A Pilot Study to Evaluate the Systemic Effect of Oral Supplementation With AM3 in Patients With Metabolic Syndrome.
A Randomized, Double-blind, Placebo-controlled Pilot Study to Evaluate the Systemic Effect on Immunoinflammatory and Metabolic Status of an Oral Supplementation With AM3 in Patients With Metabolic Syndrome.
The goal of this pilot study is to learn about the effect of the nutritional supplementation based on AM3 in combination with probiotics on imflammatory and metabolic mediators in adult subjects diagnosed with metabolic syndrome.
The hypothesis the investigators are testing focuses on the fact that the continued use of the nutritional supplement with AM3 and probiotics is capable of minimizing the risk factors associated with metabolic syndrome, by reducing the development of the derived chronic pathologies.
A total of 48 subjects with a diagnosis of metabolic syndrome is planned to be recruited from two investigational sites in the Comunity of Madrid (Spain). These subjects will be randomized into three treatment groups (active, placebo, and control). The dosage will be of 2 capsules/day in a single intake in the morning for 12 weeks. Two interventional visits are planned to be performed: at baseline and at week 12.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a randomized, double-blind, placebo-controlled, pilot study. The primay objective is to evaluate the systemic effect of this new nutritional supplement with AM3 and probiotics on the immuno-inflammatory and metabolic status against metabolic syndrome.
The secondary objectives are:
- To determine the efficacy of the administration of a new food supplement for MS through the improvement of biochemical variables.
- To evaluate the efficacy of the administration of a new dietary supplement on the impact on body composition parameters.
- To evaluate the patient's quality of life.
Adult subjects (aged between 18 and 75 years) will randomly be assigned into one of these three treatment groups:
- Active: patients who will receive the study treatment, consisting of the combination of AM3 and the probiotic SynBalance Metsyn.
- Placebo: patients who will receive placebo (starch capsules), with no active ingredient.
- Control: patients to be treated with AM3 capsules alone (no probiotics).
Interventions performed at time 0 and 12 weeks, are carried out to measure parameters such as the following: body composition data (weight, BMI), blood pressure, fasting glucose and insulin levels, monocyte and NK-cell populations, liver enzyme levels, urine sediment, etc.
Finally, a subjective questionnaire is used to evaluate the patients' quality of life before and after treatment.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ana López-Ballesteros
- Phone Number: +34 671778847
- Email: ana.lopez@cantabrialabs.es
Study Contact Backup
- Name: Mencía Hermosa-Vicente
- Phone Number: +34 657850635
- Email: mencia.hermosa@cantabrialabs.es
Study Locations
-
-
-
Madrid, Spain
- Recruiting
- Hospital Universitario Infanta Leonor
-
Contact:
- Cristina Sevillano
-
Contact:
- María Llavero
-
Madrid, Spain
- Recruiting
- Hospital Universitario Príncipe de Asturias
-
Contact:
- Julia Álvarez
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men or women aged 18-75 years at the time of signing the informed consent form.
- Diagnosis of metabolic syndrome, defined as: central obesity, elevation of blood glucose by ≥100 mg/dl, glycosylated hemoglobin between 5.7 and 6.4%, low HDL cholesterol levels < 40 mg/dl in men and < 50 mg/dl in women, and high levels of triglycerides, being higher than 150 mg/dl.
- If the patient is being treated with metformin, lipid-lowering treatment with statins or treatment with antihypertensives, he/she must have a stable dose at the time of inclusion.
Exclusion Criteria:
- Smokers or with history of alcoholism or drug abuse .
- To have hypertriglyceridemia (> 500 mg/dL).
- Uncontrolled arterial hypertension, as per investigator's criteria.
- To have undergone bariatric surgery over the last 24 months that according to investigator's criteria, this might interfere with his/her participation in the study.
- Diagnosis of chronic diseases that according to investigator's criteria, this might interfere with his/her participation in the study.
- Presence of renal insufficiency (glomerular filtration rate below 30 ml/minute).
- Presence of severe respiratory insufficiency (PaO2 less than 60 mmHg or PaCO2 greater than 50 mmHg).
- Presence of heart failure (LVEF <30% and RVEF <35%).
- Presence of the following diseases in an unstable manner, according to the investigator's criteria: chronic obstructive disease, inflammatory bowel disease, intestinal malabsorption syndrome, systemic autoimmune diseases, rheumatoid arthritis, spondyloarthritis, psoriasis, and chronic inflammatory skin diseases.
- Active or chronic severe unstable infections that, in medical criteria, may interfere with patients' safety.
- Disease-related malnutrition.
