A Study to Evaluate the Influence of Diet on GI Health

NCT ID: NCT04783142

Last Updated: 2023-05-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-11

Study Completion Date

2023-03-27

Brief Summary

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The purpose of this study is to understand the potential of protein and psyllium fiber to manipulate gut microbial densities, intestinal permeability, and inflammation in humans.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are randomly assigned to either the high-fiber, low protein diet or the low-fiber, high-protein diet.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Principal investigator and analysts will be blinded. The participant will not be told to which diet they are randomized.

Study Groups

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High-fiber, low-protein diet

Participants will consume a high-fiber, low-protein diet for at least 4 weeks. All meals will be provided free of charge. No substitutions will be permitted.

Group Type OTHER

High-fiber, low-protein diet

Intervention Type OTHER

Diet will consist of at least 15g fiber above baseline and less than 10% of calories from protein.

Low-fiber, high-protein diet

Participants will consume a low-fiber, high-protein diet for at least 4 weeks. All meals will be provided free of charge. No substitutions will be permitted.

Group Type OTHER

Low-fiber, high-protein diet

Intervention Type OTHER

Diet will consist of less than 15g fiber and greater than 18% of calories from protein

Interventions

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High-fiber, low-protein diet

Diet will consist of at least 15g fiber above baseline and less than 10% of calories from protein.

Intervention Type OTHER

Low-fiber, high-protein diet

Diet will consist of less than 15g fiber and greater than 18% of calories from protein

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults ≥ 18 years old
* On a baseline diet characterized by: Fiber intake of \</= 20g/day, \> 18% of daily calories from protein

Exclusion Criteria

* Prior history of gastrointestinal surgeries (except appendectomy and cholecystectomy)
* Known diagnosis of inflammatory bowel disease (Crohn's or ulcerative colitis), microscopic colitis, celiac disease, or other inflammatory GI condition
* Use of tobacco products within the past 6 months (since nicotine may affect intestinal permeability)
* Use of NSAIDs or aspirin and unable or unwilling to stop taking two weeks prior to permeability test and for the duration of the study
* Use of osmotic laxatives and unable or unwilling to stop taking one week prior to permeability test and for the duration of the study
* Use of oral corticosteroids and unable or unwilling to stop use of oral corticosteroids within the previous 6 weeks and for the duration of the study
* Multiple dietary restrictions or unable/unwilling to alter dietary protein or dietary fiber.
* Unwilling to stop ingestion of alcohol and artificial sweeteners such as Splenda™ (sucralose), Nutrasweet™ (aspartame), sorbitol, xylitol, lactulose, or mannitol 2 days before and during the permeability testing days, e.g. foods to be avoided are sugarless gums or mints and diet beverages
* Unwilling to stop stenuous exercise (running \>5 miles or equivalent) one week prior to the permeability tests
* Bowel preparation for colonoscopy less than one week prior to completion of the first stool kit and permeability test and flexible sigmoidoscopy and upper endoscopy
* Pregnancy or plan to become pregnant during the study time frame
* Vulnerable adult
* Known bleeding disorders or takes medications that increase risk of bleeding from mucosal biopsies
* Use of oral antibiotic(s) within the past 4 weeks (can be enrolled after 4-week washout period)
* Use of commercial probiotic formulations and unwilling to stop for the duration of the study
* Diagnosis of diabetes
* Any other disease(s), condition(s) or habits(s) that would interfere with completion of study, or in the judgment of the investigator would potentially interfere with compliance to this study or would adversely affect study outcomes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Purna C. Kashyap, MBBS

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Purna C. Kashyap, MBBS

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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20-008067

Identifier Type: -

Identifier Source: org_study_id

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