Cardiometabolic RiskSINFONINCT04190706
Synergistic Innovative Functional Food Concepts to Neutralize Inflammation for Cardiometabolic Risk Prevention
A study testing bioactive components fortified food products intake (biscuits and cookies) in people with Cardiometabolic Risk and Abdominal Obesity, run by Hospices Civils de Lyon at 1 site in France.
Trial summary
The aim of the study is to evaluate the synergistic effects of daily consumption of food products fortified with bioactive components (fibres, polyphenols, omega-3, Slow Digestible Starch) for 9 weeks, compared to the daily intake of standard food products on low-grade inflammation in cardiometabolic risk subject. Read more about this study
- Who is it for?
- Ages 30 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Cardiometabolic Risk, Abdominal Obesity
- What is being tested?
- bioactive components fortified food products intake (biscuits and cookies)
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 62 participants
- Where
- 1 siteFrance
- Study dates
- 21 Jan 2020to 17 May 2022
- 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 30 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Healthy men and women
- Body Mass Index of 25 to 35 kg/m2
- Waist circumference greater than 80 cm for women and than 96 cm for men
- Daily biscuits consumption
- Fibers intake <25g/day
Who cannot join
- Medical history of digestive surgery or disease
- Large polyphenols food products consumer (cranberries, red berries, coffee, tea, red wine, fruits and vegetables…)
- Current or recent (<12 weeks) intake of antibiotics or gastro-intestinal medicinal product
- Current probiotics, prebiotics, fibers complement, and/or any products modulation gut transit
- Feeding particular diet such as vegetarian diet or hyperprotein diet
- Current weight loss diet
Show all 9Show fewer
- Pregnant or lactating woman or woman who did not use effective contraception
- Drinking more than 3 glasses of alcohol per day (>30g/day)
- Smoking more than 5 cigarettes per day
Trial locations and contacts
1 site in 1 country.
France1 site
Centre de Recherche en Nutrition Humaine Rhône-Alpes
Pierre-Bénite, 69310
About this study
Official title: Synergistic Innovative Functional Food Concepts to Neutralize Inflammation for Cardiometabolic Risk Prevention.
The aim of the study is to evaluate the synergistic effects of daily consumption of food products fortified with bioactive components (fibres, polyphenols, omega-3, Slow Digestible Starch) for 9 weeks, compared to the daily intake of standard food products on low-grade inflammation in cardiometabolic risk subject.
The inflammatory parameters will be assessed in fasting and in postprandial period after the consumption of a hyper-carbohydrate and hyper-lipidic test meal called Flexmeal. A metabolic stress will be induced by a fructose ingestion challenge during the last 6 days of interventional period.
- Conditions
- Cardiometabolic Risk, Abdominal Obesity
- Being tested
- bioactive components fortified food products intake (biscuits and cookies), control food products intake (biscuits and cookies)
- Keywords
- inflammation, cardiometabolic risk, endotoxemia, polyphenols, oxidative stress, slow digestible starch, fibers, gut microbiota, nutritional challenge test
- Medical subject headings
- Obesity, Abdominal, Inflammation, Endotoxemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bioactive components fortified food products intake (biscuits and cookies)Other
Volunteers will have to consume daily 100 g of fortified biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass)
control food products intake (biscuits and cookies)Other
Volunteers will have to consume daily 100 g of standard biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass)
| Study group | Role | What they receive |
|---|---|---|
| bioactive components fortified food products | Experimental | Not described Receives: Other: bioactive components fortified food products intake (biscuits and cookies) |
| control food products | Placebo comparator | Not described Receives: Other: control food products intake (biscuits and cookies) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline postprandial plasma endotoxemia binding protein kinetics: LBP (lipopolysaccharide-binding protein) and CD14 (Cluster of differentiation 14)