- Endocrinologic unestable or uncontrolled diseases that in medical criteria, present with manifestations in pituitary, adrenal or thyroid function.
- Immunosuppressive or corticosteroid treatment in the last 3 months.
- Treatment with semaglutide and tirzepatide.
- Pregnant women (or intending to become pregnant) or breast-feeding women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Active arm
Patients who will receive the study treatment (AM3 Technology in combination with Probiotic SynBalance Metsyn)
|
Two capsules daily in the morning during 12 weeks.
The capsule contains the mixture of AM3 Technology and probiotic SynBalance Metsyn.
|
|
Placebo Comparator: Placebo arm
Patients who will receive placebo treatment, consisting of starch capsules
|
Two capsules daily in the morning during 12 weeks.
The capsule contains starch.
|
|
Sham Comparator: Control arm
Patients to be treated with AM3 Technology capsules
|
Two capsules daily in the morning during 12 weeks.
The capsule contains AM3 Technology.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in serum cytokines.
Time Frame: Baseline and week 12
|
Circulating cytokine levels will be determined at baseline and at week 12 to assess the effect on inflammatory mediators.
|
Baseline and week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in monocytes and natural killer cells levels.
Time Frame: Baseline and week 12
|
Serum monocytes and natural killers cells will be determined at baseline and week 12 to assess the effect on inflammatory status and oxidative stress.
|
Baseline and week 12
|
|
Change in serum uric acid.
Time Frame: Baseline and week 12
|
Uric acid will be analized to assess the effect on inflammatory and metabolic mediators.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in serum sodium.
Time Frame: Baseline and week 12
|
sodium will be analized to assess the effect on inflammatory and metabolic mediators.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in serum potasium.
Time Frame: Baseline and week 12
|
potassium will be analized to assess the effect on inflammatory and metabolic mediators.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in serum bilirrubin.
Time Frame: Baseline and week 12
|
Bilirrubin will be analized to assess the effect on inflammatory and metabolic mediators.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in serum lipids
Time Frame: Baseline and week 12
|
Serum lipids will be determined at baseline and at week 12 to assess the effect on metabolic parameters.
|
Baseline and week 12
|
|
Change in serum glucose
Time Frame: Baseline and week 12
|
Fasting blood glucose levels will be analized to assess the effect on inflammatory and metabolic mediators.
|
Baseline and week 12
|
|
Change in blood pressure
Time Frame: Baseline and week 12.
|
Blood pressure (Diastolic and systolic) [mmHg] will be determined at baseline and after 12 weeks of study treatment.
|
Baseline and week 12.
|
|
Change in waist circumference
Time Frame: Baseline and week 12
|
Waist circumference [cm] will be obtained at baseline and at week 12 to assess the efficacy on body composition.
|
Baseline and week 12
|
|
Change in hip circumference
Time Frame: Baseline and week 12
|
Hip circumference [cm] will be obtained at baseline and at week 12 to assess the efficacy on body composition.
|
Baseline and week 12
|
|
Change in weight
Time Frame: Baseline and week 12
|
Weight [Kg] will be obtained at baseline and at week 12 to assess the efficacy on body composition.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in body mass index
Time Frame: Baseline and week 12
|
BMI [Kg/m2] will be obtained at baseline and at week 12 to assess the efficacy on body composition.
These results will be displayed in the results data table.
|
Baseline and week 12
|
|
Change in total body fat content
Time Frame: Baseline and week 12
|
Total body fat content will be measured at baseline and at week 12 using electrical bioimpedance.
|
Baseline and week 12
|
|
Change in patient's quality of life, assessed by the SF-12v2 score.
Time Frame: Baseline and week 12
|
This is a health-related quality-of-life questionnaire, consisting of 12 questions that measure eight health domains to assess physical and mental health. Physical health-related domains include General Health (GH), Physical Functioning (PF), Role Physical (RP), and Body Pain (BP). This score will be determined at baseline and at week 12. Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning. |
Baseline and week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Julia Álvarez, Servicio de Endocrinología y Nutrición del Hospital Universitario Príncipe de Asturias de Alcalá de Henares (Madrid)
Publications and helpful links
General Publications
- King GL. The role of inflammatory cytokines in diabetes and its complications. J Periodontol. 2008 Aug;79(8 Suppl):1527-34. doi: 10.1902/jop.2008.080246.
- Hills RD Jr, Pontefract BA, Mishcon HR, Black CA, Sutton SC, Theberge CR. Gut Microbiome: Profound Implications for Diet and Disease. Nutrients. 2019 Jul 16;11(7):1613. doi: 10.3390/nu11071613.
