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Dietary Green Tea Confection For Resolving Gut Permeability-Induced Metabolic Endotoxemia In Obese Adults

Dietary Green Tea Confection For Resolving Gut Permeability-Induced Metabolic Endotoxemia In Obese Adults

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03413735
Enrollment
40
Registered
2018-01-29
Start date
2018-08-29
Completion date
2019-07-30
Last updated
2025-06-13

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

Conditions

Endotoxemia, Inflammation, Obesity

Brief summary

This study is focused on assessing gastrointestinal-level improvements by which green tea limits metabolic endotoxemia. It is completed in two phases. Phase I consists of a pharmacokinetic study to examine the bioavailability of green tea catechins among lean and obese persons who consumed a single dose of a green tea extract (GTE)-containing confection. These persons will then complete phase 2, which consists of a parallel design randomized controlled in which lean and obese persons will consume placebo or GTE confections. It is expected that catechin-rich green tea will improve gut barrier function to prevent endotoxin translocation and associated low-grade inflammation. Outcomes will therefore support dietary recommendations for green tea to alleviate obesity-related inflammatory responses. Specifically, the study is expected to demonstrate that a green tea confection snack food can attenuate metabolic endotoxemia in association with restoring gastrointestinal health.

Detailed description

Obesity is a major public health concern in the United States, with over two-thirds of the adult population classified as overweight or obese. Obesity is characterized by low-grade chronic inflammation that, in part, is mediated by metabolic endotoxemia. Metabolic endotoxemia describes increased circulating levels of gut-derived endotoxin (a bacterial product derived from Gram-negative bacteria in the intestines) that results from gut barrier dysfunction, a phenomenon that is common in obesity. Studies in rodents models have shown that dietary supplementation with green tea extract (GTE) reduces metabolic endotoxemia in association with improved gut health. This clinical trial will therefore investigate the extent to which a green tea confection snack food can alleviate metabolic endotoxemia and restore gut health in obese humans. It is hypothesized that 4-week daily ingestion of a green tea extract (GTE)-rich confection will limit metabolic endotoxemia by decreasing gut barrier permeability. This study will address the following objectives: 1) define alterations in catechin pharmacokinetics in obese compared with healthy adults, 2) demonstrate improvements in gut barrier function by GTE, and 3) demonstrate GTE-mediated amelioration of microbial dysbiosis. To test the hypothesis, all participants will initially complete a 12-h pharmacokinetics study to define the influence of obesity on catechin bioavailability and metabolism. They will then be randomized to complete a double-blind, randomized, placebo-controlled trial where they will receive a GTE-rich or placebo confection for 4 weeks. Prior to and upon completing the intervention, participants will undergo a gut permeability test, fecal samples will be collected for microbiota composition analysis, and blood samples will be collected to assess endotoxin and inflammatory biomarkers. Upon successfully completing this study, it is anticipated that chronic consumption of a green tea confection will be demonstrated to be an effective dietary strategy to reduce metabolic endotoxemia and improve gut health.

Interventions

OTHERGreen Tea Extract

Confections containing green tea extract that will be ingested daily for 4 weeks

OTHERPlacebo

Confections containing no green tea extract that will be ingested daily for 4 weeks

Sponsors

Ohio State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Overweight/obese (BMI = 28-40 kg/m2) * Fasting glucose \< 126 mg/dL * Normotensive (blood pressure \< 140/90 mmHg) * Non-dietary supplement user * Non-smoker

Exclusion criteria

* Regular tea drinkers (\> 2 cups/week) * Vegetarians * Use of medications to manage diabetes, hypertension, or hyperlipidemia * Use of any medications known to be contraindicated for use with green tea ingestion * User of dietary supplements, prebiotics, or probiotics * Recent use of antibiotics or anti-inflammatory agents * Women who are pregnant or lactating or have initiated or changed birth control in the past 3-months * Individuals with gastrointestinal disorders or surgeries * Individuals with hemochromatosis * Alcohol intake \> 3 drinks per day * Any history of cancer

Design outcomes

Primary

MeasureTime frameDescription
EndotoxinWeek 0 - FastingSerum endotoxin concentration

