Low Carbohydrate Small Intestine Study

December 4, 2024 updated by: Insel Gruppe AG, University Hospital Bern

Studying the Impact of a Low Carbohydrate Diet on the Small Intestinal Microbiota

The investigators will recruit probands with a ileo- or colostoma that are otherwise in good general health and analyse the stomal fluids for their microbiota composition. Sampling will be performed over a time span of 28 days, after 14 days probands will modify their base-line diet to a low carbohydrate diet.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Detailed Description

Additionally to stoma fluids which will be analyzed for their microbiota composition the investigators will also collect skin samples to analyze for microbiota composition and urine to analyze for metabolite composition.

Low carbohydrate diet will allow for consumption of 80g complex carbohydrates per day, simple sugars will have to be avoided completely

Study Type

Interventional

Enrollment (Actual)

13

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

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 to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Ileostomy or colostomy
  • Good general health
  • Written informed consent

Exclusion Criteria:

  • Major metabolic diseases that prevent adherence to low carbohydrate diet
  • Participation in other clinical trial interfering with study protocol

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: N/A
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: All study participants
All participants will undergo sample collection during their regular diet and after modification of their diet to a low carbohydrate diet
Participants will reduce their carbohydrate consumption to 80g daily

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessment of microbiota profile by 16S sequencing before and after diet modification for significant differences
Time Frame: 28 days
Sample content will be measured by 16S sequencing, ecological distances will be assessed by beta-diversity
28 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Relative changes of total metabolite abundance in urine
Time Frame: 28 days
The whole metabolite composition will be assessed by an untargeted screen done with mass spectrometry
28 days
Analysis of microbiota metabolic potential (microbiome DNA coding for enzymes) after shotgun sequencing
Time Frame: 28 days
The total DNA content of the samples will be annotated for for known metabolic active enzymes to assess functionality
28 days
Analysis of microbiota biomass
Time Frame: 28 days
The samples will be analysed for the number of bacteria present in them
28 days
Changes of further metagenomic microbiome composition (viral, eucaryotic DNA)
Time Frame: 28 days
The DNA of the samples will be screened for parts belonging to viruses or eucaryotic cells
28 days
Culturing of microbiota if appropriate (in vitro)
Time Frame: 28 days
If of interest, culturing of specific bacterial strains will be attempted in vitro with the aim to recreate in vivo observations
28 days

Collaborators and Investigators

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

Investigators

  • Principal Investigator: Benjamin Misselwitz, Prof. Dr. med., University Clinic for Visceral Surgery and Medicine

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 17, 2021

Primary Completion (Actual)

November 30, 2024

Study Completion (Actual)

November 30, 2024

Study Registration Dates

First Submitted

July 12, 2021

First Submitted That Met QC Criteria

July 15, 2021

First Posted (Actual)

July 26, 2021

Study Record Updates

Last Update Posted (Estimated)

December 9, 2024

Last Update Submitted That Met QC Criteria

December 4, 2024

Last Verified

December 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 2021-01262

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Sharing of raw sequencing data as electronic supplement to publication (e.g. by entry on database)

IPD Sharing Time Frame

upon publication, unlimited

IPD Sharing Access Criteria

Open access

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.

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