- Francisco V, Ruiz-Fernandez C, Pino J, Mera A, Gonzalez-Gay MA, Gomez R, Lago F, Mobasheri A, Gualillo O. Adipokines: Linking metabolic syndrome, the immune system, and arthritic diseases. Biochem Pharmacol. 2019 Jul;165:196-206. doi: 10.1016/j.bcp.2019.03.030. Epub 2019 Mar 22.
- Mendrick DL, Diehl AM, Topor LS, Dietert RR, Will Y, La Merrill MA, Bouret S, Varma V, Hastings KL, Schug TT, Emeigh Hart SG, Burleson FG. Metabolic Syndrome and Associated Diseases: From the Bench to the Clinic. Toxicol Sci. 2018 Mar 1;162(1):36-42. doi: 10.1093/toxsci/kfx233.
- Grandl G, Wolfrum C. Hemostasis, endothelial stress, inflammation, and the metabolic syndrome. Semin Immunopathol. 2018 Feb;40(2):215-224. doi: 10.1007/s00281-017-0666-5. Epub 2017 Dec 5.
- Wang Q, Wu H. T Cells in Adipose Tissue: Critical Players in Immunometabolism. Front Immunol. 2018 Oct 30;9:2509. doi: 10.3389/fimmu.2018.02509. eCollection 2018.
- Guerrero A, Brieva A, Pivel JP. A new method for radioiodination of polysaccharides and its use in biodistribution studies of an immunomodulating glycoconjugate (Immunoferon). Methods Find Exp Clin Pharmacol. 2000 Oct;22(8):621-5. doi: 10.1358/mf.2000.22.8.802273.
- Vega-Robledo GB, Rico-Rosillo MG. [Adipose tissue: immune function and alterations caused by obesity]. Rev Alerg Mex. 2019 Jul-Sep;66(3):340-353. doi: 10.29262/ram.v66i3.589. Spanish.
- Varela J, Navarro Pico ML, Guerrero A, Garcia F, Gimenez Gallego G, Pivel JP. Identification and characterization of the peptidic component of the immunomodulatory glycoconjugate Immunoferon. Methods Find Exp Clin Pharmacol. 2002 Oct;24(8):471-80. doi: 10.1358/mf.2002.24.8.705066.
- Ortega del Alamo P, Rivera Rodriguez T, Sanz Fernandez R. [The effect of AM3 in the resolution of otitis media with effusion (OME) in paediatric patients]. Acta Otorrinolaringol Esp. 2005 Jan;56(1):1-5. doi: 10.1016/s0001-6519(05)78561-7. Spanish.
- Donath MY, Dinarello CA, Mandrup-Poulsen T. Targeting innate immune mediators in type 1 and type 2 diabetes. Nat Rev Immunol. 2019 Dec;19(12):734-746. doi: 10.1038/s41577-019-0213-9. Epub 2019 Sep 9.
- Remely M, Hippe B, Zanner J, Aumueller E, Brath H, Haslberger AG. Gut Microbiota of Obese, Type 2 Diabetic Individuals is Enriched in Faecalibacterium prausnitzii, Akkermansia muciniphila and Peptostreptococcus anaerobius after Weight Loss. Endocr Metab Immune Disord Drug Targets. 2016;16(2):99-106. doi: 10.2174/1871530316666160831093813.
- Serrano-Gomez D, Martinez-Nunez RT, Sierra-Filardi E, Izquierdo N, Colmenares M, Pla J, Rivas L, Martinez-Picado J, Jimenez-Barbero J, Alonso-Lebrero JL, Gonzalez S, Corbi AL. AM3 modulates dendritic cell pathogen recognition capabilities by targeting DC-SIGN. Antimicrob Agents Chemother. 2007 Jul;51(7):2313-23. doi: 10.1128/AAC.01289-06. Epub 2007 Apr 23.
- Prieto A, Reyes E, Bernstein ED, Martinez B, Monserrat J, Izquierdo JL, Callol L, de LUCAS P, Alvarez-Sala R, Alvarez-Sala JL, Villarrubia VG, Alvarez-Mon M. Defective natural killer and phagocytic activities in chronic obstructive pulmonary disease are restored by glycophosphopeptical (inmunoferon). Am J Respir Crit Care Med. 2001 Jun;163(7):1578-83. doi: 10.1164/ajrccm.163.7.2002015.
- Brieva A, Guerrero A, Alonso-Lebrero JL, Pivel JP. Immunoferon, a glycoconjugate of natural origin, inhibits LPS-induced TNF-alpha production and inflammatory responses. Int Immunopharmacol. 2001 Oct;1(11):1979-87. doi: 10.1016/s1567-5769(01)00125-4.
