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CompletedNCT06735196Updated Sep 10, 2026

Profiling the Variation of Microbiome Along the Intestinal Tract Based on Sampling Capsule Endoscopy

An interventional study of sampling capsule endoscopy in Healthy Volunteers Only, sponsored by Changhai Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Changhai Hospital · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Intestinal flora and metabolites are associated with multiple systemic diseases. Current approaches for acquiring information regarding microbiota/metabolites have limitations. We aimed to develop a precise sampling capsule endoscopy (SCE) for the convenient, non-invasive, and accurate acquisition of digestive bioinformation for disease diagnosis and evaluation. The SCE was used for sampling jejunum, ileum, and colon content in healthy volunteers. The GI liquid was then used for microbiome profiling and metabolomics profiling. In this study, we aimed to describe the characteristics and functions of key microflora in the whole intestinal microenvironment of healthy volunteers.

Read the detailed description

Gut microorganisms involved in human food digestion, immune system regulation, and protection against pathogens are critical in maintaining health. Gut microorganism dysbiosis influences the course of gastrointestinal disease and cardiovascular, neurological, metabolic diseases, and other disorders. Therefore, a deeper understanding of gut microorganisms is indispensable in researching human disorders. However, current sampling methods, including fecal microbial examination, breath hydrogen testing, and invasive endoscopy acquisition, fail to obtain local gut microbiome samples under its chemical environment in natural and unperturbed states. A comfortable, non-invasive, and precise regional intestinal fluid collection device is needed.

Recently, novel ingestible devices have collected intestinal fluids from animals' and humans' jejunum, ileum, and colon. Significant differences between bacteria and metabolites in the intestines versus stool have been identified, showing the spatiotemporal structure of the gastrointestinal microbiome and metabolome. Compared with saliva and stool samples, ingestible devices acquired samples in an environment resembling nature, which is more reliable in explaining the association between gut microorganisms dysbiosis and various disorders.

However, current ingestible sampling devices still have several limitations. Therefore, a novel sampling capsule endoscopy (SCE) system was developed. This novel SCE can precisely and efficiently acquire intestinal bio information through direct visualization under electric control. This study aims to collect fluids from different segments of the gastrointestinal tract using the SCE system to clarify the differences in the distribution of gut microorganisms in different areas in healthy volunteers and patients with inflammatory bowel disease or colon cancer.

02

Conditions studied

  • Healthy Volunteers Only

Keywords

  • sampling capsule endoscopy
  • gut microorganisms
  • intestinal fluids
  • stool
  • saliva
03

In context

Lead sponsor

Changhai Hospital is the lead sponsor of 342 studies on the registry; 133 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female, age ≥18 years and ≤80 years;
  2. American Society of Anesthesiologists (ASA) physical health risk level 1;
  3. Good overall health, no clinically significant medical history;
  4. No clinically significant signs were found in the physical examination;
  5. For women of fertility, the urine pregnancy test was negative within 7 days after the screening visit, and they were willing to take contraceptive measures throughout the study;
  6. Willing to provide blood samples, stool samples, urine samples, saliva samples, and intestinal fluid samples, and agree that the samples provided will be stored for a long time and used for research purposes.
  7. Agree to avoid strenuous activities during the participation in this clinical trial;
  8. Agree to participate in this clinical trial and sign the informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. Patients with digestive tract diseases such as cancer, inflammatory bowel disease, achalasia, esophageal diverticulum, etc.;
  2. Patients who have participated in other clinical trials within three months or are currently participating in other clinical trials;
  3. Patients currently use medication for other diseases or plan to use medication for treatment;
  4. Patients who have used antibiotics within three months;
  5. Patients with known or suspected gastrointestinal obstruction, stenosis, diverticulum, and fistula;
  6. Patients with swallowing disorders;
  7. Pregnant or lactating women or women who plan to become pregnant within 30 days of the visit period;
  8. Patients who are not suitable for surgery or refuse to undergo any abdominal surgery (once the capsule is retained, it cannot be removed by surgery);
  9. Patients with any form of active substance abuse or dependence (including drug or alcohol abuse), any unstable physical or mental illness, any malignant lesions in any location or system, or any chronic disease that the researcher believes may interfere with the study;
  10. The researcher believes any other factors are unsuitable for selection or affect the subject's participation in the study.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Other
    Healthy volunteers

    After standard gastrointestinal preparation, healthy volunteers swallowed SCEs to collect intestinal fluids in different intestinal areas.

