An interventional study of Green Tea Extract and Placebo in Obesity, Endotoxemia and Inflammation, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-13.
Sponsored by Ohio State University · Not applicable, Interventional, and Prevention
This study is focused on assessing gastrointestinal-level improvements by which green tea limits metabolic endotoxemia. It is completed in two phases. Phase I consists of a pharmacokinetic study to examine the bioavailability of green tea catechins among lean and obese persons who consumed a single dose of a green tea extract (GTE)-containing confection. These persons will then complete phase 2, which consists of a parallel design randomized controlled in which lean and obese persons will consume placebo or GTE confections.
It is expected that catechin-rich green tea will improve gut barrier function to prevent endotoxin translocation and associated low-grade inflammation. Outcomes will therefore support dietary recommendations for green tea to alleviate obesity-related inflammatory responses. Specifically, the study is expected to demonstrate that a green tea confection snack food can attenuate metabolic endotoxemia in association with restoring gastrointestinal health.
Obesity is a major public health concern in the United States, with over two-thirds of the adult population classified as overweight or obese. Obesity is characterized by low-grade chronic inflammation that, in part, is mediated by metabolic endotoxemia. Metabolic endotoxemia describes increased circulating levels of gut-derived endotoxin (a bacterial product derived from Gram-negative bacteria in the intestines) that results from gut barrier dysfunction, a phenomenon that is common in obesity. Studies in rodents models have shown that dietary supplementation with green tea extract (GTE) reduces metabolic endotoxemia in association with improved gut health. This clinical trial will therefore investigate the extent to which a green tea confection snack food can alleviate metabolic endotoxemia and restore gut health in obese humans. It is hypothesized that 4-week daily ingestion of a green tea extract (GTE)-rich confection will limit metabolic endotoxemia by decreasing gut barrier permeability. This study will address the following objectives: 1) define alterations in catechin pharmacokinetics in obese compared with healthy adults, 2) demonstrate improvements in gut barrier function by GTE, and 3) demonstrate GTE-mediated amelioration of microbial dysbiosis.
To test the hypothesis, all participants will initially complete a 12-h pharmacokinetics study to define the influence of obesity on catechin bioavailability and metabolism. They will then be randomized to complete a double-blind, randomized, placebo-controlled trial where they will receive a GTE-rich or placebo confection for 4 weeks. Prior to and upon completing the intervention, participants will undergo a gut permeability test, fecal samples will be collected for microbiota composition analysis, and blood samples will be collected to assess endotoxin and inflammatory biomarkers. Upon successfully completing this study, it is anticipated that chronic consumption of a green tea confection will be demonstrated to be an effective dietary strategy to reduce metabolic endotoxemia and improve gut health.
Exclusion Criteria:
Confection without green tea extract consumed daily for 4 weeks
Other: Placebo
Confection with green tea extract consumed daily for 4 weeks
Other: Green Tea Extract
Confections containing green tea extract that will be ingested daily for 4 weeks
Confections containing no green tea extract that will be ingested daily for 4 weeks
Endotoxin
Serum endotoxin concentration
Time frame: Week 0 - Fasting
Endotoxin
Serum endotoxin concentration
Time frame: Week 2 - Fasting
Endotoxin
Serum endotoxin concentration
Time frame: Week 4 - Fasting
Gut Permeability - Lactulose to Mannitol Ratio
Urinary Lactulose/Mannitol Ratio (mg/mg)
Time frame: Week 0 - 0-5 hours
Gut Permeability - Lactulose to Mannitol Ratio
Urinary Lactulose/Mannitol Ratio (mg/mg)
Time frame: Week 0 - 6-24 hours
Gut Permeability - Lactulose to Mannitol Ratio
Urinary Lactulose/Mannitol Ratio (mg/mg)
Time frame: Week 4 - 0-5 hours
Gut Permeability - Lactulose to Mannitol Ratio
Urinary Lactulose/Mannitol Ratio (mg/mg)
Time frame: Week 4 - 6-24 hours
Gut Permeability - Sucralose to Erythritol Ratio
Urinary Sucralose/Erythritol Ratio (mg/mg)
Time frame: Week 0 - 6-24 hours
Gut Permeability - Sucralose to Erythritol Ratio
Urinary Sucralose/Erythritol Ratio (mg/mg)
Time frame: Week 0 - 0-24 hours
Urinary Sucralose/Erythritol Ratio (mg/mg)
Ratio of excretion of urinary sugars (Sucralose to Erythritol)
Time frame: Week 4 - 6-24 hours
Gut Permeability - Sucralose to Erythritol Ratio
Urinary Sucralose/Erythritol Ratio (mg/mg)
Time frame: Week 4 - 0-24 hours
Firmicutes to Bacteroidetes Ratio - Microbiota
Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)
Time frame: Week 0
Firmicutes to Bacteroidetes Ratio - Microbiota
Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)
Time frame: Week 4
Bioavailability - Epigallocatechin Gallate
Area under the curve (AUC) of plasma epigallocatechin calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin gallate is measured in umol/L over time (hours) resulting in the AUC.
