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ObesityNCT06782009

Metabolic Impact on the Mitochondria-gut Microbiota Axis of Failure to Follow Restrictive Dietary Interventions in Subjects Living With Obesity

A study testing Calorie restriction, Intermittent fasting 16/8 and Ketogenic diet in people with Obesity, run by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran at 2 sites in Mexico.

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

Nutritional interventions with dietary restrictions have become highly popular for promoting weight and body fat loss; In addition, they are largely associated with the improvement and preservation of mitochondrial function as well as the changes they generate in the composition of the gut microbiota and microbial… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Obesity
What is being tested?
Calorie restriction, Intermittent fasting 16/8 and Ketogenic diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
2 sitesMexico
Study dates
8 Apr 2023to 8 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

  • Male and female.
  • Adults >18 years of age.
  • BMI ≥ 30 kg/m2

Who cannot join

  • Patients with any type of diabetes.
  • Patients with high blood pressure.
  • Patients with acquired diseases secondarily producing obesity and diabetes.
  • Patients who have suffered a cardiovascular event.
  • Patients who at the screening visit presented glucose values greater than 126 mg/dL, triglycerides greater than 350 mg/dL, cholesterol greater than 300mg/dL and/or creatinine greater than 1.2 mg/dL in men and greater than 1 mg/dL in women.
  • Patients with gastrointestinal diseases.
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  • Weight loss > 3 kg in the last 3 months.
  • Catabolic diseases such as cancer and acquired immunodeficiency syndrome.
  • Pregnancy status.
  • Positive smoking.
  • History of major surgery requiring general or regional anesthesia, respiratory support, and involving a recovery time longer than 2 weeks, such as surgeries of the abdomen (bowel resection), chest, head, and neck.
  • Diagnosis of Anxiety and Depression as Determined by the HADS Scale
  • Drug treatment:
  • Antihypertensive drugs or treatment
  • Treatment with hypoglycemic agents or insulin and antidiabetic drugs.
  • Treatment with statins, fibrates or other drugs to control dyslipidemia.
  • Use of antibiotics in the three months prior to the study.
  • Use of steroid drugs, chemotherapy, immunosuppressants, or radiation therapy.
  • Anorexigenic or that accelerate weight loss such as sibutramine or orlistat.
  • Supplements with any of the functional foods used in the study.
  • Probiotic, prebiotic or symbiotic supplements.

Trial locations and contacts

2 sites in 1 country.

Mexico2 sites
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

    Mexico City, Tlalpan, 14080

  • Departamento de Fisiología de la Nutrición. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

    Mexico City, 14080

Other trials in Mexico

About this study

Nutritional interventions with dietary restrictions have become highly popular for promoting weight and body fat loss; In addition, they are largely associated with the improvement and preservation of mitochondrial function as well as the changes they generate in the composition of the gut microbiota and microbial metabolites. During obesity, mitochondrial dysfunction in monocytes can increase low-grade inflammation and contribute to alterations in various metabolic tissues. There have been many studies that have been dedicated to describing the benefits and mechanisms of the use of restrictive interventions, but few have focused on further monitoring and evaluating the metabolic changes that occur due to the lack of follow-up of the use of these interventions, where subjects resume eating patterns with energy overload. behavior that happens in the vast majority of patients, so keeping mitochondria in good condition is a key aspect of maintaining health. The present project aims to study the metabolic changes that are generated by the lack of follow-up of restrictive dietary interventions, focusing on the effects produced in mitochondrial function evaluated in monocytes isolated from peripheral blood and the impact that the composition of the intestinal microbiota is generated from the metabolites produced, affecting as a consequence the inflammatory state of the host. A randomized controlled clinical trial will be carried out where the selected participants will be assigned by lottery to one of the 3 nutritional interventions for 8 weeks, then the participants will be followed up at 8, 16 and 24 weeks after the intervention has ended. Anthropometric and biochemical parameters, resting energy expenditure, blood pressure, oxidative stress markers, metabolomics, gut microbiota composition, and mitochondrial function will be evaluated during follow-up.

Read the detailed description

The study consists of an open-label randomized controlled clinical trial. The selected subjects will be men or women over 18 years of age with a body mass index (BMI) greater than or equal to 30 kg/m2, who meet the selection criteria, the subjects who will be randomly assigned to one of 3 dietary intervention groups. The study consisted of a dietary intervention with a duration of 8 weeks and a follow-up of 24 weeks after dietary intervention.