LBP and CD14 proteins will be measured at time 0, 120 and 300 after test meal intake
Measured: baseline, 8 and 9 weeks
Secondary outcomes (16)
Change from baseline fasting and postprandial plasma inflammatory markers: MCP-1, RANTES, IFNγ, IL-6, TNF-α, IL-1β, CRPus, adiponectin
MCP-1 ( monocyte chemotactic protein-1), RANTES (Regulated on activation, normal T expressed and secreted), IFNγ (Interferon γ) , IL-6 (Interleukin 6), TNF-α (Tumor Necrosis Factor α), IL-1β (Interleukin 1β), CRPus, adiponectin will be measured at time 0 and 300 minutes after test meal intake
Measured: baseline, 8 and 9 weeks
Change of fasting and postprandial plasma inflammatory endotoxemia LPS (lipopolysaccharide)
LPS will be measured at time 0, 60, 120, 180, 240, 300 after test meal intake
Measured: baseline, 8 and 9 weeks
Change from baseline fasting and postprandial plasma endothelial function markers: Human CVD Panel 2, Lipocalin-2/NGAL, Myeloperoxidase, sICAM-1, sVCAM-1, ADAMTS13, D-dimer, GDF-15, Myoglobin, sP-Selectin, Serum Amyloid A
Human CVD Panel 2, Lipocalin-2/NGAL (neutrophil gelatinase-associated lipocalin), Myeloperoxidase, sICAM-1(Soluble Inter-cellular Adhesion Molecule-1), sVCAM-1(Soluble Form of Vascular Cell Adhesion Molecule 1), ADAMTS13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13), D-dimer, GDF-15 (Growth differentiation factor 15), Myoglobin, sP-Selectin, Serum Amyloid A will be measured at time 0 and 300 minutes after test meal intake
Measured: baseline, 8 and 9 weeks
Change from baseline fasting plasma oxidative stress parameters: GSH, GSSG, Glutathion peroxidase/ reductase activity, MDA
GSH (glutathione), GSSG (glutathione disulfide), Glutathion peroxidase/ reductase activity will be measured at time 0 and MDA (malondialdehyde) will be measured at 0 and 300 minutes after test meal intake
Measured: baseline, 8 and 9 weeks
Change from baseline body composition
Body composition will be measured by BodPod technique
Measured: baseline, 8 and 9 weeks
Change from baseline plasma metabolites and hormone kinetics : glucose, insulin, triglycerides, non-esterified fatty acids
Plasma metabolites and hormone will be measured at time -30, 0, 15, 30, 45, 60, 90, 120, 180, 240, 300 minutes after test meal intake
Measured: baseline, 8 and 9 weeks
Change from baseline fasting plasma lipids : total cholesterol , HDL cholesterol, LDL cholesterol, triglycerides, non-esterified fatty acids
fasting plasma lipids will be measured before test meal ingestion
Measured: baseline, 8 and 9 weeks
Change from baseline resting energy expenditure
resting metabolic rate will be measured by indirect calorimetry
Measured: baseline, 8 and 9 weeks
Change from baseline substrates oxidation
substrates oxidation will be measured by indirect calorimetry after test meal intake during five hours.
Measured: baseline, 8 and 9 weeks
Change from baseline gut microbiota composition
gut microbiota composition will be measured by 16S RNA (ribonucleic acid) analysis
Measured: baseline, 8 weeks
Change from baseline stool consistency
stool consistency will be measured by Bristol scale and every week during the interventional period
Measured: nine weeks
Change from baseline stool frequency
stool frequency will be measured by questionnaire at baseline and every week during the interventional period
Measured: nine weeks
Change from baseline tolerance gastro-intestinal symptoms like bloating ,abdominal rumbling ,flatulence ,abdominal pain, nausea, vomiting
Gastro intestinal symptoms will be collected by questionnaires and visual analogue scale (VAS) score (on a 90mm horizontal line; from no symptom (minimal) to serious symptom (maximum)) at baseline and every week during the interventional period
Measured: nine weeks
Change from baseline diet intake
diet intake will be evaluated by a three days diet survey
Measured: baseline, 8 and 9 weeks
Change from baseline fasting plasma zonulin
comparison of fasting plasma zonulin from baseline
Measured: baseline, 8 and 9 weeks
Change from baseline polyphenols urinary concentrations
Comparison of polyphenols urinary concentrations from baseline
Measured: baseline, 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2019
- Study start21 Jan 2020
- Primary completion17 May 2022
- Study completion17 May 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cardiometabolic RiskStudies of the same condition, open and under way.
