ClinicalTrials.gg
CompletedNCT04117802Updated Apr 15, 2024

Effects of Maple Syrup on Gut Microbiota Diversity and Metabolic Syndrome

An interventional study of Maple syrup and Placebo in Overweight, Microbiota and Endotoxemia, sponsored by Laval University. Completed at 1 site in Canada. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-15.

Sponsored by Laval University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
47
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

It has been suggested that the actual obesity epidemy is related to chronic overconsumption of added or free sugars. The increasing popularity of artificial sweeteners attest the population willingness to reduce added sugars intake and to use alternatives to alleviate health impact of free sugar overconsumption. However, recent findings suggest that artificial sweeteners may rather contribute to obesity epidemy and its associated adverse health effects, potentially via a negative impact on gut microbiota. It has been shown in various studies that, for the same amount of sucrose, unrefined sugars (such as maple syrup) are associated with favorable metabolic effects. The polyphenols contained in maple syrup, especially lignans, could contribute to these positive effects. Indeed, the strong impact of those biomolecules on the modulation of gut microbiota and on gastro-intestinal and metabolic health has been demonstrated in several studies. It is therefore highly relevant to test the hypothesis that the substitution of refined sugar by an equivalent amount of maple syrup (5% of daily energy intake) result in a lesser metabolic deterioration, by the modulation of maple syrup on gut microbiota, than the one observed with refined sugar.

02

Conditions studied

  • Overweight
  • Microbiota
  • Endotoxemia
  • Metabolic Syndrome
  • Non-Alcoholic Fatty Liver Disease
  • Insulin Resistance
03

In context

Overweight

3,599 studies on the registry are indexed under Overweight; 852 are open to participants now.

This study's enrollment of 47 is below the median of 78 across 3,120 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

Laval University is the lead sponsor of 380 studies on the registry; 67 are open to participants now.

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

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.

Inclusion criteria

  • between 23 and 40 kg/m2
  • At least one of the following: Fasting triglyceride > 1,35 mmol/L, Fasting insulinemia > 42 pmol/L, fasting glycemia between 5,5 and 6,9 mmol/L and (HbA1c) between 5.7 and 6.4 %
  • Understanding of spoken and written french
  • Accept to follow study instructions
  • If there is natural health product consumption, the dose and frequency of consumption must be stable since 3 months or more

Exclusion criteria

Exclusion Criteria:

  • Smoking
  • Any metabolic disorder requiring medication or affecting glucose or lipid metabolism
  • Aversion for maple taste
  • Allergy or intolerance for maple syrup or for an ingredient of the placebo syrup
  • Alcohol consumption of > 2 drinks / day
  • Weight change > 5% of body weight in the last 3 months
  • Being in a weight loss attempt
  • Antibiotics intake in the last 3 months
  • Regular probiotics intake in the last 3 months
  • Major surgical operation in the last 3 months or planned in the next months
  • Gastrointestinal malabsorption
  • Cirrhosis
  • Chronic kidney disease
  • Pregnant or breastfeeding women or women planning pregnancy in the next months
  • Participation in another clinical trial
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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Maple

    Other: Maple syrup

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • OtherMaple syrup

    Substitution of refined sugar by an equivalent quantity of maple syrup (5% of daily energy intake) in the participant diet. A dietitian will help study subjects to target added sugar sources in their usual diet and suggest ways to substitute it with maple syrup.

  • OtherPlacebo

    Substitution of refined sugar by an equivalent quantity of maple-flavored sucrose syrup (5% of daily energy intake) in the participant diet. A dietitian will help study subjects to target added sugar sources in their usual diet and suggest ways to substitute it with the placebo (sucrose syrup).

06

What researchers measure

Primary outcomes

  1. Change in Glucose homeostasis

    Evaluation of plasma glucose, insulin and c-peptide concentration using a 3-hour oral glucose tolerance test

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

Secondary outcomes

  1. Change in Endotoxemia

    Plasma Lipopolysaccharides (LPS) and Lipopolysaccharide Binding Protein (LBP)

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  2. Change in Intestinal permeability

    Plasma zonulin

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  3. Change in Inflammation state of the tissue

    Fecal calprotectin and chromogranin

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  4. Change in Short chain fatty acids in the feces

    Measure short chain fatty acids in the feces

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  5. Change in Gut health and stool consistency

    Evaluation of gastrointestinal symptoms and stool consistency using standardized questionnaires (the gastrointestinal symptom rating scale (GSRS) and Bristol stool chart)

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  6. Change in fat accumulation in the liver

    Evaluation of fat accumulation by magnetic resonance imaging (MRI)

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  7. Change in Glucose homeostasis

    Evaluation of glycated haemoglobin

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  8. Change in Lipid profile

    Evaluation of plasma triglycerides (TG), Total cholesterol, LDL, HDL, Apolipoprotein B and free fatty acids end of two dietary treatment

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  9. Change in anthropometric measurements

    Evaluation of bmi with weight and height measurements

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  10. Change in anthropometric measurements

    Evaluation of waist circumference

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  11. Change in body composition

    Evaluation of body composition by osteodensitometry

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  12. Change in chronic inflammation

    Evaluation of plasma high sensitive C-Reactive Protein (hs-CRP)

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  13. Change in gene expression levels

    Transcriptomic analyses to investigate underlying mechanisms of action

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  14. Change in circulating levels of plasma metabolites

    Metabolomic analyses to investigate underlying mechanisms of action

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  15. Change in maple-derived metabolites present in stool

    Evaluation of metabolome: camu-camu derived metabolites, short chain fatty acids, branched chain fatty acids, bile acids, phenolic compounds

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  16. Change in blood pressure

    Evaluation of systolic and diastolic blood pressure

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  17. Change in Gut Microbiota Composition

    Gut microbiota composition will be evaluated by 16S rRNA amplicon sequencing (V3-V4 region)

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  18. Change in Gut Microbiota Composition

    Gut microbiota composition will also be evaluated by whole genome sequencing

    Time frame: Change between the beginning and the end of maple syrup treatment (8 weeks)

  19. Change in Gut Microbiota alpha Diversity

    To quantify bacterial alpha diversity, Shannon's reciprocal index will be calculated

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  20. Change in Gut Microbiota alpha Diversity

    To quantify bacterial alpha diversity, Simpson's reciprocal index will be calculated

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

  21. Change in Gut Microbiota beta Diversity

    Principal component analysis (PCA) will be performed on the Aitchison distance matrix to measure beta diversity.

    Time frame: Change between the beginning and the end of each treatment (8 weeks each)

07

Study locations

1 site
  • INAF, Université Laval
    Québec, G1V 0A6, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04117802
Lead sponsor
Laval University
Responsible party
André Marette (Professor, Laval University) — Principal investigator
First posted
Oct 7, 2019
Start date
Sep 3, 2019
Primary completion
Dec 1, 2021
Completion
Dec 1, 2021
Last update
Apr 15, 2024

Oversight

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

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