Skip to content

The Acute Effect of Propionate on Energy Homeostasis

The Acute Effect of Propionate on Energy Homeostasis

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04093453
Acronym
PROEM
Enrollment
53
Registered
2019-09-18
Start date
2018-02-12
Completion date
2019-08-07
Last updated
2024-08-23

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

Conditions

Obesity

Keywords

Short Chain Fatty Acids, Propionate, Energy Expenditure, Lipid Oxidation

Brief summary

The research project aims to examine the effect of a dietary supplement called propionate on how the human body in healthy adults aged (18- 65 years) responds to during fasting, exercise and following a liquid mixed meal test and how that would affect energy homeostasis and substrate oxidation.

Detailed description

Dietary fibres have long been recognised for their important role in a healthy diet due to their negative association with, and even management of, chronic diseases such as obesity, diabetes, metabolic syndrome, cardiovascular disease and inflammatory-bowel disease among others.Emerging evidence has suggested that these benefits could largely be attributed to short chain fatty acids (SCFA) (acetate, propionate and butyrate), the main by-products of fibre fermentation in the gut. Previous research has demonstrated that a long-term elevation in the SCFA propionate significantly reduced body weight gain in overweight adults and reduced liver fat storage. The current project will examine potential mechanisms for the positive effect of propionate on energy homeostasis and metabolic profile.The effects of propionate on circulating glucose, insulin, gut hormones and lipid levels at rest, following moderate-intensity exercise and mixed meal tolerance test will be examined. To acutely increase propionate absorption from the gut the present project will use a simple nutritional supplement: sodium propionate in a hydroxypropylmethyl cellulose (HPMC) capsule. This capsule is coated with an enteric film which prevents gastric digestion until the capsule reaches the intestine. This nutritional supplement has been used in human volunteers in a previously approved ethics application (12/LO/1769: Oral propionate and glucose homeostasis). A 5g acute dose of sodium propionate had previously been tested and reported no adverse effects . The MHRA have confirmed that encapsulated sodium propionate is not classed as an investigative medicinal product.

Interventions

Participant receive Placebo (Sodium Chloride)

OTHERExercise

1 hour exercise

DIETARY_SUPPLEMENTSodium Propionate

Participant receive Sodium Propionate

Sponsors

Imperial College London
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Masking description

Participants and investigators will be masked to the contents of the capsules (sodium propionate or sodium chloride). They will not be masked to whether it is a resting or exercise or fasting condition as this is not possible.

Intervention model description

This protocol consisted of three individual trials.

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy volunteers (body mass index (BMI) of 18-35 kg/m2) * Age between 18-65 years (inclusive)

Exclusion criteria

* Weight change of ≥ 3kg in the preceding 2 months * Current smokers * Substance abuse * Excess alcohol intake * Pregnancy * Diabetes * Cardiovascular disease * Cancer * Gastrointestinal disease e.g. inflammatory bowel disease or irritable bowel syndrome * Kidney disease * Liver disease * Pancreatitis * Started new medication within the last 3 months likely to interfere with energy metabolism, appetite regulation and hormonal balance, including: anti-inflammatory drugs or steroids, antibiotics, androgens, phenytoin, erythromycin or thyroid hormones. * Involved in current research or have recently been involved in any research prior to recruitment in the past 12 weeks.

Design outcomes

Primary

MeasureTime frameDescription
Changes in Subjective Hunger During Exercise With Visual Analog Scales (100 mm)240 minutesChanges in subjective hunger between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.
Changes in Resting Lipid Oxidation6 hoursChanges in Resting Lipid Oxidation between sodium propionate and sodium chloride (control).
Changes in Energy Expenditure During Exercise240 minutesChanges in Energy Expenditure between sodium propionate and sodium chloride (control) during exercise.
Changes in Energy Expenditure Post-prandially300 minutesChanges in Energy Expenditure between sodium propionate and sodium chloride (control) post-prandially.
Changes in Lipid Oxidation Post-prandially300 minutesChanges in Lipid Oxidation between sodium propionate and sodium chloride (control) post-prandially.
Changes in Glucose Concentrations Post-prandially300 minutesChanges in glucose concentrations between sodium propionate and sodium chloride (control) post-prandially.
Changes in Glucose Concentrations During Exercise240 minutesChanges in glucose concentrations between sodium propionate and sodium chloride (control) during exercise.
Changes in Subjective Thirst Post-prandially Using a Visual Analog Scale (100 mm).300 minutesChanges in subjective thirst between sodium propionate and sodium chloride (control) post-prandially. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.
Changes in Subjective Thirst During Exercise With Visual Analog Scales (100 mm)240 minutesChanges in subjective thirst between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.
Changes in Subjective Nausea During Exercise With Visual Analog Scales (100 mm)240 minutesChanges in subjective nausea between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective nausea. High (100 mm) mean high subjective nausea.
Changes in Lipid Oxidation During Exercise240 minutesChanges in Lipid Oxidation between sodium propionate and sodium chloride (control) during exercise.
Changes in Resting Energy Expenditure6 hoursChanges in Resting Energy Expenditure between sodium propionate and sodium chloride (control).

