Gut Mini-Pill Study

Evaluation of Ingestible Mini-pill for Gastrointestinal Regional Luminal Content Sampling

The purpose of this proof-of-concept study in humans is to determine if a noninvasive, ingestible device, called a "mini-pill", can collect gastrointestinal (GI) luminal content samples from 2 different locations along the GI tract after consumption of diets differing in protein source (meat and plant-based meat alternatives). The mini-pills will be recovered in the stool. We will analyze the microbial profile of the mini-pill contents and in stool, and also measure blood biomarkers related to cardiometabolic risk, to better understand the relationship between diet, microbiota and health.

The ingestible mini-pill is a non-invasive, single-use, passive collection device that is not intended for diagnosis or treatment. The mini-pills have already been developed, tested and validated by two Tufts researchers, Drs. Sameer Sonkusale (School of Engineering) and Giovanni Widmer (School of Veterinary Medicine), in vitro, ex vitro, and in vivo in animal models (Supplement 1: Research Strategy and Supplement 2: Soft Autonomous Ingestible Device for Sampling the Small Intestinal Microbiome, Del-Rio-Ruiz R et al., manuscript in review). A NSR device designation is being sought from the IRB to conduct a 2-phase randomized-controlled double blind crossover trial in humans by providing two entrées per day containing either meat or plant-based meat alternatives for up to 3 weeks each. After 2 weeks on each diet, participants will consume a provided breakfast meal and then be asked to swallow 6 mini-pills along with a blue food coloring dissolved in 50 mL of water, return home and collect stool samples until all the mini-pills are recovered (varies between 2 and 4 days, but can be up to 6 days). This protocol will allow us to describe the diet-induced progressive change in the GI tract microbiota prior to and including that in the stool.

Inclusion Criteria:

• Men and postmenopausal women
• Age >50 to <75 years
• BMI >20 to <35 kg/m2
• Normotensive with or without medication
• Normal gastrointestinal function with regular bowel movements at least once every other day
• Normal kidney and liver function
• Willingness to swallow the mini-pills
• Willingness to collect and return multiple stool samples
• Adequate refrigerator and freezer space to store study entrées
• Intent to remain in the greater Boston area during the intervention periods

Exclusion Criteria:

• Individuals self-reporting adhering to any type of vegetarian diet
• Lack of willingness to restrict fish intake to less than once per week during the dietary intervention phases
• Allergy/intolerance/religious reasons to avoid study foods or food ingredients, including known hypersensitivity to Blue 1 food coloring and wheat gluten.
• Regular use of prebiotics or probiotics within the past 3 months
• Regular use of laxatives or fiber supplements
• Chronic constipation
• Chronic use of antibiotics (except topical)
• Regular use of stomach acid lowering and weight loss medications such as GLP-1 agonists
• Use of dental prophylaxis
• Planned colonoscopy 2 months prior to or during the study period
• Gastroparesis
• Swallowing disorder, or inability or difficulty taking pills
• Malabsorptive and inflammatory bowel disease, diverticulosis, and history of diverticulitis, gastric/ esophageal/intestinal surgery, including lap banding or bariatric surgery.
• History of bowel obstruction, pancreas and liver disorders.
• Any form of active substance abuse or dependence (including drug or alcohol abuse). This information will be stored in REDCAP in a subsection that has no identifiers.
• Established major chronic diseases such as cardiovascular disease, diabetes, active cancer within the last 5 years, or any significant medical condition at the study MD's discretion
• A clinical condition that, in the judgment of the study MD or principal investigator, could potentially pose a health risk to the subject while involved in the study.
• Unwillingness to adhere to study protocol
• Intent to increase or decrease body weight during the study period
• No Social Security number (for payment and IRS forms).
• Individuals who directly report to any member of the research team.