Prediabetic StateREVERSE-ITNCT04423302
Effect of Totum-63 on Glucose and Lipid Homeostasis in Subjects With Dysglycemia (REVERSE-IT)
A study testing TOTUM-63 3 intakes per day and TOTUM-63 2 intakes per day in people with Prediabetic State and Diabetes type2, run by Valbiotis at 52 sites in 7 countries.
Trial summary
This clinical study aims to assess the efficacy of TOTUM-63, a mix of 5 plant extracts, consumed at the daily regimen of three times per day on glucose and lipid homeostasis in dysglycemic subjects. Read more about this study
- Who is it for?
- Ages 18 to 70 yearsHealthy volunteers can take part
- Conditions the study is for
- Prediabetic State, Diabetes type2, Dysglycemia
- What is being tested?
- TOTUM-63 3 intakes per day and TOTUM-63 2 intakes per day
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 636 participants
- Where
- 52 sitesin 7 countries
- Study dates
- 8 Jul 2020to 23 Jun 2023
- 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 70 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- I1. From 18 to 70 years (including ranges);
- I2. Dysglycemic, prediabetic or newly diagnosed type 2 diabetes, subject without any clinical symptoms of diabetes (e.g. polyuria, polydipsia, blurred vision…) and not requiring immediate anti-diabetic treatment;
- I3. Body mass index (BMI) between 25 and 40 kg/m² (including ranges);
- I4. Waist circumference > 102 cm for men and > 88 cm for women (-2% margin allowed, respectively ≥ 100 cm and ≥ 86.5 cm);
- I5. Weight stable within ± 5% in the last three months;
- I6. No significant change in food habits or in physical activity in the 3 months before the randomization and agreeing to follow hygiene and dietary (HD) recommendations given during the study;
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- I7. For women: Non-menopausal with the same reliable contraception since at least three months before the beginning of the study and agreeing to keep it during the entire duration of the study (hormonal contraception, intra uterine device or surgical intervention) or menopausal with or without hormone replacement therapy (estrogenic replacement therapy begun from less than 3 months excluded);
- I8. Good general and mental health according to the opinion of the investigator: no clinically significant and relevant abnormalities of medical history or physical examination;
- I9. Able and willing to participate to the study by complying with the protocol procedures as evidenced by his dated and signed informed consent form;
- I10. Affiliated with a social security scheme;
- I11. Agreeing to be registered on the volunteers in biomedical research (applicable only for French centers).
- At V0 biological analysis, the subjects will be eligible to the study on the following criteria:
- I12. Fasting plasma glucose concentration ≥ 110 mg/dL.
Who cannot join
- E1. Suffering from a metabolic disorder such as treated diabetes, uncontrolled thyroidal dysfunction or other metabolic disorder needing a dose adjustment in drug intervention according to the professional recommendations;
- E2. Suffering from an uncontrolled arterial hypertension (systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg);
- E3. With a history of retinopathy, ischemic cardiovascular event, having undergone recent surgical procedure in the past 6 months or in the 9 months to come;
- E4. Suffering from a severe chronic disease (e.g. cancer, HIV, renal failure, hepatic or biliary disorders ongoing, chronic inflammatory digestive disease, arthritis or other chronic respiratory trouble, etc.) or gastrointestinal disorders found to be inconsistent with the conduct of the study by the investigator (e.g. celiac disease);
- E5. Under antidiabetic drug (e.g. biguanides, sulfonylureas, glinides, gliptins, glitazones, gliflozins, α-glucosidase inhibitors, incretins and insulin);
- E6. Under lipid-lowering treatment (e.g. statins, fibrates, ezetimibe, bile acid sequestrants, niacin, etc.) since less than 3 months or modification of the treatment dose since less than 3 months before the randomization. Subject with a stable lipid-lowering treatment since at least three months can be included in the study;
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- E7. Under medication which could affect glucose and/or lipid homeostasis parameters or stopped less than 3 months before randomization (e.g. beta 2 agonists like salbutamol, Angiotensin Converting Enzyme (ACE) inhibitors, beta blockers, thiazide diuretics, Selective Serotonin Reuptake Inhibitors (SSRIs), Mono-Amine Oxidase Inhibitors (MAOIs), neuroleptics, long-term corticosteroid systemic drugs, systemic antibodies, androgens, phenytoin, interferons, immunosuppressants, antivirals and antiretrovirals, etc.):
