Morbid ObesityNCT02660333
Effect of Prebiotic or Synbiotic on Inflammatory Response and Indicators of Nutritional Status in Obesity
A study testing Prebiotic and Synbiotic in people with Morbid Obesity, run by Universidade Federal de Santa Catarina at 1 site in Brazil.
Trial summary
The purpose of this study is to evaluate the effect of prebiotic or synbiotic supplementation on inflammatory response and indicators of nutritional status in patients with morbid obesity. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Morbid Obesity
- What is being tested?
- Prebiotic and Synbiotic
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 22 participants
- Where
- 1 siteBrazil
- Study dates
- Jan 2016to Apr 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age greater than 18 years and less than 60 years
- Body mass index (BMI)≥40kg/m2
Who cannot join
- Previous gastrointestinal diseases (e.g. cancer and inflammatory bowel disease)
- Intolerances and/or food allergies (e.g. lactose intolerance and celiac disease)
- Current use of anti-inflammatory drugs and/or antibiotics and/or immunosuppressants
- Regular use of laxatives and/or appetite suppressants
- Current or previous use (up to one month) of prebiotics, probiotics, synbiotics or products enriched with these food compounds
- Intolerance to prebiotic and/or probiotic and/or synbiotic
Show all 11Show fewer
- Following a diet for weight loss in the last three months
- Pregnant or breastfeeding
- Following unusual diets (e.g. vegetarian, macrobiotic)
- Alcohol dependence and/or illicit drugs dependence
- Smokers
Trial locations and contacts
1 site in 1 country.
Brazil1 site
Polydoro Ernani de São Thiago University Hospital
Florianópolis, Santa Catarina, 88040900
About this study
Official title: Effect of Prebiotic or Synbiotic Supplementation on Inflammatory Response and Indicators of Nutritional Status in Individuals With Morbid Obesity: A Randomized Clinical Trial, Placebo-controlled and Triple Blind
The purpose of this study is to evaluate the effect of prebiotic or synbiotic supplementation on inflammatory response and indicators of nutritional status in patients with morbid obesity. Study hypothesis: Supplementation of 12 g/day of fructooligosaccharides (prebiotic) or 12 g/day of fructooligosaccharides + strains of lactobacilli and bifidobacteria (synbiotic) during 30 days promotes reduction of plasma/serum levels of acute phase proteins, cytokines, metabolic and anthropometric parameters in individuals with BMI ≥ 40kg/m².
Read the detailed description
The purpose of this study is to evaluate the effect of prebiotic or synbiotic supplementation on inflammatory response and indicators of nutritional status in patients with morbid obesity. Adult individuals of both sexes with morbid obesity (body mass index ≥ 40 kg/m²) will be invited to participate in this randomized, placebo-controlled, triple-blind study. The participants will be divided into three groups: G1 - control group (placebo), G2 - prebiotic group and G3 - synbiotic group. The study will consist of four experimental time points: M0 - baseline and start of supplementation; M1 - after fifteen days of the first outpatient visit and fifteen days after the start of supplementation with prebiotic, synbiotic or placebo; M2 - after thirty days from the first outpatient visit and end of supplementation with prebiotic, synbiotic and placebo; and M3 - time after sixty days from the first outpatient visit. At all time points the inflammatory response will be assessed by determination of plasma cytokines (IL-1, IL-6, IL-10, TNF) and acute phase proteins (c-reactive protein and albumin), besides the evaluation of laboratory and anthropometric indicators of nutritional status. The primary endpoint will be the reduction in concentrations of inflammatory markers (cytokines and acute phase proteins).
Investigators expect to contribute with new information in this field of knowledge, which may facilitate the clinical application of these results.
- Conditions
- Morbid Obesity
- Being tested
- Placebo, Prebiotic, Synbiotic
- Keywords
- Obesity, Inflammation, Nutritional status, Prebiotic, Synbiotic
- Medical subject headings
- Obesity, Morbid, Obesity, Inflammation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDietary supplement
Maltodextrin - 11g/day
PrebioticDietary supplement
Fructooligosaccharide - 11g/day
SynbioticDietary supplement
Fructooligosaccharide + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019 - 11g/day
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Maltodextrin Receives: Dietary Supplement: Placebo |
| Prebiotic | Active comparator | Fructooligosaccharide Receives: Dietary Supplement: Prebiotic |
| Synbiotic | Active comparator | Fructooligosaccharide + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019 Receives: Dietary Supplement: Synbiotic |
What is being measured
The primary outcome is the main question the study is designed to answer.
