NCT03610477

Brief Summary

The human gut microbiome is the community of bacteria that reside within the human intestine. These microbes are constantly exposed to the end-products and partial break-down-products of digestion from the foods consumed each day. Very little is known about the complex interaction of specific dietary components with the microbiome over time in one individual. In order to produce robust analysis of these interactions, longitudinal samples with detailed dietary intake information from healthy human subjects are needed. The complex relationship between dietary intake and the microbiome, and the potential health implications of human exposure to microbial metabolites, are only beginning to be understood. It is well known that altered dietary intake can trigger rapid, although transient, changes in the composition of the microbiome in as little as 1 to 2 days. The biggest factors in determining microbial response to diet are thought to include an individual's starting microbiome, long-term dietary habits, and environmental exposures. It is not well understood how small dietary differences from day-to-day impact the microbiome. A longitudinal dataset with accurately recorded dietary data and multiple samples over 17 days will provide valuable insight into the changes that occur at the individual level over time, while controlling for dietary trends and initial microbiome composition. Medium chain triglycerides (MCTs) have systemic beneficial effects and increase survival in rats by preventing gut injury and permeability following lipopolysaccharide administration, preventing alcohol-induced liver injury, and protecting against the development of colitis in a model of Crohn's disease. Understanding the interaction of MCTs with the microbiome in humans could lead to important advancements in the understanding of how diet impacts the microbiome composition, and ultimately, human health. This proposed study is designed to evaluate the effect of MCTs compared with long chain triglycerides on the normal structure of the microbiome and data will not be used to diagnose, prevent, cure or treat disease. The purpose of this study is to: 1) investigate the role daily dietary variation plays in microbiome composition and stability, and 2) explore the effect of MCT supplementation on microbiome composition in healthy adults.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P25-P50 for not_applicable healthy

Timeline
Completed

Started Jan 2017

Typical duration for not_applicable healthy

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2017

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2017

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2017

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

July 20, 2018

Completed
12 days until next milestone

First Posted

Study publicly available on registry

August 1, 2018

Completed
Last Updated

November 1, 2019

Status Verified

October 1, 2019

Enrollment Period

6 months

First QC Date

July 20, 2018

Last Update Submit

October 30, 2019

Conditions

Keywords

Microbiome

Outcome Measures

Primary Outcomes (2)

  • Microbiome composition

    Species-level compositional assessment

    Change from baseline daily for 17 days

  • Dietary intake variation

    Collected as 24-hour daily recalls assessed using novel methods for dietary pattern assessment

    Change from baseline daily for 17 days

Study Arms (2)

Medium Chain Triglyceride

ACTIVE COMPARATOR

Participants will be randomized to consume 5% of total energy intake from medium chain triglycerides.

Dietary Supplement: Medium chain triglycerides

Long Chain Triglyceride

PLACEBO COMPARATOR

Participants will be randomized to consume 5% of total energy intake from long chain triglycerides.

Dietary Supplement: Long chain triglycerides

Interventions

Medium chain triglyceridesDIETARY_SUPPLEMENT

Gel capsules, each containing 1 gram

Medium Chain Triglyceride
Long chain triglyceridesDIETARY_SUPPLEMENT

Gel capsules, each containing 1 gram

Long Chain Triglyceride

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy adult over 18 years

You may not qualify if:

  • Type 1 diabetes mellitus or insulin dependent type II diabetes mellitus
  • Individuals currently maintaining a ketogenic diet
  • Women who are currently pregnant or breast feeding
  • Use of antibiotics in the last 3 months
  • Self-reported pre-existing history of liver disease e.g. cirrhosis or diagnosed fatty liver disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Minnesota

Minneapolis, Minnesota, United States

Location

Related Publications (1)

  • Johnson AJ, Vangay P, Al-Ghalith GA, Hillmann BM, Ward TL, Shields-Cutler RR, Kim AD, Shmagel AK, Syed AN; Personalized Microbiome Class Students; Walter J, Menon R, Koecher K, Knights D. Daily Sampling Reveals Personalized Diet-Microbiome Associations in Humans. Cell Host Microbe. 2019 Jun 12;25(6):789-802.e5. doi: 10.1016/j.chom.2019.05.005.

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 20, 2018

First Posted

August 1, 2018

Study Start

January 1, 2017

Primary Completion

June 30, 2017

Study Completion

December 30, 2017

Last Updated

November 1, 2019

Record last verified: 2019-10

Locations