Evaluation of the Effects Associated With the Administration of Akkermansia Muciniphila on Parameters of Metabolic Syndrome

NCT ID: NCT02637115

Last Updated: 2019-05-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2018-02-20

Brief Summary

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Overweight and obesity have reached worldwide epidemic level. Both overweight and obesity are characterized by comorbidities such as cardio-metabolic risk factors (i.e., insulin resistance, type 2 diabetes, hypertension, dyslipidemia, low-grade inflammation) representing a major public health problem. Therefore, it is urgent to find a therapeutic solution to target all these metabolic disorders. Among the environmental factors able to influence the individual susceptibility to gain weight and to develop metabolic disorders associated with obesity, more and more evidence show that the trillions of bacteria housed in our gastro-intestinal tract (i.e, gut microbiota) influence host metabolism. The investigators recently discovered a putative interesting microbial candidate, namely Akkermansia muciniphila (Akk). More exactly, we found that the administration of Akkermansia muciniphila reduced body weight gain, fat mass gain, glycemia and inflammatory markers in diet-induced obese mice. Moreover, in overweight/obese patients with cardiovascular risk factors subjected to a calorie restriction diet (calorie restriction diet for 6 weeks and an additional 6 weeks of weight maintenance), a higher abundance of Akkermansia muciniphila was associated with a better cardio-metabolic status in these patients. The investigators also discovered that patients having more Akkermansia muciniphila in their gut before the calorie restriction exhibited a greater improvement in glucose homoeostasis, blood lipids and body composition after calorie restriction. These observations suggested that the administration of Akkermansia muciniphila in overweight or obese people could be a very interesting therapeutic solution. Currently, no human study has investigated the beneficial effects of Akkermansia muciniphila administration on obesity and metabolic disorders. The overall objective of this study is to evaluate the effects associated with the administration of live or heat-killed Akkermansia muciniphila on the metabolic disorders (insulin-resistance, type-2 diabetes, dyslipidemia, inflammation) related to overweight and obesity in humans.

Detailed Description

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Conditions

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Metabolic Syndrome x Glucose Metabolism Disorders Dyslipidemias Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Caregivers
Subjects and physicians were both blinded to the treatment allocation.

Study Groups

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Placebo

Placebo corresponds to a solution of Phosphate buffer saline (PBS) and glycerol, that is the carrier used in the 3 other groups receiving the bacteria (active arms)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Consumption of one dose-sachet per day. This dose-sachet contains a placebo (PBS/Glycerol)

Live Akk 9

Live Akkermansia muciniphila (Akk) at the dose of 10exp9 live bacteria (one billion of live bacteria) per day

Group Type EXPERIMENTAL

Live Akk 9

Intervention Type DIETARY_SUPPLEMENT

Consumption of one dose-sachet per day. This dose-sachet contains Live Akkermansia muciniphila (one billion per dose-sachet)

Live Akk 10

Live Akkermansia muciniphila (Akk) at the dose of 10exp10 live bacteria (ten billion of live bacteria) per day

Group Type EXPERIMENTAL

Live Akk 10

Intervention Type DIETARY_SUPPLEMENT

Consumption of one dose-sachet per day. This dose-sachet contains Live Akkermansia muciniphila (ten billion per dose-sachet)

Killed Akk

This group corresponds to Akkermansia muciniphila that have been heat-killed. The initial quantity of bacteria before the heating procedure was of 10exp10 bacteria.

Group Type EXPERIMENTAL

Killed Akk

Intervention Type DIETARY_SUPPLEMENT

Consumption of one dose-sachet per day. This dose-sachet contains heat-killed Akkermansia muciniphila

Interventions

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Placebo

Consumption of one dose-sachet per day. This dose-sachet contains a placebo (PBS/Glycerol)

Intervention Type DIETARY_SUPPLEMENT

Live Akk 9

Consumption of one dose-sachet per day. This dose-sachet contains Live Akkermansia muciniphila (one billion per dose-sachet)

Intervention Type DIETARY_SUPPLEMENT

Live Akk 10

Consumption of one dose-sachet per day. This dose-sachet contains Live Akkermansia muciniphila (ten billion per dose-sachet)

Intervention Type DIETARY_SUPPLEMENT

Killed Akk

Consumption of one dose-sachet per day. This dose-sachet contains heat-killed Akkermansia muciniphila

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Aged between 18 and 70 years old
* Caucasian
* Insulin resistance (based on HOMA single-value)
* BMI between 25 and 50 kg/m²
* Metabolic syndrome: presence of at least 3 of the following criteria

* Hypertension (blood pressure ≥ 130/85 mm Hg or antihypertensive treatment)
* Hypertriglyceridemia (triglyceridemia ≥ 150mg/dl)
* Low HDL-cholesterol (HDL-cholesterol \< 40mg/dl for males, 50mg/dl for females)
* Visceral obesity (waist circumference \> 102 cm for males, 88cm for females)
* Fasting hyperglycemia (fasting glycemia ≥ 110mg/dl)
* Informed consent signed by the patient

