. 2013 Sep;24(9):431-41. doi: 10.1016/j.tem.2013.05.005. Epub 2013 Jul 10.
- Tilg H, Kaser A. Gut microbiome, obesity, and metabolic dysfunction. J Clin Invest. 2011 Jun;121(6):2126-32. doi: 10.1172/JCI58109. Epub 2011 Jun 1.
- Suez J, Korem T, Zeevi D, Zilberman-Schapira G, Thaiss CA, Maza O, Israeli D, Zmora N, Gilad S, Weinberger A, Kuperman Y, Harmelin A, Kolodkin-Gal I, Shapiro H, Halpern Z, Segal E, Elinav E. Artificial sweeteners induce glucose intolerance by altering the gut microbiota. Nature. 2014 Oct 9;514(7521):181-6. doi: 10.1038/nature13793. Epub 2014 Sep 17.
- Saccharin and its salts. IARC Monogr Eval Carcinog Risks Hum. 1999;73:517-624. No abstract available.
- Pantarotto C, Salmona M, Garattini S. Plasma kinetics and urinary elimination of saccharin in man. Toxicol Lett. 1981 Dec;9(4):367-71. doi: 10.1016/0378-4274(81)90012-6.
- Sweatman TW, Renwick AG. The tissue distribution and pharmacokinetics of saccharin in the rat. Toxicol Appl Pharmacol. 1980 Aug;55(1):18-31. doi: 10.1016/0041-008x(80)90215-x. No abstract available.
- Renwick AG. The metabolism of intense sweeteners. Xenobiotica. 1986 Oct-Nov;16(10-11):1057-71. doi: 10.3109/00498258609038983.
- Arnold DL, Krewski D, Munro IC. Saccharin: a toxicological and historical perspective. Toxicology. 1983 Jul-Aug;27(3-4):179-256. doi: 10.1016/0300-483x(83)90021-5.
- Sweatman TW, Renwick AG, Burgess CD. The pharmacokinetics of saccharin in man. Xenobiotica. 1981 Aug;11(8):531-40. doi: 10.3109/00498258109045864.
- Renwick AG. The disposition of saccharin in animals and man--a review. Food Chem Toxicol. 1985 Apr-May;23(4-5):429-35. doi: 10.1016/0278-6915(85)90136-x.
- Evaluation of certain food additives and contaminants. Forty-first report of the Joint FAO/WHO Expert Committee on Food Additives. World Health Organ Tech Rep Ser. 1993;837:1-53. No abstract available.
- Food and Agriculture Organization World Health Organization. Evaluation of certain food additives. Fifty-ninth report of the Joint FAO/WHO Expert Committee on Food Additives. World Health Organ Tech Rep Ser. 2002;913:i-viii, 1-153, back cover.
- Serrano J, Smith KR, Crouch AL, Sharma V, Yi F, Vargova V, LaMoia TE, Dupont LM, Serna V, Tang F, Gomes-Dias L, Blakeslee JJ, Hatzakis E, Peterson SN, Anderson M, Pratley RE, Kyriazis GA. High-dose saccharin supplementation does not induce gut microbiota changes or glucose intolerance in healthy humans and mice. Microbiome. 2021 Jan 12;9(1):11. doi: 10.1186/s40168-020-00976-w.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- TRIMDFH 982524
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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