    Device: sampling capsule endoscopy

Interventions

  • Devicesampling capsule endoscopy

    Healthy volunteers swallowed SCEs to collect intestinal fluids in different intestinal areas. When SCEs excreted, the fluids inside SCEs would be collected for microbiome and metabolome analysis.

06

What researchers measure

Primary outcomes

  1. The feasibility of sampling capsule endoscopy system in collecting fluids from different intestinal segments in healthy volunteers

    The total successful rate of SCE in sampling fluids in intestinal segments. A successful sampling procedure conducted by SCE was defined when the following conditions were met simultaneously: 1) accurately recognization of target intestinal areas. 2) the intestinal liquid can be successfully collected in the sampling chamber.

    Time frame: two weeks

Secondary outcomes

  1. Standard gastrointestinal preparation procedure

    To select the best standard gastrointestinal preparation procedure which makes the visualization score under SCE graded as the best (on a scale of 1 to 5; 1, the worst; 5, the best) .

    Time frame: two week

  2. Sampling time

    The total time for sampling intestinal fluids of a SCE.

    Time frame: two weeks

  3. Sampling volume

    The overall volume of samples obtained by a SCE during a single examination.

    Time frame: two weeks

  4. Number of sampling times

    Times we tried to sample during a single SCE examination.

    Time frame: two weeks

  5. Safety analysis

    All adverse events occurring during the study

    Time frame: from enrollment to the end of follow-up at 30 days

07

Study locations

1 site
  • First Affiliated Hospital of Naval Medical University (Changhai Hospital)
    Shanghai, Shanghai Municipality 200433, China
08

References and documents

Publications

  • Zoetendal EG, Raes J, van den Bogert B, Arumugam M, Booijink CC, Troost FJ, Bork P, Wels M, de Vos WM, Kleerebezem M. The human small intestinal microbiota is driven by rapid uptake and conversion of simple carbohydrates. ISME J. 2012 Jul;6(7):1415-26. doi: 10.1038/ismej.2011.212. Epub 2012 Jan 19. PubMed 22258098 ↗
  • Kastl AJ Jr, Terry NA, Wu GD, Albenberg LG. The Structure and Function of the Human Small Intestinal Microbiota: Current Understanding and Future Directions. Cell Mol Gastroenterol Hepatol. 2020;9(1):33-45. doi: 10.1016/j.jcmgh.2019.07.006. Epub 2019 Jul 22. PubMed 31344510 ↗
  • Ding Z, Wang W, Zhang K, Ming F, Yangdai T, Xu T, Shi H, Bao Y, Yao H, Peng H, Han C, Jiang W, Liu J, Hou X, Lin R. Novel scheme for non-invasive gut bioinformation acquisition with a magnetically controlled sampling capsule endoscope. Gut. 2021 Dec;70(12):2297-2306. doi: 10.1136/gutjnl-2020-322465. Epub 2021 Jan 15. PubMed 33452177 ↗

Individual participant data

Plan to share: Undecided

09

Updates

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

Registry details

Key details

Study ID
NCT06735196
Lead sponsor
Changhai Hospital
Responsible party
Zhuan Liao (Clinical Professor, Changhai Hospital) — Principal investigator
First posted
Dec 16, 2024
Start date
Dec 30, 2024
Primary completion
Dec 31, 2025
Completion
Mar 31, 2026
Last update
Sep 10, 2026

Study contacts

Zhuan Liao, Doctor
principal investigator · First Affiliated Hospital of Naval Medical University (Changhai Hospital)

Oversight

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

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

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