- Beta 2 agonists like salbutamol, ACE inhibitors, beta blockers, thiazide diuretics, SSRIs, MAOIs are tolerated only if stable since more than 3 months before the randomization and maintained during the whole study;
- The others drugs (neuroleptics, long-term corticosteroid systemic drugs, systemic antibodies, androgens, phenytoin, interferons, immunosuppressants, antivirals and antiretrovirals, etc.) are not allowed during the study;
- E8. Regular intake of dietary supplements or "health foods", or products rich in plant stanol or sterol (like Pro-Activ® or Danacol® products), rich in long chain omega-3 fatty acids (especially soft gels containing fish oils), or in other substances intended to reduce glycemia (e.g. beta-glucans, konjac, olive leaf extract, berberine, cinnamon, etc.) or stopped less than 3 months before the randomization;
- E9. Under treatment or dietary supplement which could significantly affect parameter(s) followed during the study according to the investigator or stopped in a too short period before the randomization (for example consumed in the month before the randomization);
- E10. With a known or suspected food allergy or intolerance or hypersensitivity to any of the study products' ingredient;
- E11. Consuming more than 3 standard drinks daily of alcoholic beverage for men or 2 standard drinks daily for women or not agreeing to keep his alcohol consumption habits unchanged throughout the study;
- E12. With extreme and/or unbalanced eating habits (e.g. vegetarian, vegan, skipping meals regularly);
- E13. With a personal history of anorexia nervosa, bulimia or significant eating disorders according to the investigator;
- E14. Smoking more than 20 cigarettes daily or not agreeing to keep his smoking habits unchanged throughout the study. The subject should be able not to smoke during the visits (maximum 4 hours);
- E15. Having a lifestyle deemed incompatible with the study according to the investigator including high level of physical activity (defined as more than 10 hours of intense physical activity a week, walking excluded);
- E16. Pregnant (as evidenced by a positive test for β-HCG (Human Chorionic Gonadotropin), i.e. > 5 mUI/mL, realized at V0) or lactating women or intending to become pregnant within 9 months ahead;
- E17. Who made a blood donation in the 3 months before the randomization or intending to make it within 9 months ahead;
- E18. Taking part in another clinical trial or being in the exclusion period of a previous clinical trial;
- E19. Having received, during the last 12 months, indemnities for clinical trial higher or equal to 4500 Euros (applicable only for French centers);
- E20. Under legal protection (guardianship, wardship) or deprived from his rights following administrative or judicial decision;
- E21. Presenting a psychological or linguistic incapability to sign the informed consent;
- E22. Impossible to contact in case of emergency;
- E23. Any condition assessed by the investigator which could endanger patient safety or the conduct of the study (e.g. device related contraindication for impedancemetry and/or DEXA (Dual-Energy X-ray Absorptiometry) such as pacemaker or electronic implant);
- At V0 biological analysis, the subjects will be considered as non-eligible to the study on the following criteria:
- E24. Fasting glucose plasma concentration > 220 mg/dL;
- E25. Fasting blood triglycerides > 2.2 g/L;
- E26. TSH (Thyroid Stimulating Hormone) outside the laboratory normal values;
- E27. Fasting blood LDL (Low Density Lipoprotein) cholesterol > 1.9 g/L or non HDLc (High Density Lipoprotein cholesterol) > 2.2 g/L or any condition requiring a therapeutic dose adjustment during the trial according to the professional recommendations;
- E28. Blood AST (ASpartate amino Transferase), ALT (ALanine amino Transferase) or GGT (Gamma Glutamyl Transpeptidase) > 3 x ULN (Upper Limit of Normal);
- E29. Blood creatinine concentration > 125 μmol/L;
- E30. eGFR estimated Glomerular Filtration Rate, calculated by CKD-EPI (Chronic Kidney Disease-EPIdemiology collaboration) formula) < 60 mL/min/1.73m²;
- E31. Complete blood count (CBC) with hemoglobin < 11 g/dL or leucocytes < 3000 /mm3 or leucocytes > 16000 /mm3 or clinically significant abnormality according to the investigator.
Trial locations and contacts
52 sites in 7 countries.
