ClinicalTrials.gg
CompletedNCT03860051Updated Mar 6, 2024

Association Between Lactase Deficiency, and the Small Intestinal Microbiome in Adults.

An observational study in Lactose Intolerance, sponsored by Indiana University. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-06.

Sponsored by Indiana University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
37
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to study the role of the enzyme (substance produced by the body that helps in a biochemical reaction like digestion in the body) responsible for digestion of lactose and the role of the gut bacteria (bacteria in the intestine) in producing symptoms of lactose intolerance.

Read the detailed description

The study involves 3 visits and will include 2 types of subjects - those who have the the diagnosis of lactose intolerance (subjects) and those who do not have lactose intolerance (controls).

Visit 1:

In total, it is estimated that the research participation will add about 1 hour to your planned procedure visit. At Visit 1 following will be done

  • Subjects will be asked to read and sign the informed consent after all the questions about the study have been answered.
  • General medical history will be taken including demographics, symptoms and history of illness, and medication review.
  • Vital signs (blood pressure, temperature, respiration, height, and weight) will be recorded.
  • Subjects will be asked to complete 2 questionnaires
  • Upper endoscopy will be done as part of routine clinical care
  • At the time of the endoscopy 4 extra biopsies (small piece of tissue) from the small intestines will be taken. The biopsies will be used for research to detect the bacteria and to measure the lactase enzyme.
  • Small sample of blood (10 mL) (2 teaspoons) will be taken for storage for possible future testing. This will be a one time draw only.
  • The research team may contact the subjects to arrange a Visit 2 if they are interested in proceeding with the next step in this research study.

Visit 2:

Visit 2 will take approximately 6 hours to complete. If the subject returns for Visit 2, they will do the following

  • They will return to the research office at Indiana University to participate in hydrogen breath test (test that uses the measurement of hydrogen in the breath to diagnose several conditions) to see how the body reacts to lactose. This involves drinking milk, then blowing into a bag so we can collect breath samples. Subjects will be asked to report any symptoms they might have during this time. This test will take approximately 6 hours. They will be instructed to eat a low-fiber meal the night before the test, and asked to fast for the 12 hours before the test. They can drink water during this time.
  • They will be also be asked to provide a stool sample for future analysis. Instructions for collection, storage and transportation of stool will be provided. They will be provided a kit for stool collection, storage and transportation. They will be asked to collect stool at home over the course of 2 days and store as per instructions. Stool will need to be refrigerated and brought back to the office on ice.

Visit 3:

Visit 3 will take approximately less than one hour to complete. For those who are interested in returning for Visit 3,

  • Subjects will be asked to return to the clinic with the stool samples.
  • They will complete the study at this time.

Participants who complete Aim 1 and meet further eligibility criteria for Aim 2 may be contacted by research staff to return for Visit 2 (breath test). Those who are agreeable to participating and are scheduled for Visit 2 will be instructed to consume a low-fiber meal and fast for 12 hours prior to their breath test. We will contact the participant 24 to 48 hours prior to the test day as a reminder to consume a low fiber meal and fast for 12 hours.

02

Conditions studied

  • Lactose Intolerance

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03

In context

Lactose Intolerance

53 studies on the registry are indexed under Lactose Intolerance; 6 are open to participants now.

This study's enrollment of 37 is below the median of 70 across 11 observational studies indexed under Lactose Intolerance.

Browse Lactose Intolerance studies →

Lead sponsor

Indiana University is the lead sponsor of 986 studies on the registry; 198 are open to participants now.

Of its 148 completed or terminated interventional studies of FDA-regulated products, 118 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Patient ages 18-75 presenting for upper gastrointestinal endoscopy for any indication except those outlined in the exclusion criteria below at the IU GI Endoscopy Sites including: IU North Hospital, Glen Lehman Endoscopy Suite, Springmill/Beltway Surgery Center, IU Saxony, and Eskenazi Hospital will be eligible for participation. Participants should be willing and able to sign informed consent.