C-reactive protein
Serum C-reactive protein concentrations (mg/L)
Measured: 2 months
Cytokines
Plasma IL-1, IL-6, IL-8, IL-10, IL-12p70 and TNF-alpha concentrations (pg/mL)
Measured: 2 months
Secondary outcomes (27)
Triglycerides
Serum concentrations of triglycerides (mg/dL)
Measured: 2 months
Total cholesterol
Serum concentrations of total cholesterol (mg/dL)
Measured: 2 months
LDL-c
Serum concentrations of LDL-cholesterol (mg/dL)
Measured: 2 months
HDL-c
Serum concentrations of HDL-cholesterol (mg/dL)
Measured: 2 months
Blood glucose
Blood glucose concentrations (mg/dL)
Measured: 2 months
Glycated hemoglobin
Blood concentrations of glycated hemoglobin (%)
Measured: 2 months
Growth hormone
Serum concentrations of Growth hormone (ng/mL)
Measured: 2 months
Fasting insulin
Serum concentrations of insulin (IU/mL)
Measured: 2 months
Calcium
Serum concentrations of calcium (mg/dL)
Measured: 2 months
Iron
Serum concentrations of iron (mg/dL)
Measured: 2 months
Sodium
Serum concentrations of sodium (mEq/L)
Measured: 2 months
Potassium
Serum concentrations of potassium (mEq/L)
Measured: 2 months
Phosphorus
Serum concentrations of phosphorus(mg/dL)
Measured: 2 months
Folic acid
Serum concentrations of folic acid (ng/mL)
Measured: 2 months
Vitamin B12
Serum concentrations of vitamin B12 (pg/mL)
Measured: 2 months
Vitamin D
Serum concentrations of vitamin D (ng/dL)
Measured: 2 months
Body weight
Body weight (kg)
Measured: 2 months
Waist circumference
Waist circumference (cm)
Measured: 2 months
Body mass index
Body mass index (kg/m²)
Measured: 2 months
Brain-derived neurotrophic factor (BDNF)
Plasma Brain-derived neurotrophic factor (ng or pg/mL)
Measured: 2 months
Cortisol
Plasma cortisol (ug/dL)
Measured: 2 months
Leptin
Plasma leptin (ng/mL)
Measured: 2 months
Ghrelin
Plasma ghrelin (pg/mL)
Measured: 2 months
Adrenocorticotropic Hormone (ACTH)
Plasma Adrenocorticotropic Hormone (pg/mL)
Measured: 2 months
Hepcidin
Hepcidin (ng/mL)
Measured: 2 months
Parathormone (PTH)
Parathormone (ng/mL)
Measured: 2 months
Thyroid-Stimulating Hormone (TSH)
Thyroid-Stimulating Hormone (µIU/mL)
Measured: 2 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jan 2016 (estimated)
- Study startJan 2016
- Primary completionFeb 2018
- Study completionApr 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Morbid ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universidade Federal de Santa Catarina
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Erasmo Benicio Santos de Moraes Trindade, Universidade Federal de Santa Catarina
- Investigators
- Erasmo Trindade, PhD, Study director, Federal University of Santa Catarina
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02660333
- Sponsor's protocol ID
- UFSC
- Status last verified
- Sep 2018
- First submitted
- 14 Jan 2016
- Last updated
- 2 Oct 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Prebiotic or Synbiotic Supplementation on Inflammatory Response and Indicators of Nutritional Status in Individuals With Morbid Obesity: A Randomized Clinical Trial, Placebo-controlled and Triple Blind
- ClinicalTrials.gov ID
- NCT02660333
- Acronym / sponsor ID
- UFSC
- Conditions
- Morbid Obesity
- Keywords
- Obesity, Inflammation, Nutritional status, Prebiotic, Synbiotic
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Universidade Federal de Santa CatarinaUniversity, hospital or other
- Study start
- Jan 2016 (actual)
- Primary completion
- Feb 2018 (actual)
- Study completion
- Apr 2018 (actual)
- First posted
- 21 Jan 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effect of prebiotic or synbiotic supplementation on inflammatory response and indicators of nutritional status in patients with morbid obesity. Study hypothesis: Supplementation of 12 g/day of fructooligosaccharides (prebiotic) or 12 g/day of fructooligosaccharides + strains of lactobacilli and bifidobacteria (synbiotic) during 30 days promotes reduction of plasma/serum levels of acute phase proteins, cytokines, metabolic and anthropometric parameters in individuals with BMI ≥ 40kg/m².
