Clinical Trial to Evaluate the Efficacy and Safety of the Probiotic Strains Limosilactocillus Reuteri DSM 32910 and Lacticaseibacillus Paracasei DSM 32851 on Glucose Homeostatis in Prediabetic Adults (NOVOGLUCOSE)
Primary Purpose
Prediabetic State, Dysglycemia
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
NZ-GHMH-01
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Prediabetic State
Eligibility Criteria
Inclusion Criteria:
- Aged between 18 and 75 years (limits included)
- Having BMI between 18,5 and 40 kg/m² (limits included)
- Prediabetic
- For women: Non menopausal with the same reliable contraception or menopausal without or with hormone replacement therapy
- Agreeing to keep his lifestyle habits unchanged throughout the study
- With stable weight within ± 5% in the last three months
- Having a good general and mental health with in the opinion of the investigator
- Having signed informed consent form
- Affiliated with a social security scheme (for French sites only)
- Agreed to be registered on the subjects in the "VRB" (biomedical research file (for French sites only))
- Having HbA1c level ≥ 5.7% and ≤ 6.4%
Exclusion Criteria:
- Metabolic disorder such as diabetes or uncontrolled thyroidal trouble or other metabolic disorder;
- Having a history of medication for diabetes and dyslipidemia
- Uncontrolled hypertension
- Severe chronic disease or gastrointestinal disorders
- Having done the second injection of COVID-19 vaccination or between the first and the second injection within the last 2 weeks prior to V1 visit
- Food allergy or intolerance or hypersensitivity to any of the study products' ingredient
- Pregnant or lactating women or intending to become pregnant within 3 months ahead
- Smoking subject (more than 5 cigarettes per day)
- Having a history of bariatric surgery
- Having a history of any surgery in the 3 months before V1 visit or having scheduled any surgery within 6 months ahead
- Under dietary supplement except fibers, omega 3 and vitamins (other than Vitamin D3) if the subject agrees to keep his/her intake unchanged throughout the study;
- Under treatment which could significantly affect parameter(s) followed during the study
- Under antibiotic treatment in the 3 to 6 months before V1 visit
- With significant change in food habits or in physical activity in the 3 months before V1 visit or not agreeing to keep them unchanged throughout the study
- With a current or planned in the next 5 months specific diet (hyper or hypocaloric, vegan…) or putted in place since less than 3 months before the inclusion visit
- With a personal history of anorexia nervosa, bulimia or significant eating disorders according to the investigator
- Abuse of alcohol, defined as more than 21 alcohol units per week for men and 14 units for women, or unwillingness to refrain from alcohol intake the day before V2 and V5 visits
- Having a lifestyle deemed incompatible with the study according to the investigator
- Taking part in another clinical trial or having taken part in another clinical trial in the 3 months before the inclusion visit;
- Having received, during the last 12 months, indemnities for clinical trial higher or equal to 4500 Euros (for French sites only);
- Under legal protection (guardianship, wardship) or deprived from his rights following administrative or judicial decision;
- Presenting a psychological or linguistic incapability to sign the informed consent;
- Impossible to contact in case of emergency.
- Having blood ASAT, ALAT or GGT levels out of range and clinically significant according to the investigator
- Having CBC with hemoglobin < 11 g/L or leucocytes < 3000 /mm3 or leucocytes > 16000 /mm3 or clinically significant abnormality according to the investigator
Sites / Locations
- Clinical Investigation Unit Biofortis
- Clinical Investigation Unit Paris
- Neomed Brasov
- Fundatia Ana Aslan International
- Military Hospital- Spitalul Militar Central Dr "Carol Davila"
- Parhon Institute- Institutul National de Endocrinologie C.I. Parhon
- Suceava County Hospital - Spitalul Județean de Urgență "Sfântul Ioan cel Nou"
- CPS Research
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
NZ-GHMH-01
Placebo
Arm Description
Dietary supplement in shape of capsule to be taken once per day in the evening.
The placebo is in shape of capsule to be taken once per day in the evening and in which only the active ingredients are not present.
Outcomes
Primary Outcome Measures
Glycated Hemoglobin A1c (HbA1c)
Change from Baseline of HbA1c level between V2 and V5 visits (in %) between both groups.
