Fiber Fermentation, and Short Chain Fatty Acid Kinetics and Utilization Inside the Gut and Systemic Circulation

NCT ID: NCT04499183

Last Updated: 2020-10-19

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-08
• Study Completion Date: 2021-02-01

Brief Summary

Nowadays there is a strong interest in optimising human health through manipulation of non-digestible carbohydrates (NDC). NDC can be used as substrates by gut microbiota, which results in NDC degradation, production of fermentation products, such as short-chain fatty acids (SCFA), and a shift in microbiome composition and activity. It is hypothesized that SCFAs mediate parts of the beneficial effects of NDC. In mice, the influx of SCFA into the host correlated strongly with improvements of markers of the metabolic syndrome, in contrast to the concentrations of SCFA in the proximal colon. Therefore, the influx of short chain fatty acids (SCFA) into the body may be of high importance in improving metabolism. There is a need for more studies in humans to trace the life course of SCFA and their regulatory role in human metabolism. To study this inner world of bacterial products in humans, we will use a nasal-intestine catheter that can be used for delivery of components and sampling chyme in the proximal colon. Before the proposed methodology can be applied in a large intervention study, a small scale feasibility study needs to be performed that addresses colonic placement of the nasal-intestine cathether and colonic sampling of regular and NDC-enriched chyme samples. We will investigate the acute fermentation of fructo- and galacto-oligosaccharides in the proximal colon. Moreover, we will deliver 13C-labelled SCFA via a naso-intestinal catheter to quantify the fluxes of SCFA production, interconversion and uptake by the host. A small-scale, 7-day parallel feasibility trial, N=5 subjects will receive GOS/FOS supplements (mix 1:1 ratio, 15 gram/day), and N=5 other subjects will receive placebo supplements (isocaloric maltodextrin, 12 gram/day). At the last day of the supplementation period, the catheter will be placed, and afterwards participants stay maximum 5 hours in the hospital, to ensure progression of the nose-intestine catheter. After an overnight fast, subjects will visit the hospital again for measurements. Subjects will consume a NDC bolus (200 mL tap water, 5 gram fructo-oligosaccharides, 5 gram galacto-oligosaccharides, non-absorbable marker (PEG-4000). Afterwards, they are not allowed to eat for 6.5 hours. Isotopically 13C-labelled SCFAs will be delivered in the proximal colon. Blood and colonic luminal samples, breath samples, faeces and urine will be collected.

Conditions

Dietary Fiber

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: DOUBLE

Study Groups

non-digestible carbohydrates

fructo- and galacto-oligosaccharides

Group Type: EXPERIMENTAL

fructo- and galacto-oligosaccharides

Intervention Type: DIETARY_SUPPLEMENT

15 gram/day fructo- and galacto-oligosaccharides

placebo

maltodextrin

Group Type: PLACEBO_COMPARATOR

fructo- and galacto-oligosaccharides

Intervention Type: DIETARY_SUPPLEMENT

15 gram/day fructo- and galacto-oligosaccharides

Interventions

fructo- and galacto-oligosaccharides

15 gram/day fructo- and galacto-oligosaccharides

Intervention Type: DIETARY_SUPPLEMENT

Other Intervention Names

FOS and GOS

Eligibility Criteria

Inclusion Criteria

• Males
• Age 18-60yrs
• BMI between 18.5 and 30 kg/m2
• Regular bowel movement (defaecation on average once a day)
• Signed informed consent

Exclusion Criteria

• Having a history of medical or surgical events that, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results of the study (e.g. diabetes, cardiovascular disease, gastrointestinal disease, renal failure, cancer, infectious disease, nose/throat).
• Having a history of surgical events of the gastro-intestinal tract (e.g. bariatric surgery/gastric bypass surgery)
• Presence of swallowing disorder
• Use of any prescribed or non-prescribed medication (other than paracetamol) including antacids, analgesics, and herbal remedies during the three (3) weeks prior to study start.
• Being lactose intolerant
• Follows a vegan diet
• Use of antibiotics within 3 months of starting the study or planned during the study
• Use of pro- or prebiotics (e.g. galacto-oligosaccharides, fructo-oligosaccharides)
• Constipation/infrequent bowel movement (less than 3 times defaecation per week)
• Abuse of drugs/alcohol (alcohol: >4 consumptions/day or >21 consumptions/week)
• Smoker
• Having diarrhoea within 1 month prior to the study start
• Personnel of Wageningen University, Division of Human Nutrition, their partner and their first and second degree relatives
• Participation in another biomedical study or other research from the Division of Human Nutrition
• Not willing to be exposed to fluoroscopy
• Having a hemoglobin of <8.5 mmol/L
• Having blood vessels that are too difficult for inserting a cannula
• Not having a general practitioner

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: Yes

Sponsors

Wageningen University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Wageningen University and Research

Wageningen, , Netherlands

Site Status: RECRUITING

Countries

Netherlands

Central Contacts

MARA VAN TRIJP

Role: CONTACT

mara.vantrijp@wur.nl

0317 484 067

Guido Hooiveld

Role: CONTACT

guido.hooiveld@wur.nl

Facility Contacts

Mara van Trijp, MSc

Role: primary

mara.vantrijp@wur.nl

Other Identifiers

NL74418.081.20

Identifier Type: -

Identifier Source: org_study_id