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The Effects of Supplementation of a Probiotic, B. Longum, on BMI and Anthropometric Outcomes in Overweight/Obese Adults.

Primary Purpose

Obesity

Status
Unknown status
Phase
Not Applicable
Locations
Ireland
Study Type
Interventional
Intervention
Placebo
Bifidobacterium longum
Sponsored by
University College Cork
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Give written informed consent;
  2. Be between 18 and 65 years of age;
  3. Has a BMI of between 28.0 - 34.9 Kg/m2;
  4. Have a waist-hip ratio of ≥0.88 for males and ≥0.83 for females
  5. Is in general good health, as determined by the investigator;
  6. Willing to consume the investigational product daily for the duration of the study.

Exclusion Criteria:

  1. Females are pregnant, lactating or wish to become pregnant during the study. Female subject is currently either of:

    • non-childbearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is post-menopausal or any female who is surgically sterilized (via documented hysterectomy or bilateral tubal ligation). (For purposes of this study, postmenopausal is defined as one year without menses), OR
    • child bearing potential, the subject is eligible to enter and participate in this study if she is not lactating and has a negative urine pregnancy test at the screening visit, visit 2 and upon completion of the study at visit 7. The subject must also agree to one of the following methods of contraception: i. Complete abstinence from intercourse two weeks prior to administration of study drug, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the study medication in cases where subject discontinues the study prematurely. (Subjects utilizing this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit.) or, ii. has a male sexual partner who is surgically sterilized prior to the Screen Visit and is the only male sexual partner for that subject or, iii. sexual partner(s) is/are exclusively female or, iv. Oral contraceptives (either combined or progestogen only) with double-barrier method of contraception consisting of spermicide with either condom or diaphragm. (Women of child-bearing potential using an oral contraceptive in combination with a double-barrier method of contraception are required to continue to use this form of contraception for 1 week following discontinuation of study medication).

      v. Use of double-barrier contraception, specifically, a spermicide plus a mechanical barrier (e.g. male condom, female diaphragm). The subject must be using this method for at least 1 week following the end of the study or, vi. Use of any intrauterine device (IUD) or contraceptive implant with published data showing that the highest expected failure rate is less than 1% per year. The subject must have the device inserted at least 2 weeks prior to the first Screen Visit, throughout the study, and 2 weeks following the end of the study.

  2. Subject regularly takes probiotics;
  3. Subject is hypersensitive to any of the components of the test product;
  4. Subject is severely immuno-compromised (HIV positive, transplant patient, on antirejection medications, on a steroid for >30 days, or underwent chemotherapy or radiotherapy within the last year);
  5. Subject has Type 1 or Type 2 Diabetes Mellitus;
  6. Subject has a history of bariatric surgery;
  7. Subject has taken anti-obesity medication in the 12-weeks prior to randomisation
  8. Subject is actively or has recently (3 months prior to randomisation) participated in a weight loss program or weight change of 3 kg during the past 3 months
  9. Subject has a life-threatening illness
  10. Subject is on a Metaformin, anti-psychotic drugs or any medication that the investigator determines could impact the results of the study; subject has commenced use within 3-months of randomization anti-hypertensive drugs, anti-depressive drugs, statin or any other medication that the investigator determines could impact the results of the study.
  11. Subject has a history of co-existing gastrointestinal, and/or gynecological, and/or urologic pathology (e.g. colon cancer, colitis, Crohn's Disease, Celiac, Endometriosis, prostate cancer) or lactose intolerance;
  12. Subject has a history of drug and/or alcohol abuse at the time of enrolment
  13. Subject is currently, or planning, to participate in another study during the study period
  14. Subject has a history of non-compliance
  15. Subjects who have been on antibiotics in the 12-weeks prior to randomisation
  16. Subject consumes vitamin D supplements >5000 IU/d

