- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02423551
MRE Consumption and Gut Health
April 14, 2019 updated by: James Philip Karl, United States Army Research Institute of Environmental Medicine
Effects of Meal, Ready-to-Eat (MRE) Consumption on Gut Health
The objective of this study is to determine the impact of consuming MREs as the sole source of subsistence for 21 days on gut bacteria community composition and gut health.
Up to 80 free-living adults will be randomized to consume their usual diet or only MREs for 21 consecutive days.
MREs will be provided by the Military Nutrition Division, US Army Research Institute of Environmental Medicine (USARIEM).
Fecal, urine and blood samples will be collected periodically before, during and after the intervention to measure gut barrier integrity, gut bacteria community composition, and markers of gut health, inflammation, and nutritional status.
Study Overview
Study Type
Interventional
Enrollment (Actual)
71
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 Locations
-
-
Massachusetts
-
Natick, Massachusetts, United States, 01760
- USARIEM
-
-
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
14 years to 58 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- BMI </= 30
Exclusion Criteria:
- Use of antiobiotcs within 3 months of study participation
- Use of pro- or prebiotic supplements within 2 weeks of study participation
- Vegetarian diets
- Use of laxatives, stool softeners, or anti-diarrheal medications at least once a week.
- Fewer than 4 bowel movements, on average, per week
- History of gastrointestinal disease
- Colonoscopy within 3 months of study participation
- Food allergies or aversions or other issues with foods that would preclude MRE consumption, including gluten, milk, nuts, or eggs.
- Use non-steroidal anti-inflammatory medications (NSAIDs) or antihistamine prescribed by a physician or clinician, or unwillingness to discontinue the use of these substances during the study.
- Actively trying to lose weight
- Pregnant or lactating
- Recent blood donation
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: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Control
Usual diet
|
|
|
Experimental: MRE
MRE consumption
|
MRE consumption
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in gut barrier integrity
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Urine excretion of saccharide probes; circulating zonulin, intestinal fatty acid binding protein, claudin-3, lipopolysaccharide and GLP2 concentrations
|
Baseline to 10 days, 21 days and 31 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in gut microbiota composition
Time Frame: Baseline to 10 days, 21 days and 31 days
|
16S rRNA gene sequencing
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in C-reactive protein concentrations
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Serum C-reactive protein
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in TNF-alpha concentrations
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Serum TNF-alpha
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in interleukin-6 concentrations
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Serum IL-6
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in lipopolysaccharide concentrations
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Plasma LPS
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in iron status
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Blood ferritin, soluble transferrin receptor, hemoglobin, hematocrit
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in vitamin D status
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Blood 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, parathyroid hormone
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in B-vitamin status
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Blood folate, vitamin B12, homocysteine
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in nutritional status
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Blood prealbumin
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in calcium absorption
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Urine calcium
|
Baseline to 10 days, 21 days and 31 days
|
|
Change in zinc status
Time Frame: Baseline to 10 days, 21 days and 31 days
|
Blood zinc, zinc receptor expression
|
Baseline to 10 days, 21 days and 31 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Karl JP, Armstrong NJ, Player RA, Rood JC, Soares JW, McClung HL. The fecal metabolome links diet composition, food processing and the gut microbiota to gastrointestinal health in a randomized trial of adults consuming a processed diet. J Nutr. 2022 Jul 26:nxac161. doi: 10.1093/jn/nxac161. Online ahead of print.
- McClung HL, Armstrong NJ, Hennigar SR, Staab JS, Montain SJ, Karl JP. Randomized Trial Comparing Consumption of Military Rations to Usual Intake for 21 Consecutive Days: Nutrient Adequacy and Indicators of Health Status. J Acad Nutr Diet. 2020 Nov;120(11):1791-1804. doi: 10.1016/j.jand.2020.06.018. Epub 2020 Aug 19.
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)
April 1, 2015
Primary Completion (Actual)
February 1, 2017
Study Completion (Actual)
February 1, 2017
Study Registration Dates
First Submitted
April 14, 2015
First Submitted That Met QC Criteria
April 17, 2015
First Posted (Estimate)
April 22, 2015
Study Record Updates
Last Update Posted (Actual)
April 16, 2019
Last Update Submitted That Met QC Criteria
April 14, 2019
Last Verified
April 1, 2019
More Information
Terms related to this study
Other Study ID Numbers
- 15-12HC
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.
Clinical Trials on Gastrointestinal Tract
-
Weill Medical College of Cornell UniversityUnknownEndoscopic Suturing Within the Gastrointestinal TractUnited States
-
Seoul National University HospitalTerminatedSubmucosal Tumor of Gastrointestinal TractKorea, Republic of
-
Methodist Health SystemCompletedEndoscopic Suturing | GI Tract Disorders | Gastrointestinal DisordersUnited States
-
Wecare Probiotics Co., Ltd.CompletedGastrointestinal TractChina
-
TereosCEN BiotechCompleted
-
National Cheng-Kung University HospitalNational Cheng Kung University; National Research Program for Biopharmaceuticals... and other collaboratorsCompletedSubmucosal Tumor of Gastrointestinal TractTaiwan
-
University of AberdeenNational Cancer Institute (NCI)CompletedInflammation Gastrointestinal Tract
-
InnoPharmax Inc.TerminatedGastrointestinal Cancer | Biliary Tract CancerTaiwan
-
Zhejiang Cancer HospitalRecruiting
-
Istituto Clinico HumanitasRecruitingDisease of Gastrointestinal TractItaly
Clinical Trials on MRE
-
Shengjing HospitalRecruitingCirrhosis | Liver Portal HypertensionChina
-
Dartmouth-Hitchcock Medical CenterNational Institute for Biomedical Imaging and Bioengineering (NIBIB)Active, not recruiting
-
University Hospital, BordeauxCompletedInterstitial Fibrosis/Tubular Atrophy of Transplanted KidneysFrance
-
Yonsei UniversityCompletedMagnetic Resonance Imaging | Portal HypertensionKorea, Republic of
-
University College, LondonRecruiting
-
GLSMED Learning Health S.A.AbbVieRecruitingCrohn DiseaseSpain, Italy, United Kingdom, Denmark, Cyprus, Czechia, Malta, Portugal, Belgium, France, Romania
-
Groupe d'Etude Therapeutique des Affections Inflammatoires...RecruitingCrohn DiseaseBelgium, France
-
Shaare Zedek Medical CenterThe Hospital for Sick Children; Rambam Health Care Campus; Children's Hospital... and other collaboratorsCompleted
-
University of Southern CaliforniaNational Cancer Institute (NCI)WithdrawnBrain NeoplasmUnited States
-
University Health Network, TorontoActive, not recruitingHepatic Fibrosis | Magnetic Resonance Imaging | Primary Sclerosing Cholangitis | ElastographyCanada