Effect of 4 Weeks of Oral D. Piger on Safety, Pharmacokinetics and Ethanol Metabolism in Overweight Individuals (2023)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-70
SponsorMax Nieuwdorp

About this trial

The goal of the study is to determine the effect of supplementation of the d piger strain on intestinal ethanol production in individuals with overweight.

The investigators will perform a randomized trial in 2x10 participants to measure effects on ethanol in blood, and perform fecal analyses.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Increased waist circumference (>102 cm men, 88>cm women)

Insulin resistance (HOMA>2.5)

18-70 years

Disqualifiers

Use of systemic medication (except for paracetamol), including antibiotics and pro-/prebiotics in the past three months or during the study period.

A history of a cardiovascular event

A history of cholecystectomy

Overt untreated gastrointestinal disease or abnormal bowel habits

Trial design

Design model

Parallel

Treatments tested in this trial

  • D piger

    Dietary supplement

    Probiotic d piger

  • Placebo

    Dietary supplement

    Placebo

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: PlaceboPlacebo comparator 1 intervention
Group B: D pigerExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Gut engraftment

the number of reads of d piger in feces using q pcr

Time frame
30 days
2

adverse events

the number of adverse events in both groups

Time frame
30 days
3

Renal function

Number of participants with a decreased kidney function, defined as a rise in serum creatinine of \>26,5 micromol/L in 48 h

Time frame
30 days
4

Occurence of anemia

Number of patients with Hb \< 8,5 mmol/L

Time frame
30 days

Secondary outcomes

1

Fructose in peripheral blood

Area under the curve of fructose in peripheral blood upon ingestion of 1 gram / kg unlabeled fructose in combination with 1000mg of D-fructose-13C6

Time frame
30 days
2

Fructose metabolites in breath

Area under the curve of various metabolites (e.g. ethanol) will be measured in breath samples upon ingestion of 1 gram / kg unlabeled fructose in combination with 1000mg of D-fructose-13C6

Time frame
30 days
3

Time-in-range

Increase in Time-in-range (TIR,%), a parameter of continuous glucose monitoring devices, where TIR can be between 0 and 100%. A higher TIR reflects a better outcome.

Time frame
30 days
4

Continuous glucose monitoring

Decrease in glucose variability (GV, %), a parameter of continuous glucose monitoring devices, where GV can be between 0 and 100%. A lower GV reflects a better outcome.

Time frame
30 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Max Nieuwdorp

Lead sponsor

Amsterdam University Medical Center (UMC), Location Academic Medical Center (AMC)

Sponsor institution