ClinicalTrials.gg
CompletedNCT05764200Updated Jun 11, 2026

Acute Microbial Switch

An interventional study of Two day supplementation of a complex fiber mixture and Placebo supplementation in Insulin Sensitivity, Glucose Metabolism Disorders (Including Diabetes Mellitus) and Hyperinsulinism, sponsored by Maastricht University Medical Center. Completed at 2 sites in Netherlands. Open to participants aged 30 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-11.

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

Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
01

Study summary

In this project the investigators will test if it is possible to measure changes in intestinal gas production after supplementation of a complex fiber mixture over a 36 hour period in both lean normoglycemic individuals and individuals with insulin resistance and/or prediabetes with overweight when compared with a placebo

Changes in intestinal gas production will also be related to energy expenditure, substrate metabolism, microbial composition and related metabolites in feces, blood and urine.

Read the detailed description

In this project the investigators aim to test whether it is possible to precisely measure the changes in fermentation gas patterns after supplementation of a complex fibre mixture over a 36-hour period in both lean normoglycemic and individuals with insulin resistance and/or prediabetes with overweight when compared with a placebo. Additionally, the investigators will investigate whether changes in fermentation patterns will be directly related to changes in carbohydrate and fat oxidation and to microbial composition or related metabolites and hormones in blood, faeces, and urine.

02

Conditions studied

  • Insulin Sensitivity
  • Glucose Metabolism Disorders (Including Diabetes Mellitus)
  • Hyperinsulinism

Keywords

  • microbiota
  • insulin sensitivity
  • fiber
03

In context

Insulin Resistance

2,969 studies on the registry are indexed under Insulin Resistance; 338 are open to participants now.

This study's enrollment of 29 is below the median of 40 across 2,369 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 853 studies on the registry; 114 are open to participants now.

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

04

Who can participate

Ages eligible
30 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

  • Lean normoglycemic individuals:
  • Lean ( ≥ 18.5 kg/m2 and ≤ 24.9 kg/m2 );
  • Normal fasting glucose (plasma glucose \< 5.6 mmol/L) and a HOMA-IR\< 2.2

Individuals with overweight/obesity and prediabetes/insulin resistance:

  • Overweight/obesity (BMI ≥ 28 kg/m2 and ≤ 40 kg/m2 );
  • insulin resistance (HOMA-IR>2.2) and/or impaired fasting glucose (IFG: plasma glucose ≥ 5.6 mmol/l)

For both subject groups:

  • Aged 30 - 75 years;
  • Normal blood pressure (systolic blood pressure 100-150mmHg, diastolic blood pressure 60-100 mmHg);
  • Weight stable for at least 3 months (± 2 kg)

Exclusion criteria

Exclusion Criteria:

  • T2DM (defined as fasting plasma glucose ≥ 7.0 mmol/L)
  • Gastroenterological diseases
  • Abdominal surgery affecting the GI tract;
  • Cardiovascular diseases, cancer, liver or kidney malfunction, disease with a shorter than five years;
  • Abuse of products;

    • Alcohol (> 15 standard units per week)
    • 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 three months prior to the start of the study;
  • Intensive exercise training more than three hours a week;
  • Use of most medications that influence glucose or fat metabolism, like some lipid lowering-drugs (e.g., PPAR γ or PPARα (fibrates) agonists), glucose-lowering agents (including all sulfonylureas, biguanides, α-glucosidase inhibitors, thiazolidinediones, repaglinide, nateglinide and insulin), inflammation (e.g., anti-inflammatory* or drugs) and anti-oxidants;
  • Regular use of laxatives;
  • Use of antibiotics in the last three months (antibiotics use can alter substantially the gut microbiota composition).
  • Veganism
  • Lactose intolerance
  • For women: pregnancy or lactation
Terms in these criteria, in plain language(3)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

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

Study arms

  • Active comparator
    lean normoglycaemic individuals fiber mixture

    Two day supplementation of 12 g (3 x 4 g) of the dietary fiber inulin in combination with 9.375 g (3 x 3.125 g (80% resistant starch (3 x 2.5 g)) granular potato starch

