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Diabetes Mellitus, Type 2Diabet2PredictNCT06448182

Effect of a Postbiotic Intake on Glucose Control and Microbiota Composition of Type 2 Diabetic Subjects: a Randomized Controlled Trial.

A study testing Postbiotic in people with Diabetes Mellitus, Type 2, run by Clinica Universidad de Navarra, Universidad de Navarra at 3 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this randomized clinical trial is to evaluate the effect of the administration of a postbiotic on glycemic control, insulin resistance and microbiota composition in subjects with type 2 diabetes. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Postbiotic
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
106 participants
Where
3 sitesSpain
Study dates
9 Jan 2025to 30 Dec 2025
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women aged between 18 and 70 years.
  • Subjects diagnosed with DM2: glycosylated hemoglobin (HbA1c) ≥6.5% and/or basal glucose ≥126 mg/dL. Debut time will not be taken into account.
  • Body Mass Index (BMI) between 25 and 39.9 kg/m2.
  • Treatment for DM2/stable lifestyle, as well as other treatments for other pathologies (stable at least 3 months prior to the start of the intervention).
  • Stable baseline HbA1c or glucose value for at least 3 months before starting the intervention.
  • No weight variations (± 5%) during the last 3 months.
  • Subjects must be in general physical and psychological conditions that the researcher assesses in accordance with the objective of the study.
  • Subjects must be able to understand and be willing to sign the informed consent, and must comply with all study procedures and requirements.

Who cannot join

  • Subjects who have received oral antibiotic treatment in the 45 days prior to the start of the study.
  • Patients who have started hypoglycemic treatment, especially in the 3 months prior to inclusion. Insulin treatment.
  • Severe untreated dyslipidemia, hypertension or hypothyroidism, or treated for less than 3 months.
  • Presence of relevant functional or structural anomalies of the digestive system, such as malformations, angiodysplasias, active peptic ulcers, chronic inflammatory diseases or malabsorption.
  • Subjects who have undergone surgical interventions of the digestive system with permanent consequences (for example, gastroduodenostomy).
  • Suffer from any type of cancer or be undergoing treatment for it, or a period of less than 5 years since its eradication.
Show all 17Show fewer
  • Subjects who work rotating shifts that include night shifts.
  • Presence of some type of psychological impediment such as depressive pathology, anxiety, untreated bipolar disorder. They will be able to participate if they have the disease but with stable treatment for at least 3 months prior to the start of the trial.
  • Have an allergy or intolerance to any food or food group that is likely to manifest during the study.
  • Be on a special diet during the 3 months prior to the start of the study, except for treatment for DM2, in this case, the lifestyle/diet will have to be stable in the 3 months prior to the start of the study.
  • Weight variations (± 5%) during the last 3 months.
  • Suffer from eating disorders or present restrictive behaviors in their diet. Score on the EAT-26 questionnaire equal to or greater than 20.
  • Subjects who have undergone surgical treatment for obesity.
  • Be pregnant or breastfeeding.
  • Present alcohol abuse (more than 14 units/day in women and 20 units/day in men) and/or drugs.
  • Show poor collaboration or have difficulties to follow the study procedures.
  • Take some type of nutritional supplementation that can affect blood glucose and/or the microbiota. If they take it, in order to be included in the study, they will have to stop the supplement, with a washout period of at least 14 days before starting the study.

Trial locations and contacts

3 sites in 1 country.

Spain3 sites
  • IIS Biobizkaia

    Barakaldo, Vizcaya, 48903

  • Clinica Universidad de Navarra

    Pamplona, Navarre, 31008

  • Nutrition Research Centre, University of Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

About this study

Official title: Precision Medicine Against Type 2 Diabetes: Genetic Prediction and Nutritional Intervention With Postbiotics to Modulate Microbiota.

The goal of this randomized clinical trial is to evaluate the effect of the administration of a postbiotic on glycemic control, insulin resistance and microbiota composition in subjects with type 2 diabetes.