Secondary

MeasureTime frameDescription
Changes in GLP-1 Concentration300 minutesChanges in GLP-1 concentrations between sodium propionate and sodium chloride (control) post-prandially.
Changes in Insulin Concentration360 minutesChanges in insulin concentrations between sodium propionate and sodium chloride (control) during fasting
Changes in Glucose Concentration360 minutesChanges in glucose concentrations between sodium propionate and sodium chloride (control) during fasting
Changes in Subjective Nausea With Visual Analog Scales (100 mm)360 minutesChanges in subjective nausea between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective nausea. High (100 mm) mean high subjective nausea.
Changes in Subjective Hunger With Visual Analog Scales (100 mm)360 minutesChanges in subjective hunger between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.
Changes in Subjective Thirst Using Visual Analog Scales (100 mm)360 minutesChanges in subjective thirst between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.
Changes in Subjective Nausea Between Sodium Propionate and Sodium Chloride Post-prandially300 minutesChanges in subjective nausea between sodium propionate and sodium chloride (control) post-prandially.
Changes in Subjective Hunger Between Sodium Propionate and Sodium Chloride Post-prandially With Visual Analog Scales (100 mm)300 minutesChanges in subjective hunger between sodium propionate and sodium chloride (control) post-prandially. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.
Changes in Free Fatty Acid Concentration360 minutesChanges in free fatty acid concentrations between sodium propionate and sodium chloride (control) during fasting

Countries

United Kingdom

Participant flow

Pre-assignment details

53 individual participants were enrolled in the entire study. 25 enrolled in Fasted Study (all new). 25 enrolled in Postprandial Study (16 new, 9 had previously enrolled in Fasted study). 25 enrolled in Exercise Study (12 new, 13 had previously enrolled in Fasted or Postprandial studies). The participant flow is therefore presented for the three individual study periods (25 starting each study period).

Participants by arm

ArmCount
Fasted Study
Sodium Chloride tested in a fasting state. Participants will be fasting for duration of study visit (360 minutes). Placebo (Sodium Chloride): Participant receive Placebo (Sodium Chloride) Theb Sodium Propionate tested in a fasting state. Participants will be fasting for duration of study visit (360 minutes). Sodium Propionate: Participant receive Sodium Propionate
25
Post-prandial Study
Sodium Chloride tested in a post-prandial state. Participants will have the placebo then a mixed liquid meal test is given. Placebo (Sodium Chloride): Participant receive Placebo (Sodium Chloride) Then Sodium Propionate tested in a post-prandial state. Participants will have the sodium propionate then a mixed liquid meal test is given.
16
Exercise Study
Sodium Chloride tested in an exercise state. Participants will have the placebo then exercise will be performed at 40% of maximal aerobic capacity for one hour. Placebo (Sodium Chloride): Participant receive Placebo (Sodium Chloride) Exercise: 1 hour exercise Then Sodium Propionate tested in an exercise state. Participants will have the sodium propionate then exercise will be performed at 40% of maximal aerobic capacity for one hour. Exercise: 1 hour exercise Sodium Propionate: Participant receive Sodium Propionate
12
Total53

Baseline characteristics

CharacteristicFasted StudyPost-prandial StudyExercise StudyTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
25 Participants16 Participants12 Participants53 Participants
BMI23.1 kg/m^2
STANDARD_DEVIATION 0.7
24.7 kg/m^2
STANDARD_DEVIATION 0.8
24.5 kg/m^2
STANDARD_DEVIATION 0.7
24.1 kg/m^2
STANDARD_DEVIATION 0.7
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
United Kingdom
25 participants16 participants12 participants53 participants
Sex: Female, Male
Female
12 Participants7 Participants4 Participants23 Participants
Sex: Female, Male
Male
13 Participants9 Participants8 Participants30 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 190 / 20
other
Total, other adverse events
0 / 190 / 190 / 20
serious
Total, serious adverse events
0 / 190 / 190 / 20