52 sites in 7 countries
France14 sites
CHU Amiens
Amiens, 80054
CH Arras
Arras, 62000
CIC Clermont Ferrand
Clermont-Ferrand, 63000
CEN Nutriment
Dijon, 21000
Eurofins Optimed
Gières, 38610
CHU Grenoble
Grenoble, 38043
Institut Pasteur de Lille
Lille, 59019
CHU Lille
Lille, 59037
CHU Nantes
Nantes, 44093
CHU Nice
Nice, 06202
Unité d'Investigation Clinique Biofortis Mérieux NutriSciences
Paris, 75012
Unité de Recherche Clinique en Immunologie Lyon Sud
Pierre-Bénite, 69310
CHU Rouen
Rouen, 76000
Biofortis Mérieux NutriSciences
Saint-Herblain, 44800
Germany11 sites
Analyze & Realize
Berlin, 13467
Klinische Forschung Dresden
Dresden, 01069
Medizentrum Essen Borbeck
Essen, 45355
Biotesys
Esslingen am Neckar, 73728
Klinische Forschung Hamburg
Hamburg, 20253
Klinische Forschung Hannover-Mitte
Hanover, 30159
Klinische Forschung Karlsruhe
Karlsruhe, 76137
Gemeinschaftspraxis Dr. Med C. Klein/J Minnich
Künzing
Zentrum fur Klinische Studien
Sankt Ingbert
Klinische Forschung Schwerin
Schwerin, 19055
Zentrum für Klinische Ernährung Stuttgart
Stuttgart, 70599
Bulgaria8 sites
MHAT-Botevgrad EOOD, Botevgrad
Botevgrad
MHAT Sveta Karidad, First department of Internal Diseases
Plovdiv, 4004
Ambulatory for IPSOC in Endocrynology and Metabolic Diseases ENDO MED-CONSULT EOOD
Plovdiv
Diagnostic-consultative center 7 EOOD, Plovdiv
Plovdiv
Diagnostic Consultative Center "ALEXANDROVSKA"
Sofia, 1431
University Multiprofile Hospital for active treatment "Alexandrovska" EAD Clinic of Endocrinology and metabolic diseases
Sofia, 1431
4th Multiprofile Hospital for active treatment - EAD, Internal Diseases Departement
Sofia, 1606
Diagnostic Consultative Center
Sofia
Hungary8 sites
Drug Resesarch Center (DRC)
Balatonfüred, 8230
Trial Pharma Ltd
Békéscsaba, 5600
ClinExpert Medical Center
Budapest, 1033
Agria - Study Ltd
Eger, 3300
Trial Pharma Ltd
Győr, 9000
Trial Pharma Ltd
Gyula, 5703
Clinical Research Unit (CRU)
Miskolc, 3529
Trial Pharma Ltd
Orosháza, 5900
Italy4 sites
Azienda Ospedaliera Universitaria "Mater Domini"
Catanzaro, 88100
IRCCS Ospedale San Raffaele
Milan, 20132
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone"
Palermo, 90127
Policlinico Umberto I
Roma, 00161
Romania4 sites
Sana Monitoring
Bucharest
Ames Research Cente
Calarasi
Spitalul Municipal Caracal
Caracal
Clintrial Medical Center
Reșca
Poland3 sites
Vitamed
Bydgoszcz
Grupowa Praktyka Lekarska s.c
Katowice
Centrum Medyczne Linden
Krakow
About this study
Official title: Randomized Placebo-controlled Double-blinded Study of the Effect of TOTUM-63 on Glucose and Lipid Homeostasis in Subjects With Dysglycemia
This clinical study aims to assess the efficacy of TOTUM-63, a mix of 5 plant extracts, consumed at the daily regimen of three times per day on glucose and lipid homeostasis in dysglycemic subjects. The hypothesis is that TOTUM-63, consumed 3 times per day, is superior to placebo for decrease of fasting plasma glucose (FPG) concentration after 24 weeks of consumption.