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection
Bioavailability - Epigallocatechin
Area under the curve (AUC) of plasma epigallocatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin is measured in umol/L over time (hours) resulting in the AUC.
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection
Bioavailability - Epicatechin Gallate
Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechins is measured in umol/L over time (hours) resulting in the AUC.
Time frame: Prior to the intervention enrollment...0-12 hours post-ingestion of a green tea confection
Bioavailability - Epicatechin
Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechin is measured in umol/L over time (hours) resulting in the AUC.
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection
Cmax of Epigallocatechin Gallate
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Cmax of Epigallocatechin
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Cmax of Epicatechin Gallate
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Cmax of Epicatechin
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Tmax of Epigallocatechin Gallate
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Tmax of Epigallocatechin
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Tmax of Epicatechin Gallate
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Tmax of Epicatechin
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection
Calprotectin
Fecal calprotectin concentration
Time frame: Week 0
Calprotectin
Fecal calprotectin concentration
Time frame: Week 4
| Milestone | Lean - Placebo | Lean - GTE | Obese - Placebo | Obese - GTE |
|---|---|---|---|---|
| Started | 10 | 10 | 10 | 10 |
| Completed | 10 | 10 | 10 | 10 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Lean - Placebo | Lean - GTE | Obese - Placebo | Obese - GTE |
|---|---|---|---|---|
| Started | 10 | 10 | 10 | 10 |
| Completed | 10 | 10 | 9 | 10 |
| Not completed | 0 | 0 | 1 | 0 |
Serum endotoxin concentration
| EU/mL | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Endotoxin | 14.44 ± 4.46 | 12.97 ± 6.44 | 12.25 ± 6.05 | 17.65 ± 12.58 |
Serum endotoxin concentration
| EU/mL | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Endotoxin | 13.59 ± 7.38 | 12.38 ± 7.53 | 13.00 ± 5.44 | 15.62 ± 5.32 |
Serum endotoxin concentration
| EU/mL | Lean | Obese | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Endotoxin | 12.33 ± 4.55 | 16.46 ± 4.91 | 11.33 ± 5.56 | 15.45 ± 6.94 |
Urinary Lactulose/Mannitol Ratio (mg/mg)
| Ratio | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Lactulose to Mannitol Ratio | 0.12 ± 0.06 | 0.09 ± 0.03 | 0.10 ± 0.05 | 0.10 ± 0.03 |
Urinary Lactulose/Mannitol Ratio (mg/mg)
| Urinary Lactulose/Mannitol Ratio (mg/mg) | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Lactulose to Mannitol Ratio | 0.16 ± 0.10 | 0.11 ± 0.10 | 0.19 ± 0.12 | 0.19 ± 0.14 |
Urinary Lactulose/Mannitol Ratio (mg/mg)
| Urinary Lactulose/Mannitol Ratio (mg/mg) | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Lactulose to Mannitol Ratio | 0.12 ± 0.13 | 0.14 ± 0.10 | 0.10 ± 0.06 | 0.12 ± 0.08 |
Urinary Lactulose/Mannitol Ratio (mg/mg)
| Urinary Lactulose/Mannitol Ratio (mg/mg) | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Lactulose to Mannitol Ratio | 0.14 ± 0.11 | 0.18 ± 0.18 | 0.19 ± 0.12 | 0.21 ± 0.12 |
Urinary Sucralose/Erythritol Ratio (mg/mg)
| Urinary Sucralose/Erythritol (mg/mg) | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Sucralose to Erythritol Ratio | 0.02 ± 0.01 | 0.02 ± 0.01 | 0.02 ± 0.01 | 0.02 ± 0.01 |
Urinary Sucralose/Erythritol Ratio (mg/mg)
| Urinary Sucralose/Erythritol (mg/m | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Sucralose to Erythritol Ratio | 0.02 ± 0.01 | 0.02 ± 0.01 | 0.02 ± 0.004 | 0.02 ± 0.004 |
Ratio of excretion of urinary sugars (Sucralose to Erythritol)
| Urinary Sucralose/Erythritol (mg/m | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Urinary Sucralose/Erythritol Ratio (mg/mg) | 0.01 ± 0.01 | 0.01 ± 0.01 | 0.02 ± 0.01 | 0.02 ± 0.02 |
Urinary Sucralose/Erythritol Ratio (mg/mg)
| Urinary Sucralose/Erythritol (mg/m | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Gut Permeability - Sucralose to Erythritol Ratio | 0.01 ± 0.02 | 0.02 ± 0.01 | 0.02 ± 0.01 | 0.02 ± 0.01 |
Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)
| % of abundance | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Firmicutes to Bacteroidetes Ratio - Microbiota | 4.34 ± 3.17 | 3.52 ± 2.32 | 21.51 ± 31.65 | 9.36 ± 7.48 |
Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)
| ratio | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Firmicutes to Bacteroidetes Ratio - Microbiota | 4.90 ± 3.74 | 8.95 ± 15.13 | 4.69 ± 4.17 | 9.32 ± 3.95 |
Area under the curve (AUC) of plasma epigallocatechin calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin gallate is measured in umol/L over time (hours) resulting in the AUC.