Detailed description
The purpose of this study is to evaluate the effect of prebiotic or synbiotic supplementation on inflammatory response and indicators of nutritional status in patients with morbid obesity. Adult individuals of both sexes with morbid obesity (body mass index ≥ 40 kg/m²) will be invited to participate in this randomized, placebo-controlled, triple-blind study. The participants will be divided into three groups: G1 - control group (placebo), G2 - prebiotic group and G3 - synbiotic group. The study will consist of four experimental time points: M0 - baseline and start of supplementation; M1 - after fifteen days of the first outpatient visit and fifteen days after the start of supplementation with prebiotic, synbiotic or placebo; M2 - after thirty days from the first outpatient visit and end of supplementation with prebiotic, synbiotic and placebo; and M3 - time after sixty days from the first outpatient visit. At all time points the inflammatory response will be assessed by determination of plasma cytokines (IL-1, IL-6, IL-10, TNF) and acute phase proteins (c-reactive protein and albumin), besides the evaluation of laboratory and anthropometric indicators of nutritional status. The primary endpoint will be the reduction in concentrations of inflammatory markers (cytokines and acute phase proteins).
Investigators expect to contribute with new information in this field of knowledge, which may facilitate the clinical application of these results.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Dietary Supplement: PlaceboMaltodextrin |
| Prebiotic | Active comparator | Dietary Supplement: PrebioticFructooligosaccharide |
| Synbiotic | Active comparator | Dietary Supplement: SynbioticFructooligosaccharide + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019 |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Age greater than 18 years and less than 60 years
- Body mass index (BMI)≥40kg/m2
Key exclusion criteria (11 listed)
- Previous gastrointestinal diseases (e.g. cancer and inflammatory bowel disease)
- Intolerances and/or food allergies (e.g. lactose intolerance and celiac disease)
- Current use of anti-inflammatory drugs and/or antibiotics and/or immunosuppressants
- Regular use of laxatives and/or appetite suppressants
- Current or previous use (up to one month) of prebiotics, probiotics, synbiotics or products enriched with these food compounds
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboMaltodextrin - 11g/day | Dietary supplement | Placebo |
| PrebioticFructooligosaccharide - 11g/day | Dietary supplement | Prebiotic |
| SynbioticFructooligosaccharide + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019 - 11g/day | Dietary supplement | Synbiotic |
Primary outcome
C-reactive protein
Time frame: 2 months
Serum C-reactive protein concentrations (mg/L)
Cytokines
Time frame: 2 months
Plasma IL-1, IL-6, IL-8, IL-10, IL-12p70 and TNF-alpha concentrations (pg/mL)
27 secondary outcomes
Triglycerides
Time frame: 2 months
Total cholesterol
Time frame: 2 months
LDL-c
Time frame: 2 months
HDL-c
Time frame: 2 months
Blood glucose
Time frame: 2 months
Glycated hemoglobin
Time frame: 2 months
Growth hormone
Time frame: 2 months
Fasting insulin
Time frame: 2 months
Calcium
Time frame: 2 months
Iron
Time frame: 2 months
Sodium
Time frame: 2 months
Potassium
Time frame: 2 months
Phosphorus
Time frame: 2 months
Folic acid
Time frame: 2 months
Vitamin B12
Time frame: 2 months
Vitamin D
Time frame: 2 months
Body weight
Time frame: 2 months
Waist circumference
Time frame: 2 months
Body mass index
Time frame: 2 months
Brain-derived neurotrophic factor (BDNF)
Time frame: 2 months
Cortisol
Time frame: 2 months
Leptin
Time frame: 2 months
Ghrelin
Time frame: 2 months
Adrenocorticotropic Hormone (ACTH)
Time frame: 2 months
Hepcidin
Time frame: 2 months
Parathormone (PTH)
Time frame: 2 months
Thyroid-Stimulating Hormone (TSH)
Time frame: 2 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Oct 2018.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Erasmo Trindade, PhD study director
Federal University of Santa Catarina
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Prebiotic and Synbiotic in people with Morbid Obesity, run by Universidade Federal de Santa Catarina at 1 site in Brazil.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
C-reactive protein (time frame: 2 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2018.