- Conditions
- Prediabetic State, Diabetes type2, Dysglycemia
- Being tested
- TOTUM-63 3 intakes per day, Placebo 3 intakes per day, TOTUM-63 2 intakes per day
- Keywords
- Dysglycemia, Prediabetes, Type 2 diabetes, Hyperglycemia, Insulinemia, Diabetes risk, Diet supplement, Plant extracts, Health condition, Hygiene and dietary recommendations, Diet
- Medical subject headings
- Prediabetic State, Diabetes Mellitus, Type 2, Hyperglycemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TOTUM-63 3 intakes per dayDietary supplement
Also called Active product 3 intakes per day
5-g dose of TOTUM-63 diet supplement, a mix of 5 plant extracts. Eight capsules per day to consume orally in three intakes (3 in the morning, 2 at lunch and 3 at dinner)
Placebo 3 intakes per dayDietary supplement
Also called Comparator product 3 intakes per day
Placebo. Eight capsules per day to consume orally in three intakes (3 in the morning, 2 at lunch and 3 at dinner)
TOTUM-63 2 intakes per dayDietary supplement
Also called Active product 2 intakes per day
5-g dose of TOTUM-63 diet supplement, a mix of 5 plant extracts. Eight capsules per day to consume orally in two intakes (4 in the morning and 4 at dinner)
| Study group | Role | What they receive |
|---|---|---|
| TOTUM-63 3 intakes per day | Experimental | Experimental active diet supplement TOTUM-63 taken 3 times per day (blinded arm) Receives: Dietary Supplement: TOTUM-63 3 intakes per day |
| Placebo 3 intakes per day | Placebo comparator | Placebo comparator taken 3 times per day (blinded arm) Receives: Dietary Supplement: Placebo 3 intakes per day |
| TOTUM-63 2 intakes per day | Experimental | Experimental active diet supplement TOTUM-63 taken 2 times per day (open arm) Receives: Dietary Supplement: TOTUM-63 2 intakes per day |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fasting plasma glucose concentration at V3 with a 3 times a day regimen
Fasting plasma glucose concentration in mg/dL, TOTUM-63 3/day vs placebo
Measured: V3 (24 weeks of intervention)
Secondary outcomes (25)
Evolution of the fasting plasma glucose concentration
Fasting plasma glucose concentration (in mg/dL), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HbA1c
HbA1c (in %), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the glycemia at 120 minutes following the 75g glucose intake
Glycemia (in mg/dL) at 120 minutes following the 75g glucose intake, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo (Only for a subgroup of 201 subjects)
Measured: V1 (baseline), V2 (12 weeks of intervention), V3 (24 weeks of intervention) and V4 (12 weeks and the end of intervention)
Evolution of the fasting insulinemia
Fasting insulinemia (in mU/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HOMA-IR (HOmeostasis Model Assessment of Insulin Resistance) index
HOMA-IR index, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HOMA-β (Homeostasis Model Assessment of Beta cells) index
HOMA-β index, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the QUICKY (QUantitative Insulin sensitivity ChecK Index) index
QUICKY index, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of triglycerides
Triglycerides (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of total cholesterol
Total cholesterol (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of HDL cholesterol
HDL cholesterol (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of non-HDL cholesterol
non-HDL cholesterol (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of LDL cholesterol
LDL cholesterol (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of free fatty acids
Free fatty acids (in g/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of atherogenic index
Atherogenic index, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of atherogenic coefficient
Atherogenic coefficient, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of Cardiac risk ratio 1
Cardiac risk ratio 1, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of cardiac risk ratio 2
Cardiac risk ratio 2, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of hsCRP
hsCRP (in mg/L), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the body weight
Body weight (in kg), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the waist circumference
Waist circumference (in cm), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the hip circumference
Hip circumference (in cm), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the waist to hip ratio
Waist to hip ratio, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the body composition assessed by impedancemeter
Fat mass (in % and kg), lean mass (in % and kg), total body water (in % and kg), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Delay of occurence of pharmacological treatment requirement for type 2 diabetes from V1
Delay between V1 and the date at which the investigator will decide to withdraw the subject from the study because he needs a pharmacological treatment to treat his diabetes, TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Proportion of subjects having an improvement or a deterioration of their glycemic status from V1
