An interventional study of Green Tea Extract and Placebo in Dysbiosis, Endotoxemia and Metabolic Syndrome, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-19.
Sponsored by Ohio State University · Not applicable, Interventional, and Prevention
This study evaluates dietary green tea extract to improve gut health and inflammation in persons with metabolic syndrome and healthy adults. Participants will complete two phases of intervention in random order in which they will consume green tea extract or placebo for one month and then switch to the opposite treatment for an additional month.
Tea is the most abundantly consumed prepared beverage in the world. Green tea, containing catechins, exerts antiinflammatory activities. However, a fundamental gap exists concerning its intestinal-level targets that can prevent metabolic syndrome (MetS) development and progression. Studies in obese rodents indicate that green tea inhibits nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB) activation by limiting gut-derived endotoxin translocation to the portal circulation and decreasing hepatic Toll-like receptor-4 (TLR4) pro-inflammatory signaling. The objective of this clinical investigation is to establish evidence-based recommendations for green tea, based on improvements in endotoxemia and restored gut barrier function, that promote optimal health. The hypothesis is that green tea catechins function to limit metabolic endotoxemia by ameliorating gut dysbiosis-mediated inflammation that otherwise provokes intestinal permeability. This will be tested by conducting a double-blind, placebo-controlled, randomized-order, crossover trial in MetS and healthy persons to examine the efficacy of green tea on metabolic endotoxemia. Each treatment will be one-month in duration and separated by a washout period. The anticipated outcomes are expected to be of significance, because they will advance a dietary strategy to help avert MetS complications attributed to metabolic endotoxemia by establishing antiinflammatory prebiotic and antimicrobial bioactivities of catechins that promote intestinal health.
187 studies on the registry are indexed under Dysbiosis; 64 are open to participants now.
This study's enrollment of 46 is below the median of 60 across 132 interventional studies indexed under Dysbiosis.
Browse Dysbiosis studies →Ohio State University is the lead sponsor of 663 studies on the registry; 148 are open to participants now.
Of its 67 completed or terminated interventional studies of FDA-regulated products, 49 (73%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Individuals with ≥3 of the following established criteria for metabolic syndrome:
Healthy adults:
Exclusion criteria:
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.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants consuming gummy confections with catechin-rich green tea extract daily for 4 weeks
Dietary Supplement: Green Tea Extract
Participants consuming matched gummy confections formulated without green tea extract daily for 4 weeks
Dietary Supplement: Placebo
A gummy confection with catechin-rich green tea extract (1 g/d)
Also known as: Camellia sinesis plant extract
A matched gummy confection formulated without green tea extract
Serum Endotoxin
Data are biomarker fasting concentrations.
Time frame: Day 28
Plasma Lipopolysaccharide-binding Protein
Data are biomarker fasting concentrations
Time frame: Day 28
Urinary Lactulose/Mannitol Ratio
Lactulose/mannitol ratio in urine collected 0-5 h post-ingestion of non-digestible sugar probes.
Time frame: Day 28
Urinary Sucralose/Erythritol Ratio
Sucralose/Erythritol ratio measured in urine collected 0-24 h post-ingestion of non-digestible sugar probes
Time frame: Day 28
Plasma Interleukin-6
Data are biomarker concentrations at fasting
Time frame: Day 28
Fecal Calprotectin
Data are biomarker fecal concentrations, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) of the 28-day intervention
Fecal Myeloperoxidase
Data are biomarker fecal concentrations, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) of the 28-day intervention
Plasma Epigallocatechin Gallate
Data are plasma concentrations of epigallocatechin gallate
Time frame: Day 28
Plasma Epicatechin
Data are plasma concentrations of epicatechin.
Time frame: Day 28
Plasma Epicatechin Gallate
Data are plasma concentrations of epicatechin gallate.
Time frame: Day 28
Plasma 3,4-γ-valerolactone
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma 3,4,5-γ-Valerolactone
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Soluble Cluster of Differentiation-14
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Glucose
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Insulin
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Triglyceride
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Total Cholesterol
Data are biomarker concentrations at fasting
Time frame: Day 28
Serum Alanine Transaminase
Data are biomarker concentrations at fasting
Time frame: Day 28
Serum Aspartate Transaminase
Data are biomarker concentrations at fasting
Time frame: Day 28
Blood Hematocrit
Data are biomarker concentrations at fasting
Time frame: Day 28
Plasma Tumor Necrosis Factor-alpha
Data are biomarker fasting concentrations
Time frame: Day 28
Fecal Butyrate
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Days 25-27 (pooled samples) of the 28-day intervention
Fecal Acetate
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Days 25-27 (pooled samples) of the 28-day intervention
Fecal Valeric Acid
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) from the 28-day intervention
Fecal Hexanoic Acid
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) from the 28-day intervention
Fecal Isobutyric Acid
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) from the 28-day intervention
Fecal 2-Methylbutyric
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) of the 28-day intervention
Fecal Isovaleric Acid
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
Time frame: Day 25-27 (pooled samples) of the 28-day intervention
Plasma Ascorbic Acid
Data are biomarker fasting concentrations
Time frame: Day 28
Plasma Uric Acid
Data are biomarker fasting concentrations
Time frame: Day 28
| Milestone | Healthy - Placebo Then GTE | MetS - GTE Then Placebo | Healthy- GTE Then Placebo | MetS - Placebo Then GTE |
|---|---|---|---|---|
| Started | 10 | 12 | 11 | 13 |
| Completed | 9 | 11 | 10 | 10 |
| Not completed | 1 | 1 | 1 | 3 |
| Withdrew: Withdrawal by subject | 1 | 1 | 1 | 3 |
| Milestone | Healthy - Placebo Then GTE | MetS - GTE Then Placebo | Healthy- GTE Then Placebo | MetS - Placebo Then GTE |
|---|---|---|---|---|
| Started | 9 | 11 | 10 | 10 |
| Completed | 9 | 11 | 10 | 10 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Healthy - Placebo Then GTE | MetS - GTE Then Placebo | Healthy- GTE Then Placebo | MetS - Placebo Then GTE |
|---|---|---|---|---|
| Started | 9 | 11 | 10 | 10 |
| Completed | 9 | 11 | 10 | 10 |
| Not completed | 0 | 0 | 0 | 0 |
Data are biomarker fasting concentrations.