Exclusion Criteria

* Acute or chronic progressive or chronic unstabilized diseases
* Alcohol consumption (more than 2 glasses per day)
* Previous bariatric surgery
* Surgery in the 3 months prior the study or surgery planned in the next 6 months
* Pregnancy or pregnancy planned in the next 6 months
* More than 30 minutes of sports 3 times per week
* Consumption of dietary supplement (omega-3 fatty acids, probiotics, prebiotics, plant stanols/sterols) in the month prior the study
* Inflammatory bowel disease or irritable bowel syndrome
* Diabetic gastrointestinal autonomic neuropathy (such as gastroparesis or reduced gastrointestinal motility)
* Consumption of more than 30g of dietary fibers per day
* Vegetarian or unusual diet
* Lactose intolerance or milk protein allergy
* Gluten intolerance
* Medications influencing parameters of interest (antidiabetic drugs such as metformin, DPP-4 inhibitors, GLP-1 receptor agonists, acarbose, hypoglycemic sulfonamides,glinides, thiazolidinediones, SGLT2 inhibitors, insulin,lactulose, consumption of antibiotics in the 2 months prior the study, corticosteroids, immunosuppressive agents, statins, fibrate, orlistat, cholestyramine, ezetimibe)
* Glycated hemoglobin (HbA1c) \> 7.5%
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cliniques universitaires Saint-Luc- Université Catholique de Louvain

OTHER

Sponsor Role collaborator

Patrice D. Cani

OTHER

Sponsor Role lead

Responsible Party

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Patrice D. Cani

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Patrice D. Cani, Professor

Role: STUDY_DIRECTOR

Université Catholique de Louvain

Locations

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Cliniques universitaires Saint-Luc

Brussels, , Belgium

Site Status

Countries

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Belgium

References

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Schneeberger M, Everard A, Gomez-Valades AG, Matamoros S, Ramirez S, Delzenne NM, Gomis R, Claret M, Cani PD. Akkermansia muciniphila inversely correlates with the onset of inflammation, altered adipose tissue metabolism and metabolic disorders during obesity in mice. Sci Rep. 2015 Nov 13;5:16643. doi: 10.1038/srep16643.

Reference Type BACKGROUND
PMID: 26563823 (View on PubMed)

Dao MC, Everard A, Aron-Wisnewsky J, Sokolovska N, Prifti E, Verger EO, Kayser BD, Levenez F, Chilloux J, Hoyles L; MICRO-Obes Consortium; Dumas ME, Rizkalla SW, Dore J, Cani PD, Clement K. Akkermansia muciniphila and improved metabolic health during a dietary intervention in obesity: relationship with gut microbiome richness and ecology. Gut. 2016 Mar;65(3):426-36. doi: 10.1136/gutjnl-2014-308778. Epub 2015 Jun 22.

Reference Type BACKGROUND
PMID: 26100928 (View on PubMed)

Everard A, Belzer C, Geurts L, Ouwerkerk JP, Druart C, Bindels LB, Guiot Y, Derrien M, Muccioli GG, Delzenne NM, de Vos WM, Cani PD. Cross-talk between Akkermansia muciniphila and intestinal epithelium controls diet-induced obesity. Proc Natl Acad Sci U S A. 2013 May 28;110(22):9066-71. doi: 10.1073/pnas.1219451110. Epub 2013 May 13.

Reference Type BACKGROUND
PMID: 23671105 (View on PubMed)

Depommier C, Vitale RM, Iannotti FA, Silvestri C, Flamand N, Druart C, Everard A, Pelicaen R, Maiter D, Thissen JP, Loumaye A, Hermans MP, Delzenne NM, de Vos WM, Di Marzo V, Cani PD. Beneficial Effects of Akkermansia muciniphila Are Not Associated with Major Changes in the Circulating Endocannabinoidome but Linked to Higher Mono-Palmitoyl-Glycerol Levels as New PPARalpha Agonists. Cells. 2021 Jan 19;10(1):185. doi: 10.3390/cells10010185.

Reference Type DERIVED
PMID: 33477821 (View on PubMed)

Depommier C, Flamand N, Pelicaen R, Maiter D, Thissen JP, Loumaye A, Hermans MP, Everard A, Delzenne NM, Di Marzo V, Cani PD. Linking the Endocannabinoidome with Specific Metabolic Parameters in an Overweight and Insulin-Resistant Population: From Multivariate Exploratory Analysis to Univariate Analysis and Construction of Predictive Models. Cells. 2021 Jan 5;10(1):71. doi: 10.3390/cells10010071.

Reference Type DERIVED
PMID: 33466285 (View on PubMed)

Other Identifiers

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B403201525111

Identifier Type: OTHER

Identifier Source: secondary_id

2015/02JUL/369

Identifier Type: -

Identifier Source: org_study_id

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