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Non Alcoholic Fatty LiverNCT05523024

Effect of Probiotics or Berberine in Hepatic Steatosis Markers, Cardiometabolic and Microbiotic Profile in NAFL.

A study testing Probiotic, Berberine and Probiotc and Berberine in people with Non Alcoholic Fatty Liver and Obesity, run by Poznan University of Medical Sciences at 1 site in Poland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Effect of oral selected Probiotics (PRO) and/or Berberine (BBR) supplementation on hepatic steatosis markers, cardiometabolic profile, and gut microbiota profile in the non-alcoholic fatty liver (NAFL) - a randomized double-blind clinical study. Read more about this study

Who is it for?
Ages 40 to 60 years
Conditions the study is for
Non Alcoholic Fatty Liver, Obesity
What is being tested?
Probiotic, Berberine and Probiotc and Berberine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
140 participants
Where
1 sitePoland
Study dates
2 Aug 2022to 1 Jun 2024
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 40 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • age 40 to 60 years;
  • women ≥1 year since last menstruation;
  • body mass index (BMI): 27.0 kg/m2 to 34.9 kg/m2;
  • abdominal obesity-related waist circumference > 80 cm (women) and >94 cm (men) (in accordance to International Diabetes Federation);
  • stable body weight in the 3 months prior to the trial (permissible deviation is ± 3 kg);
  • NAFL - diagnosed based on USG in accordance with PGE-NAFLD recommendation

Who cannot join

  • history of following alternative diets within 3 months before the study;
  • history of use of any dietary supplements in the 3 months before the study;
  • history of intake of antibiotics, probiotics, prebiotics within 3 months before the study;
  • secondary form of obesity, pharmacological treatment for obesity (in the 3 months before the study), history of bariatric surgery;
  • another liver diseases: high risk of NASH (assessed on the FIB-4, according to the PGE-NAFLD recommendation), autoimmune hepatitis, hepatitis B and C, toxic hepatitis, cirrhosis, Wilson's disease, hemochromatosis;
  • other gastrointestinal disorders, especially: IBD, celiac disease, gastritis and duodenitis, pancreatic disorders, gastrointestinal symptoms suggestive of IBS;
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  • clinically significant acute inflammatory process (elevated hsCRP);
  • abnormal kidney function (GFR <60mL/min/1,73m2);
  • T2D;
  • dyslipidemia or hypertension - requiring the introduction and/or change of pharmacological treatment in the 6 months before the trial or during intervention;
  • pump inhibitors, anticoagulants, drugs causing metabolic alteration, e.g., SFAs (second-generation antipsychotics);
  • diseases requiring nutritional requirement and chronic supplementation;
  • alcohol (>30g/d for men and >20g/d for women), nicotine or drug abuse;
  • mental disorders, including eating disorders;
  • cancer, autoimmune diseases;
  • any other condition which may influence on final results of the study or pose a risk for subjects health.

Trial locations and contacts

1 site in 1 country.

Małgorzata Moszak, PhD contact

+48-6185-49-377

mmoszak@ump.edu.pl

Monika Szulińska, DSc contact

+48-6185-49-377

Poland1 site, 1 recruiting
  • 2 Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznań University of Medical Sciences,

    Poznan, 60-569

    Małgorzata Moszak, PhD, +48-6185-49-377, mmoszak@ump.edu.pl

    Recruiting

Other trials in Poland

About this study

Official title: Effect of Probiotics or Berberine Supplementation on Hepatic Steatosis Markers, Cardiometabolic and Microbiotic Profile in NAFL - A Randomized Double- Blind Clinical Study.

Effect of oral selected Probiotics (PRO) and/or Berberine (BBR) supplementation on hepatic steatosis markers, cardiometabolic profile, and gut microbiota profile in the non-alcoholic fatty liver (NAFL) - a randomized double-blind clinical study.