The intervention groups will be as follows:

  1. Calorie-restricted diet: Dietary recommendations will be given restricting 30% in energy (kcal) according to their usual diet with normal macronutrient distribution (20-30% protein, 50-60% carbohydrates, 20-30% fats).
  2. Intermittent fasting diet: Dietary recommendations will be given according to the energy expenditure determined by indirect calorimetry with normal macronutrient distribution. Intermittent fasting will be used with a time-restricted model of 16:8. For 16 hours, they will not be able to eat or drink calories. In the other 8 hours, they need to adhere to the energy-restricted diet.
  3. Ketogenic diet: Recommendation will be given according to the energy expenditure determined by indirect calorimetry, with the following distribution of macronutrients: 20-25% protein, 5-10% carbohydrates, 70-80% fat.

Participants with calorie-restriction, intermittent fasting, or ketogenic diet dietary intervention will be provided with a food menu guide for fifteen days. After 8 weeks of the assigned intervention, patients will be provided with general dietary recommendations and will be invited to three more follow-up visits at 8, 16 and 24 weeks post-intervention. In addition, all participants will be provided with general recommendations for a physical activity plan for people living with obesity.

To evaluate adherence to treatment, participants will be asked to fill out 2 logbooks every two weeks (1 during the week and 1 for the weekend) in which they must record the type, amount and place where they consumed the food at each feeding time. They will also be called once a week for a 24-hour reminder. Participants on the ketogenic diet will be given test strips to measure ketones in urine.

Conditions
Obesity
Being tested
Calorie restriction, Intermittent fasting 16/8, Ketogenic diet
Keywords
dietary restrictions, intermittent fasting, mitochondrial function, gut microbiota, ketogenic diet
Medical subject headings
Obesity, Intermittent Fasting

What participants receive

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

  • Calorie restrictionOther

    Participants will be provided with a food menu guide for fifteen days with a 30% energy restriction (kcal) according to their usual diet, with a macronutrient distribution of 20-30% protein, 50-60% carbohydrates and 20-30% fat.

  • Intermittent fasting 16/8Other

    Participants will be provided with a food menu guide for fifteen days with an energy intake according to the energy expenditure determined by indirect calorimetry with normal distribution of macronutrients. Intermittent fasting will be used with a time-restricted model of 16:8. For 16 hours, they will not be able to eat or drink calories. In the other 8 hours, they need to adhere to the energy-restricted diet.

  • Ketogenic dietOther

    Participants will be provided with a food menu guide for 15 days with an energy intake according to the energy expenditure determined by indirect calorimetry, with the following distribution of macronutrients: 20-25% protein, 5-10% carbohydrates, 70-80% fat.

Study groups in NCT06782009
Study groupRoleWhat they receive
Calorie RestrictionExperimentalParticipants will be provided with a food menu guide for fifteen days with a 30% energy restriction (kcal) according to their usual diet, with a macronutrient distribution of 20-30% protein, 50-60% carbohydrates and 20-30% fat.
Receives: Other: Calorie restriction
Intermittent fasting 16/8ExperimentalParticipants will be provided with a food menu guide for fifteen days with an energy intake according to the energy expenditure determined by indirect calorimetry with normal distribution of macronutrients. Intermittent fasting will be used with a time-restricted model of 16:8. For 16 hours, they will not be able to eat or drink calories. In the other 8 hours, they need to adhere to the energy-restricted diet.
Receives: Other: Intermittent fasting 16/8
Ketogenic dietExperimentalParticipants will be provided with a food menu guide for 15 days with an energy intake according to the energy expenditure determined by indirect calorimetry, with the following distribution of macronutrients: 20-25% protein, 5-10% carbohydrates, 70-80% fat.
Receives: Other: Ketogenic diet

What is being measured

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

  1. Mitochondrial function

    Change in mitochondrial function determined by measuring the oxygen consumption rate (OCR) in isolated monocytes

    Measured: baseline to 8, 16, 24 and 32 weeks

Secondary outcomes (20)
  1. Gut microbiota composition

    Change in gut microbiota composition determined by bacterial abundance obtained after taxonomy assignment.

    Measured: baseline to 8, 16 and 32 weeks

  2. Body weight measurement

    Change in body weight determined by scale.

    Measured: baseline to 8, 16, 24 and 32 weeks

  3. Glucose concentration

    Change in glucose in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  4. Cholesterol concentration

    Change in cholesterol in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  5. HDL cholesterol concentration

    Change in HDL cholesterol in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  6. LDL cholesterol concentration

    Change in LDL cholesterol in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  7. Triglycerides concentration

    Change in triglycerides in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  8. Insulin concentration

    Change in insulin in the serum determined by ELISA kit.

    Measured: baseline to 8, 16, 24 and 32 weeks

  9. Leptin concentration

    Change in leptin in the serum determined by ELISA kit.

