Effect of the Natural Sweeteners Erythritol and Xylitol on Gut Microbiota and Glucose Metabolism in Obese Volunteers
1 other identifier
interventional
64
3 countries
3
Brief Summary
Sugar alcohols such as xylitol and erythritol are increasingly popular as sugar substitutes in the food industry and are also recommended to diabetic patients. Both substances are already in use in the food industry and are freely available. Since the 1970s, beneficial effects on oral health could be demonstrated as oral bacteria were influenced positively. Animal studies showed an increase in gut Clostridium perfringens after xylitol intake; certainly a non-desirable effect. However, studies on effects of erythritol and xylitol on the human gut microbiota are lacking so far. In this trial, investigators aim to examine whether gut microbiota and glucose tolerance can be influenced by polyol intake in a non-diabetic but obese cohort.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable obesity
Started Jun 2016
Typical duration for not_applicable obesity
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2016
CompletedFirst Submitted
Initial submission to the registry
June 27, 2016
CompletedFirst Posted
Study publicly available on registry
July 6, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2020
CompletedJuly 20, 2025
March 1, 2020
3.7 years
June 27, 2016
July 16, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Glucose tolerance measured with oral glucose tolerance test
change from baseline to 8 weeks after polyol intake
Secondary Outcomes (4)
Human gut microbiota composition measured with metagenomic shotgun sequencing
change from baseline to 8 weeks after polyol intake
Gut microbial-related metabolites in feces
change from baseline to 8 weeks after polyol intake
Gastrointestinal tolerance assessed by questionnaire
change from baseline to 8 weeks after polyol intake
Gut microbial-related metabolites in urine
change from baseline to 8 weeks after polyol intake
Study Arms (3)
Control
NO INTERVENTION20 obese, non-diabetic candidates will serve as control-group. All assessments are carried out just as in the intervention groups.
E967-Xylitol
ACTIVE COMPARATOR20 obese, non-diabetic candidates will receive a daily dose of 24g of xylitol.
E968-Erythritol
ACTIVE COMPARATOR20 obese, non-diabetic candidates will receive a daily dose of 36g of erythritol.
Interventions
Eligibility Criteria
You may qualify if:
- Obese volunteers (BMI \> 30kg/m2)
- Aged 18- max. 55 years
- Otherwise healthy.
You may not qualify if:
- Known cardiovascular disease
- Diabetes mellitus
- Arterial Hypertension with medication
- Dyslipidaemia with medication
- Known chronic hepatic disease (NASH, hepatitis).
- Known renal disease: kidney failure
- Pregnancy
- Intake of proton pump inhibitors (PPIs) on a regular basis
- Intake of pro or prebiotics
- Chronical diseases of the gastrointestinal tract, history of gastrointestinal surgery with major changes to the gastrointestinal tract
- Substance abuse, alcohol abuse.
- Inability to follow procedures due to psychological disorders, dementia or insufficient knowledge of project language (German).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital
Oslo, Norway
Endoscopic and Minimally Invasive Surgery Clinic of Stavropol State Medical University
Stavropol, Russia
St Claraspital
Basel, CH-4016, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Christoph Beglinger, MD
St. Claraspital klinische Forschungsabteilung
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2016
First Posted
July 6, 2016
Study Start
June 1, 2016
Primary Completion
February 1, 2020
Study Completion
February 1, 2020
Last Updated
July 20, 2025
Record last verified: 2020-03