Read the detailed description

Probiotics (PRO) and bioactive natural substances such as Berberine (BBR) can improve metabolic parameters in patients with obesity and metabolic disorders. In addition, they significantly affect the composition and function of gut microbiota (GM) and support anti-inflammation and antioxidant defense. These data have become the starting point for the proposed multidirectional approach, aimed at assessing the effect of PRO and/or BBR supplementation on:

  • hepatic-related outcomes,
  • changes in anthropometric measurements (body mass, BMI, body mass composition and fat mass % content),
  • cardiometabolic profile (e.g. blood pressure, noninvasive markers of endothelial function, cardiometabolic biochemical parameters)
  • microbiotic profile (gut microbiota composition, endotoxemia)
  • the content of the minerals, in overweight/obese patients with nonalcoholic fatty liver (NAFL).
Being tested
Probiotic, Berberine, Placebo, Probiotc and Berberine
Keywords
NAFL; obesity; probiotics; berberine; microbiota;
Medical subject headings
Non-alcoholic Fatty Liver Disease, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ProbioticDietary supplement

    The probiotic group will receive one capsule of the probiotic mixture (dose:1x109 colony forming units (CFU) per day in one dose (before breakfast). The PRO preparation will contain the following bacterial strains: 50% Lactococcus lactis Rosell® - 1058, 25% Lactobacillus casei Rosell® - 215, 12,5% Lactobacillus helveticus Rosell® - 52, 12,5% Bifidobacterium bifidum Rosell® - 71). Probiotics will be administered orally.

  • BerberineDietary supplement

    The berberine group will receive 1500 mg of Berberine (Berberine hydrochloride 97% extract of Berberis aristata) per day in 3 doses. Berberine will be administered orally, before breakfast, dinner, and before supper.

  • PlaceboDietary supplement

    The placebo group will receive a placebo. Placebo will contain only the excipients and will be administered orally for 24 weeks. Placebo in no way: color, taste, smell, form of taking, the dosage will not differ from the preparations tested. However, it will not contain probiotcs or berberine. Placebo will be orally administered three times a day: before breakfast, dinner, and supper (6.00-7.00 p.m.). To meet the GCP conditions, subjects from all groups will receive the same number of capsules (six) per day.

  • Probiotc and BerberineDietary supplement

    Probiotics and Berberine groupwill receive both: a probiotics mixture (as in PRO group: 1x109 CFU/day; in one dose) and 1500 mg/day of Berberine (Berberine hydrochloride 97% extract of Berberis aristata; in 3 doses). Probiotcs and berberine will be administered orally before breakfast, before dinner, and before supper.

Study groups in NCT05523024
Study groupRoleWhat they receive
ProbioticActive comparatorIndividuals receive Probiotics (9 strains: B. bifidum W23, B. lactis W51, B. lactis W52, L. acidophilus W37, L. brevis W63, L. casei W56, L. salivarius W24, Lactococcus lactis W19, and Lactococcus lactis W58) in dose: 1x109 colony forming units (CFU), daily, for 12 weeks. Intervention: Dietary Supplement: Probiotic
Receives: Dietary Supplement: Probiotic
BerberineActive comparatorIndividuals receive Berberine (Berberine hydrochloride 97% extract of Berberis aristata) in dose: 1500 mg/day, for 12 weeks. Intervention: Dietary Supplement: Berberine
Receives: Dietary Supplement: Berberine
PlaceboPlacebo comparatorIndividuals receive placebo daily, for 3 months. Intervention: Dietary Supplement: Placebo
Receives: Dietary Supplement: Placebo
Probiotics and BerberineActive comparatorIndividuals receive: Probiotics (9 strains: B. bifidum W23, B. lactis W51, B. lactis W52, L. acidophilus W37, L. brevis W63, L. casei W56, L. salivarius W24, Lactococcus lactis W19, and Lactococcus lactis W58) in dose: 1x109 colony forming units (CFU), daily and Berberine (Berberine hydrochloride 97% extract of Berberis aristata) in dose: 1500 mg/day, for 12 weeks. Intervention: Dietary Supplement: Probiotic and Berberine
Receives: Dietary Supplement: Probiotc and Berberine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Fibrosis-4 (FIB-4) - Index for Liver Fibrosis.