Outcome results

Primary

Changes in Energy Expenditure During Exercise

Changes in Energy Expenditure between sodium propionate and sodium chloride (control) during exercise.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Energy Expenditure During Exercise5.085 kcal/minStandard Deviation 0.33
Propionate and FastingChanges in Energy Expenditure During Exercise4.991 kcal/minStandard Deviation 0.328
Primary

Changes in Energy Expenditure Post-prandially

Changes in Energy Expenditure between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Energy Expenditure Post-prandially1.057 kcal/minStandard Deviation 0.044
Propionate and FastingChanges in Energy Expenditure Post-prandially1.072 kcal/minStandard Deviation 0.046
Primary

Changes in Glucose Concentrations During Exercise

Changes in glucose concentrations between sodium propionate and sodium chloride (control) during exercise.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Glucose Concentrations During Exercise4.35 mmol/LStandard Deviation 0.09
Propionate and FastingChanges in Glucose Concentrations During Exercise4.47 mmol/LStandard Deviation 0.07
Primary

Changes in Glucose Concentrations Post-prandially

Changes in glucose concentrations between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Glucose Concentrations Post-prandially5.38 mmol/LStandard Deviation 0.133
Propionate and FastingChanges in Glucose Concentrations Post-prandially5.40 mmol/LStandard Deviation 0.141
Primary

Changes in Lipid Oxidation During Exercise

Changes in Lipid Oxidation between sodium propionate and sodium chloride (control) during exercise.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Lipid Oxidation During Exercise0.284 g/minStandard Deviation 0.032
Propionate and FastingChanges in Lipid Oxidation During Exercise0.287 g/minStandard Deviation 0.03
Primary

Changes in Lipid Oxidation Post-prandially

Changes in Lipid Oxidation between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Lipid Oxidation Post-prandially0.027 g/minStandard Deviation 0.005
Propionate and FastingChanges in Lipid Oxidation Post-prandially0.025 g/minStandard Deviation 0.005
Primary

Changes in Resting Energy Expenditure

Changes in Resting Energy Expenditure between sodium propionate and sodium chloride (control).

Time frame: 6 hours

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Resting Energy Expenditure1.013 kcal/minStandard Deviation 0.034
Propionate and FastingChanges in Resting Energy Expenditure1.040 kcal/minStandard Deviation 0.039
Primary

Changes in Resting Lipid Oxidation

Changes in Resting Lipid Oxidation between sodium propionate and sodium chloride (control).

Time frame: 6 hours

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Resting Lipid Oxidation0.032 g/minStandard Deviation 0.007
Propionate and FastingChanges in Resting Lipid Oxidation0.042 g/minStandard Deviation 0.007
Primary

Changes in Subjective Hunger During Exercise With Visual Analog Scales (100 mm)

Changes in subjective hunger between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Hunger During Exercise With Visual Analog Scales (100 mm)51.7 mmStandard Deviation 5.7
Propionate and FastingChanges in Subjective Hunger During Exercise With Visual Analog Scales (100 mm)57.2 mmStandard Deviation 5.3
Primary

Changes in Subjective Nausea During Exercise With Visual Analog Scales (100 mm)

Changes in subjective nausea between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective nausea. High (100 mm) mean high subjective nausea.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Nausea During Exercise With Visual Analog Scales (100 mm)2.9 mmStandard Deviation 1.1
Propionate and FastingChanges in Subjective Nausea During Exercise With Visual Analog Scales (100 mm)6.7 mmStandard Deviation 3.4
Primary

Changes in Subjective Thirst During Exercise With Visual Analog Scales (100 mm)

Changes in subjective thirst between sodium propionate and sodium chloride (control) during exercise. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Thirst During Exercise With Visual Analog Scales (100 mm)39.8 mmStandard Deviation 5.3
Propionate and FastingChanges in Subjective Thirst During Exercise With Visual Analog Scales (100 mm)46.8 mmStandard Deviation 5.4
Primary

Changes in Subjective Thirst Post-prandially Using a Visual Analog Scale (100 mm).

Changes in subjective thirst between sodium propionate and sodium chloride (control) post-prandially. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Thirst Post-prandially Using a Visual Analog Scale (100 mm).15.7 mmStandard Deviation 4.3
Propionate and FastingChanges in Subjective Thirst Post-prandially Using a Visual Analog Scale (100 mm).14.5 mmStandard Deviation 4
Secondary

Changes in Free Fatty Acid Concentration

Changes in free fatty acid concentrations between sodium propionate and sodium chloride (control) during fasting

Time frame: 360 minutes

Population: Data not yet analysed.

