CClinicalTrials.gg
CompletedNCT07694401Updated Jul 23, 2026

Effects of Coca-Cola Zero Sugar Consumption on Urinary Metabolites in Healthy Adults

An interventional study of Coca-Cola Zero Sugar and Still water in Healthy Adult Participants, sponsored by Czech University of Life Sciences Prague. Completed at 1 site in Czechia. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by Czech University of Life Sciences Prague · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 2 years 10 months after the study started (first participant enrolled Sep 2023, registered Jul 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Consumption of beverages containing non-nutritive sweeteners has increased worldwide, but limited information is available regarding the short-term urinary excretion of acesulfame potassium (Ace-K) and the acute metabolic response following consumption of commercially available beverages. This study investigates the urinary pharmacokinetics of Ace-K and the acute urinary metabolomic response after consumption of 500 mL of Coca-Cola Zero Sugar in healthy adults. Participants complete two study arms under free-living conditions: Coca-Cola Zero Sugar and still water (control), separated by a one-month washout period. Urine samples are collected before beverage consumption and repeatedly over the subsequent 24 hours. Proton nuclear magnetic resonance (¹H NMR) spectroscopy is used to quantify Ace-K and other urinary metabolites. The study aims to determine the urinary appearance and elimination kinetics of Ace-K and to identify metabolic changes associated with Coca-Cola Zero Sugar consumption compared with water.

Read the detailed description

Non-nutritive sweeteners (NNS) are widely used as sugar substitutes in reduced-calorie foods and beverages. Among these, acesulfame potassium (Ace-K) is extensively incorporated into commercially available soft drinks because of its high sweetening potency, thermal stability, and minimal caloric contribution. Following oral ingestion, Ace-K is rapidly absorbed and excreted predominantly unchanged in urine, making it a promising biomarker of NNS consumption and dietary exposure. However, limited information is available regarding the urinary pharmacokinetics of Ace-K following consumption of commercially formulated beverages under free-living conditions.

Proton nuclear magnetic resonance (¹H NMR) spectroscopy enables simultaneous quantitative analysis of exogenous compounds and endogenous metabolites in complex biological samples. By applying the same analytical platform to both the intervention beverage and sequential urine samples, this study investigates the relationship between the ingested dose of Ace-K and its urinary excretion profile while simultaneously evaluating short-term metabolic responses following Coca-Cola Zero Sugar consumption.

This non-randomized, within-subject controlled study compares the urinary metabolomic response after consumption of Coca-Cola Zero Sugar with that observed following consumption of still water. The study aims to characterize the urinary appearance and elimination kinetics of Ace-K, quantify pharmacokinetic parameters including time to peak concentration and urinary elimination half-life, and explore acute changes in urinary metabolite profiles associated with Coca-Cola Zero Sugar consumption using quantitative ¹H NMR metabolomics.

02

Conditions studied

  • Healthy Adult Participants

Keywords

  • Non-nutritive sweeteners
  • Acesulfame potassium
  • Proton NMR spectroscopy
  • Urinary metabolomics
03

In context

Lead sponsor

Czech University of Life Sciences Prague is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy adults aged 18 to 60 years
  • Able and willing to provide written informed consent
  • Willing to consume 500 mL of Coca-Cola Zero Sugar and 500 mL of still water during separate study periods
  • Willing to collect urine samples before and during the 24 hours after each intervention according to the study instructions
  • Willing to avoid foods and beverages containing non-nutritive sweeteners for 48 hours before each study period

Exclusion criteria

Exclusion Criteria:

  • Younger than 18 years or older than 60 years
  • Current smoker
  • Known kidney disease or metabolic disease
  • Regular use of prescription medications
  • Use of antibiotics in last 3 months
  • Consumption of foods or beverages containing non-nutritive sweeteners within 48 hours before either study period
  • Unable or unwilling to comply with the study procedures or urine collection schedule
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Coca-Cola Zero Sugar

    Participants consumed 500 mL of Coca-Cola Zero Sugar with breakfast. Spot urine samples were collected before beverage consumption and repeatedly over the subsequent 24-hour period for metabolomic and pharmacokinetic analyses using proton nuclear magnetic resonance (¹H NMR) spectroscopy.