The main questions it aims to answer are:

Read more
  • Study the evolution of biochemical variables related to glycemic metabolism: basal glucose, basal insulin, glycemic variability through sensors, glycosylated hemoglobin (HbA1c), HOMA-IR index, C peptide.
  • Perform a metagenomic analysis of intestinal microbiota in stool samples.
  • Perform a metabolomics analysis on blood samples.
  • Analyze the genetic profile in blood.
  • Evaluate the evolution of biochemical variables related to lipid metabolism: total serum cholesterol, HDL-cholesterol, LDL-cholesterol and triglycerides.
  • Assess the evolution of variables related to liver function: transaminases (ALT/AST).
  • Analyze the evolution of the blood count.
  • Evaluate the evolution of anthropometric variables (weight, height, waist and hip) and body composition.
  • Analyze the evolution of blood pressure.
  • Analyze eating and physical activity habits.
  • Evaluate adherence to treatment and adverse events.
  • Personalization on the use of postbiotics and other nutritional recommendations based on the genetic profile and the identification of patient clusters.

For this purpose, a randomized, double blind parallel study has been designed.

Target sample size is 158 subjects.

Participants will be allocated in two groups for 12 weeks:

  • Experimental group (n=79): daily consumption of one postbiotic capsule.
  • Placebo group (n=79): daily consumption of one placebo capsule.

Researchers will compare the consumption of a postbiotic supplement to a placebo.

Participants will visit nutritional intervention unit at week 0, week 2, week 10 and week 12 of the study.

Read the detailed description

Volunteers who wish to participate in the study will be interviewed by phone to verify that they meet the main inclusion criteria. Volunteers who meet the main inclusion criteria will be invited to an information and screening visit to resolve any doubts. Volunteers who agree to participate in the study will sign the informed consent and will be randomly allocated to one of the two arms of the study and will be provided with any required material.

During the intervention, volunteers will attend 4 Clinical investigation visits. The first one will be carried out on the first day of the study and the last one will take place at the end of the 12 weeks. In both visits anthropometric and body composition measurements, blood pressure, stool and blood samples, as well as data about dietary, physical activity and gastrointestinal symptoms will be taken. In the second and the third visits anthropometric, body composition, blood pressure and a blood sample will be taken. In the first and the third visits glucose monitoring sensor will be put and in the second and the fourth visits this glucosae monitoring sensor will be retired.

Being tested
Postbiotic, Placebo
Keywords
Obesity, Postbiotic, Microbiota, Genetics, Randomized Controlled Trial, Supplementation
Medical subject headings
Diabetes Mellitus, Type 2, Obesity

What participants receive

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

  • PostbioticDietary supplement

    1 capsule of postbiotic daily in the morning

  • PlaceboDietary supplement

    1 capsule of placebo daily in the morning

Study groups in NCT06448182
Study groupRoleWhat they receive
Postbiotic groupExperimental1 postbiotic capsule daily in the morning during 12 weeks
Receives: Dietary Supplement: Postbiotic
Placebo groupPlacebo comparator1 placebo capsule daily in the morning during 12 weeks
Receives: Dietary Supplement: Placebo

What is being measured

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

  1. Change from baseline in blood glycated hemoglobin (HbA1c) concentration

    Blood glycated hemoglobin will be analysed in total blood and reported in % and in mmol/mol.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

Secondary outcomes (31)
  1. Change from baseline in blood glucose

    Blood will be extracted at fasting state and glucose levels will be determined by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Days 1 (week 0), 2 (week 2), 3 (week 10) and 4 (week 12).

  2. Change from baseline in blood insulin

    Blood will be extracted at fasting state and insulin levels will be determined by ELISA.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  3. Continuous glucose levels

    Continuous glucose levels will be controlled with FreeStyle Libre Pro (Abbott) glucose monitoring sensor.

    Measured: Clinical Investigation Day 1 (week 0) to Clinical Investigation Day 2 (week 2) and Clinical Investigation Day 3 (week 10) to Clinical Investigation Day 4 (week 12).

  4. Change from baseline in blood Peptide C

    Blood will be extracted at fasting state and peptido C levels will be determined by ELISA.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  5. Change from baseline in hemogram

    Blood will be extracted at fasting state and hemogram profile will be determined by autoanalyzer Pentra-C60.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  6. Change from baseline in fecal microbiota

    Fecal microbiota of participants will be analyzed by bacterial 16S gene sequencing technology.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  7. Blood genetic profile

    Genetic profile will be analysed in blood of participants.