Sites / Locations

  • Atlantia Food Clinical Trials

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Placebo

Bifidobacterium longum

Arm Description

Outcomes

Primary Outcome Measures

Change in BMI measurement
Significant change from week-zero to week-12 between active and placebo groups in percentage increase/decrease BMI

Secondary Outcome Measures

Change in Waist:Hip ratio
Significant changes from week-zero to week 6 and 12 between active and placebo groups in waist:hip ratio
Change in serum insulin concentration
Significant changes from week-zero to week 6 and 12 between active and placebo groups in serum insulin concentration
Change in plasma HbA1c concentration
Significant changes from week-zero to week 6 and 12 between active and placebo groups in plasma HbA1c concentration
Change in plasma glucose concentration
Significant changes from week-zero to week 6 and 12 between active and placebo groups in plasma glucose concentration
Change in peripheral blood total cholesterol
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood total cholesterol
Change in peripheral blood triglycerides
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood total triglycerides
Change in peripheral blood HDL
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood HDL
Change in peripheral blood direct LDL
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood direct LDL

Full Information

First Posted
November 20, 2018
Last Updated
July 31, 2019
Sponsor
University College Cork
Collaborators
Atlantia Food Clinical Trials, CREMO SA
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1. Study Identification

Unique Protocol Identification Number
NCT04042181
Brief Title
The Effects of Supplementation of a Probiotic, B. Longum, on BMI and Anthropometric Outcomes in Overweight/Obese Adults.
Official Title
A Randomised, Double-blinded, Parallel, Placebo-controlled Study to Evaluate the Effects of 12-weeks Supplementation of a Probiotic, Bif. Longum, on BMI and Anthropometric Outcomes in Overweight/Obese Adults.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 9, 2018 (Actual)
Primary Completion Date
December 21, 2018 (Actual)
Study Completion Date
December 30, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University College Cork
Collaborators
Atlantia Food Clinical Trials, CREMO SA