    FIB-4 will be estimated using a medical calculator (based on parameters as: age, ALT, AST, and platelet count).

    Measured: At the baseline and 12 weeks of treatment

  2. Changes in HSI - Hepatic Steatosis Index.

    HSI will be estimated using a medical calculator (based on parameters as: gender, ALT, AST, BMI, and type 2 diabetes).

    Measured: At the baseline and 12 weeks of treatment

  3. Changes in NAFLD-LFS (liver fat score).

    NAFLD-LFS will be estimated using a medical calculator (based on serum aspartate transaminase/alanine transaminase (AST/ALT) ratio, fasting serum aspartate transaminase (AST) level, fasting serum insulin level, presence of metabolic syndrome and diabetes mellitus).

    Measured: At the baseline and 12 weeks of treatment

Secondary outcomes (28)
  1. Changes in blood pressure.

    Resting seated BP (both systolic and diastolic) will be measured using a brachial cuff (Omron Healthcare, Kyoto, Japan) three times at 2-min intervals, and the average value will be calculated.

    Measured: At the baseline and 12 weeks of treatment

  2. Changes in weight.

    Weight will be measured in light clothing and without metal objects (i.e., belt, jewelry). Weight will be measured to the nearest 0.1 kg.

    Measured: At the baseline and 12 weeks of treatment

  3. Changes in waist circumference, hip circumference.

    WC will be measured between the iliac crest and the lower rib at the end of a normal expiration, and HC will be measured around the widest portion of the buttocks. Both HC and WC will be measured using stretch-resistant medical tape (Seco) to the nearest 0.5 cm. The measurement of WC and HC will be performed according to the World Health Organization (WHO) protocol.

    Measured: At the baseline and 12 weeks of treatment

  4. Changes in waist to hip ratio.

    WHR will be calculated as WC to HC quotient.

    Measured: At the baseline and 12 weeks of treatment

  5. Changes in BMI.

    BMI will be calculated according to the formula: BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in meters squared.

    Measured: At the baseline and 12 weeks of treatment

  6. Changes in fat mass content in the body.

    The fat mass content [in kg] in the body will be estimated using BIA methods (InBody 270 and Bioscan 920-2),

    Measured: At the baseline and 12 weeks of treatment

  7. Changes in pulse wave velocity (PWV).

    The pulse wave velocity (PWV) will be measured using the SphygmoCor Px (Atcor Medical Blood Pressure Analysis System, Sydney, Australia) in a temperature-controlled room before making anthropometric measurements and blood collection.

    Measured: At the baseline and 12 weeks of treatment

  8. Changes in pulse wave analysis (PWA).

    The pulse wave analysis (PWA)will be measured using the SphygmoCor Px (Atcor Medical Blood Pressure Analysis System, Sydney, Australia) in a temperature-controlled room before making anthropometric measurements and blood collection.

    Measured: At the baseline and 12 weeks of treatment

  9. Gut (taxonomic and functional) microbiota analysis in stool.

    Analyzed by the NGS method.

    Measured: At the baseline and 12 weeks of treatment

  10. Short-chain fatty acids (SCFAs) concentration in stool.

    Analyzed using gas chromatography (Agilent Technologies 1260 A GC system with a flame ionization detector (FID))

    Measured: At the baseline and 12 weeks of treatment

  11. Measurement of hair minerals (Fe, Mg, Ca, Cu, Zn) concentration.

    Performed using atomic absorption spectrometry (Atomic Absorption Spectrophotometer ZA3000, Hitachi, Tokyo, Japan)

    Measured: At the baseline and 12 weeks of treatment

  12. Changes in ALT, AST, GGT

    The ALT, AST, GGT will be measured using standard methods.

    Measured: At the baseline and 12 weeks of treatment

  13. Changes in non-esterified free fatty acids.

    The NEFA will be measured using standard methods.

