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CompletedNCT04795804Updated Nov 3, 2021

Human Milk Oligossaccharide and Acetate Production in Vivo

An interventional study of Human Milk Oligossaccharide and Maltodextrin in Obesity and Insulin Resistance, sponsored by Maastricht University Medical Center. Completed at 1 site in Netherlands. Open to male participants aged 30 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-03.

Sponsored by Maastricht University Medical Center · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Feb 2020, registered Dec 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
30 Years to 65 Years
Sex
Male
01

Study summary

The study investigators hypothesize (1) that the SCFA/acetate metabolism differs between metabolic phenotypes and (2) that using a mixture of fibres that differ in degree of polymerization and branching namely a resistant starch and a human-like milk oligosaccharide enhance the acetate availability in the distal colon and systemic circulation, consequently leading to its metabolic effects.

To study this, the investigators will supplement lean, normoglycaemic vs. overweight/obese, prediabetic men with the fibre mixture the day before the clinical investigation day (CID) and study during the CID its effects on fasting and postprandial substrate and energy metabolism.

02

Conditions studied

  • Obesity
  • Insulin Resistance

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03

In context

Insulin Resistance

1,960 studies on the registry are indexed under Insulin Resistance; 305 are open to participants now.

This study's enrollment of 19 is below the median of 40 across 1,535 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 835 studies on the registry; 122 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

Lean (BMI ≥ 20kg/m2 and ≤ 24.9kg/m2) healthy men aged 30 - 65 years

as well as

overweight/obese (BMI ≥ 25kg/m2 and ≤ 34.9kg/m2) prediabetic men aged between 30 - 65 years

Exclusion criteria

Exclusion criteria:

  • Type 2 diabetes mellitus (defined as fasting plasma glucose ≥ 7.1 mmol/L and 2h glucose ≥ 11.1 mmol/L)
  • Gastroenterological diseases or abdominal surgery;
  • Cardiovascular diseases, cancer, liver or kidney malfunction, disease with a life expectancy shorter than 5 years;
  • Abuse of products; alcohol and drugs, excessive nicotine use defined as >20 cigarettes per day;
  • Plans to lose weight or following of a hypocaloric diet;
  • Regular supplementation of pre- or probiotic products, use of pre- or probiotics 3 months prior to the start of the study;
  • Intensive exercise training more than three hours a week;
  • Use of any medication that influences glucose or fat metabolism and inflammation (i.e. NSAIDs);
  • Regular use of laxation products;
  • Use of antibiotics in the last three months (antibiotics use can alter substantially the gut microbiota composition).
  • Follow a vegan diet.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
19 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    11.43 g (3 x 3.81 g) maltodextrin the day before the clinical investigation day

    Dietary Supplement: Maltodextrin

  • Active comparator
    Human milk-like oligosaccharide alone

    12 g (3 x 4 g) of the human milk-like oligosaccharide the day before the clinical investigation day

    Dietary Supplement: Human Milk Oligossaccharide

  • Experimental
    Human milk-like oligosaccharide and resistant starch

    12 g (3 x 4 g) of the human milk-like oligosaccharide and 7.5g resistant starch (3 x 2.5 g) the day before the clinical investigation day

    Dietary Supplement: Human Milk Oligossaccharide and resistant starch

Interventions

  • Dietary supplementHuman Milk Oligossaccharide

    The day before the CIDs, the participants receive the supplements 3x a day in randomized order

  • Dietary supplementMaltodextrin

    The day before the CIDs, the participants receive the supplements 3x a day in randomized order

  • Dietary supplementHuman Milk Oligossaccharide and resistant starch

    The day before the CIDs, the participants receive the supplements 3x a day in randomized order

06

What researchers measure

Primary outcomes

  1. Plasma acetate concentrations.

    During the clinical investigation day plasma acetate will be sampled

    Time frame: plasma acetate will be sampled during the CID before the consumption of a liquid high fat mixed meal

  2. Plasma acetate concentrations.

    During the clinical investigation day plasma acetate will be sampled

    Time frame: plasma acetate will be sampled during the CID at t=60 minutes after consumption of a liquid high fat mixed meal

  3. Plasma acetate concentrations.

    During the clinical investigation day plasma acetate will be sampled

    Time frame: plasma acetate will be sampled during the CID at t=120 minutes after consumption of a liquid high fat mixed meal

  4. Plasma acetate concentrations.

    During the clinical investigation day plasma acetate will be sampled

    Time frame: plasma acetate will be sampled during the CID at t=240 minutes after consumption of a liquid high fat mixed meal