    Dietary Supplement: Two day supplementation of a complex fiber mixture

  • Placebo comparator
    lean normoglycaemic placebo

    Two day supplementation of 11.43 g (3 x 3.81 g) maltodextrin

    Dietary Supplement: Placebo supplementation

  • Active comparator
    overweight and/or obesity and prediabetes/insulin fiber mixture

    Two day supplementation of 12 g (3 x 4 g) of the dietary fiber inulin in combination with 9.375 g (3 x 3.125 g (80% resistant starch (3 x 2.5 g)) granular potato starch

    Dietary Supplement: Two day supplementation of a complex fiber mixture

  • Placebo comparator
    overweight and/or obesity and prediabetes/insulin resistance placebo

    Two day supplementation of 11.43 g (3 x 3.81 g) maltodextrin

    Dietary Supplement: Placebo supplementation

Interventions

  • Dietary supplementTwo day supplementation of a complex fiber mixture

    Participants will undergo a two day supplementation of a complex fiber supplement vs. placebo with a two-week washout period between the two interventions in a randomized order

  • Dietary supplementPlacebo supplementation

    Participants will undergo a two day supplementation of a complex fiber supplement vs. placebo with a two-week washout period between the two interventions in a randomized order

06

What researchers measure

Primary outcomes

  1. 24 hour intestinal gas concentrations

    changes in intestinal gas excretion (methane, hydrogen or hydrogen sulphide will be measured using gas sensors in a modified respiration chamber)

    Time frame: after ingestion of the supplement up until 24 hours after supplementation continuously

Secondary outcomes

  1. 24 hour energy expenditure

    changes in 24 hour energy expenditure will be measured in a respiration chamber

    Time frame: after ingestion of the supplement up until 24 hours after supplementation continuously

  2. 24 hour substrate metabolism

    changes in 24 hour substrate metabolism will be measured in a respiration chamber (fat and carbohydrate oxidation)

    Time frame: after ingestion of the supplement up until 24 hours after supplementation continuously

  3. fecal microbial metabolite concentrations

    the concentrations of fecal SCFA and BCFAs will be measured

    Time frame: after ingestion of the supplement and 24 hours after supplementation

  4. Fecal microbiota composition

    Faecal microbiota composition will be assessed via16S rRNA gene sequencing

    Time frame: at baseline and 24 hours after supplementation

  5. 24 hour glucose monitoring

    24 hour glucoses concentrations will be measured using a wearable monitor during each testday

    Time frame: after ingestion of the supplement up until 24 hours after supplementation

  6. circulating blood markers

    plasma blood glucose, insulin, GLP-1, glucagon, PYY, triglycerides, FFA, SCFA and BCFA

    Time frame: after ingestion of the supplement at multiple timepoints up until 24 hours after supplementation

  7. Urine metabolites

    urinary concentrations of phenolic compounds, p-cresol and nitrogen will be measured

    Time frame: at baseline up until 24 hours after supplementation

07

Study locations

2 sites
  • Department of Human Biology, Maastricht University Medical Centre
    Maastricht, 6200MD, Netherlands
  • Maastricht University Medical Centre
    Maastricht, Netherlands
08

References and documents

Individual participant data

Plan to share: Undecided — anonymized data may be shared with other researchers for meta-analyses etc., however personalized data names etc. will not be made available

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2023 to primary completion in Mar 2025, 16 months.

Of 714 non-industry interventional studies with no phase under Insulin Resistance, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's 16 months is below that.

Counting every sponsor, half of 754 studies reached it within 21 months; a quarter within 9 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 17, 2023
First posted
Mar 10, 2023
StartActual
Nov 24, 2023
Primary completionActual
Mar 27, 2025
CompletionActual
Mar 27, 2025
Last update
Jun 11, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05764200
Responsible party
Sponsor
First posted
Mar 10, 2023
Start date
Nov 24, 2023
Primary completion
Mar 27, 2025
Completion
Mar 27, 2025
Last update
Jun 11, 2026

Oversight

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

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