    Measured: At the baseline and 12 weeks of treatment

  14. Changes in lipids profile (TC, HDL, TG).

    The TC, HDL, TG will be measured using standard methods.

    Measured: At the baseline and 12 weeks of treatment

  15. Changes in low-density lipoprotein (LDL).

    The low-density lipoprotein cholesterol (LDL) will be calculated according to the Friedwald equation.

    Measured: At the baseline and 12 weeks of treatment

  16. Changes in fasting glucose level.

    The fasting glucose level will be measured using standard methods.

    Measured: At the baseline and 12 weeks of treatment

  17. Changes in fasting insulin level.

    The ELISA will be used in the estimation.

    Measured: At the baseline and 12 weeks of treatment

  18. Changes in insulin resistance index (HOMA-IR)

    The HOMA-IR will be calculated according to formula:

    HOMA-IR = (insulin * glucose) / 22.5 for the glucose concentration in mmol/L, or: HOMA-IR = (insulin * glucose ) / 405 for glycemia in mg/dL. In both cases, the insulin is in mU/L.

    Measured: At the baseline and 12 weeks of treatment

  19. Changes in parameter of liver damage: cytokeratin 18.

    The ELISA will be used in the estimation cytokeratin 18 (ccK18).

    Measured: At the baseline and 12 weeks of treatment

  20. Changes in parameter of liver damage: Glutathione S-transferase (GST).

    The ELISA will be used in the estimation GST.

    Measured: At the baseline and 12 weeks of treatment

  21. Changes in parameter of liver damage: collagen IV.

    The ELISA will be used in the estimation collagen IV.

    Measured: At the baseline and 12 weeks of treatment

  22. Changes in parameter of liver damage: hyaluronic acid.

    The ELISA will be used in the estimation hyaluronic acid.

    Measured: At the baseline and 12 weeks of treatment

  23. Changes in hsCRP.

    The hsCRP will be measured using ELISA.

    Measured: At the baseline and 12 weeks of treatment

  24. Changes in pentraxin 3.

    The pentraxin 3 (PTX3) will be measured using ELISA.

    Measured: At the baseline and 12 weeks of treatment

  25. Gut barrier integrity parameter: calprotectin.

    The ELISA, will be used in the estimation.

    Measured: At the baseline and 12 weeks of treatment

  26. Gut barrier integrity parameters: liver fatty acid-binding protein (L-FABP), intestinal fatty acid-binding protein (I-FABP).

    The ELISA, will be used in the estimation.

    Measured: At the baseline and 12 weeks of treatment

  27. Gut barrier integrity parameters: lipopolysaccharide (LPS).

    The ELISA, will be used in the estimation.

    Measured: At the baseline and 12 weeks of treatment

  28. Cardiometabolic risk.

    Cardiometabolic risk will be estimated at baseline and after 3 months of treatment using the SCORE scale. SCORE scale summarize 5 risk factors (sex, age, systolic blood pressure, total cholesterol and smoking).

    Measured: At the baseline and 12 weeks of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2022
  2. Study start2 Aug 2022
  3. Primary completion31 Dec 2023 (estimated)
  4. Study completion1 Jun 2024 (estimated)

Resources

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
Model description
Parallel Assignment
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05523024
Sponsor's protocol ID
491/20;
Status last verified
Aug 2022
First submitted
25 Apr 2022
Last updated
31 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic, Berberine and Probiotc and Berberine in people with Non Alcoholic Fatty Liver and Obesity, run by Poznan University of Medical Sciences at 1 site in Poland.

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 6 inclusion and 16 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: status not confirmed, as of the sponsor's last update on 31 Aug 2022. 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 Poland. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Małgorzata Moszak, PhD (+48-6185-49-377, mmoszak@ump.edu.pl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Fibrosis-4 (FIB-4) - Index for Liver Fibrosis. (time frame: At the baseline and 12 weeks of treatment). The study lists 3 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 31 Aug 2022.

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