    Measured: baseline to 8, 16, 24 and 32 weeks

  10. Interleukins concentration

    Change in interleukins in the serum determined by ELISA kit.

    Measured: baseline to 8, 16, 24 and 32 weeks

  11. C-reactive protein concentration

    Change in C-reactive protein in the serum determined by autoanalyzer.

    Measured: baseline to 8, 16, 24 and 32 weeks

  12. TNF-a concentration

    Change in TNF-a in the serum determined by ELISA kit.

    Measured: baseline to 8, 16, 24 and 32 weeks

  13. Alpha diversity of gut microbiota

    Shanon index to indicate alpha diversity of gut microbiota from the feces

    Measured: baseline to 8, 16 and 32 weeks

  14. Beta diversity of gut microbiota

    Principal component analysis to indicate alpha diversity of gut microbiota from the feces

    Measured: baseline to 8, 16 and 32 weeks

  15. Fat mass percentage

    Fat mass percentage determined by multifrequency electrical bioimpedance.

    Measured: baseline to 8, 16, 24 and 32 weeks

  16. Lean mass percentage

    Lean mass percentage determined by multifrequency electrical bioimpedance.

    Measured: baseline to 8, 16, 24 and 32 weeks

  17. Skeletal muscle mass percentage

    Skeletal muscle mass percentage determined by multifrequency electrical bioimpedance.

    Measured: baseline to 8, 16, 24 and 32 weeks

  18. Change of metabolites in serum

    Change of metabolites in serum determined by un-targeted metabolomics using Liquid chromatography/ Mass spectrometry analysis (LC/MS).

    Measured: baseline to 8, 16 and 32 weeks

  19. Change of metabolites in feces

    Change of metabolites in feces determined by un-targeted metabolomics using Liquid chromatography/ Mass spectrometry analysis (LC/MS).

    Measured: baseline to 8, 16 and 32 weeks

  20. Determination of valvular function

    Doppler venous ultrasound will be performed with the MX7 equipment of the Shenzhen Mindray Bio-Medical Electronics Co., LTD to determine the valvular function of the great saphenous vein, small saphenous vein, junction femoral saphenous vein, femoral vein, popliteal vein, measuring their dimensions and the level of venous reflux.

    Measured: baseline to 8 weeks

Timeline

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

  1. First posted17 Jan 2025
  2. Study start8 Apr 2023
  3. Primary completion8 Dec 2025
  4. Study completion8 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
The groups will receive the treatment simultaneously
Masking
Single blind
Who is masked
Investigator
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06782009
Sponsor's protocol ID
4952
Status last verified
Mar 2026
First submitted
8 Jan 2025
Last updated
27 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data may be shared after publication.

Publications

  • Guevara-Cruz M, Hernandez-Gomez KG, Condado-Huerta C, Gonzalez-Salazar LE, Pena-Flores AK, Pichardo-Ontiveros E, Serralde-Zuniga AE, Sanchez-Tapia M, Maya O, Medina-Vera I, Noriega LG, Lopez-Barradas A, Rodriguez-Lima O, Mata I, Olin-Sandoval V, Torres N, Tovar AR, Velazquez-Villegas LA. Intermittent fasting, calorie restriction, and a ketogenic diet improve mitochondrial function by reducing lipopolysaccharide signaling in monocytes during obesity: A randomized clinical trial. Clin Nutr. 2024 Aug;43(8):1914-1928. doi: 10.1016/j.clnu.2024.06.036. Epub 2024 Jul 5.

    PubMed 39003957
  • Guevara-Cruz M, Hernandez-Gomez KG, Condado-Huerta C, Gonzalez-Salazar LE, Pena-Flores AK, Pichardo-Ontiveros E, Serralde-Zuniga AE, Sanchez-Tapia M, Maya O, Medina-Vera I, Noriega LG, Lopez-Barradas A, Rodriguez-Lima O, Mata I, Olin-Sandoval V, Torres N, Tovar AR, Velazquez-Villegas LA. Reply - Letter to the editor- enhancing understanding of dietary interventions in obesity: Insights and recommendations for future research. Clin Nutr. 2024 Sep;43(9):2211-2213. doi: 10.1016/j.clnu.2024.08.006. Epub 2024 Aug 13. No abstract available.

    PubMed 39173436

Questions about this trial

What is this clinical trial studying?

A study testing Calorie restriction, Intermittent fasting 16/8 and Ketogenic diet in people with Obesity, run by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran at 2 sites in Mexico.

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 3 inclusion and 21 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 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Mexico. 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. 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?

Mitochondrial function (time frame: baseline to 8, 16, 24 and 32 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 NCT06782009, 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 27 Mar 2026.

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