Eligibility criteria

Patient ages 18-75 presenting for upper gastrointestinal endoscopy for any indication except those outlined in the exclusion criteria below at the IU GI Endoscopy Sites including: IU North Hospital, Glen Lehman Endoscopy Suite, Springmill/Beltway Surgery Center, IU Saxony, and Eskenazi Hospital will be eligible for participation. Participants should be willing and able to sign .

Inclusion Criteria for Controls (Aim 1): Adult patients ages 18-75 years meeting basic eligibility criteria as listed above will be considered for inclusion. Participants should report no current or recent history of intolerance to and avoidance of dairy nor use of treatments and products for dairy intolerance.

Inclusion Criteria for Patients with Self-Reported Lactose Intolerance (Aim 1): Adult patients ages 18-75 years meeting basic eligibility criteria as listed above will be considered for inclusion. Participants should report current or recent history of intolerance to and avoidance of dairy.

Inclusion Criteria for Controls (Aim 2): All controls eligible for and completing Aim 1 will be considered eligible for inclusion. Participants should not meet any of the Aim 2 exclusion criteria.

Inclusion Criteria for Patients with Self-Reported Lactose Intolerance (Aim 1): All patients with self-reported lactose intolerance eligible for and completing Aim 1 will be considered eligible for inclusion. Participants should not meet any of the Aim 2 exclusion criteria.

Exclusion criteria (Aim 1):

  1. Patients with known bleeding diathesis given the need for small intestinal mucosal .
  2. Patients with known history of eosinophilic esophagitis, inflammatory bowel disease, chronic pancreatitis or pancreatic insufficiency, celiac disease, peptic duodenitis
  3. Antibiotic-use within the last 30 days
  4. Major abdominal surgery except appendectomy or cholecystectomy > 6 months prior to enrollment
  5. Prior radiation therapy of the abdomen
  6. Use of tobacco products within the last 3 months
  7. Allergy to milk
  8. Currently pregnant or breast-feeding
  9. Patients taking anti-coagulant drugs

Exclusion criteria (Aim 2):

  1. Meeting any of the exclusion criteria as listed for Aim 1
  2. Known diagnosis of disorders associated with abnormal GI motility (gastroparesis, amyloidosis, neuromuscular disease including Parkinson's disease, collagen vascular disease, chronic malnutrition, and uncontrolled thyroid disease)
  3. History of small intestinal bacterial overgrowth
  4. Active peptic ulcer disease noted at the time of endoscopy
  5. Recent colonoscopy bowel preparation or colonic enema in the preceding 4 weeks
  6. Chronic immunodeficiency or chronic infectious illness
  7. Currently undergoing chemotherapy
  8. Patients taking anti-coagulant drugs
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
37 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Lactase activity

    Lactase activity (µmol/min/g) will be assessed from small bowel biopsy specimens

    Time frame: 1 day

Secondary outcomes

  1. Symptom severity

    We will assess symptom severity using the lactose assessment tool

    Time frame: 1 day

  2. Small intestinal mucosal microbiome

    The small intestinal microbiome will be assessed by 16S allele PCR sequencing (16S) and Shotgun Metagenomic Sequencing (SGS)

    Time frame: 1 day

  3. Maldigestion status

    Maldigestion status will be assessed by hydrogen breath test

    Time frame: 1 day

  4. Fecal microbiome

    The fecal microbiome will be assessed by 16S allele PCR sequencing (16S) and Shotgun Metagenomic Sequencing (SGS)

    Time frame: 1 day

07

Study locations

1 site
  • Indiana University Hospital
    Indianapolis, Indiana 46202, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03860051
Lead sponsor
Indiana University
Responsible party
Huiping Xu (Associate Professor, Indiana University) — Principal investigator
First posted
Mar 1, 2019
Start date
Nov 21, 2018
Primary completion
Jun 30, 2023
Completion
Jun 30, 2023
Last update
Mar 6, 2024

Study contacts

Andrea S Shin, MD
principal investigator · IU

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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