| umol/L x h | Lean | Obese |
|---|---|---|
| Bioavailability - Epigallocatechin Gallate | 3.46 ± 0.3 | 2.62 ± 0.3 |
Area under the curve (AUC) of plasma epigallocatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin is measured in umol/L over time (hours) resulting in the AUC.
| umol/L x h | Lean | Obese |
|---|---|---|
| Bioavailability - Epigallocatechin | 1.18 ± 0.1 | 0.88 ± 0.1 |
Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechins is measured in umol/L over time (hours) resulting in the AUC.
| umol/L x h | Lean | Obese |
|---|---|---|
| Bioavailability - Epicatechin Gallate | 1.06 ± 0.1 | 0.78 ± 0.1 |
Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechin is measured in umol/L over time (hours) resulting in the AUC.
| umol/L x h | Lean | Obese |
|---|---|---|
| Bioavailability - Epicatechin | 0.78 ± 0.1 | 0.57 ± 0.04 |
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| umol/L | Lean | Obese |
|---|---|---|
| Cmax of Epigallocatechin Gallate | 0.5 ± 0.04 | 0.38 ± 0.03 |
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| umol/L | Lean | Obese |
|---|---|---|
| Cmax of Epigallocatechin | 0.22 ± 0.01 | 0.18 ± 0.01 |
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| umol/L | Lean | Obese |
|---|---|---|
| Cmax of Epicatechin Gallate | 0.14 ± 0.01 | 0.09 ± 0.01 |
Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| umol/L | Lean | Obese |
|---|---|---|
| Cmax of Epicatechin | 0.16 ± 0.1 | 0.13 ± 0.1 |
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| h | Lean | Obese |
|---|---|---|
| Tmax of Epigallocatechin Gallate | 3.32 ± 0.25 | 2.65 ± 0.26 |
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| h | Lean | Obese |
|---|---|---|
| Tmax of Epigallocatechin | 1.92 ± 0.25 | 1.41 ± 0.15 |
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| h | Lean | Obese |
|---|---|---|
| Tmax of Epicatechin Gallate | 4.05 ± 0.24 | 3.94 ± 0.39 |
Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
| h | Lean | Obese |
|---|---|---|
| Tmax of Epicatechin | 1.66 ± 0.24 | 1.53 ± 0.19 |
Fecal calprotectin concentration
| ug/g | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Calprotectin | 64.99 ± 79.07 | 27.54 ± 20.58 | 32.01 ± 25.52 | 62.62 ± 90.84 |
Fecal calprotectin concentration
| ug/g | Lean - GTE | Obese - GTE | Lean - Placebo | Obese - Placebo |
|---|---|---|---|---|
| Calprotectin | 249.62 ± 590.21 | 25.74 ± 13.94 | 36.20 ± 24.15 | 73.04 ± 103.90 |
Collected over 1 month. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lean - Placebo | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| Obese - Placebo | 0/9 (0%) | 0/9 (0%) | 0/9 (0%) |
| Lean - GTE | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| Obese - GTE | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| Age, Categorical(Participants) | Placebo Confection | Green Tea Extract-Confection | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 20 | 20 | 40 |
| >=65 years | 0 | 0 | 0 |
| Age, Continuous(years) | Placebo Confection | Green Tea Extract-Confection | Total |
|---|---|---|---|
| Mean | 28. ± 6.48 | 28.35 ± 9.04 | 28.175 ± 7.77 |
| Sex: Female, Male(Participants) | Placebo Confection | Green Tea Extract-Confection | Total |
|---|---|---|---|
| Female | 12 | 8 | 20 |
| Male | 8 | 12 | 20 |
| Race and Ethnicity Not Collected(Participants) | Placebo Confection | Green Tea Extract-Confection | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Placebo Confection | Green Tea Extract-Confection | Total |
|---|---|---|---|
| United States | 20 | 20 | 40 |
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Plan to share: No — Data will be published as aggregate only. Data sharing may be possible pending institutional agreements.
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Ohio State University