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Healthy Overweight/ObeseTRIMETNCT07463495

The Metabolic Effects of Oral Tributyrin Administration

A study testing tributyrin in people with Healthy Overweight/Obese, run by University of Aarhus at 1 site in Denmark.

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Sites and contacts
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Trial summary

The goal of this double-blinded randomized clinical cross-over trial is to investigate the metabolic and appetite regulating effects of oral tributyrin (a butyrate pro-drug) administration vs placebo. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Healthy Overweight/Obese
What is being tested?
tributyrin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
1 siteDenmark
Study dates
20 Feb 2026to Dec 2026
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A body mass index (BMI) between 30-45 kg/m2
  • Older than 18 years of age
  • HbA1c < 48 mmol/mol
  • Hemoglobin within normal range (females: 7.3-9.5 mmol/L, males: 8.3-10.5 mmol/L)
  • Written and oral consent to participate

Who cannot join

  • Medications affecting glucose metabolism and/or appetite (e.g. insulin, metformin, GLP-1 analogues)
  • Special diet (HCLF, ketogenic diets, vegan/vegetarian)
  • Ongoing cancer or other acute/chronic serious diseases (determined by PI)
  • Inability to understand Danish or English
  • Abnormal blood samples at screening visit (determined by PI and co-investigators)
  • Deemed unsuitable to participate by the PI and co-investigators

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Simon M Denning, MD contact

0045 78450000

simon.denning@clin.au.dk

Denmark1 site, 1 recruiting
  • SDCA / Medical Research Laboratory

    Aarhus N, 8200

    Simon M Denning, MD, 004578450000, simon.denning@clin.au.dk

    Recruiting

Other trials in Denmark

About this study

Official title: The Metabolic Effects of Oral Tributyrin Administration in Overweight/Obese Individuals

The goal of this double-blinded randomized clinical cross-over trial is to investigate the metabolic and appetite regulating effects of oral tributyrin (a butyrate pro-drug) administration vs placebo.

The main questions it aims to answer are:

Read more
  • Does tributyrin have glucose lowering properties in humans?
  • Does tributyrin reduce appetite in humans?

A sample size calculation estimated a minimum of 10 participants. We expect to include 12 participants in this study. Tributyrin or placebo is ingested once or twice daily for 2x2 weeks, separated by a washout period of minimum 2 weeks. On trial day following each 2-week period we assess:

  • Postprandial blood sugar levels
  • Hunger sensations (questionnaire)
  • Enteroendocrine hormone secretion (GLP-1, GIP, PYY, LEAP2, ghrelin)
  • Cardiac function (echocardiography) - An exploratory study evaluating the hemodynamic effects assessed by echocardiography is anticipated to be published separately.
  • Caloric intake (ad libitum meal test)
  • Gastric emptying rate (acetaminophen test)
  • Resting metabolic rate (indirect calorimetry).

While at home, subjects will wear a sleep monitoring device for three consecutive nights and deliver fecal samples for analysis of short-chain fatty acid content and microbiota composition.

Being tested
tributyrin, Control
Keywords
Appetite, Glucose metabolism, Butyrate, Tributyrin
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • tributyrinDietary supplement

    Oral ingestion of tributyrin (liquid) once daily (20 g x 1) for 7 days, then twice daily (20 g x 2) for 7 days.

  • ControlDietary supplement

    Oral ingestion of water (liquid) with added bitter substance once daily (20 ml x 1) for 7 days, then twice daily (20 ml x 2) for 7 days

Study groups in NCT07463495
Study groupRoleWhat they receive
Oral tributyrinExperimentalOral ingestion of tributyrin
Receives: Dietary Supplement: tributyrin
ControlPlacebo comparatorOral ingestion of placebo
Receives: Dietary Supplement: Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Postprandial glucose

    iAUC of plasma glucose after ingestion of mixed meal

    Measured: During trial day, time 120-300 minutes

Secondary outcomes (27)
  1. Butyrate

    Plasma concentrations of butyrate

    Measured: During trial day, time 0-300 minutes

  2. Subjective appetite - appetite questionaire

    We will assess subjective appetite sensations with a recommended primary scale for self-reported appetite in healthy adults. The scale includes five questions addressing hunger, fullness, satiety, desire to eat and prospective consumption. The participants answer on a computer or tablet by sliding a button on a horizontal line (Visual Analog Scale) with left being eg. "Not hungry at all" to right "As hungry as I have ever felt".