Glycemic status will be defined at each visit by the FPG value, 3 different categories Type 2 diabetes/prediabetic/normal. Proportion of subjects changing from category during the study will be assessed during the study (improvement of the glycemic status or deterioration), TOTUM-63 3/day vs placebo, TOTUM-63 2/day vs placebo and TOTUM-63 3/day pooled with TOTUM-63 2/day vs placebo
Measured: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2020
- Study start8 Jul 2020
- Primary completion31 Jan 2023
- Study completion23 Jun 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Prediabetic StateStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 636 participants (actual)
Sponsor and investigators
- Lead sponsor
- Valbiotis
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Biofortis Mérieux NutriSciences
- Responsible party
- Sponsor
- Investigators
- Isabelle METREAU, MD, Principal investigator, Biofortis Mérieux NutriSciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04423302
- Sponsor's protocol ID
- PEC16075
- Other IDs
- 2020-A00604-35
- Acronym
- REVERSE-IT
- Status last verified
- Sep 2023
- First submitted
- 28 May 2020
- Last updated
- 21 Sep 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Chavanelle V, F Otero Y, Fayat Cazaubiel M, Bard JM, Pereira B, Sapone V, Bouchard-Mercier A, Bargetto M, Boisseau N, Guigas B, Peltier S, Le Joubioux F, Maugard T, Hadjadj S, Sirvent P, Marette A. Totum-63, a plant-based polyphenol-rich extract, in prediabetes or early-stage type 2 diabetes: an international, multicenter, randomized controlled trial. Nat Commun. 2026 Jul 20. doi: 10.1038/s41467-026-75626-0. Online ahead of print.
PubMed 42477326
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Placebo-controlled Double-blinded Study of the Effect of TOTUM-63 on Glucose and Lipid Homeostasis in Subjects With Dysglycemia
- ClinicalTrials.gov ID
- NCT04423302
- Acronym / sponsor ID
- REVERSE-IT / PEC16075
- Conditions
- Prediabetic State, Diabetes type2, Dysglycemia
- Keywords
- Dysglycemia, Prediabetes, Type 2 diabetes, Hyperglycemia, Insulinemia, Diabetes risk, Diet supplement, Plant extracts
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 636 participants (actual)
- Lead sponsor
- ValbiotisIndustry (pharma, biotech, devices)
- Collaborators
- Biofortis Mérieux NutriSciences
- Study start
- 8 Jul 2020 (actual)
- Primary completion
- 31 Jan 2023 (actual)
- Study completion
- 23 Jun 2023 (actual)
- First posted
- 9 Jun 2020 (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.
This clinical study aims to assess the efficacy of TOTUM-63, a mix of 5 plant extracts, consumed at the daily regimen of three times per day on glucose and lipid homeostasis in dysglycemic subjects. The hypothesis is that TOTUM-63, consumed 3 times per day, is superior to placebo for decrease of fasting plasma glucose (FPG) concentration after 24 weeks of consumption.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| TOTUM-63 3 intakes per day | Experimental | Dietary Supplement: TOTUM-63 3 intakes per dayExperimental active diet supplement TOTUM-63 taken 3 times per day (blinded arm) |
| Placebo 3 intakes per day | Placebo comparator | Dietary Supplement: Placebo 3 intakes per dayPlacebo comparator taken 3 times per day (blinded arm) |
| TOTUM-63 2 intakes per day | Experimental | Dietary Supplement: TOTUM-63 2 intakes per dayExperimental active diet supplement TOTUM-63 taken 2 times per day (open arm) |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- I1. From 18 to 70 years (including ranges);
- I2. Dysglycemic, prediabetic or newly diagnosed type 2 diabetes, subject without any clinical symptoms of diabetes (e.g. polyuria, polydipsia, blurred vision…) and not requiring immediate anti-diabetic treatment;
- I3. Body mass index (BMI) between 25 and 40 kg/m² (including ranges);
- I4. Waist circumference > 102 cm for men and > 88 cm for women (-2% margin allowed, respectively ≥ 100 cm and ≥ 86.5 cm);
- I5. Weight stable within ± 5% in the last three months;
Key exclusion criteria (34 listed)
- E1. Suffering from a metabolic disorder such as treated diabetes, uncontrolled thyroidal dysfunction or other metabolic disorder needing a dose adjustment in drug intervention according to the professional recommendations;
- E2. Suffering from an uncontrolled arterial hypertension (systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg);
- E3. With a history of retinopathy, ischemic cardiovascular event, having undergone recent surgical procedure in the past 6 months or in the 9 months to come;
- E4. Suffering from a severe chronic disease (e.g. cancer, HIV, renal failure, hepatic or biliary disorders ongoing, chronic inflammatory digestive disease, arthritis or other chronic respiratory trouble, etc.) or gastrointestinal disorders found to be inconsistent with the conduct of the study by the investigator (e.g. celiac disease);
- E5. Under antidiabetic drug (e.g. biguanides, sulfonylureas, glinides, gliptins, glitazones, gliflozins, α-glucosidase inhibitors, incretins and insulin);