| EU/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Serum Endotoxin | 31.6 ± 2.5 | 26.7 ± 2.6 | 44.5 ± 2.4 | 39.1 ± 2.5 |
Data are biomarker fasting concentrations
| ng/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Lipopolysaccharide-binding Protein | 4035 ± 339 | 4435 ± 380 | 7890 ± 1143 | 8572 ± 1394 |
Lactulose/mannitol ratio in urine collected 0-5 h post-ingestion of non-digestible sugar probes.
| ratio | Healthy - GTE | Healthy - Placebo | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Urinary Lactulose/Mannitol Ratio | 0.075 ± 0.009 | 0.084 ± 0.012 | 0.087 ± 0.013 | 0.065 ± 0.007 |
Sucralose/Erythritol ratio measured in urine collected 0-24 h post-ingestion of non-digestible sugar probes
| ratio | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Urinary Sucralose/Erythritol Ratio | 0.014 ± 0.0014 | 0.014 ± 0.0015 | 0.015 ± 0.001 | 0.015 ± 0.001 |
Data are biomarker concentrations at fasting
| pg/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Interleukin-6 | 1.9 ± 0.085 | 1.9 ± 0.070 | 3.1 ± 0.24 | 3.3 ± 0.29 |
Data are biomarker fecal concentrations, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| ug/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Calprotectin | 35.9 ± 5.5 | 24.4 ± 2.7 | 42.5 ± 9.3 | 36.7 ± 5.2 |
Data are biomarker fecal concentrations, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| ng/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Myeloperoxidase | 97.4 ± 9.9 | 83.4 ± 7.5 | 148.1 ± 40.9 | 97.9 ± 10.5 |
Data are plasma concentrations of epigallocatechin gallate
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Epigallocatechin Gallate | 0.001 ± 0.001 | 0.343 ± 0.057 | 0.00 ± 0.00 | 0.21 ± 0.04 |
Data are plasma concentrations of epicatechin.
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Epicatechin | 0.0 ± 0.0 | 0.022 ± 0.0048 | 0.00016 ± 0.00016 | 0.015 ± 0.003 |
Data are plasma concentrations of epicatechin gallate.
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Epicatechin Gallate | 0.002 ± 0.001 | 0.30 ± 0.037 | 0.002 ± 0.001 | 0.20 ± 0.027 |
Data are biomarker concentrations at fasting
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma 3,4-γ-valerolactone | 0.008 ± 0.005 | 0.17 ± 0.050 | 0.007 ± 0.003 | 0.090 ± 0.031 |
Data are biomarker concentrations at fasting
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma 3,4,5-γ-Valerolactone | 0.001 ± 0.001 | 0.034 ± 0.017 | 0.0017 ± 0.0010 | 0.0060 ± 0.0047 |
Data are biomarker concentrations at fasting
| ng/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Soluble Cluster of Differentiation-14 | 1465 ± 57 | 1459 ± 71 | 1424 ± 67 | 1367 ± 83 |
Data are biomarker concentrations at fasting
| mg/dL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Glucose | 86.3 ± 1.6 | 83.9 ± 1.5 | 98.9 ± 3.0 | 98.6 ± 2.6 |
Data are biomarker concentrations at fasting
| μIU/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Insulin | 6.4 ± 0.7 | 6.0 ± 0.6 | 19.6 ± 2.3 | 22.4 ± 3.8 |
Data are biomarker concentrations at fasting
| mg/dL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Triglyceride | 51.2 ± 4.1 | 54.7 ± 4.9 | 140.5 ± 14.0 | 149.9 ± 17.0 |
Data are biomarker concentrations at fasting
| mg/dL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Total Cholesterol | 195.5 ± 9.4 | 186.9 ± 6.7 | 220.1 ± 9.0 | 215.6 ± 10.2 |
Data are biomarker concentrations at fasting
| (U/L) | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Serum Alanine Transaminase | 15.0 ± 0.9 | 15.0 ± 1.0 | 24.2 ± 2.1 | 23.6 ± 2.3 |
Data are biomarker concentrations at fasting
| U/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Serum Aspartate Transaminase | 17.3 ± 0.9 | 17.5 ± 0.8 | 19.5 ± 0.8 | 20.2 ± 1.0 |
Data are biomarker concentrations at fasting
| Percent | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Blood Hematocrit | 44.3 ± 0.7 | 45.1 ± 0.8 | 44.0 ± 0.6 | 43.5 ± 0.6 |