Secondary Outcome Measures
Glycated Hemoglobin A1c (HbA1c)
Change from baseline of HbA1c level
Glucose kinetic parameters: ΔPeak and Cmax
Change from baseline of ΔPeak (g/L) and Cmax (g/L)
Glucose kinetic parameters: T max
Change from baseline of T max (min)
Incremental Area Under the Curve (iAUC) of glucose
Change from baseline of the value of the iAUC of glucose, obtained during OGTT (iAUC0-120min)
Incremental Area Under the Curve (iAUC) of insulinemia
Change from baseline of the value of the iAUC of insulinemia, obtained during OGTT (iAUC0-120min)
Homeostasis Model of Assessment - insulin resistance (HOMA-IR)
Change from baseline of HOMA-IR index
Quantitative Insulin sensitivity Check Index (QUICKI)
Change from baseline of QUICKI index
Insulin Sensitivity Index (ISI)
Change from baseline of ISI index
Fasting Plasma Glucose (FPG)
Change from baseline of FPG levels
Fasting insulinemia
Change from baseline of fasting insulinemia levels
Glycemia
Change from baseline of glycemia level
Glucagon Like Peptide 1 (GLP-1)
Change from baseline of GLP-1 level
Weight
Change from baseline of weight(in kg)
Body Mass Index (BMI)
Change from baseline of BMI (in kg/m2)
Waist and Hip
Change from baseline of Waist measurement (in cm) and Hip Circumference (in cm)
Anthropometric ratios
Change from baseline of Waist to Hip ratio and Waist to Height ratio
Liver function
Change from baseline of Aspartate Amino Transferase (ASAT), Alanine Amino Transferase (ALAT) and Gamma Glutamyl Transpeptidase (GGT) levels (expressed in ukat/L)
Total bilirubin
Change from baseline of Total bilirubin levels (expressed in umol/L)
Triglycerides
fasting blood concentrations of triglycerides (expressed in g/L)
Lipid homeostasis
fasting blood concentrations of total cholesterol, High Density Lipoprotein cholesterol (HDLc), non-HDLc and Low Density Lipoprotein cholesterol (LDLc) (expressed in mmol/L)
high-sensitivity C-reactive Protein (CRPhs)
Change from baseline of the CRPhs
Cytokines
Change from baseline of the Cytokines IL-1alpha, IL-1beta, IL-6, IL-10, IL-12p70 and monocyte chemoattractant protein 1 (MCP1)
Tumor Necrosis Factors alpha (TNFα)
Change from baseline of the TNFα
Overall health
Change from baseline of participant overall health (evaluated with SF36 questionnaire)
Blood metabolites
Change from baseline of Cholic acid, Chenodeoxycholic acid, Deoxycholic acid, Lithocholic acid, Ursodeoxy cholic acid, Taurocholic acid and Glycochenodeoxycholic acids
Gastrointestinal Symptoms
Change from baseline of gastrointestinal symptoms (evaluated with Gastrointestinal Symptom Rating Scale)
Full Information
NCT ID
NCT04767789
First Posted
February 4, 2021
Last Updated
June 14, 2023
Sponsor
Novozymes A/S
Collaborators
Biofortis, Merieux NutriSciences
1. Study Identification
Unique Protocol Identification Number
NCT04767789
Brief Title
Clinical Trial to Evaluate the Efficacy and Safety of the Probiotic Strains Limosilactocillus Reuteri DSM 32910 and Lacticaseibacillus Paracasei DSM 32851 on Glucose Homeostatis in Prediabetic Adults
Acronym
NOVOGLUCOSE
Official Title
Double-blind, Placebo-controlled, Randomized Pilot Clinical Trial to Evaluate the Efficacy and Safety of the Probiotic Strains Limosilactocillus Reuteri DSM 32910 and Lacticaseibacillus Paracasei DSM 32851 on Glucose Homeostatis in Prediabetic Adults
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
May 12, 2021 (Actual)
Primary Completion Date
November 29, 2022 (Actual)
Study Completion Date
November 29, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novozymes A/S
Collaborators
Biofortis, Merieux NutriSciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of this international, randomized, parallel arms, double-blind, placebo-controlled clinical trial is to investigate the safety and efficacy of a combination of the two Lactobacillus strains (NZ-GHMH-01) on glucose and insulin metabolism, in prediabetic subjects. This trial will include prediabetic (insulin resistant) subjects with excessive body weight (over-weight or obese, showing abdominal or visceral obesity) to be able to investigate the effect of the probiotic NZ-GHMH-01 on glycaemic control.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prediabetic State, Dysglycemia
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NZ-GHMH-01
Arm Type
Experimental
Arm Description
Dietary supplement in shape of capsule to be taken once per day in the evening.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
The placebo is in shape of capsule to be taken once per day in the evening and in which only the active ingredients are not present.
Intervention Type
Dietary Supplement
Intervention Name(s)
NZ-GHMH-01
Intervention Description
Each randomized subject will consume 1 capsule daily bringing 100 mg (≥ 2 x 109 CFU) of active ingredient during 16 weeks (from V2 to V5 visits).
