About this trial
This single-arm clinical trial investigates the effects of daily durian consumption on the gut microbiome, host metabolome, and glucose metrics in adults with type 2 diabetes mellitus (T2DM). Forty adults with T2DM will undergo a pre-durian phase, a durian consumption phase, and a post-durian phase, each lasting 10 to 14 days. Participants will attend five visits at Singapore General Hospital for clinical assessments, continuous glucose monitoring, fasting blood collection, stool sample collection, and dietary and stool record submission. The study aims to determine whether durian consumption alters microbiome and metabolomic profiles and whether it affects glycemic measures in adults with T2DM.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 21 to 70 years.
Diagnosis of type 2 diabetes mellitus.
Agrees to consume durian for 2 weeks.
Body mass index 25 to 40 kg/m².
Disqualifiers
Known or suspected intolerance or allergy to durian.
Known skin reaction to adhesives used in a continuous glucose sensor.
Uncontrolled diabetes (HbA1c greater than 8.5%).
Severe hypertriglyceridemia (triglycerides greater than 4.5 mmol/L).
Trial design
Single group
Treatments tested in this trial
Durian pulp
Dietary supplementFresh durian pulp supplied by the study team. Participants consume 100 g on Day 1, then 200 g daily from Day 2 onward during the durian phase for 10 to 14 days. Participants record the timing and amount consumed each day.
Treatment groups
Trial outcomes
Primary outcomes
Change in gut microbiome composition following durian consumption
Gut microbiome composition will be assessed from stool samples using comprehensive metagenomic sequencing, comparing pre-durian, durian, and post-durian phases.
Change in plasma metabolomic profile following durian consumption
Plasma metabolomic changes will be assessed using mass spectrometry-based multi-omics profiling across study phases.
Change in glucose metrics during and after durian consumption
Continuous glucose monitoring data will be used to evaluate interstitial glucose patterns and gluometric parameters across study phases.
Secondary outcomes
Change in fasting plasma glucose
Fasting glucose measured from blood samples across study visits.
Change in fasting insulin
Fasting insulin measured from blood samples across study visits.
Change in lipid profile
Lipid panel measured from fasting blood samples across study visits.
Sponsors and contacts
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