Phase II Clinical Trial to Evaluate the Efficacy and Safety of the Treatment With BPL-1 in Adult Patients With Type 2 Diabetes Mellitus

NCT ID: NCT04191525

Last Updated: 2020-07-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-09-10
• Study Completion Date: 2019-06-26

Brief Summary

Diabetes Mellitus type 2 (T2DM) is a chronic and progressive disease, characterized mainly by hyperglycemia. Metabolic imbalance causes an increased risk of microvascular and macrovascular complications associated with the increased prevalence of cardiovascular disease (CVD) in diabetics.

Although genetic predisposition determines individual susceptibility to T2DM, external factors such as an unhealthy diet and a sedentary lifestyle condition the onset of the disease.

Since T2DM is a multifactorial disease, many authors have studied the possible role of the microbiota and its alterations in the pathophysiology of the disease. There is evidence that in T2DM there are alterations in the proportion of Firmicutes, Bacteroidetes and Proteobacteria, and a smaller amount of bifidobacteria with anti-inflammatory properties.

Probiotics are living microorganisms present in food that, if consumed in sufficient quantities, can improve health. In general, probiotics protect the patient through immunomodulation, protecting him from infections, increasing the activation of mononuclear cells and lymphocytes.

The investigational product is a supplement to the probiotic Bifidobacterium animalis subsp. lactis (BPL-1) CECT 8145. There are numerous studies carried out on different strains of GLP-1 that demonstrate its safety. Many of them are commonly used in the food industry, not only because of their proven safety, but also because of their viability until consumption.

This clinical trial is proposed as an interdisciplinary study that can contribute to the characterization of the efficacy of treatment with probiotics in patients with T2DM of different stages of evolution, without and with hepatic involvement.

Conditions

Diabetes Mellitus, Type 2

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

BPL-1 Probiotic capsules

BPL-1 Probiotic 1 capsule/day

Group Type: EXPERIMENTAL

BPL-1 Probiotic capsules

Intervention Type: DIETARY_SUPPLEMENT

BPL-1 Probiotic 1 capsule/day

Placebo

1 capsule/day

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DIETARY_SUPPLEMENT

Placebo masked with the same presentation as the experimental product 1 capsule/day

Interventions

BPL-1 Probiotic capsules

BPL-1 Probiotic 1 capsule/day

Intervention Type: DIETARY_SUPPLEMENT

Placebo

Placebo masked with the same presentation as the experimental product 1 capsule/day

Intervention Type: DIETARY_SUPPLEMENT

Eligibility Criteria

Inclusion Criteria

• Male and female patients between the ages of 18-75 (inclusive)
• BMI ≥ 27
• Glycated hemoglobin > 5,6 and/or fasting glucose > 100 mg/dl and/or being on active treatment with at least one antidiabetic medication
• Subjects must be able to provide written informed consent
• Females of childbearing potential must have a previous negative pregnancy test and must agree to use adequate contraception during their participation in the study

Exclusion Criteria

• Crohn's disease, liver cirrhosis, human immunodeficiency virus (HIV) or any other active systemic bacterial, viral or fungal infections
• BMI > 42
• Severe hypoglycemias within 3 months prior to the start date of the study
• Abnormal glycated hemoglobin measurements (over 8%) prior to the start date of the study
• Prescription of a new antidiabetic medication in the last 6 months
• Celiac disease or any other food intolerances
• Use of antibiotics, probiotics and/or prebiotics within 2 weeks prior to the start date of the study
• Chronic liver disease with a C Child-Plug score, chronic kidney disease with creatinine clearance < 50 ml/min as well as any other clinically significant conditions including pulmonary, neurological and cardiovascular diseases according to the investigators medical opinion
• Patients with history or presence of malignancy who have been treated with systemic antineoplastic therapy within 6 months prior to the start date of the study
• Pregnancy and breastfeeding
• Not being able to provide written informed consent to participate in the study or to cooperate and comply with the study procedures for any other reason

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Alba Garcimartín Álvarez

UNKNOWN

Sponsor Role: collaborator

Carolina Knott Torcal

UNKNOWN

Sponsor Role: collaborator

Nerea Aguirre Moreno

UNKNOWN

Sponsor Role: collaborator

Miguel Antonio Sampedro Núñez

UNKNOWN

Sponsor Role: collaborator

María Caldas

UNKNOWN

Sponsor Role: collaborator

Belén Ruiz-Rosso

UNKNOWN

Sponsor Role: collaborator

Ana María Ramos Levi

UNKNOWN

Sponsor Role: collaborator

Mónica Marazuela Azpíroz

OTHER

Sponsor Role: lead

Responsible Party

Mónica Marazuela Azpíroz

Head of Endocrinology and Nutrition

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Mónica Marazuela Azpíroz, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

Locations

Hospital Universitario de La princesa

Madrid, , Spain

Countries

Spain

Other Identifiers

PROBIDEM

Identifier Type: -

Identifier Source: org_study_id