Clinical Trial on Digestive Enzymes: Effects on Post-Meal Response to High-Macronutrient Meals
A Randomized, Double-blind, Placebo-controlled, Crossover Clinical Trial to Investigate the Effect of Digestive Enzyme Supplementation on Postprandial Responses to a High-macronutrient Meal
1 other identifier
interventional
24
1 country
1
Brief Summary
This study aims to show how digestive enzyme supplements help the body break down fats, proteins, and carbohydrates, especially after eating a high-macronutrient meal. Digestive enzymes are essential for nutrient absorption, but some people-such as those with certain medical conditions or high-protein diets-may not produce enough on their own. Poor digestion can lead to bloating, discomfort, and gut imbalances. This clinical trial tests a delayed-release, porcine-derived enzyme blend to see if it improves digestion and reduces symptoms like bloating and gas after eating a high-macronutrient meal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jul 2025
Shorter than P25 for phase_2
1 active site
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
First Submitted
Initial submission to the registry
April 22, 2025
CompletedFirst Posted
Study publicly available on registry
April 29, 2025
CompletedStudy Start
First participant enrolled
July 11, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 11, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 11, 2026
CompletedMay 1, 2026
April 1, 2026
7 months
April 22, 2025
April 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To Assess the effect of the TP on lipid digestion after a single dose using area under the curve (AUC0-t) - Total Triglycerides
Comparison of total Triglycerides (TG) up to 360 min in response to the high-macronutrient meal.
30,60,90,120,180,210,240,270,300,330 and 360 minutes
Secondary Outcomes (15)
To assess the effect of the TP on lipid digestion after a single dose using maximum concentration (Cmax): Total Triglycerides
30,60,90,120,180,210,240,270,300,330 and 360 minutes
To assess the effect of the TP on lipid digestion after a single dose using time to reach maximum concentration (Tmax) - Total Triglycerides
30,60,90,120,180,210,240,270,300,330 and 360 minutes
To assess the effect of the TP on protein digestion after a single dose using area under the curve (AUC0-t):Total Free Amino Acids (TFAA)
30,45,60,75,90,105,120,150,180,210,240,270,300,330,360 minutes
To assess the effect of the TP on protein digestion after a single dose using maximum concentration (Cmax):Total Free Amino Acids(TFAA)
30,45,60,75,90,105,120,150,180,210,240,270,300,330,360 minutes
To assess the effect of the TP on protein digestion after a single dose using time to reach maximum concentration (Tmax):Total Free Amino Acids(TFAA)
30,45,60,75,90,105,120,150,180,210,240,270,300,330,360 minutes
- +10 more secondary outcomes
Other Outcomes (1)
To assess the safety of the TP
8 weeks
Study Arms (2)
Digestive Enzyme Blend
ACTIVE COMPARATORActive ingredients: Porcine Pancreatic Enzyme
Placebo
PLACEBO COMPARATORActive ingredients: None
Interventions
Eligibility Criteria
You may qualify if:
- Healthy adults who are 18 to 60 years of age (inclusive).
- In good general health (no underlying diseases or conditions) as deemed by the investigator.
- Have a body mass index (BMI) between 18.5 to 29.9 kg/m2 (inclusive).
- Weigh no less than 60 kilograms at screening and baseline.
- Self-reported presence of GI symptoms after consuming a high-fat meal.
- Are able to orally consume a porcine-based product in a form of capsule.
- Are able to consume a high-macronutrient meal within 20 minutes in-clinic, consisting of the following items:
- x BOOST® Protein+ Chocolate Meal Replacement Shake (325 mL)
- x McDonald's Sausage N'Egg McMuffin®
- x 3.25% Whole Milk (\~250 mL)
- x McDonald's Hash Brown
- x McDonald's Hotcakes with Butter (no syrup)
- Are able to consume a high-macronutrient meal at home each day as per the requirements:
- Supplement participants' meals to ensure the macronutrient targets are met with a supply of CLIF Builders Chocolate Peanut Butter Flavour Protein Bars (\~1 per day) prior to the at-home period.
- Consume the high-macronutrient at-home meal within the hours of 11:00 am to 7:00 pm daily.
- +11 more criteria
You may not qualify if:
- Individuals who are lactating, pregnant or planning to become pregnant during the study, or demonstrate a positive pregnancy test at Visit 2.
- Have a known sensitivity, intolerability, or allergy to any of the study products or their excipients, or any of the ingredients in the high-macronutrient meal (in-clinic and at home).
- Currently following, or plan to follow a restrictive diet during the study, including low-fat, ketogenic or any other diet that significantly alters macronutrient intake.
- Have Type I diabetes, Type II diabetes, high blood pressure (≥140 systolic or ≥90 diastolic mmHg), or thyroid disease.
- Have a diagnosis of hypercholesterolemia or hypertriglyceridemia.
- Have a history of liver or gallbladder disease or stomach ulcers.
- Have a history of irritable bowel syndrome (IBS), inflammatory bowel disease (IBD, including ulcerative colitis), functional constipation or diarrhea (defined by the Rome IV diagnostic criteria), functional dyspepsia, celiac disease, malabsorption, gastroparesis, diverticulosis, gastric or duodenal ulcers, or eating disorder; or have a history of intestinal surgery (excluding appendectomy or herniorrhaphy) or bariatric surgery.
- Have blood or bleeding disorders (e.g. anemia).
- Have medical condition(s) known to interfere with absorption, distribution, metabolism, or excretion of the study product (e.g., Crohn's disease, short bowel, acute or chronic pancreatitis, or pancreatic insufficiency).
- Have a history of heart/cardiovascular disease, renal disease (dialysis or renal failure), hepatic impairment/disease, immune disorders and/or immunocompromised (i.e., HIV/AIDS).
- Have a history of cancer (except localized skin cancer without metastases or in situ cervical cancer), unless recovery occurred more than 5 years before the screening visit.
- Are receiving treatments for or have been hospitalized in the last 12 months for psychiatric disorders (e.g., depression, bipolar disorder, schizophrenia, etc.).
- Reports a clinically significant illness during the 28 days before the first dose of study product.
- Major surgery in 3 months prior to screening or planned major surgery during the study.
- Have a history of alcohol or substance abuse in the 12 months prior to screening (including having been hospitalized for such in an in-patient or out-patient intervention program) or use that in the opinion of the investigator may be of a concern for the study.
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Apex Trials
Guelph, Ontario - on, N1G 0B4, Canada
Study Officials
- STUDY DIRECTOR
Toni Matoski
Pancap Pharma Inc.
- STUDY CHAIR
John Mikhail
Pancap Pharma Inc.
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 22, 2025
First Posted
April 29, 2025
Study Start
July 11, 2025
Primary Completion
February 11, 2026
Study Completion
February 11, 2026
Last Updated
May 1, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share