Restoring small-intestine bile acids to prevent antibiotic-related gut imbalance

Alleviating antibiotic-induced gut dysbiosis by restoring small intestinal bile acid metabolism

NIH-funded research Brown University · NIH-11229642

Researchers will try restoring how the small intestine handles bile acids to help protect gut bacteria in people taking antibiotics like amoxicillin.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionBrown University NIH-funded
Lab location1 site (Providence, United States)
Project IDNIH-11229642 on NIH RePORTER

What this research studies

Antibiotics can upset the mix of helpful bacteria in the gut, causing short- and long-term problems. This project focuses on bile acids made by the body in the small intestine, which help shape which microbes survive farther down in the gut. The team will measure how antibiotics change small-intestine bile acid processing and microbiome composition and test ways to restore normal bile acid metabolism using lab models and clinical samples. Their work aims to find approaches that could be given alongside antibiotics to keep the gut microbiome balanced.

Who could benefit from this research

Good fit: Ideal candidates would be people who are taking or scheduled to take broad-spectrum antibiotics such as amoxicillin and are willing to provide samples or attend study visits.

Not a fit: People not exposed to antibiotics or whose gut problems are caused by other conditions (for example, chronic inflammatory bowel disease unrelated to recent antibiotics) may not benefit from this approach.

Why it matters

Potential benefit: If successful, this could reduce antibiotic-related gut disturbances and lower the risk of complications from microbiome disruption.

How similar studies have performed: Previous research has shown antibiotics disrupt fecal microbiota and some bile-acid–based approaches look promising in early lab or animal work, but targeting small-intestine bile acid metabolism in humans is relatively new.

Where this research is happening

Providence, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.