ISRCTN ISRCTN13387811
DOI https://doi.org/10.1186/ISRCTN13387811
Integrated Research Application System (IRAS) 352907
Sponsors University of Bristol, University of Bath
Funder Wellcome Trust
Submission date
28/01/2026
Registration date
06/02/2026
Last edited
02/02/2026
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Eating and drinking foods that contain sugar can affect how the body processes fat. One type of fat in the blood, called triglycerides, can increase after eating and drinking and, if consistently high, may increase the risk of long-term health problems such as heart disease. When large amounts of sugar are consumed, especially quickly, the body may convert some of this sugar into blood fats, also known as triglycerides. This study aims to understand whether drinking sugar quickly in one large amount or slowly in smaller amounts leads to different short-term effects on blood triglycerides and how the body processes dietary intake of sugar and fat in healthy adults.

Who can participate?
Healthy men and women aged 18–65 years may be able to take part. Participants must have a body mass index (BMI) in the normal to overweight range. People with certain medical conditions, food allergies relevant to the study foods, or who are pregnant or breastfeeding will not be eligible.

What does the study involve?
Participants will take part in a crossover study, meaning they will complete three separate study days, each about one month apart. On each study day, participants will consume one of the following test drinks: a large sugar drink consumed all at once, the same amount of sugar consumed slowly in smaller drinks, or water only. On each study day, participants will attend the laboratory for around 6–7 hours, eat a standard study meal, and provide blood and breath samples while resting. Additional short visits will take place before each study day to collect small blood samples and provide a special type of water, known as heavy water, that helps researchers measure how sugar is converted into blood fats. Stool samples will also be collected at home, which will help us determine whether sugar is metabolised or transits through our bowels. Participation is voluntary, and participants may withdraw at any time.

What are the possible benefits and risks of participating?
Participants may receive personalised information about their body composition and blood test results. There may be no direct health benefit from taking part, but the study will help improve understanding of how sugar intake affects metabolism. Risks are minor and include discomfort or bruising from blood sampling, mild dizziness from drinking the heavy water, and very low exposure to radiation from a body composition scan. These risks will be carefully managed by trained staff.

Where is the study run from?
The study is run from the University of Bath, with some visits taking place at a location convenient for the participant.

When is the study starting and how long is it expected to run for?
The study is expected to start in 2025. Each participant will be involved for approximately three to four months, depending on scheduling of visits.

Who is funding the study?
The study is funded by the Wellcome Trust and sponsored by the University of Bristol.

Who is the main contact?
The main contact for the study is the research team at the University of Bristol. Contact details are provided in the participant information materials.

Contact information

Prof Emma Vincent
Principal investigator, Scientific

Dorothy Hodgkin Building
Whitson Street
Bristol
BS1 3NY
United Kingdom

ORCiD logoORCID ID 0000-0002-8917-7384
Phone +44 117 455 5618
Email emma.vincent@bristol.ac.uk
Miss Benedita Deslandes
Public, Scientific

Bristol Medical School (PHS)
Augustine's Courtyard
Orchard Lane
Bristol
BS1 5DS
United Kingdom

ORCiD logoORCID ID 0009-0000-2738-4794
Phone +44 117 455 5618
Email benedita.deslandes@bristol.ac.uk
Prof Javier Gonzalez
Scientific, Principal investigator

Centre for Nutrition, Exercise and Metabolism
1 West
University of Bath
Bath
BA2 7AY
United Kingdom

ORCiD logoORCID ID 0000-0002-9939-0074
Phone +44 (0) 1225 385518
Email J.T.Gonzalez@bath.ac.uk

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlPlacebo
AssignmentCrossover
PurposeBasic science
Participant information sheet 48924 Participant information sheet v.1.6.pdf
Scientific titleA study to uncover metabolic responses to rapid vs. slow ingestion rates of sugar
Study acronymSIP
Study objectivesThe primary objective of this study is to determine whether rapid consumption of sugar (1:1 glucose:fructose) exaggerates postprandial triglyceridaemia compared with slow consumption in healthy adults. Secondary objectives are to determine whether differences in triglyceride responses are explained by changes in whole-body fatty acid synthesis (de novo lipogenesis) and dietary sugar oxidation following sugar ingestion. Exploratory objectives include assessment of postprandial metabolic and molecular responses to different rates of sugar consumption.
Ethics approval(s)

