NCT06204666

Brief Summary

Two bioactive compounds, N-trans-caffeoyl tyramine (NCT) and N-trans-feruloyl tyramine (NFT), have been investigated for potential gut health benefits. The shells of hemp seeds are a rich source of NCT and NFT. The hypothesis for this project is that ingestion of a hemp fiber bar containing NCT and NFT will mitigate exercise-induced increases in gut permeability. This study will examine the efficacy of 2-weeks ingestion of a hemp fiber bar (high and low doses) in moderating exercise-induced gut permeability using a randomized crossover trial. Objective #1: To conduct a randomized crossover trial using placebo-controlled, double-blind procedures with 20 cyclists who will in random order ingest a hemp fiber bar supplement (high and low doses) or placebo each day for two weeks prior to an exercise challenge (2.25 hours of intensive cycling). Objective #2: To determine if hemp fiber bar supplementation attenuates exercise-induced gut permeability using several outcome measures including plasma lactulose to 13C mannitol (L:M) ratio and plasma intestinal fatty acid binding protein (I-FABP) as markers of gastrointestinal permeability and mucosal damage, respectively. Shifts in thousands of metabolites will be measured via untargeted metabolomics to provide additional gut permeability biomarkers and help reveal underlying mechanisms.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
25

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2023

Shorter than P25 for not_applicable

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

December 9, 2023

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

December 19, 2023

Completed
24 days until next milestone

First Posted

Study publicly available on registry

January 12, 2024

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2024

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2024

Completed
Last Updated

September 26, 2024

Status Verified

September 1, 2024

Enrollment Period

7 months

First QC Date

December 19, 2023

Last Update Submit

September 25, 2024

Conditions

Keywords

hemp fiberexercisegut permeabilitymetabolomics

Outcome Measures

Primary Outcomes (1)

  • Gut permeability

    Urine concentrations of post-exercise lactulose/13C mannitol ratio (L/M)

    Change from pre-supplementation levels to 5 hours post-exercise

Secondary Outcomes (1)

  • Changes in plasma hemp fiber-related metabolites including acetic acid, propionic acid, and butyric acid from targeted metabolomics using LC-MS/MS analysis (relative intensities)

    Change from pre-study to post-2 weeks supplementation, and immediately post-exercise, and 1.5 hours-, 3 hours-, and 24 hours-post-exercise

Study Arms (3)

High Dose Hemp Fiber Bar

EXPERIMENTAL

20% hemp hull powder

Dietary Supplement: High Dose Hemp Fiber Bar

Low Dose Hemp Fiber Bar

EXPERIMENTAL

5% hemp hull powder

Dietary Supplement: Low Dose Hemp Fiber Bar

Placebo

PLACEBO COMPARATOR

0% hemp hull powder

Dietary Supplement: Placebo

Interventions

High Dose Hemp Fiber BarDIETARY_SUPPLEMENT

High dose hemp fiber bar with other ingredients

High Dose Hemp Fiber Bar
Low Dose Hemp Fiber BarDIETARY_SUPPLEMENT

Low dose hemp fiber bar with other ingredients

Low Dose Hemp Fiber Bar
PlaceboDIETARY_SUPPLEMENT

Placebo bar with other ingredients

Placebo

Eligibility Criteria

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

You may qualify if:

  • Male or female cyclists, ages 18-65 years, and capable of cycling 2.25 h in the laboratory at 60% watts maximum (close to long-distance race pace).
  • Non-smoker, and generally healthy and without gastrointestinal diseases (irritable bowel syndrome, chronic nausea, vomiting, and diarrhea, Crohn's disease, Celiac disease, diverticulosis) or chronic diseases including cardiovascular disease (e.g., heart disease, stroke), cancer, type 1 and 2 diabetes, rheumatoid arthritis. Categorized as "low risk" using the American College of Sports Medicine screening questionnaire.
  • Agree to train normally, maintain weight, and avoid the regular use of large-dose vitamin and mineral supplements, herbs, and medications that influence inflammation (especially non-steroidal antiinflammatory drugs or NSAIDs) for the duration of the 10-week study and at least a 2-week period prior to the study.
  • Agree to taper your exercise routine prior to each of the 3 lab cycling sessions (as if preparing for a race event).
  • Agree to restrict (i.e., avoid high amounts of) black pepper, red pepper, garlic, curry, and other strong spices during the 3-day period prior to each lab visit.

You may not qualify if:

  • Inability to comply with study requirements.
  • Females trying to become pregnant, or currently pregnant or breastfeeding.
  • Nonpregnant adults who weigh less than 110 pounds.
  • Any other concurrent condition which, in the opinion of the principal investigator (PI), would preclude participation in this study or interfere with compliance.
  • Current diagnosis of gastrointestinal disease, cardiovascular disease, diabetes, or cancer (except for non-melanoma skin cancer).
  • Sensitivity to hemp fiber.
  • History of intolerance to cow's milk and lactose.
  • History of adverse symptoms to low amounts of lactulose, mannitol, and rhamnose sugars (low calorie and poorly absorbed sugars).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Appalachian State University Human Performance Lab, North Carolina Research Campus

Kannapolis, North Carolina, 28081, United States

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • David C Nieman, DrPH

    Appalachian State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Investigators and study participants will be blind to treatment allocation, with the hemp fiber-based supplement bars and placebo supplement bar of the same texture, taste, and look.
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: Randomized treatment, double blinded procedures, crossover
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 19, 2023

First Posted

January 12, 2024

Study Start

December 9, 2023

Primary Completion

July 1, 2024

Study Completion

September 15, 2024

Last Updated

September 26, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will share

Will share data upon reasonable request.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
January 2024, indefinitely
Access Criteria
Will share information upon reasonable request.

Locations