Probiotics on Body Composition and Insulin Resistance in Patients With Obesity and Its Association With Gut Microbiota

NCT ID: NCT04086173

Last Updated: 2019-09-11

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-01

Study Completion Date

2020-07-31

Brief Summary

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This study aims to evaluate the modifications in body composition and insulin resistance state in patients with grade II and III obesity included in an interventional lifestyle changes program and treated with probiotics (1 x 1011 CFU) or placebo for 16 weeks and its associations with intestinal microbiota behaviour

Detailed Description

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A randomized placebo-controlled clinical trial will take place in which both arms will be included in an interventional lifestyle changes program at the Clinic for Integral Treatment of patients with Diabetes and Obesity. The study group will be treated with probiotics (1 x 1011 CFU) for 16 weeks and will be compared to a control group who will receive placebo.

Changes in body composition (weight, BMI, fat percentage, fat mass, lean body mass) and insulin resistance indexes (HOMA, insulin sensitivity index and Quicki) will be evaluated in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group.

Changes in metabolic profile (glucose tolerance test, glycosylated haemoglobin, lipid profile, leptin and transaminases) in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group.

Changes in microRNAs profile (miR-133 and miR-27 in patients with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to a placebo group.

The threshold for basic tastes will be evaluated (salted, bitter, acid, sweet) and will be evaluated in those patients receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to the group receiving only placebo.

Changes in intestinal microbiota behaviour will be evaluated in participants with obesity receiving probiotics (1 x 1011 CFU) for 16 weeks, and compared to the group receiving placebo.

Conditions

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Obesity Insulin Resistance Microbial Colonization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blinded randomized placebo-controlled clinical assay
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Caregivers
Neither the participant nor the Care provider administrating treatment will know the type of treatment.

Study Groups

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Study group

Subjects will be randomly assigned to receive a daily nightly dose (4 capsules) of probiotics for 16 weeks. Probiotics (LACTIPAN®) include 2.5 billion CFU of 6 different strains of live microorganisms, such as Lactobacillus acidophilus (1.0 x 109 CFU), Lactobacillus casei (1.0 x 109 CFU), Lactobacillus rhamnosus (4.4 x 108 CFU), Lactobacillus plantarum (1.76 x 108 CFU), Bifidobacterium infantis (2.76 x 107 CFU), Streptococcus thermophilus (6.66 x 105 CFU) and 50 mg of oligofructose enriched inulin.

Group Type EXPERIMENTAL

Probiotics

Intervention Type DIETARY_SUPPLEMENT

Probiotics will be administered at night and will consist of 4 capsules

Control group

Subjects will be randomly assigned to receive a daily nightly dose (4 capsules) of placebo for 16 weeks. Placebo presentation will have the same aspect as those of the probiotic treatment.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo

Interventions

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Probiotics

Probiotics will be administered at night and will consist of 4 capsules

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with grade II y III obesity (IMC \> or = 35 Kg/m2), who receive the initial evaluation at the Integral Attention Clinic for Diabetes and Obesity at Hospital General de México
* Patients who signed informed consent.

Exclusion Criteria

* Diabetes mellitus 2
* Secondary causes of obesity (hypothyroidism, Cushing syndrome).
* Patients receiving pharmacological treatment that may affect lipid or glucose metabolism.
* Patients who received broad-spectrum antibiotics during the 4 previous weeks.
* Ingestion of products that contain probiotics.
* Relevant changes in diet habits during the 4 previous weeks
* Intestinal Malabsorption disorders ( inflammatory bowel disease, chronic diarrhea, C. difficile infection).
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Italmex Pharma

UNKNOWN

Sponsor Role collaborator

Medix Farma

UNKNOWN

Sponsor Role collaborator

National Polytechnic Institute, Mexico

OTHER

Sponsor Role collaborator

Hospital General de México Dr. Eduardo Liceaga

OTHER_GOV

Sponsor Role lead

Responsible Party

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Nayely Garibay Nieto

Head Child and Adolescent Obesity Clinic

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nayely Garibay-Nieto, MSc

Role: PRINCIPAL_INVESTIGATOR

Hospital General de Mexico Eduardo Liceaga

Locations

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Hospital General de México "Dr. Eduardo Liceaga"

Mexico City, , Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Nayely Garibay, MSc

Role: CONTACT

+525546037000

Alejandro Velasco, MSc

Role: CONTACT

+525541449172

Facility Contacts

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Alejandro Velasco Medina, MSc

Role: primary

5541449172

References

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Banegas JR, Lopez-Garcia E, Gutierrez-Fisac JL, Guallar-Castillon P, Rodriguez-Artalejo F. A simple estimate of mortality attributable to excess weight in the European Union. Eur J Clin Nutr. 2003 Feb;57(2):201-8. doi: 10.1038/sj.ejcn.1601538.

Reference Type BACKGROUND
PMID: 12571650 (View on PubMed)

Neish AS. Microbes in gastrointestinal health and disease. Gastroenterology. 2009 Jan;136(1):65-80. doi: 10.1053/j.gastro.2008.10.080. Epub 2008 Nov 19.

Reference Type BACKGROUND
PMID: 19026645 (View on PubMed)

Hooper LV, Wong MH, Thelin A, Hansson L, Falk PG, Gordon JI. Molecular analysis of commensal host-microbial relationships in the intestine. Science. 2001 Feb 2;291(5505):881-4. doi: 10.1126/science.291.5505.881.

Reference Type BACKGROUND
PMID: 11157169 (View on PubMed)

Jalanka J, Mattila E, Jouhten H, Hartman J, de Vos WM, Arkkila P, Satokari R. Long-term effects on luminal and mucosal microbiota and commonly acquired taxa in faecal microbiota transplantation for recurrent Clostridium difficile infection. BMC Med. 2016 Oct 11;14(1):155. doi: 10.1186/s12916-016-0698-z.

Reference Type BACKGROUND
PMID: 27724956 (View on PubMed)

Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature. 2006 Dec 21;444(7122):1022-3. doi: 10.1038/4441022a.

Reference Type BACKGROUND
PMID: 17183309 (View on PubMed)

Other Identifiers

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00000

Identifier Type: -

Identifier Source: org_study_id

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