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The Effect of Duodenal, Ileal or Combined Infusion of Tastants on Food Intake

Not Applicable
Completed
Conditions
Obesity
Interventions
Dietary Supplement: Tastants duodenal
Dietary Supplement: Tastants ileal
Dietary Supplement: Placebo ileal
Dietary Supplement: Placebo duodenal
Registration Number
NCT03140930
Lead Sponsor
Maastricht University Medical Center
Brief Summary

Rationale: The appearance of tastants in the small intestine can result in the activation of a negative feedback mechanism from different parts of the intestine to the stomach, the small intestine and to the central nervous system. These processes inhibit food processing, appetite sensations and food intake, and furthermore they increase feelings of satiety and satiation. The effects of intraduodenal and/or intraileal infusion of a combination of tastants (sweet (rebaudioside A), bitter (quinine) en umami (monosodium glutamate(MSG))) and placebo on ad libitum food intake, satiation and gastrointestinal symptoms will be investigated.

Objective: To investigate the effect of intraduodenal, intraileal and combined infusion of a combination of tastants versus infusion of placebo on food intake.

Secondary objectives:

1. To compare the effect of intraduodenal versus intraileal versus combined intraduodenal and intraileal delivery of a combination of tastants on satiation.

2. To assess the effect of intraduodenal and/or intraileal delivery of a combination of tastants on gastrointestinal symptoms/complaints.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • Based on medical history and previous examination, no gastrointestinal complaints can be defined.
  • Age between 18 and 65 years. This study will include healthy adult subjects (male and female). Women must be taking contraceptives.
  • BMI between 18 and 25 kg/m2)
  • Weight stable over at least the last 6 months
Exclusion Criteria
  • History of severe cardiovascular, respiratory, urogenital, gastrointestinal/ hepatic, hematological/immunologic, HEENT (head, ears, eyes, nose, throat), dermatological/connective tissue, musculoskeletal, metabolic/nutritional, endocrine, neurological/psychiatric diseases, allergy, major surgery and/or laboratory assessments which might limit participation in or completion of the study protocol. The severity of the disease (major interference with the execution of the experiment or potential influence on the study outcomes) will be decided by the principal investigator.
  • Use of medication, including vitamin supplementation, except oral contraceptives, within 14 days prior to testing
  • Administration of investigational drugs or participation in any scientific intervention study which may interfere with this study (to be decided by the principle investigator), in the 180 days prior to the study
  • Major abdominal surgery interfering with gastrointestinal function (uncomplicated appendectomy, cholecystectomy and hysterectomy allowed, and other surgery upon judgement of the principle investigator)
  • Dieting (medically prescribed, vegetarian, diabetic, microbiological, biological dynamic)
  • Pregnancy, lactation
  • Excessive alcohol consumption (>20 alcoholic consumptions per week)
  • Smoking
  • Weight <60kg
  • Non-tasters of sweet, bitter or umami
  • Evidence of MSG-hypersensitivity or Chinese restaurant syndrome

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Duodenal tastants, ileal placeboTastants duodenalDuodenal infusion of combination of tastants (sweet, bitter and umami), ileal infusion of placebo (tap water)
Duodenal tastants, ileal tastantsTastants ilealDuodenal infusion of combination of tastants (sweet, bitter and umami), ileal infusion of combination of tastants (sweet, bitter and umami)
Duodenal placebo, ileal placeboPlacebo ilealDuodenal infusion of placebo (tap water), ileal infusion of placebo (tap water)
Duodenal placebo, ileal tastantsPlacebo duodenalDuodenal infusion of placebo (tap water), ileal infusion of combination of tastants (sweet, bitter and umami)
Duodenal tastants, ileal tastantsTastants duodenalDuodenal infusion of combination of tastants (sweet, bitter and umami), ileal infusion of combination of tastants (sweet, bitter and umami)
Duodenal tastants, ileal placeboPlacebo ilealDuodenal infusion of combination of tastants (sweet, bitter and umami), ileal infusion of placebo (tap water)
Duodenal placebo, ileal tastantsTastants ilealDuodenal infusion of placebo (tap water), ileal infusion of combination of tastants (sweet, bitter and umami)
Duodenal placebo, ileal placeboPlacebo duodenalDuodenal infusion of placebo (tap water), ileal infusion of placebo (tap water)
Primary Outcome Measures
NameTimeMethod
Ad libitum meal intake5 weeks

Difference in ad libitum meal intake (as measured during ad libitum pasta meal) at end of the test day.

Secondary Outcome Measures
NameTimeMethod
Satiation5 weeks

Difference in satiation (as measured by VAS) per time point.

GI-symptoms5 weeks

Difference in gastro-intestinal symptoms (as measured by VAS) per time point.

Trial Locations

Locations (1)

Maastricht University Medical Center

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Maastricht, Limburg, Netherlands

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