- Majano P, Alonso-Lebrero JL, Janczyk A, Martin-Vichez S, Molina-Jimenez F, Brieva A, Pivel JP, Gonzalez S, Lopez-Cabrera M, Moreno-Otero R. AM3 inhibits LPS-induced iNOS expression in mice. Int Immunopharmacol. 2005 Jul;5(7-8):1165-70. doi: 10.1016/j.intimp.2005.02.009. Epub 2005 Mar 16.
- Cicero AFG, Fogacci F, Bove M, Giovannini M, Borghi C. Impact of a short-term synbiotic supplementation on metabolic syndrome and systemic inflammation in elderly patients: a randomized placebo-controlled clinical trial. Eur J Nutr. 2021 Mar;60(2):655-663. doi: 10.1007/s00394-020-02271-8. Epub 2020 May 16.
- Borchers A, Pieler T. Programming pluripotent precursor cells derived from Xenopus embryos to generate specific tissues and organs. Genes (Basel). 2010 Nov 18;1(3):413-26. doi: 10.3390/genes1030413.
- Monserrat J, Asunsolo A, Gomez-Lahoz A, Ortega MA, Gasalla JM, Gasulla O, Fortuny-Profitos J, Mazaira-Font FA, Teixido Roman M, Arranz A, Sanz J, Munoz B, Arevalo-Serrano J, Rodriguez JM, Martinez-A C, Balomenos D, Alvarez-Mon M. Impact of the Innate Inflammatory Response on ICU Admission and Death in Hospitalized Patients with COVID-19. Biomedicines. 2021 Nov 12;9(11):1675. doi: 10.3390/biomedicines9111675.
- Alvarez-Mon MA, Ortega MA, Garcia-Montero C, Fraile-Martinez O, Lahera G, Monserrat J, Gomez-Lahoz AM, Molero P, Gutierrez-Rojas L, Rodriguez-Jimenez R, Quintero J, Alvarez-Mon M. Differential malondialdehyde (MDA) detection in plasma samples of patients with major depressive disorder (MDD): A potential biomarker. J Int Med Res. 2022 May;50(5):3000605221094995. doi: 10.1177/03000605221094995.
- Alvarez-Mon M, Ortega MA, Gasulla O, Fortuny-Profitos J, Mazaira-Font FA, Saurina P, Monserrat J, Plana MN, Troncoso D, Moreno JS, Munoz B, Arranz A, Varona JF, Lopez-Escobar A, Barco AA. A Predictive Model and Risk Factors for Case Fatality of COVID-19. J Pers Med. 2021 Jan 8;11(1):36. doi: 10.3390/jpm11010036.
- Ortega MA, Fraile-Martinez O, Garcia-Montero C, Alvarez-Mon MA, Gomez-Lahoz AM, Albillos A, Lahera G, Quintero J, Monserrat J, Guijarro LG, Alvarez-Mon M. An Updated View of the Importance of Vesicular Trafficking and Transport and Their Role in Immune-Mediated Diseases: Potential Therapeutic Interventions. Membranes (Basel). 2022 May 25;12(6):552. doi: 10.3390/membranes12060552.
- Lario M, Munoz L, Ubeda M, Borrero MJ, Martinez J, Monserrat J, Diaz D, Alvarez-Mon M, Albillos A. Defective thymopoiesis and poor peripheral homeostatic replenishment of T-helper cells cause T-cell lymphopenia in cirrhosis. J Hepatol. 2013 Oct;59(4):723-30. doi: 10.1016/j.jhep.2013.05.042. Epub 2013 Jun 3.
- Albillos A, de la Hera A, Gonzalez M, Moya JL, Calleja JL, Monserrat J, Ruiz-del-Arbol L, Alvarez-Mon M. Increased lipopolysaccharide binding protein in cirrhotic patients with marked immune and hemodynamic derangement. Hepatology. 2003 Jan;37(1):208-17. doi: 10.1053/jhep.2003.50038.
- Alvarez-Mon MA, Gomez-Lahoz AM, Orozco A, Lahera G, Diaz D, Ortega MA, Albillos A, Quintero J, Auba E, Monserrat J, Alvarez-Mon M. Expansion of CD4 T Lymphocytes Expressing Interleukin 17 and Tumor Necrosis Factor in Patients with Major Depressive Disorder. J Pers Med. 2021 Mar 19;11(3):220. doi: 10.3390/jpm11030220.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- P20110a
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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