Secondary

MeasureTime frameDescription
Gut Permeability - Sucralose to Erythritol RatioWeek 0 - 6-24 hoursUrinary Sucralose/Erythritol Ratio (mg/mg)
Urinary Sucralose/Erythritol Ratio (mg/mg)Week 4 - 6-24 hoursRatio of excretion of urinary sugars (Sucralose to Erythritol)
Firmicutes to Bacteroidetes Ratio - MicrobiotaWeek 0Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)
Bioavailability - Epigallocatechin GallatePrior to intervention enrollment...0-12 hours post-ingestion of a green tea confectionArea under the curve (AUC) of plasma epigallocatechin calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin gallate is measured in umol/L over time (hours) resulting in the AUC.
Bioavailability - EpigallocatechinPrior to intervention enrollment...0-12 hours post-ingestion of a green tea confectionArea under the curve (AUC) of plasma epigallocatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin is measured in umol/L over time (hours) resulting in the AUC.
Bioavailability - Epicatechin GallatePrior to the intervention enrollment...0-12 hours post-ingestion of a green tea confectionArea under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechins is measured in umol/L over time (hours) resulting in the AUC.
Bioavailability - EpicatechinPrior to intervention enrollment...0-12 hours post-ingestion of a green tea confectionArea under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechin is measured in umol/L over time (hours) resulting in the AUC.
Cmax of Epigallocatechin GallatePrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionMaximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Gut Permeability - Lactulose to Mannitol RatioWeek 0 - 0-5 hoursUrinary Lactulose/Mannitol Ratio (mg/mg)
Cmax of Epicatechin GallatePrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionMaximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Cmax of EpicatechinPrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionMaximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Tmax of Epigallocatechin GallatePrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionTime to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Tmax of EpigallocatechinPrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionTime to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Tmax of Epicatechin GallatePrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionTime to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
Tmax of EpicatechinPrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionTime to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection
CalprotectinWeek 0Fecal calprotectin concentration
Cmax of EpigallocatechinPrior to intervention enrollment...0-12 hours post-ingestion of green tea confectionMaximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Countries

United States

Participant flow

Pre-assignment details

In Phase 1, participants were stratified by phenotype (lean vs. obese) and received a single dose of a green tea extract (GTE)-enriched confection. This phase was conducted to evaluate catechin bioavailability. All participants consumed the same GTE confection. After a washout period, participants were randomized in Phase 2 to receive either a GTE or placebo confection daily for 4 weeks in a double-blind trial.

Participants by arm

ArmCount
Placebo Confection
Confection without green tea extract consumed daily for 4 weeks Placebo: Confections containing no green tea extract that will be ingested daily for 4 weeks
20
Green Tea Extract-Confection
Confection with green tea extract consumed daily for 4 weeks Green Tea Extract: Confections containing green tea extract that will be ingested daily for 4 weeks
20
Total40

Baseline characteristics

CharacteristicGreen Tea Extract-ConfectionTotalPlacebo Confection
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
20 Participants40 Participants20 Participants
Age, Continuous28.35 years
STANDARD_DEVIATION 9.04
28.175 years
STANDARD_DEVIATION 7.77
28. years
STANDARD_DEVIATION 6.48
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
United States
20 participants40 participants20 participants
Sex: Female, Male
Female
8 Participants20 Participants12 Participants
Sex: Female, Male
Male
12 Participants20 Participants8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 100 / 90 / 100 / 10
other
Total, other adverse events
0 / 100 / 90 / 100 / 10
serious
Total, serious adverse events
0 / 100 / 90 / 100 / 10

Outcome results

Primary

Endotoxin

Serum endotoxin concentration

Time frame: Week 0 - Fasting

ArmMeasureValue (MEAN)Dispersion
Lean - GTEEndotoxin14.44 EU/mLStandard Deviation 4.46
Obese - GTEEndotoxin12.97 EU/mLStandard Deviation 6.44
Lean - PlaceboEndotoxin12.25 EU/mLStandard Deviation 6.05
Obese - PlaceboEndotoxin17.65 EU/mLStandard Deviation 12.58
Primary

Endotoxin

Serum endotoxin concentration

Time frame: Week 2 - Fasting

ArmMeasureValue (MEAN)Dispersion
Lean - GTEEndotoxin13.59 EU/mLStandard Deviation 7.38
Obese - GTEEndotoxin12.38 EU/mLStandard Deviation 7.53
Lean - PlaceboEndotoxin13.00 EU/mLStandard Deviation 5.44
Obese - PlaceboEndotoxin15.62 EU/mLStandard Deviation 5.32
Primary

Endotoxin

Serum endotoxin concentration

Time frame: Week 4 - Fasting

ArmMeasureValue (MEAN)Dispersion
Lean - GTEEndotoxin12.33 EU/mLStandard Deviation 4.55
Obese - GTEEndotoxin16.46 EU/mLStandard Deviation 4.91
Lean - PlaceboEndotoxin11.33 EU/mLStandard Deviation 5.56
Obese - PlaceboEndotoxin15.45 EU/mLStandard Deviation 6.94
Secondary

Bioavailability - Epicatechin

Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechin is measured in umol/L over time (hours) resulting in the AUC.

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTEBioavailability - Epicatechin0.78 umol/L x hStandard Error 0.1
Obese - GTEBioavailability - Epicatechin0.57 umol/L x hStandard Error 0.04
Secondary

Bioavailability - Epicatechin Gallate

Area under the curve (AUC) of plasma epicatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epicatechins is measured in umol/L over time (hours) resulting in the AUC.