    Other: Coca-Cola Zero Sugar

  • Active comparator
    Still Water

    Participants consumed 500 mL of still water with breakfast following a one-month washout period. Spot urine samples were collected before beverage consumption and repeatedly over the subsequent 24-hour period using the same sampling schedule as the Coca-Cola Zero Sugar arm.

    Other: Still water

Interventions

  • OtherCoca-Cola Zero Sugar

    Participants consumed a single oral dose of 500 mL Coca-Cola Zero Sugar with breakfast. The intervention beverage was consumed within approximately 10-20 minutes. Spot urine samples were collected before consumption and repeatedly over the subsequent 24-hour period for metabolomic and pharmacokinetic analyses using proton nuclear magnetic resonance (¹H NMR) spectroscopy.

    Also known as: Coke Zero

  • OtherStill water

    Participants consumed a single oral dose of 500 mL still water with breakfast under otherwise comparable conditions following a one-month washout period. Spot urine samples were collected before consumption and repeatedly over the subsequent 24-hour period using the same sampling schedule as the intervention arm.

    Also known as: Control

06

What researchers measure

Primary outcomes

  1. Creatinine-normalized urinary acesulfame potassium (Ace-K) concentration (µM/mM creatinine)

    Quantitative measurement of urinary acesulfame potassium (Ace-K) concentration following consumption of 500 mL Coca-Cola Zero Sugar and still water, determined by quantitative proton nuclear magnetic resonance (¹H NMR) spectroscopy. Concentrations will be normalized to urinary creatinine and reported at each scheduled urine collection time point.

    Time frame: Baseline and each scheduled urine collection over 24 hours following beverage consumption.

Secondary outcomes

  1. Creatinine-normalized urinary metabolite concentrations (µM/mM creatinine)

    Quantitative concentrations of individual endogenous and exogenous urinary metabolites measured by quantitative ¹H NMR spectroscopy. Each identified metabolite will be reported separately after normalization to urinary creatinine and compared between Coca-Cola Zero Sugar and still water interventions.

    Time frame: Baseline and each scheduled urine collection over 24 hours following beverage consumption.

Other outcomes

  1. Area under the urinary acesulfame potassium concentration-time curve (AUC₀-₂₄)

    Area under the creatinine-normalized urinary acesulfame potassium concentration-time curve calculated using the trapezoidal rule over the 24-hour sampling period.

    Time frame: Up to 24 hours after beverage consumption

  2. Concentrations of selected constituents in Coca-Cola Zero Sugar (µg/mL)

    Quantitative concentrations of selected constituents in the intervention beverage, including acesulfame potassium, sodium cyclamate, aspartame, caffeine, citrate, glucose, glycerol, propylene glycol, phenylalanine, and other identified compounds, determined by quantitative proton nuclear magnetic resonance (¹H NMR) spectroscopy. Individual constituents will be reported separately in µg/mL and used to determine the administered dose of beverage components.

    Time frame: Prior to participant consumption (baseline beverage characterization)

07

Study locations

1 site
  • Czech University of Life Sciences Prague
    Suchdol, Prague 16500, Czechia
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be made publicly available. De-identified data may be considered for sharing upon reasonable request to the study investigators, subject to institutional policies, ethical approval, and applicable data protection regulations.

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 Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07694401
Lead sponsor
Czech University of Life Sciences Prague
Responsible party
Jaroslav Havlik (Associate Professor, Czech University of Life Sciences Prague) — Principal investigator
First posted
Jul 10, 2026
Start date
Sep 1, 2023
Primary completion
Jun 15, 2024
Completion
Sep 30, 2024
Last update
Jul 23, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion