A Crossover Study Evaluating the Postprandial Glycemic Response of Three Sweeteners in a Mixed Meal Setting

November 9, 2026 updated by: LOAM Science

A Randomized, Participant-Masked, Crossover Study Evaluating Postprandial Glycemic Response to Three Sweetener Preloads Consumed Before a Standardized Mixed Meal in Healthy Adults

This study is using a double-blind, randomize crossover evaluating the impact of three different sweeteners on postprandial glycemic response in a mixed meal setting. In 50 individuals, postprandial glucose response will be evaluated as a primary objective. Secondary objectives include additional measures of glucose response as well general gastrointestinal response to the sweeteners, assessed through a series of questionnaires.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • California
      • San Francisco, California, United States, 94109
        • Recruiting
        • Alethios
        • Contact:
          • Zeenia Framroze
          • Phone Number: 650-206-8006

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adults 18 or older
  • Body mass index between 18.5 and 29.9 kg/m2, inclusive, based on self-reported height and weight.
  • Self-reported general good health, without a diagnosis of diabetes or prediabetes.
  • Willing and able to consume the standardized study breakfast, consisting of a plain bagel with plain cream cheese, on six specified mornings.
  • Willing to wear a continuous glucose monitor continuously on the upper arm for approximately 10 consecutive days.
  • Willing to observe an overnight fast of at least 8 hours before each test morning and to follow test-day standardization instructions.
  • Owns a compatible smartphone with reliable internet access and is willing to install the required study and sensor applications.
  • Resides in the United States and is able to receive shipments at a residential address.
  • Able to read, understand, and communicate in English.
  • Willing and able to provide electronic informed consent through a digital platform.

Exclusion Criteria:

  • Diagnosis of type 1 diabetes, type 2 diabetes, prediabetes, or a history of gestational diabetes.
  • Current use of any glucose-lowering medication, including insulin, metformin, sulfonylureas, GLP-1 receptor agonists, DPP-4 inhibitors, or SGLT2 inhibitors.
  • Current or recent use, within 30 days of consent, of systemic corticosteroids or any other medication known to materially alter glucose metabolism.
  • Celiac disease, wheat or gluten allergy or intolerance, or any dairy allergy or lactose intolerance that would preclude consumption of the standardized study breakfast or exclusion of gluten or dairy from the diet for any other reason that would preclude consumption of the standardized breakfast.
  • Known allergy or sensitivity to steviol glycosides, sucrose, or any declared component of the study preloads.
  • Known adhesive allergy or history of significant skin reaction to wearable sensors or medical adhesives.
  • Diagnosed gastrointestinal condition affecting digestion or absorption, including inflammatory bowel disease, gastroparesis, or prior bariatric or major gastrointestinal surgery.
  • Current eating disorder, or a diagnosed eating disorder within the previous 12 months.
  • Pregnant, breastfeeding, or planning to become pregnant during the study period.
  • Regular night-shift work, or planned travel across more than two time zones during the study period.
  • Planned substantial change in diet, physical activity, or body weight during the study period.
  • Current alcohol use disorder or substance use disorder.
  • Participation in another interventional research study within 30 days of consent or concurrently with this study.
  • Any condition or circumstance that, in the judgment of the Principal Investigator, would compromise participant safety or the integrity of the study data.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Sequence 1

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

Experimental: Sequence 2

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

Experimental: Sequence 3

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

Experimental: Sequence 4

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

Experimental: Sequence 5

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

Experimental: Sequence 6

Sugar, stevia, and a fiber-based alternative sweetener will be evaluated in a pre-defined order.

A fiber-based sweetener produced by LOAM.

Table sugar

Stevia

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Postprandial Area Under the Curve to 120 Minutes
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Area under the curve above baseline from time zero (the start of the preload consumption) through 120 minutes. Baseline is defined as the mean glucose over the 15 minutes prior to the preload consumption. Area falling below baseline will be excluded.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Postprandial Area Under the Curve to 180 Minutes
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Area under the curve above baseline from time zero (the start of the preload consumption) through 180 minutes. Baseline is defined as the mean glucose over the 15 minutes prior to the preload consumption. Area falling below baseline will be excluded.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.
Postprandial Area Under the Curve to 120 Minutes Relative to Start of the Meal
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Area under the curve above baseline from time zero (the start of the meal consumption) through 120 minutes. Baseline is defined as the mean glucose over the 15 minutes prior to the preload consumption. Area falling below baseline will be excluded.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.
Peak Glucose
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Maximum observed glucose peak over the course of the 180 minute window.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.
Incremental Peak Glucose
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Maximum observed glucose peak relative to baseline over the course of the 180 minute window.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.
Time to Peak
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Elapsed time from preload consumption to the maximum observed value.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.
Post-Meal Subjective State
Time Frame: Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Fullness, hunger, energy, and gastrointestinal comfort on a 0-10 numerical rating scale with 10 being an optimal situation and 0 representing the inverse for fullness, energy, and gastrointestinal comfort and 0 being an optimal situation and 10 representing the inverse for hunger. Questions are asked 60 and 180 minutes after the start of the mixed meal.

Data will be collected on each day of supplementation, days 3, 4, 6, 7, 9, and 10.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 9, 2026

Primary Completion (Estimated)

January 15, 2027

Study Completion (Estimated)

May 1, 2027

Study Registration Dates

First Submitted

October 19, 2026

First Submitted That Met QC Criteria

October 19, 2026

First Posted (Actual)

October 26, 2026

Study Record Updates

Last Update Posted (Actual)

November 12, 2026

Last Update Submitted That Met QC Criteria

November 9, 2026

Last Verified

October 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • LOA003

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IPD is proprietary information.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.