A Clinical Study to Evaluate the Effects of Akkermansia Muciniphila and Berberine on Prediabetes Among Obese Subjects.

NCT ID: NCT05720299

Last Updated: 2025-12-22

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

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-12

Study Completion Date

2025-06-30

Brief Summary

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The Akkermania muciniphila may play an important role in the occurrence and development of Prediabetes. The purpose of this study was to evaluate the safety and efficacy of AKK in the treatment of Prediabetes among obese patients. In this study, a single center, randomized, double-blind, placebo-controlled design is adopted. 90 obese subjects with Prediabetes are included in this study, and are allocated to AKK group, BBR group, and placebo group at a ratio of 1:1:1. The study treatment lasts for 12 weeks. The changes of body fat, glucose metabolism, lipid metabolism indicators compared with the baseline at the end of the treatment will be analyzed. In addition, glucagon like peptide-1 (GLP-1) and inflammatory markers (hsCRP、TNF-α、IL-6、IL-8、IL-1β) in blood will be analyzed before and after treatment. The changes in fecal flora structure and the AKK bacteria also will be analyzed.

Detailed Description

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Conditions

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Prediabetes

Keywords

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Akkermania muciniphila obesity metabolism fecal flora Prediabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Akkermansia muciniphila group(AKK)

They will be treated with one tablet of AKK, twice a day, for 12 weeks.

Group Type EXPERIMENTAL

Akkermansia muciniphila

Intervention Type DRUG

one tablet of AKK

Berberine group

They will be treated with one tablet of Berberine, twice a day, for 12 weeks.

Group Type EXPERIMENTAL

Berberine

Intervention Type DRUG

one tablet of Berberine

Placebo group

They will be treated with one tablet of placebo, twice a day, for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

one tablet of placebo

Interventions

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Akkermansia muciniphila

one tablet of AKK

Intervention Type DRUG

Berberine

one tablet of Berberine

Intervention Type DRUG

Placebo

one tablet of placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Aged 18-65
2. Overweight/obesity (24.0≤BMI≤40.0 kg/m\^2)
3. Fasting blood glucose ≥6.1 and \<7.0 mmol/L, or 2-hour postprandial blood glucose ≥7.8 and \<11.1 mmol/L, or glycosylated hemoglobin ≥5.7% and \<6.5%
4. Fertile subjects (including male and female subjects) agreed to take effective contraceptive measures that the investigator accepted during and within 3 months after the trial (e.g. intrauterine device or a condom); the fertile female subjects with serum human chorionic gonadotropin test negative results within 7 days before the investigational product administration; Infertile female must be surgically infertile or at least 1 year after menopause.
5. Subjects should understand the nature, significance, potential benefits, inconvenience and risks of the study before the trial begins, fully understand and voluntarily sign the informed consent.

Exclusion Criteria

1. Subjects who diagnosed with diabetes mellitus, medical obesity (excluding those who have been off medication for more than 1 year), or other secondary diabetes mellitus (e.g., Cushing's syndrome, thyroid dysfunction, or acromegaly);
2. Subjects who has undergone bariatric surgery;
3. Subjects who has acute or chronic progressive or unstable disease, liver and kidney insufficiency, serious cardiovascular and cerebrovascular diseases;

3.Subjects with acute diabetic complications such as diabetic ketoacidosis or diabetic hypertonic coma within within latest 3 months; 4.Patients with hemolytic anemia or glucose-6-phosphate dehydrogenase deficiency; 5.History of intestinal or intestinal surgery within 1 year, or non-gastrointestinal surgery within 6 months; 6.Excessive alcohol consumption in the last 10 years (more than 30 g/ day for male and 20g/ day for female) 7.Pregnant or lactating subjects 8.Subjects that the investigator considers need to excluded due to other causes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yu Chen

OTHER

Sponsor Role lead

Responsible Party

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Yu Chen

Chief of Department of Gastroenterology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yu Chen, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Seventh Affiliated Hospital of Southern Medical University

Locations

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The Seventh Affiliated Hospital of Southern Medical University

Foshan, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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ZY19-202201

Identifier Type: -

Identifier Source: org_study_id