Time frame: Prior to the intervention enrollment...0-12 hours post-ingestion of a green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTEBioavailability - Epicatechin Gallate1.06 umol/L x hStandard Error 0.1
Obese - GTEBioavailability - Epicatechin Gallate0.78 umol/L x hStandard Error 0.1
Secondary

Bioavailability - Epigallocatechin

Area under the curve (AUC) of plasma epigallocatechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin is measured in umol/L over time (hours) resulting in the AUC.

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTEBioavailability - Epigallocatechin1.18 umol/L x hStandard Error 0.1
Obese - GTEBioavailability - Epigallocatechin0.88 umol/L x hStandard Error 0.1
Secondary

Bioavailability - Epigallocatechin Gallate

Area under the curve (AUC) of plasma epigallocatechin calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection. Epigallocatechin gallate is measured in umol/L over time (hours) resulting in the AUC.

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of a green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTEBioavailability - Epigallocatechin Gallate3.46 umol/L x hStandard Error 0.3
Obese - GTEBioavailability - Epigallocatechin Gallate2.62 umol/L x hStandard Error 0.3
Secondary

Calprotectin

Fecal calprotectin concentration

Time frame: Week 4

ArmMeasureValue (MEAN)Dispersion
Lean - GTECalprotectin249.62 ug/gStandard Deviation 590.21
Obese - GTECalprotectin25.74 ug/gStandard Deviation 13.94
Lean - PlaceboCalprotectin36.20 ug/gStandard Deviation 24.15
Obese - PlaceboCalprotectin73.04 ug/gStandard Deviation 103.9
Secondary

Calprotectin

Fecal calprotectin concentration

Time frame: Week 0

ArmMeasureValue (MEAN)Dispersion
Lean - GTECalprotectin64.99 ug/gStandard Deviation 79.07
Obese - GTECalprotectin27.54 ug/gStandard Deviation 20.58
Lean - PlaceboCalprotectin32.01 ug/gStandard Deviation 25.52
Obese - PlaceboCalprotectin62.62 ug/gStandard Deviation 90.84
Secondary

Cmax of Epicatechin

Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTECmax of Epicatechin0.16 umol/LStandard Error 0.1
Obese - GTECmax of Epicatechin0.13 umol/LStandard Error 0.1
Secondary

Cmax of Epicatechin Gallate

Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTECmax of Epicatechin Gallate0.14 umol/LStandard Error 0.01
Obese - GTECmax of Epicatechin Gallate0.09 umol/LStandard Error 0.01
Secondary

Cmax of Epigallocatechin

Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTECmax of Epigallocatechin0.22 umol/LStandard Error 0.01
Obese - GTECmax of Epigallocatechin0.18 umol/LStandard Error 0.01
Secondary

Cmax of Epigallocatechin Gallate

Maximum plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTECmax of Epigallocatechin Gallate0.5 umol/LStandard Error 0.04
Obese - GTECmax of Epigallocatechin Gallate0.38 umol/LStandard Error 0.03
Secondary

Firmicutes to Bacteroidetes Ratio - Microbiota

Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)

Time frame: Week 0

ArmMeasureValue (MEAN)Dispersion
Lean - GTEFirmicutes to Bacteroidetes Ratio - Microbiota4.34 % of abundanceStandard Deviation 3.17
Obese - GTEFirmicutes to Bacteroidetes Ratio - Microbiota3.52 % of abundanceStandard Deviation 2.32
Lean - PlaceboFirmicutes to Bacteroidetes Ratio - Microbiota21.51 % of abundanceStandard Deviation 31.65
Obese - PlaceboFirmicutes to Bacteroidetes Ratio - Microbiota9.36 % of abundanceStandard Deviation 7.48
Secondary

Firmicutes to Bacteroidetes Ratio - Microbiota

Ratio of fecal relative Firmicutes (% abundance)/Bacteroidetes (% abundance)

Time frame: Week 4

ArmMeasureValue (MEAN)Dispersion
Lean - GTEFirmicutes to Bacteroidetes Ratio - Microbiota4.90 ratioStandard Deviation 3.74
Obese - GTEFirmicutes to Bacteroidetes Ratio - Microbiota8.95 ratioStandard Deviation 15.13
Lean - PlaceboFirmicutes to Bacteroidetes Ratio - Microbiota4.69 ratioStandard Deviation 4.17
Obese - PlaceboFirmicutes to Bacteroidetes Ratio - Microbiota9.32 ratioStandard Deviation 3.95
Secondary

Gut Permeability - Lactulose to Mannitol Ratio

Urinary Lactulose/Mannitol Ratio (mg/mg)