- More trials run by Hospices Civils de LyonThe sponsor's other registered studies.
- 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
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 62 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hospices Civils de Lyon
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Martine LAVILLE, Pr, Principal investigator, Centre de Recherche en Nutrition Humaine Rhone-Alpe
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04190706
- Sponsor's protocol ID
- 69HCL18_0097
- Acronym
- SINFONI
- Status last verified
- Sep 2025
- First submitted
- 13 Nov 2019
- Last updated
- 25 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Hornero-Ramirez H, Morisette A, Marcotte B, Penhoat A, Lecomte B, Panthu B, Lessard Lord J, Thirion F, Van-Den-Berghe L, Blond E, Simon C, Caussy C, Feugier N, Dore J, Sanoner P, Meynier A, Desjardins Y, Pilon G, Marette A, Cani PD, Laville M, Vinoy S, Michalski MC, Nazare JA. Multifunctional dietary approach reduces intestinal inflammation in relation with changes in gut microbiota composition in subjects at cardiometabolic risk: the SINFONI project. Gut Microbes. 2025 Dec;17(1):2438823. doi: 10.1080/19490976.2024.2438823. Epub 2024 Dec 22.
PubMed 39710576Demangeat A, Hornero-Ramirez H, Meynier A, Sanoner P, Atkinson FS, Nazare JA, Vinoy S. Complementary Nutritional Improvements of Cereal-Based Products to Reduce Postprandial Glycemic Response. Nutrients. 2023 Oct 17;15(20):4401. doi: 10.3390/nu15204401.
PubMed 37892479
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Synergistic Innovative Functional Food Concepts to Neutralize Inflammation for Cardiometabolic Risk Prevention.
- ClinicalTrials.gov ID
- NCT04190706
- Acronym / sponsor ID
- SINFONI / 69HCL18_0097
- Conditions
- Cardiometabolic Risk, Abdominal Obesity
- Keywords
- inflammation, cardiometabolic risk, endotoxemia, polyphenols, oxidative stress, slow digestible starch, fibers, gut microbiota
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 62 participants (actual)
- Lead sponsor
- Hospices Civils de LyonUniversity, hospital or other
- Study start
- 21 Jan 2020 (actual)
- Primary completion
- 17 May 2022 (actual)
- Study completion
- 17 May 2022 (actual)
- First posted
- 9 Dec 2019 (actual)
- 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 aim of the study is to evaluate the synergistic effects of daily consumption of food products fortified with bioactive components (fibres, polyphenols, omega-3, Slow Digestible Starch) for 9 weeks, compared to the daily intake of standard food products on low-grade inflammation in cardiometabolic risk subject.
The inflammatory parameters will be assessed in fasting and in postprandial period after the consumption of a hyper-carbohydrate and hyper-lipidic test meal called Flexmeal. A metabolic stress will be induced by a fructose ingestion challenge during the last 6 days of interventional period.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| bioactive components fortified food products | Experimental | Other: bioactive components fortified food products intake (biscuits and cookies) |
| control food products | Placebo comparator | Other: control food products intake (biscuits and cookies) |
Who may qualify
- Ages
- 30 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Healthy men and women
- Body Mass Index of 25 to 35 kg/m2
- Waist circumference greater than 80 cm for women and than 96 cm for men
- Daily biscuits consumption
- Fibers intake <25g/day
Key exclusion criteria (9 listed)
- Medical history of digestive surgery or disease
- Large polyphenols food products consumer (cranberries, red berries, coffee, tea, red wine, fruits and vegetables…)
- Current or recent (<12 weeks) intake of antibiotics or gastro-intestinal medicinal product
- Current probiotics, prebiotics, fibers complement, and/or any products modulation gut transit
- Feeding particular diet such as vegetarian diet or hyperprotein diet
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 |
|---|---|---|
| bioactive components fortified food products intake (biscuits and cookies)Volunteers will have to consume daily 100 g of fortified biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass) | Other | bioactive components fortified food products |