Approved 30/09/2025, North West - Greater Manchester South Research Ethics Committee (2 Redman Place, Stratford, London, E20 1JQ, United Kingdom; +44 207 104 8000; gmsouth.rec@hra.nhs.uk), ref: 25/NW/0266

Health condition(s) or problem(s) studiedPostprandial triglyceride metabolism in response to different rates of sugar (glucose and fructose) consumption in healthy adults.
InterventionThis is an open-label, randomised, three-condition crossover trial conducted in healthy adults. Participants will complete three experimental conditions in random order, separated by a four-week washout period.

The interventions are:
1. Control condition: consumption of 500 mL water only (placebo).
2. Rapid sucrose ingestion: consumption of 100 g sugar (50g glucose, 49.8g fructose, 0.2g 13C fructose) dissolved in 500 mL water, ingested as a single bolus at time zero.
3 Slow sucrose ingestion: consumption of 100 g sugar (50g glucose, 49.8g fructose, 0.2g 13C fructose) divided into five 100 mL drinks, ingested every 45 minutes.

Participants will be randomised to the order of conditions. Postprandial metabolic responses will be assessed following each intervention. Participants are randomised to the order of interventions using an online randomisation tool (randomizer.org). The randomisation sequence is generated by JG. The study is open-label, with both participants and researchers aware of the intervention received.
Intervention typeOther
Primary outcome measure(s)
  1. Postprandial plasma triglyceride concentration measured using Incremental area under the curve (iAUC) for plasma triglyceride concentrations measured from venous blood samples at Baseline (fasting) and repeatedly over a 6-hour postprandial period
Key secondary outcome measure(s)
  1. Whole-body de novo lipogenesis measured using Rate of whole-body fatty acid synthesis measured using deuterated water (heavy water) incorporation at Over a 6-hour postprandial period following ingestion of the test drink
  2. Dietary sugar oxidation measured using Oxidation of dietary sugar assessed using 13C fructose at Over a 6-hour postprandial period following ingestion of the test drink
Completion date01/10/2027

Eligibility

Participant type(s)
Age groupMixed
Lower age limit18 Years
Upper age limit65 Years
SexAll
Target sample size at registration8
Key inclusion criteria1. Age: 18-65 years
2. Body mass index (BMI): 18.5-29.9 kg/m²
Key exclusion criteria1. Weight instability (greater than 5 kg change in body mass within the last 6 months)
2. Diagnosis of any form of diabetes
3. Intolerances or allergies to any study procedures (e.g., lactose intolerance, egg allergy)
4. Fructose malabsorption
5. Inborn errors of fructose metabolism (e.g., fructokinase deficiency, aldolase B deficiency, fructose‑1,6‑bisphosphatase deficiency)
6. Pregnant or lactating
7. Any condition that could introduce bias to the study (e.g., lipid disorders including cardiovascular disease, or therapies that alter lipid or glucose metabolism such as statins or niacin)
8. Following a vegan diet, as participants must consume a high‑fat meal composed of animal products with the test drink
9. Recent involvement (within the last 6 months) in research that could alter metabolism, or donation of a substantial amount of blood (>470 mL, the standard NHS blood donation)
10. Inability to speak English
Date of first enrolment05/12/2025
Date of final enrolment07/09/2026

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centres

University of Bath
Claverton Down
Bath
BA2 7AY
England
University of Bristol
Senate House
Tyndall Avenue
Bristol
BS8 1TH
England

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 13/11/2025 28/01/2026 No Yes

Additional files

48924 Participant information sheet v.1.6.pdf
Participant information sheet

Editorial Notes

28/01/2026: Trial's existence confirmed by North West - Greater Manchester South Research Ethics Committee.