Effects of HMOs on the Faecal Microbiota and on Host Metabolism in Obese Children
The Effects of Human Milk Oligosaccharides (HMO) on the Faecal Microbiota and on Host Metabolism in Obese Children: A Parallel, Double-blind, Randomized, Placebo-controlled Study
The study is a randomised, placebo-controlled, double-blind, parallel study in obese children. A total of 75 obese children in the age 5 to 10 years, enrolled in a childhood obesity treatment program, will be included. The participating children will be randomised into one of three groups consuming either HMO (two groups) or placebo (one group).
The primary objective of the study is to establish the effects of HMOs on the faecal microbiota in children. Secondary objectives are to evaluate safety of HMO supplementation in children and the effect on gastrointestinal symptoms (tolerance), bowel habits, metabolic profile and body composition in obese children.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Holbaek, Denmark, 4300
- Department of Paediatrics, Holbaek Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Informed, written consent by the child's representative(s) and informed verbal assent by the child
- Age ≥5 and <11 years at visit 0
- BMI SDS of ≥ 2.3
- Enrolment in the childhood obesity treatment program at the Children's Obesity Clinic
- Ability and willingness to understand and comply with the study procedures
- The child's representative(s) need(s) to read, speak and understand Danish
Exclusion Criteria:
- Participation in another clinical intervention study one month prior to the screening visit and throughout the study.
- Any gastrointestinal disease(s) that may cause symptoms or may interfere with the trial outcome, as judged by the investigator.
- Other severe disease(s) such as malignancy, kidney disease or neurological disease, as judged by the investigator.
- Psychiatric disease, as judged by the investigator.
- Use of probiotic supplements (yoghurt allowed) 3 months prior to screening and throughout the study.
- Consumption of antibiotic drugs 3 months prior to screening and throughout the study.
- Consumption on a regular basis of medication that might interfere with symptom evaluation (as judged by the investigator) 2 weeks prior to screening and throughout the study.
- Lack of suitability for participation in the study for any reason as judged by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: HMO1
Daily bolus of HMO1
|
|
|
Active Comparator: HMO2
Daily bolus of HMO2
|
|
|
Placebo Comparator: Dextropur
Daily bolus of Dextropur
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in faecal microbiota profile
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in clinical chemistry
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline in haematology
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline in gastrointestinal symptoms measured via the gastrointestinal symptom rating scale (GSRS)
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline in Bristol Stool Form Scale (BSFS)
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline in specific host-bacteria metabolic biomarkers in blood
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline of HOMA-IR
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline of BMI-SDS
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline of fat percentage
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline of waist circumference
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline of hip circumference
Time Frame: Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
Baseline and after 4 and 8 weeks of intake, and after 2 and 10 months of wash-out
|
|
Change from baseline of specific blood biomarkers related to gut barrier function
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline of specific blood biomarkers related to inflammation
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
|
Change from baseline of specific faecal biomarkers related to inflammation
Time Frame: Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Baseline and after 8 weeks of intake, and after 10 months of wash-out
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jens-Christian Holm, MD, PhD, Holbaek Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- NATROB
- SJ-528 (Other Identifier: Den Videnskabsetiske Komité for Region Sjaelland)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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