Secondary

Changes in GLP-1 Concentration

Changes in GLP-1 concentrations between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in GLP-1 Concentration67.9 mmol/LStandard Deviation 7.1
Propionate and FastingChanges in GLP-1 Concentration70.5 mmol/LStandard Deviation 6.2
Secondary

Changes in Glucose Concentration

Changes in glucose concentrations between sodium propionate and sodium chloride (control) during fasting

Time frame: 360 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Glucose Concentration4.12 mmol/LStandard Deviation 0.08
Propionate and FastingChanges in Glucose Concentration4.14 mmol/LStandard Deviation 0.08
Secondary

Changes in Insulin Concentration

Changes in insulin concentrations between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Insulin Concentration29.88 μU/mLStandard Deviation 2.69
Propionate and FastingChanges in Insulin Concentration30.27 μU/mLStandard Deviation 2.17
Secondary

Changes in Insulin Concentration

Changes in insulin concentrations between sodium propionate and sodium chloride (control) during fasting

Time frame: 360 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Insulin Concentration7.70 μU/mLStandard Deviation 0.48
Propionate and FastingChanges in Insulin Concentration7.87 μU/mLStandard Deviation 0.59
Secondary

Changes in Insulin Concentration

Changes in insulin concentrations between sodium propionate and sodium chloride (control) during exercise

Time frame: 240 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Insulin Concentration5.34 μU/mLStandard Deviation 0.39
Propionate and FastingChanges in Insulin Concentration5.63 μU/mLStandard Deviation 0.55
Secondary

Changes in Subjective Hunger Between Sodium Propionate and Sodium Chloride Post-prandially With Visual Analog Scales (100 mm)

Changes in subjective hunger between sodium propionate and sodium chloride (control) post-prandially. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Hunger Between Sodium Propionate and Sodium Chloride Post-prandially With Visual Analog Scales (100 mm)48.8 mmStandard Deviation 5
Propionate and FastingChanges in Subjective Hunger Between Sodium Propionate and Sodium Chloride Post-prandially With Visual Analog Scales (100 mm)43.7 mmStandard Deviation 5.4
Secondary

Changes in Subjective Hunger With Visual Analog Scales (100 mm)

Changes in subjective hunger between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective hunger. High (100 mm) mean high subjective hunger.

Time frame: 360 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Hunger With Visual Analog Scales (100 mm)48.0 mmStandard Deviation 4.11
Propionate and FastingChanges in Subjective Hunger With Visual Analog Scales (100 mm)44.8 mmStandard Deviation 5.25
Secondary

Changes in Subjective Nausea Between Sodium Propionate and Sodium Chloride Post-prandially

Changes in subjective nausea between sodium propionate and sodium chloride (control) post-prandially.

Time frame: 300 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Nausea Between Sodium Propionate and Sodium Chloride Post-prandially4.7 mmStandard Deviation 1.8
Propionate and FastingChanges in Subjective Nausea Between Sodium Propionate and Sodium Chloride Post-prandially5.3 mmStandard Deviation 1.8
Secondary

Changes in Subjective Nausea With Visual Analog Scales (100 mm)

Changes in subjective nausea between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective nausea. High (100 mm) mean high subjective nausea.

Time frame: 360 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Nausea With Visual Analog Scales (100 mm)48.0 mmStandard Deviation 4.11
Propionate and FastingChanges in Subjective Nausea With Visual Analog Scales (100 mm)44.8 mmStandard Deviation 5.25
Secondary

Changes in Subjective Thirst Using Visual Analog Scales (100 mm)

Changes in subjective thirst between sodium propionate and sodium chloride (control) during fasting. Volunteers completed the visual analog scale using a pen (Biro, black) with scales printed (Sharp MX-7580N ) on paper (A4, white). Visual analog scales were 100 mm in length. Minimum (0 mm) mean low subjective thirst. High (100 mm) mean high subjective thirst.

Time frame: 360 minutes

ArmMeasureValue (MEAN)Dispersion
Placebo + FastingChanges in Subjective Thirst Using Visual Analog Scales (100 mm)24.7 mmStandard Deviation 5.43
Propionate and FastingChanges in Subjective Thirst Using Visual Analog Scales (100 mm)23.2 mmStandard Deviation 5.25

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