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Fiber Supplementation in Heart Failure With Preserved Ejection Fraction (HFpEF)

Fiber Supplementation to Increase Short Chain Fatty Acid Production in Patients With Type II Diabetes and Heart Failure With Preserved Ejection Fraction - the FERMENT HFpEF Trial

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06337812
Enrollment
30
Registered
2024-03-29
Start date
2024-04-01
Completion date
2026-12-31
Last updated
2025-07-24

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

Conditions

Type2diabetes, Heart Failure With Preserved Ejection Fraction

Keywords

Fiber Supplementation, Potato Starch, Gut microbiome, Resistant starch

Brief summary

The study team is studying how increasing dietary fiber, specifically through adding potato starch to participant's diet, may impact the species of bacteria in participant's gut microbiome. The study team also wants to understand if adding potato starch to participant's diet helps these bacteria make more short chain fatty acids, a byproduct the team thinks may benefit participant's health.

Interventions

DIETARY_SUPPLEMENTPotato Starch

Participants will consume 10 grams (1/2 a packet) of Bob's Red Mill Potato Starch twice a day for the first 7 days and then increase to 20 grams (full packet) of potato starch for approximately 3 weeks. Potato starch can be mixed into cold food or beverage for consumption. In addition, participants will have evaluations and provide blood and stool samples during the study.

Sponsors

University of Michigan
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* A confirmed clinical diagnosis of stable HFpEF on maximally tolerated Heart Failure (HF) medical regimen (without changes in dosage in the prior month) * Left ventricular ejection fraction of \>50% documented in the prior 12 months * A confirmed clinical diagnosis of Type II diabetes (T2DM) with glycated hemoglobin \<10% without changes in medical regimen in the past month.

Exclusion criteria

* Current usage of pre- or probiotic usage * Antibiotic usage in the past 6 months * Current participation in another interventional clinical trial * History of potato allergy or potato starch allergy, inflammatory bowel syndrome, inflammatory bowel disease, bowel resection, Roux-en-Y gastric bypass surgery, celiac disease, Crohn's disease, or colorectal cancer * Hypoglycemic episode with blood glucose 70 milligrams per deciliter (mg/dL) within the last month * Stage IV-V chronic kidney disease * Pregnancy (self-reported) * Comorbidity limiting survival to \< 12 months

Design outcomes

Primary

MeasureTime frameDescription
Changes in Short Chain Fatty Acid (SCFA) butyrate levels - stoolBaseline, approximately 4 weeksStool will be analyzed.
Changes in Short Chain Fatty Acid (SCFA) butyrate levels - plasmaBaseline, approximately 4 weeksPlasma samples will be analyzed.
Changes in propionate levels - stoolBaseline, approximately 4 weeksStool will be analyzed.
Changes in propionate levels- plasmaBaseline, approximately 4 weeksPlasma samples will be analyzed.
Changes in acetate levels- stoolBaseline, approximately 4 weeksStool will be analyzed.
Changes in acetate levels- plasmaBaseline, approximately 4 weeksPlasma samples will be analyzed.

Countries

United States

Contacts

Primary ContactHayley Billingsley, PhD
hbilings@med.umich.edu734-726-0308

Outcome results

None listed

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