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Effect of acid suppressive therapy on the bacteria in the small bowel

Effect of Proton Pump Inhibitors on the duodenal microbiome in healthy volunteers - PPI and duodenal microbiome

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2017-004248-39-BE
Enrollment
40
Registered
2017-12-05
Start date
2018-01-04
Completion date
Unknown
Last updated
2020-11-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

We will assess the effect of Proton Pump Inhibitors (PPI) on the duodenal, oral and fecal microbiota composition in healthy volunteers

Interventions

Sponsors

TARGID, KU Leuven
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Subjects aged between 18 and 64 years inclusive - Male or female (not pregnant or lactating and using contraception or postmenopausal) - Normal bowel habits (defecation once every 3 days up to 3 times a day) - Witnessed written informed consent - Access to home freezer (-18 to -20°C) - Capable to understand and comply with the study requirements Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Active gastrointestinal or psychiatric symptoms (stable dose of single antidepressant allowed) - Use of acid suppressive drugs, immunosuppressants or antibiotics within 3 months before sampling - Use of drugs influencing gut motility or stool consistency, NSAIDs, anti-allergy drugs, bile acid sequestrants or ursodeoxycholic acid within 2 weeks before sampling - History of major abdominal surgery, including cholecystectomy but not appendectomy - Personal or family (first-degree relative) history of diabetes mellitus type 1, celiac disease, inflammatory bowel disease, psoriasis, rheumatic or other auto-immune diseases (including therapy) - Allergy or atopy (eczema, asthma and/or allergic rhinoconjunctivitis) (including therapy) - Kidney, liver or coagulation disorders - Active coronary or peripheral artery disease - Diabetes mellitus type 2 (including therapy) - Active malignancy (including therapy) - Known HIV, HBV or HCV infection (including therapy) - Magnetizable objects (e.g. cochlear implants, neural stimulator, pacemaker, metal fragments or implants) or claustrophobia (MRI safety criteria, other procedures can still take place) - Significant alcohol use (>10 units/weeks) - Any use of alcohol or smoking in the 2 days before sampling - Females who are pregnant or lactating, who are not using contraception and premenopausal - Allergy or intolerance to PPI

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the effect of Proton Pump Inhibitors (PPI) on the duodenal, oral and fecal microbiota composition in healthy volunteers;Secondary Objective: Correlate changes in the microbiota with bile acids, intestinal permeability and histology, salivary cortisol levels and blood hs-CRP.;Primary end point(s): Microbiota composition of the duodenum, feces and saliva;Timepoint(s) of evaluation of this end point: Study inclusion, after baseline period of 4 weeks and after treatment with Pantomed 40mg once daily for 4 weeks

Secondary

MeasureTime frame
Secondary end point(s): Bile acids, intestinal permeability, mucosal inflammation, salivary cortisol and blood hs-CRP;Timepoint(s) of evaluation of this end point: Study inclusion, after baseline period of 4 weeks and after treatment with Pantomed 40mg once daily for 4 weeks

Countries

Belgium

Contacts

Public ContactTARGID

TARGID, KU Leuven

lucas.wauters@kuleuven.be+3216372093

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026