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Obesity levels worldwide have tripled since the mid 1070's. Obesity and its co-morbidities, metabolic syndrome, type II diabetes, and cardiovascular disease, are serious widespread health concerns which urgently need to be addressed. G protein-coupled receptors (GPCRs), such as the ghrelin receptor (GHS-R1a), are well known for their key role in the homeostatic control of food intake and energy balance. Ghrelin is the major hunger hormone in the body and ghrelin-receptor antagonists have been advanced as potential anti-obesity agents. This receptor is therefore an ideal target for orally delivered probiotic-derived bioactives with excellent bioavailability. Bacterial strains with the ability to modulate these receptors may have high potential as probiotics with the ability to induce appetite modulation effects. Due to promising pre-clinical results, the investigators aim to trial a Bif Longum probiotic, which can target these receptors, in an obese human population. We hypothesise that the probiotic will positively alter the gut-brain axis, improving control of hunger and satiety signalling adults with high BMI, leading to decreased BMI and waist-hip ratio scores. Furthermore, the investigators expect that the mechanism through which the probiotic is having a positive impact can be determined via investigation of the microbiota composition, gut hormone levels and circulating immune profiles.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
124 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Bifidobacterium longum
Arm Type
Active Comparator
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
standard food grade excipients
Intervention Type
Dietary Supplement
Intervention Name(s)
Bifidobacterium longum
Intervention Description
Target dose of 1x10^10 CFU/day, plus standard food grade excipients
Primary Outcome Measure Information:
Title
Change in BMI measurement
Description
Significant change from week-zero to week-12 between active and placebo groups in percentage increase/decrease BMI
Time Frame
From week-zero to week 12
Secondary Outcome Measure Information:
Title
Change in Waist:Hip ratio
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in waist:hip ratio
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in serum insulin concentration
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in serum insulin concentration
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in plasma HbA1c concentration
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in plasma HbA1c concentration
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in plasma glucose concentration
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in plasma glucose concentration
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in peripheral blood total cholesterol
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood total cholesterol
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in peripheral blood triglycerides
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood total triglycerides
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in peripheral blood HDL
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood HDL
Time Frame
Significant changes from week-zero to week 6 and 12
Title
Change in peripheral blood direct LDL
Description
Significant changes from week-zero to week 6 and 12 between active and placebo groups in peripheral blood direct LDL
Time Frame
Significant changes from week-zero to week 6 and 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Give written informed consent; Be between 18 and 65 years of age; Has a BMI of between 28.0 - 34.9 Kg/m2; Have a waist-hip ratio of ≥0.88 for males and ≥0.83 for females Is in general good health, as determined by the investigator; Willing to consume the investigational product daily for the duration of the study. Exclusion Criteria: Females are pregnant, lactating or wish to become pregnant during the study. Female subject is currently either of: non-childbearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is post-menopausal or any female who is surgically sterilized (via documented hysterectomy or bilateral tubal ligation). (For purposes of this study, postmenopausal is defined as one year without menses), OR child bearing potential, the subject is eligible to enter and participate in this study if she is not lactating and has a negative urine pregnancy test at the screening visit, visit 2 and upon completion of the study at visit 7. The subject must also agree to one of the following methods of contraception: i. Complete abstinence from intercourse two weeks prior to administration of study drug, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the study medication in cases where subject discontinues the study prematurely. (Subjects utilizing this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit.) or, ii. has a male sexual partner who is surgically sterilized prior to the Screen Visit and is the only male sexual partner for that subject or, iii. sexual partner(s) is/are exclusively female or, iv. Oral contraceptives (either combined or progestogen only) with double-barrier method of contraception consisting of spermicide with either condom or diaphragm. (Women of child-bearing potential using an oral contraceptive in combination with a double-barrier method of contraception are required to continue to use this form of contraception for 1 week following discontinuation of study medication). v. Use of double-barrier contraception, specifically, a spermicide plus a mechanical barrier (e.g. male condom, female diaphragm). The subject must be using this method for at least 1 week following the end of the study or, vi. Use of any intrauterine device (IUD) or contraceptive implant with published data showing that the highest expected failure rate is less than 1% per year. The subject must have the device inserted at least 2 weeks prior to the first Screen Visit, throughout the study, and 2 weeks following the end of the study. Subject regularly takes probiotics; Subject is hypersensitive to any of the components of the test product; Subject is severely immuno-compromised (HIV positive, transplant patient, on antirejection medications, on a steroid for >30 days, or underwent chemotherapy or radiotherapy within the last year); Subject has Type 1 or Type 2 Diabetes Mellitus; Subject has a history of bariatric surgery; Subject has taken anti-obesity medication in the 12-weeks prior to randomisation Subject is actively or has recently (3 months prior to randomisation) participated in a weight loss program or weight change of 3 kg during the past 3 months Subject has a life-threatening illness Subject is on a Metaformin, anti-psychotic drugs or any medication that the investigator determines could impact the results of the study; subject has commenced use within 3-months of randomization anti-hypertensive drugs, anti-depressive drugs, statin or any other medication that the investigator determines could impact the results of the study. Subject has a history of co-existing gastrointestinal, and/or gynecological, and/or urologic pathology (e.g. colon cancer, colitis, Crohn's Disease, Celiac, Endometriosis, prostate cancer) or lactose intolerance; Subject has a history of drug and/or alcohol abuse at the time of enrolment Subject is currently, or planning, to participate in another study during the study period Subject has a history of non-compliance Subjects who have been on antibiotics in the 12-weeks prior to randomisation Subject consumes vitamin D supplements >5000 IU/d
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ted Dinan
Organizational Affiliation
University College Cork
Official's Role
Principal Investigator
Facility Information:
Facility Name
Atlantia Food Clinical Trials
City
Cork
Country
Ireland

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

The Effects of Supplementation of a Probiotic, B. Longum, on BMI and Anthropometric Outcomes in Overweight/Obese Adults.

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