Effects of the Postbiotic Blend ABB C3 on Adiposity and Glucose Metabolism in Children and Adolescents (PostOb)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Marta Ramon Krauel, MD, PhD
- Phone Number: 71263 (+34) 932804000
- Email: marta.ramon@sjd.es
Study Locations
-
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Barcelona
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Barcelona, Barcelona, Spain, 08950
- Hospital Sant Joan de Déu
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age between 8- and 18-year-old
- Obesity (BMI-SDS > 2)
Exclusion Criteria:
- Antibiotic or pre/pro/postbiotic consumption 2 - 4 weeks prior to starting the study
- Chronic diseases affecting glucose or lipid metabolism
- Chronic medication affecting glucose or lipid metabolism, or inducing a pro-inflammatory state
- History of bariatric surgery
- Diabetes requiring insulin treatment
- Severe intellectual disability
- Pregnancy
- Individuals taking medications that may alter appetite or weight, with a recent change in prescription within the last 3 months or anticipated changes during the 2 months of participation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Active control
Participants in this arm will receive the usual treatment for obesity at our hospital, based on lifestyle changes (encouraging a healthy diet and physical activity) for 3 months.
Participants will receive a daily dose of placebo for these 3 months, then given the option to receive a daily dose of probiotic ABB C3 for 3 more months.
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A daily dose of 550 mg of the placebo in individual sachets for the first 3 months of the study.
Option given to all participants: a daily dose of 550 mg of the postbiotic blend ABB C3 in individual sachets for months 4 to 6 of the study.
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Experimental: Treatment
Participants in this arm will receive the usual treatment for obesity at our hospital, based on lifestyle changes (encouraging a healthy diet and physical activity) for 3 months.
Participants will receive a daily dose of postbiotic blend (ABB C3) for these 3 months, then given the option to receive a daily dose of probiotic ABB C3 for 3 more months.
|
Option given to all participants: a daily dose of 550 mg of the postbiotic blend ABB C3 in individual sachets for months 4 to 6 of the study.
A daily dose of 550 mg of the postbiotic blend ABB C3 in individual sachets for the first 3 months of the study.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Adverse Events
Time Frame: Baseline, 1.5 months, 3 months
|
Treatment safety and tolerability will be evaluated by assessing differences in the incidence of potential adverse events between groups, focusing on gastrointestinal symptoms.
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Baseline, 1.5 months, 3 months
|
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Change in adiposity (% fat body mass)
Time Frame: 3 months
|
Fat body mass (adiposity) will be assessed by dual energy x-ray absorptiometry (DXA) scan at baseline and 3 months and differences will be assessed
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3 months
|
|
Change in blood glycated hemoglobin (HbA1c) levels
Time Frame: 3 months
|
Blood tests will be performed at baseline and 3 months and HbA1c (%) levels quantified.
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3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in adiposity (% fat body mass)
Time Frame: Baseline, 6 months
|
Fat body mass (adiposity) will be assessed by dual energy x-ray absorptiometry (DXA) scan at baseline and 6 months and differences will be assessed.
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Baseline, 6 months
|
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Change in blood glycated hemoglobin (HbA1c) levels
Time Frame: Baseline, 6 months
|
Blood tests will be performed at baseline and 6 months and HbA1c (%) levels quantified.
Differences between time-points will be assessed.
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Baseline, 6 months
|
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Change in BMI z-score
Time Frame: Baseline, 1.5 months, 3 months, 6 months
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Weight and height will be combined to calculate changes in BMI and BMI z scores and differences between time-points will be assessed.
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Baseline, 1.5 months, 3 months, 6 months
|
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Change in body composition
Time Frame: Baseline, 1.5 months, 3 months, 6 months
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Body composition (lean and fat mass) will be estimated by bioimpedance and differences between time-points will be assessed.
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Baseline, 1.5 months, 3 months, 6 months
|
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Change in insulin sensitivity
Time Frame: Baseline, 3 months, 6 months
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Fasting blood glucose and insulin concentrations will be combined to calculate HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) and differences between time-points will be assessed
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Baseline, 3 months, 6 months
|
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Change in lipid profile (triglycerides, cholesterol)
Time Frame: Baseline, 3 months, 6 months
|
The lipid profile will be determined by blood test and differences between time-points will be assessed
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Baseline, 3 months, 6 months
|
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Change in blood pressure
Time Frame: Baseline, 3 months, 6 months
|
Both systolic and diastolic blood pressure will be measured at each visit and differences between time-points will be assessed
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Baseline, 3 months, 6 months
|
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Change in Beck Depression Inventory-II (BDI-2)
Time Frame: Baseline, 3 months, 6 months
|
The Beck Depression Inventory for Youth (BDI-2) assesses negative thoughts of children or adolescents about themselves, their life, and their future, along with feelings of sadness and physiological signs of depression.
It is a 20-item questionnaire with a score range of 0-60.
Higher scores indicate worse outcome.
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Baseline, 3 months, 6 months
|
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Change in Beck Anxiety Inventory-II (BAI-2)
Time Frame: Baseline, 3 months, 6 months
|
The Beck Anxiety Inventory for Youth (BAI-2) assesses the fears and concerns of children or adolescents, as well as physical symptoms associated with anxiety.
It is a 20-item questionnaire with a score range of 0-60.
Higher scores indicate worse outcome.
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Baseline, 3 months, 6 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in gut microbial abundance and diversity
Time Frame: Baseline, 3 months, 6 months
|
DNA will be isolated from fecal samples and analyzed by deep-sequencing to determine the composition, abundance, and diversity of gut microbiota.
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Baseline, 3 months, 6 months
|
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Change in plasma metabolite concentrations
Time Frame: Baseline, 3 months, 6 months
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Metabolite concentrations in plasma samples will be measured by liquid chromatography coupled to mass spectrometry (metabolomics).
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Baseline, 3 months, 6 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Carles Lerin, PhD, Fundació Sant Joan de Déu
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PIC-11-24
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
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