Data are biomarker fasting concentrations
| pg/mL | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Tumor Necrosis Factor-alpha | 1.2 ± 0.32 | 2.3 ± 0.53 | 4.8 ± 0.81 | 5.0 ± 0.62 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Butyrate | 11.7 ± 1.8 | 10.8 ± 1.4 | 16.6 ± 2.4 | 13.9 ± 1.4 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Acetate | 35.9 ± 5.2 | 33.1 ± 3.4 | 47.9 ± 4.1 | 41.9 ± 3.5 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Valeric Acid | 0.95 ± 0.16 | 0.91 ± 0.13 | 2.04 ± 0.30 | 1.86 ± 0.25 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Hexanoic Acid | 0.56 ± 0.16 | 0.49 ± 0.14 | 0.98 ± 0.59 | 0.55 ± 0.32 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Isobutyric Acid | 1.86 ± 0.18 | 1.67 ± 0.22 | 1.87 ± 0.21 | 1.87 ± 0.15 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal 2-Methylbutyric | 1.29 ± 0.13 | 1.14 ± 0.16 | 1.20 ± 0.15 | 1.20 ± 0.11 |
Data are biomarker concentrations in fecal samples, measured in samples pooled from specimens collected on Days 25-27 of the 28-day intervention.
| umol/g | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Fecal Isovaleric Acid | 1.40 ± 0.14 | 1.22 ± 0.16 | 1.38 ± 0.16 | 1.40 ± 0.12 |
Data are biomarker fasting concentrations
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Ascorbic Acid | 40.2 ± 4.7 | 41.6 ± 4.3 | 32.1 ± 4.5 | 28.6 ± 3.6 |
Data are biomarker fasting concentrations
| umol/L | Healthy - Placebo | Healthy - GTE | MetS - Placebo | MetS - GTE |
|---|---|---|---|---|
| Plasma Uric Acid | 244.7 ± 13.8 | 256.0 ± 14.0 | 330.3 ± 13.9 | 319.8 ± 16.0 |
Collected over One month for each intervention. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Healthy Participants - GTE Confection Intervention | 0/20 (0%) | 0/20 (0%) | 0/20 (0%) |
| Healthy Participants - Placebo Confection Intervention | 0/20 (0%) | 0/20 (0%) | 0/20 (0%) |
| MetS Participants - GTE Confection Intervention | 0/22 (0%) | 0/22 (0%) | 0/22 (0%) |
| MetS Participants - Placebo Confection Intervention | 0/24 (0%) | 0/24 (0%) | 0/24 (0%) |
| Age, Categorical(Participants) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 9 | 10 | 10 | 11 | 40 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Female | 5 | 7 | 5 | 8 | 25 |
| Male | 4 | 3 | 5 | 3 | 15 |
| Race and Ethnicity Not Collected(Participants) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Count of participants | — | — | — | — | 0 |
| Region of Enrollment(participants) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| United States | 9 | 10 | 10 | 11 | 40 |
| BMI(kg/m^2) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Mean | 21.5 ± 1.3 | 23.1 ± 2.1 | 36.9 ± 5.5 | 33.7 ± 3.2 | 29.1 ± 7.4 |
| Fasting blood glucose(mg/dL) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Mean | 87.1 ± 5.6 | 91.0 ± 5.9 | 105.0 ± 6.5 | 100.2 ± 10.3 | 96.1 ± 10.1 |
| Fasting triglycerides(mg/dL) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Mean | 47.2 ± 16.8 | 73.5 ± 24.1 | 132.7 ± 66.1 | 199.5 ± 83.1 | 117.0 ± 81.0 |
| Fasting HDL(mg/dL) | Healthy-Placebo Then GTE | Healthy- GTE Then Placebo | MetS- Placebo Then GTE | MetS- GTE Then Placebo | Total |
|---|---|---|---|---|---|
| Mean | 64.3 ± 17.5 | 59.2 ± 12.7 | 42.3 ± 11.9 | 36.1 ± 5.6 | 49.7 ± 16.7 |
3 further baseline measures are reported on the registry.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Jul 2019 to primary completion in Mar 2021, 20 months.
Results were first posted in Dec 2025, 4 years 9 months after primary completion.
Of 71 non-industry interventional studies with no phase under Dysbiosis, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 28. This study's 20 months is close to that.
Counting every sponsor, half of 83 studies reached it within 19 months; a quarter within 10 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Green Tea Extract