Official Title: Luminal Fructose Kinetics MARTINI 2024
Status: RECRUITING
Status Verified Date: 2024-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: MARTINI
Brief Summary: In this study the investigators aim is to explore the dynamics of small intestinal fructose catabolism in humans and ethanol production in relation to small intestinal signalling pathways and changes in pH using 13C fructose isotope tracing techniques complemented with direct luminal sampling via small intestinal catheter in biopsy proven MASLDMASH patients vs healthy BMI25 subjects Additionally the investigators will repeat the experiment after four weeks of administering omeprazole at a dose of 40 mg twice daily Omeprazole is a proton pump inhibitor known to elevate pH from 2-6
Detailed Description: The investigators will perform a non blinded single centre intervention study in 2x 11 participants
Participants will be either healthy volunteers with a BMI 25 and Age 18-65 or patients with MASLD with a BMI 25 Age 18-65
The objective of the investigators is to study the fructose hostmicrobial kinetics in humans and to establish the role of small intestinal pH on fructose fermentation and endogenous ethanol production in a MASLDMASH population versus healthy subjects
Subjects will be given omeprazole orally given twice a day 40mg for four weeks
At baseline and after four weeks of omeprazole a fructose challenge test with labelled fructose and fomepizole and a gastroscopy will be performed during which a nasal-intestinal catheter will be placed to allow for luminal sampling during the fructose challenge test