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 |
|---|---|---|
| TOTUM-63 3 intakes per dayAlso: Active product 3 intakes per day5-g dose of TOTUM-63 diet supplement, a mix of 5 plant extracts. Eight capsules per day to consume orally in three intakes (3 in the morning, 2 at lunch and 3 at dinner) | Dietary supplement | TOTUM-63 3 intakes per day |
| Placebo 3 intakes per dayAlso: Comparator product 3 intakes per dayPlacebo. Eight capsules per day to consume orally in three intakes (3 in the morning, 2 at lunch and 3 at dinner) | Dietary supplement | Placebo 3 intakes per day |
| TOTUM-63 2 intakes per dayAlso: Active product 2 intakes per day5-g dose of TOTUM-63 diet supplement, a mix of 5 plant extracts. Eight capsules per day to consume orally in two intakes (4 in the morning and 4 at dinner) | Dietary supplement | TOTUM-63 2 intakes per day |
Primary outcome
Fasting plasma glucose concentration at V3 with a 3 times a day regimen
Time frame: V3 (24 weeks of intervention)
Fasting plasma glucose concentration in mg/dL, TOTUM-63 3/day vs placebo
25 secondary outcomes
Evolution of the fasting plasma glucose concentration
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HbA1c
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the glycemia at 120 minutes following the 75g glucose intake
Time frame: V1 (baseline), V2 (12 weeks of intervention), V3 (24 weeks of intervention) and V4 (12 weeks and the end of intervention)
Evolution of the fasting insulinemia
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HOMA-IR (HOmeostasis Model Assessment of Insulin Resistance) index
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the HOMA-β (Homeostasis Model Assessment of Beta cells) index
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the QUICKY (QUantitative Insulin sensitivity ChecK Index) index
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of triglycerides
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of total cholesterol
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of HDL cholesterol
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of non-HDL cholesterol
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of LDL cholesterol
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of free fatty acids
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of atherogenic index
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of atherogenic coefficient
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of Cardiac risk ratio 1
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of cardiac risk ratio 2
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the fasting blood concentrations of hsCRP
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the body weight
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the waist circumference
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the hip circumference
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the waist to hip ratio
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Evolution of the body composition assessed by impedancemeter
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Delay of occurence of pharmacological treatment requirement for type 2 diabetes from V1
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
Proportion of subjects having an improvement or a deterioration of their glycemic status from V1
Time frame: V1 (baseline), V2 (12 weeks of intervention) and V3 (24 weeks of intervention)
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 21 Sep 2023.
- Derived from this study: PubMed 42477326Chavanelle V, F Otero Y, Fayat Cazaubiel M, Bard JM, Pereira B, Sapone V, Bouchard-Mercier A, Bargetto M, Boisseau N, Guigas B, Peltier S, Le Joubioux F, Maugard T, Hadjadj S, Sirvent P, Marette A. Totum-63, a plant-based polyphenol-rich extract, in prediabetes or early-stage type 2 diabetes: an international, multicenter, randomized controlled trial. Nat Commun. 2026 Jul 20. doi: 10.1038/s41467-026-75626-0. Online ahead of print.
- Individual participant dataSharing planned: No
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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.
Isabelle METREAU, MD principal investigator
Biofortis Mérieux NutriSciences
52 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing TOTUM-63 3 intakes per day and TOTUM-63 2 intakes per day in people with Prediabetic State and Diabetes type2, run by Valbiotis at 52 sites in 7 countries.
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 13 inclusion and 34 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 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 52 sites in France, Germany, Bulgaria, Hungary, Italy and 2 more countries. 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?
Fasting plasma glucose concentration at V3 with a 3 times a day regimen (time frame: V3 (24 weeks of intervention)). 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 NCT04423302, which also lists 1 linked publication.
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 21 Sep 2023.