Gut Flora and Lipid Metabolism
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Purpose
It is well known that metabolic responses to diet and drugs are affected by genetic and environmental factors. Still, a large part of differences in responses between individuals remains unexplained. To increase our understanding of individual differences, more and more attention is paid to the role of intestinal microbiota. Not only energy and glucose may be related to the microbiota, but also lipid metabolism. This is not surprising as lipid metabolism, glucose metabolism, and obesity are closely linked.
There is substantial evidence from in particular animal studies that the gut microbiota is related to lipid and lipoprotein metabolism. However, there is less evidence to what extent modulation of the gut microbiota changes lipid and lipoprotein metabolism in humans.
| Condition | Intervention |
|---|---|
|
Hypercholesterolemia |
Drug: Amoxicillin Drug: Placebo capsule |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Basic Science |
- LDL-cholesterol [ Time Frame: Measure change between day 1 and day 8 ] [ Designated as safety issue: No ]
- Lipid metabolism [ Time Frame: Measure change between day 1 and day 8 (HDL-cholesterol, triglycerides) ] [ Designated as safety issue: No ]
- Glucose metabolism [ Time Frame: Measure change between day 1 and day 8 ] [ Designated as safety issue: No ]
| Enrollment: | 77 |
| Study Start Date: | March 2012 |
| Study Completion Date: | April 2013 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Amoxicillin |
Drug: Amoxicillin
2 capsules of 250mg, 3 times per day during 1 week
|
| Placebo Comparator: Placebo capsules |
Drug: Placebo capsule
2 capsules of 250mg, 3 times per day during 1 week
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- aged between 18-70 years
- serum total cholesterol: 5-8mmol/L
Exclusion Criteria:
- serum triacylglycerol > 3.0mmol/L
- use of oral anticonceptives
- pregnant or breastfeeding women
- kidney insufficiencies
- unstable body weight
- allergy to antibiotics
- treatment with cholesterol-lowering drugs
- use of medication or a medically prescribed diet
- active cardiovascular disease
- abuse of drugs
- more than 21 alcohol consumptions per week for men and 14 consumptions for women
- use of an investigational product within the previous 30 days
- not willing to stop the consumption of products rich in plant stanol or sterol esters 3 weeks before start of the study
- use of gastric acid inhibitors, laxantia, prebiotica, probiotica and antibiotica for at least one month before the start of the study and during the study
Contacts and Locations| Netherlands | |
| Maastricht University Medical Center | |
| Maastricht, Limburg, Netherlands | |
| Principal Investigator: | Ronald Mensink, Prof. Dr. Ir. | Maastricht University Medical Center |
More Information
No publications provided
| Responsible Party: | Maastricht University Medical Center |
| ClinicalTrials.gov Identifier: | NCT01566266 History of Changes |
| Other Study ID Numbers: | METC 12-3-011 |
| Study First Received: | March 27, 2012 |
| Last Updated: | May 13, 2013 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Keywords provided by Maastricht University Medical Center:
|
gut flora antibiotics lipid metabolism LDL cholesterol |
Additional relevant MeSH terms:
|
Hypercholesterolemia Hyperlipidemias Dyslipidemias Lipid Metabolism Disorders Metabolic Diseases |
Amoxicillin Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013