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Each randomized subject will consume 1 capsule with no active ingredient daily during 16 weeks (from V2 to V5 visits).
Primary Outcome Measure Information:
Title
Glycated Hemoglobin A1c (HbA1c)
Description
Change from Baseline of HbA1c level between V2 and V5 visits (in %) between both groups.
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Secondary Outcome Measure Information:
Title
Glycated Hemoglobin A1c (HbA1c)
Description
Change from baseline of HbA1c level
Time Frame
V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Glucose kinetic parameters: ΔPeak and Cmax
Description
Change from baseline of ΔPeak (g/L) and Cmax (g/L)
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Glucose kinetic parameters: T max
Description
Change from baseline of T max (min)
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Incremental Area Under the Curve (iAUC) of glucose
Description
Change from baseline of the value of the iAUC of glucose, obtained during OGTT (iAUC0-120min)
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Incremental Area Under the Curve (iAUC) of insulinemia
Description
Change from baseline of the value of the iAUC of insulinemia, obtained during OGTT (iAUC0-120min)
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Homeostasis Model of Assessment - insulin resistance (HOMA-IR)
Description
Change from baseline of HOMA-IR index
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Quantitative Insulin sensitivity Check Index (QUICKI)
Description
Change from baseline of QUICKI index
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Insulin Sensitivity Index (ISI)
Description
Change from baseline of ISI index
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Fasting Plasma Glucose (FPG)
Description
Change from baseline of FPG levels
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Fasting insulinemia
Description
Change from baseline of fasting insulinemia levels
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Glycemia
Description
Change from baseline of glycemia level
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Glucagon Like Peptide 1 (GLP-1)
Description
Change from baseline of GLP-1 level
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Weight
Description
Change from baseline of weight(in kg)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Body Mass Index (BMI)
Description
Change from baseline of BMI (in kg/m2)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Waist and Hip
Description
Change from baseline of Waist measurement (in cm) and Hip Circumference (in cm)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Anthropometric ratios
Description
Change from baseline of Waist to Hip ratio and Waist to Height ratio
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Liver function
Description
Change from baseline of Aspartate Amino Transferase (ASAT), Alanine Amino Transferase (ALAT) and Gamma Glutamyl Transpeptidase (GGT) levels (expressed in ukat/L)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Total bilirubin
Description
Change from baseline of Total bilirubin levels (expressed in umol/L)
Time Frame
V1 (screening) and V5 (16 weeks of intervention)
Title
Triglycerides
Description
fasting blood concentrations of triglycerides (expressed in g/L)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Lipid homeostasis
Description
fasting blood concentrations of total cholesterol, High Density Lipoprotein cholesterol (HDLc), non-HDLc and Low Density Lipoprotein cholesterol (LDLc) (expressed in mmol/L)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
high-sensitivity C-reactive Protein (CRPhs)
Description
Change from baseline of the CRPhs
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Cytokines
Description
Change from baseline of the Cytokines IL-1alpha, IL-1beta, IL-6, IL-10, IL-12p70 and monocyte chemoattractant protein 1 (MCP1)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Tumor Necrosis Factors alpha (TNFα)
Description
Change from baseline of the TNFα
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Overall health
Description
Change from baseline of participant overall health (evaluated with SF36 questionnaire)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Blood metabolites
Description
Change from baseline of Cholic acid, Chenodeoxycholic acid, Deoxycholic acid, Lithocholic acid, Ursodeoxy cholic acid, Taurocholic acid and Glycochenodeoxycholic acids
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Gastrointestinal Symptoms
Description
Change from baseline of gastrointestinal symptoms (evaluated with Gastrointestinal Symptom Rating Scale)
Time Frame
V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Other Pre-specified Outcome Measures:
Title
Incidence of adverses events
Description
Incidence of adverses events
Time Frame
V1 (Inclusion), V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Heart Rate
Description
overall health through hemodynamic parameters: Heart Rate (expressed in bpm)
Time Frame
V1 (Inclusion), V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Blood pressure
Description
overall health through hemodynamic parameters: Systolic Blood Pressure and Diastolic Blood Pressure (expressed in mmHg)