    Measured: 0, 60, 120, 180, 240, 300 minutes

  3. Caloric intake

    Caloric intake (kcal) during ad libitum meal test

    Measured: Time 300 minutes

  4. Gastric emptying assessed by acetaminophen

    Plasma concentration of acetaminophen following oral acetaminophen intake

    Measured: From ingestion of mixed meal test with acetaminophen, time 120-240 minutes

  5. GLP-1

    Plasma concentrations of GLP-1

    Measured: During trial day, time 0-300 minutes

  6. GIP

    Plasma concentrations of GIP

    Measured: During trial day, time 0-300 minutes

  7. LEAP2

    Plasma concentrations of LEAP2

    Measured: During trial day, time 0-300 minutes

  8. PYY

    Plasma concentrations of PYY

    Measured: During trial day, time 0-300 minutes

  9. Ghrelin

    Plasma concentrations of ghrelin

    Measured: During trial day, time 0-300 minutes

  10. Insulin

    Plasma concentrations of insulin

    Measured: During trial day, time 0-300 minutes

  11. C-peptide

    Plasma concentrations of c-peptide

    Measured: During trial day, time 0-300 minutes

  12. Glucagon

    Plasma concentrations of glucagon

    Measured: During trial day, time 0-300 minutes

  13. Cardiac function

    Echocardiographic assessment of cardiac output, left ventricular ejection fraction, global longitudinal strain, tricuspid annular plane systolic excursion (TAPSE), systemic vascular resistance

    Measured: Time 0 and 90 minutes

  14. β-hydroxybutyrate

    Plasma concentrations of β-hydroxybutyrate

    Measured: During trial day, time 0-300 minutes

  15. Lactate

    Plasma concentrations of lactate

    Measured: During trial day, time 0-300 minutes

  16. C-reactive protein (CRP)

    Plasma concentrations of CRP

    Measured: On trial day, time 0 minutes

  17. Tumor Necrosis Factor ⍺ (TNF-⍺)

    Plasma concentrations of TNF-⍺

    Measured: On trial day, time 0 minutes

  18. Interleukin 6 (IL-6)

    Plasma concentrations of IL-6

    Measured: On trial day, time 0 minutes

  19. Interleukin 10 (IL-10)

    Plasma concentrations of IL-10

    Measured: On trial day, time 0 minutes

  20. Lipopolysaccharide Binding Protein (LPB)

    Plasma concentrations of LPB

    Measured: On trial day, time 0 minutes

  21. Cortisol

    Plasma concentration of cortisol

    Measured: On trial day, time 0 minutes

  22. Triglyceride

    Plasma concentrations of triglyceride

    Measured: During trial day, time 0-300 minutes

  23. FFA

    Plasma concentrations of free fatty acids

    Measured: During trial day, time 0-300 minutes

  24. Energy expenditure

    Indirect calorimetry

    Measured: After 60 and 150 minutes approximately

  25. Sleep

    Assessment of sleep duration and stages

    Measured: Three nights at the end of the 2 week period at home

  26. Fecal butyrate

    Fecal concentrations of butyrate

    Measured: Day 0, 7, 14 during the 2 week period

  27. Microbiome composition

    Analysis of microbiome composition and metagenomics performed on fecal samples

    Measured: Day 0, 7, 14 during the 2 week period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2026
  2. Study start20 Feb 2026
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07463495
Sponsor's protocol ID
1-10-72-110-25
Acronym
TRIMET
Status last verified
Nov 2025
First submitted
5 Mar 2026
Last updated
16 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The corresponding author will make data available on reasonable request.

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