    Measured: Clinical investigation day 1

  8. Change from baseline in blood total cholesterol

    Blood will be extracted at fasting state and Total cholesterol levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  9. Change from baseline in blood HDL cholesterol

    Blood will be extracted at fasting state and HDL cholesterol levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  10. Change from baseline in blood LDL cholesterol

    LDL cholesterol levels of participants will be calculted by Friedewald equation.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  11. Change from baseline in blood tryglicerides

    Blood will be extracted at fasting state and trygliceride levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  12. Change from baseline in blood lactate

    Blood will be extracted at fasting state and lactate levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  13. Change from baseline in blood alanine aminotransferase (ALT)

    Blood will be extracted at fasting state and ALT levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  14. Change from baseline in blood aspartate aminotransferase (AST)

    Blood will be extracted at fasting state and AST levels of participants will be analysed by autoanalyzer Pentra-C200.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  15. Change from baseline in body weight

    Weight of participants will be measured by bioimpedance and reported in kg.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  16. Height

    Height of participants will be measured by stadiometer and reported in m.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  17. Change from baseline in body mass index

    Body mass index will be calculated as follows: weight (kilograms)/ height (cm)2.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  18. Change from baseline in body fat percentage

    Body fat of participants will be analyzed by bioimpedance and reported in percentage and kilograms.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  19. Change from baseline in body muscle mass

    Body muscle mass of participants will be analyzed by bioimpedance and reported in kilograms.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  20. Change from baseline in body lean mass

    Body leen mass of participants will be analyzed by bioimpedance and reported in kilograms.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  21. Change from baseline in body water mass

    Body water mass of participants will be analyzed by bioimpedance and reported in kilograms.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  22. Change from baseline in body bone mass

    Body bone mass of participants will be analyzed by bioimpedance and reported in kilograms.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  23. Change from baseline in waist circumference

    Waist circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  24. Change from baseline in hip circumference

    Hip circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  25. Change from baseline in systolic blood pressure

    Systolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  26. Change from baseline in diastolic blood pressure

    Diastolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  27. Change from baseline in heart rate

    Heart rate of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  28. Change from baseline in gastrointestinal symptoms

    Gastrointestinal symptoms will be registrated through Gastrointestinal Symptoms Rating Scale questionnaire, which is a questionnaire of 15 items. The questionnaire has a seven-point graded likert-type scale, where 1 represents absence of troublesome symptoms and 7 represents very troublesome symptoms.

    Measured: Clinical investigation day 1 (week 0), 2 (week 2), 3 (week 10) and 4 (week 12).

  29. Change from baseline in physical activity

    Physical activity will be evaluated by the reduced version of the International Physical Activity Questionnaire, which estimates the total physical activity in MET-min/week, time spent sitting and classifies subjects based on their physical activity.

    Measured: Clinical investigation day 1 (week 0) and 4 (week 12).

  30. Change from baseline in global dietary intake

    Global dietary intake (energy, macronutrients and micronutrients) will be analysed by food frequency questionnaire.

    Measured: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).

  31. Change from baseline in adherence to capsule consumption

    Adherence will be assessed using the capsule consumption record form.

    Measured: Clinical investigation day 1 (week 0), 2 (week 2), 3 (week 10) and 4 (week 12).

Timeline

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

  1. First posted7 Jun 2024
  2. Study start9 Jan 2025
  3. Primary completion30 Dec 2025
  4. Study completion30 Dec 2025

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
Randomised, double blinded, parallel intervention
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
106 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06448182
Sponsor's protocol ID
DIABET2PREDICT (2024.055)
Acronym
Diabet2Predict
Status last verified
May 2026
First submitted
3 Jun 2024
Last updated
19 May 2026
Results posted
No
Data monitoring committee
Yes
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 Postbiotic in people with Diabetes Mellitus, Type 2, run by Clinica Universidad de Navarra, Universidad de Navarra at 3 sites in Spain.

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 8 inclusion and 17 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 19 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Spain. 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 in blood glycated hemoglobin (HbA1c) concentration (time frame: Clinical Investigation Day 1 (week 0) and Clinical Investigation Day 4 (week 12).). 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 19 May 2026; AzTrials last refreshed its copy on 6 Nov 2026.

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