The present study was undertaken to determine whether infusion of cholecystokinin (CCK) to plasma concentrations comparable to those found after a meal stimulates pancreatic enzyme secretion and gallbladder contraction. Plasma CCK concentrations were measured by radioimmunoassay using antibody T204, which binds to all carboxyl-terminal CCK-peptides containing the sulfated tyrosine region. Ingestion of a standardized test meal in 7 normal subjects induced significant increases in plasma CCK from 2.0 ± 0.2 pmol/1 to levels between 4.6 ± 0.6 and 7.3 ± 1.0 pmol/1 (p<0.05−p<0.0005). Infusion of 2.5 pmol/kg.h CCK 33 resulted in significant increases in plasma CCK from 2.0 ± 0.2 to 3.9 ± 0.3 pmol/1 (p<0.0005). This infusion of CCK induced significant increases in trypsin secretion from 0.5 ± 0.1 to 1.4 ± 0.2 KU/15 min (p<0.005) and in bilirubin output from 1.6 ± 0.7 to 30.3 ± 8.0 μmol/15 min (p<0.05). It is concluded that physiological plasma concentrations of CCK stimulate pancreatic enzyme secretion and gallbladder contraction in man.