  5. Faecal acetate concentrations.

    On the day of clinical investigation day, fecal acetate will be sampled

    Time frame: Fecal acetate will be sampled in the morning before the testday

  6. Plasma butyrate concentrations.

    During the clinical investigation day, plasma butyrate will be sampled

    Time frame: plasma butyrate will be sampled during the CID before the consumption of a liquid high fat mixed meal

  7. Plasma butyrate concentrations.

    During the clinical investigation day, plasma butyrate will be sampled

    Time frame: plasma butyrate will be sampled during the CID at t=60 after consumption of a liquid high fat mixed meal

  8. Plasma butyrate concentrations.

    During the clinical investigation day, plasma butyrate will be sampled

    Time frame: plasma butyrate will be sampled during the CID at t=120 after consumption of a liquid high fat mixed meal

  9. Plasma butyrate concentrations.

    During the clinical investigation day, plasma butyrate will be sampled

    Time frame: plasma butyrate will be sampled during the CID at t=240 minutes after consumption of a liquid high fat mixed meal

  10. Fecal butyrate concentrations.

    On the day of clinical investigation day, fecal butyrate will be sampled

    Time frame: Fecal butyrate will be sampled in the morning before the testday

  11. Plasma propionate concentrations.

    During the clinical investigation day, plasma propionate will be sampled

    Time frame: Plasma propionate will be sampled during the CID before the consumption of a liquid high fat mixed meal

  12. Plasma propionate concentrations.

    During the clinical investigation day, plasma propionate will be sampled

    Time frame: Plasma propionate will be sampled during the CID t=60 minutes after the consumption of a liquid high fat mixed meal

  13. Plasma propionate concentrations.

    During the clinical investigation day, plasma propionate will be sampled

    Time frame: Plasma propionate will be sampled during the CID t=120 minutes after the consumption of a liquid high fat mixed meal

  14. Plasma propionate concentrations.

    During the clinical investigation day, plasma propionate will be sampled

    Time frame: Plasma propionate will be sampled during the CID t=240 minutes after the consumption of a liquid high fat mixed meal

  15. Faecal propionate concentrations.

    On the day of clinical investigation day, fecal propionate will be sampled

    Time frame: Fecal propionate will be sampled in the morning before the testday

Secondary outcomes

  1. Energy expenditure, fat and carbohydrate oxidation

    Energy expenditure, fat and carbohydrate oxidation will be measured using an open-circuit ventilated hood system (Omnical, Maastricht University, The Netherlands);

    Time frame: Indirect calorimetry will be measured before and for 4 hours after the consumption of the liquid high-fat mixed meal during the whole CID

  2. Breath H2 using (Bedfont EC60 Gastrolyzer, Rochester, UK).

    Breath H2 using (Bedfont EC60 Gastrolyzer, Rochester, UK).

    Time frame: Breath H2 will be sampled during the CID before and at t=30, t=60, t=90, t=120 and t=240 minutes after consumption of a liquid high fat mixed meal

  3. Plasma glucose concentrations

    Plasma glucose concentrations

    Time frame: Plasma glucose concentrations will be sampled during the CID before and t=0, t=30, t=60, t=120 and t=240 minutes after consumption of a liquid high fat mixed meal

  4. Plasma insulin concentrations

    Plasma insulin concentrations

    Time frame: Plasma insulin concentrations will be sampled during the CID before and at t=0, t=30, t=60, t=120 and t=240 minutes after consumption of a liquid high fat mixed meal

  5. Plasma FFA concentrations

    Plasma FFA concentrations

    Time frame: Plasma FFA concentrations will be sampled during the CID before and at t=0, t=30, t=60, t=120 and t=240 minutes after consumption of a liquid high fat mixed meal

  6. Faecal microbiota composition

    Faecal microbiota composition will be assessed via16S rRNA gene sequencing

    Time frame: Faecal microbiota composition will be sampled in the morning before the testday

07

Study locations

1 site
  • Maastricht University
    Maastricht, Limburg 5229ER, Netherlands
08

References and documents

Individual participant data

Plan to share: Undecided

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 Nov 3, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04795804
Lead sponsor
Maastricht University Medical Center
Responsible party
Sponsor
First posted
Mar 12, 2021
Start date
Feb 4, 2020
Primary completion
Oct 15, 2021
Completion
Oct 15, 2021
Last update
Nov 3, 2021

Oversight

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

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