Time Frame
V1 (Inclusion), V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Complete Blood Count (CBC)
Description
overall health through CBC: Leukocytes, Red blood cells, Hemoglobin, Hematocrit, Poly. Neutrophils, Poly. Neutrophils, Poly. Eosinophils, Poly. Eosinophils, Poly. Basophils, Poly. Basophils, Lymphocytes, Lymphocytes, Monocytes, Monocytes, Platelets (expressed in Giga/L and %)
Time Frame
V1 (Inclusion), V2 (randomization), V3 (4 weeks of intervention), V4 (12 weeks of intervention) and V5 (16 weeks of intervention)
Title
Fecal zonulin
Description
Change from baseline of fecal zonulin level
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
Title
Fecal calprotectin
Description
Change from baseline of fecal calprotectin level
Time Frame
V2 (randomization) and V5 (16 weeks of intervention)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Aged between 18 and 75 years (limits included)
Having BMI between 18,5 and 40 kg/m² (limits included)
Prediabetic
For women: Non menopausal with the same reliable contraception or menopausal without or with hormone replacement therapy
Agreeing to keep his lifestyle habits unchanged throughout the study
With stable weight within ± 5% in the last three months
Having a good general and mental health with in the opinion of the investigator
Having signed informed consent form
Affiliated with a social security scheme (for French sites only)
Agreed to be registered on the subjects in the "VRB" (biomedical research file (for French sites only))
Having HbA1c level ≥ 5.7% and ≤ 6.4%
Exclusion Criteria:
Metabolic disorder such as diabetes or uncontrolled thyroidal trouble or other metabolic disorder;
Having a history of medication for diabetes and dyslipidemia
Uncontrolled hypertension
Severe chronic disease or gastrointestinal disorders
Having done the second injection of COVID-19 vaccination or between the first and the second injection within the last 2 weeks prior to V1 visit
Food allergy or intolerance or hypersensitivity to any of the study products' ingredient
Pregnant or lactating women or intending to become pregnant within 3 months ahead
Smoking subject (more than 5 cigarettes per day)
Having a history of bariatric surgery
Having a history of any surgery in the 3 months before V1 visit or having scheduled any surgery within 6 months ahead
Under dietary supplement except fibers, omega 3 and vitamins (other than Vitamin D3) if the subject agrees to keep his/her intake unchanged throughout the study;
Under treatment which could significantly affect parameter(s) followed during the study
Under antibiotic treatment in the 3 to 6 months before V1 visit
With significant change in food habits or in physical activity in the 3 months before V1 visit or not agreeing to keep them unchanged throughout the study
With a current or planned in the next 5 months specific diet (hyper or hypocaloric, vegan…) or putted in place since less than 3 months before the inclusion visit
With a personal history of anorexia nervosa, bulimia or significant eating disorders according to the investigator
Abuse of alcohol, defined as more than 21 alcohol units per week for men and 14 units for women, or unwillingness to refrain from alcohol intake the day before V2 and V5 visits
Having a lifestyle deemed incompatible with the study according to the investigator
Taking part in another clinical trial or having taken part in another clinical trial in the 3 months before the inclusion visit;
Having received, during the last 12 months, indemnities for clinical trial higher or equal to 4500 Euros (for French sites only);
Under legal protection (guardianship, wardship) or deprived from his rights following administrative or judicial decision;
Presenting a psychological or linguistic incapability to sign the informed consent;
Impossible to contact in case of emergency.
Having blood ASAT, ALAT or GGT levels out of range and clinically significant according to the investigator
Having CBC with hemoglobin < 11 g/L or leucocytes < 3000 /mm3 or leucocytes > 16000 /mm3 or clinically significant abnormality according to the investigator
Facility Information:
Facility Name
Clinical Investigation Unit Biofortis
City
Saint-Herblain
State/Province
Pays De La Loire
ZIP/Postal Code
44800
Country
France
Facility Name
Clinical Investigation Unit Paris
City
Paris
ZIP/Postal Code
75012
Country
France
Facility Name
Neomed Brasov
City
Braşov
Country
Romania
Facility Name
Fundatia Ana Aslan International
City
Bucuresti
ZIP/Postal Code
030167
Country
Romania
Facility Name
Military Hospital- Spitalul Militar Central Dr "Carol Davila"
City
Bucuresti
Country
Romania
Facility Name
Parhon Institute- Institutul National de Endocrinologie C.I. Parhon
City
Bucuresti
Country
Romania
Facility Name
Suceava County Hospital - Spitalul Județean de Urgență "Sfântul Ioan cel Nou"
City
Suceava
ZIP/Postal Code
720224
Country
Romania
Facility Name
CPS Research
City
Glasgow
ZIP/Postal Code
G20 0XA
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Clinical Trial to Evaluate the Efficacy and Safety of the Probiotic Strains Limosilactocillus Reuteri DSM 32910 and Lacticaseibacillus Paracasei DSM 32851 on Glucose Homeostatis in Prediabetic Adults
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