| control food products intake (biscuits and cookies)Volunteers will have to consume daily 100 g of standard biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass) | Other | control food products |
Primary outcome
Change from baseline postprandial plasma endotoxemia binding protein kinetics: LBP (lipopolysaccharide-binding protein) and CD14 (Cluster of differentiation 14)
Time frame: baseline, 8 and 9 weeks
LBP and CD14 proteins will be measured at time 0, 120 and 300 after test meal intake
16 secondary outcomes
Change from baseline fasting and postprandial plasma inflammatory markers: MCP-1, RANTES, IFNγ, IL-6, TNF-α, IL-1β, CRPus, adiponectin
Time frame: baseline, 8 and 9 weeks
Change of fasting and postprandial plasma inflammatory endotoxemia LPS (lipopolysaccharide)
Time frame: baseline, 8 and 9 weeks
Change from baseline fasting and postprandial plasma endothelial function markers: Human CVD Panel 2, Lipocalin-2/NGAL, Myeloperoxidase, sICAM-1, sVCAM-1, ADAMTS13, D-dimer, GDF-15, Myoglobin, sP-Selectin, Serum Amyloid A
Time frame: baseline, 8 and 9 weeks
Change from baseline fasting plasma oxidative stress parameters: GSH, GSSG, Glutathion peroxidase/ reductase activity, MDA
Time frame: baseline, 8 and 9 weeks
Change from baseline body composition
Time frame: baseline, 8 and 9 weeks
Change from baseline plasma metabolites and hormone kinetics : glucose, insulin, triglycerides, non-esterified fatty acids
Time frame: baseline, 8 and 9 weeks
Change from baseline fasting plasma lipids : total cholesterol , HDL cholesterol, LDL cholesterol, triglycerides, non-esterified fatty acids
Time frame: baseline, 8 and 9 weeks
Change from baseline resting energy expenditure
Time frame: baseline, 8 and 9 weeks
Change from baseline substrates oxidation
Time frame: baseline, 8 and 9 weeks
Change from baseline gut microbiota composition
Time frame: baseline, 8 weeks
Change from baseline stool consistency
Time frame: nine weeks
Change from baseline stool frequency
Time frame: nine weeks
Change from baseline tolerance gastro-intestinal symptoms like bloating ,abdominal rumbling ,flatulence ,abdominal pain, nausea, vomiting
Time frame: nine weeks
Change from baseline diet intake
Time frame: baseline, 8 and 9 weeks
Change from baseline fasting plasma zonulin
Time frame: baseline, 8 and 9 weeks
Change from baseline polyphenols urinary concentrations
Time frame: baseline, 8 weeks
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 25 Sep 2025.
- Results publication: PubMed 39710576Hornero-Ramirez H, Morisette A, Marcotte B, Penhoat A, Lecomte B, Panthu B, Lessard Lord J, Thirion F, Van-Den-Berghe L, Blond E, Simon C, Caussy C, Feugier N, Dore J, Sanoner P, Meynier A, Desjardins Y, Pilon G, Marette A, Cani PD, Laville M, Vinoy S, Michalski MC, Nazare JA. Multifunctional dietary approach reduces intestinal inflammation in relation with changes in gut microbiota composition in subjects at cardiometabolic risk: the SINFONI project. Gut Microbes. 2025 Dec;17(1):2438823. doi: 10.1080/19490976.2024.2438823. Epub 2024 Dec 22.
- Results publication: PubMed 37892479Demangeat A, Hornero-Ramirez H, Meynier A, Sanoner P, Atkinson FS, Nazare JA, Vinoy S. Complementary Nutritional Improvements of Cereal-Based Products to Reduce Postprandial Glycemic Response. Nutrients. 2023 Oct 17;15(20):4401. doi: 10.3390/nu15204401.
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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.
Martine LAVILLE, Pr principal investigator
Centre de Recherche en Nutrition Humaine Rhone-Alpe
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing bioactive components fortified food products intake (biscuits and cookies) in people with Cardiometabolic Risk and Abdominal Obesity, run by Hospices Civils de Lyon at 1 site in France.
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 5 inclusion and 9 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 25 Sep 2025. 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 France. 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?
Change from baseline postprandial plasma endotoxemia binding protein kinetics: LBP (lipopolysaccharide-binding protein) and CD14 (Cluster of differentiation 14) (time frame: baseline, 8 and 9 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04190706, which also lists 2 linked publications.
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 25 Sep 2025.