Time frame: Week 0 - 6-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Lactulose to Mannitol Ratio0.16 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.1
Obese - GTEGut Permeability - Lactulose to Mannitol Ratio0.11 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.1
Lean - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.19 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.12
Obese - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.19 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.14
Secondary

Gut Permeability - Lactulose to Mannitol Ratio

Urinary Lactulose/Mannitol Ratio (mg/mg)

Time frame: Week 4 - 6-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Lactulose to Mannitol Ratio0.14 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.11
Obese - GTEGut Permeability - Lactulose to Mannitol Ratio0.18 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.18
Lean - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.19 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.12
Obese - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.21 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.12
Secondary

Gut Permeability - Lactulose to Mannitol Ratio

Urinary Lactulose/Mannitol Ratio (mg/mg)

Time frame: Week 0 - 0-5 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Lactulose to Mannitol Ratio0.12 RatioStandard Deviation 0.06
Obese - GTEGut Permeability - Lactulose to Mannitol Ratio0.09 RatioStandard Deviation 0.03
Lean - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.10 RatioStandard Deviation 0.05
Obese - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.10 RatioStandard Deviation 0.03
Secondary

Gut Permeability - Lactulose to Mannitol Ratio

Urinary Lactulose/Mannitol Ratio (mg/mg)

Time frame: Week 4 - 0-5 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Lactulose to Mannitol Ratio0.12 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.13
Obese - GTEGut Permeability - Lactulose to Mannitol Ratio0.14 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.1
Lean - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.10 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.06
Obese - PlaceboGut Permeability - Lactulose to Mannitol Ratio0.12 Urinary Lactulose/Mannitol Ratio (mg/mg)Standard Deviation 0.08
Secondary

Gut Permeability - Sucralose to Erythritol Ratio

Urinary Sucralose/Erythritol Ratio (mg/mg)

Time frame: Week 0 - 0-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Obese - GTEGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Lean - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.004
Obese - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.004
Secondary

Gut Permeability - Sucralose to Erythritol Ratio

Urinary Sucralose/Erythritol Ratio (mg/mg)

Time frame: Week 0 - 6-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mg)Standard Deviation 0.01
Obese - GTEGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mg)Standard Deviation 0.01
Lean - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mg)Standard Deviation 0.01
Obese - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mg)Standard Deviation 0.01
Secondary

Gut Permeability - Sucralose to Erythritol Ratio

Urinary Sucralose/Erythritol Ratio (mg/mg)

Time frame: Week 4 - 0-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEGut Permeability - Sucralose to Erythritol Ratio0.01 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.02
Obese - GTEGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Lean - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Obese - PlaceboGut Permeability - Sucralose to Erythritol Ratio0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Secondary

Tmax of Epicatechin

Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTETmax of Epicatechin1.66 hStandard Error 0.24
Obese - GTETmax of Epicatechin1.53 hStandard Error 0.19
Secondary

Tmax of Epicatechin Gallate

Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTETmax of Epicatechin Gallate4.05 hStandard Error 0.24
Obese - GTETmax of Epicatechin Gallate3.94 hStandard Error 0.39
Secondary

Tmax of Epigallocatechin

Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTETmax of Epigallocatechin1.92 hStandard Error 0.25
Obese - GTETmax of Epigallocatechin1.41 hStandard Error 0.15
Secondary

Tmax of Epigallocatechin Gallate

Time to maximal plasma concentration of catechins calculated from blood collected at 0, 0.25, 0.5, 1, 2, 3, 5, 8, 10, 12 hours post-ingestion of green tea confection

Time frame: Prior to intervention enrollment...0-12 hours post-ingestion of green tea confection

Population: A pharmacokinetics study was completed regarding catechin bioavailability in all participants prior to the intervention randomization of treatment (GTE/Placebo). During this phase, all lean and obese participants of both groups consumed green tea extract containing confection. Bioavailability measures were then performed.

ArmMeasureValue (MEAN)Dispersion
Lean - GTETmax of Epigallocatechin Gallate3.32 hStandard Error 0.25
Obese - GTETmax of Epigallocatechin Gallate2.65 hStandard Error 0.26
Secondary

Urinary Sucralose/Erythritol Ratio (mg/mg)

Ratio of excretion of urinary sugars (Sucralose to Erythritol)

Time frame: Week 4 - 6-24 hours

ArmMeasureValue (MEAN)Dispersion
Lean - GTEUrinary Sucralose/Erythritol Ratio (mg/mg)0.01 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Obese - GTEUrinary Sucralose/Erythritol Ratio (mg/mg)0.01 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Lean - PlaceboUrinary Sucralose/Erythritol Ratio (mg/mg)0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.01
Obese - PlaceboUrinary Sucralose/Erythritol Ratio (mg/mg)0.02 Urinary Sucralose/Erythritol (mg/mStandard Deviation 0.02

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026