- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07410065
Supersaturated Hydrogen-Rich Water for Outpatients With Persistent Excess Weight (HOPE)
February 7, 2026 updated by: Center for Health Sciences, Serbia
Supersaturated Hydrogen-Rich Water for Outpatients With Persistent Excess Weight (HOPE)
The Supersaturated Hydrogen-Rich Water for Outpatients with Persistent Excess Weight (HOPE) study is a Phase III, multicenter, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of daily consumption of supersaturated hydrogen-rich water in adults with persistent excess body weight.
The trial investigates whether sustained exposure to molecular hydrogen can favorably influence body composition and key metabolic outcomes compared with a placebo water lacking dissolved hydrogen.
By enrolling outpatients across multiple centers and applying rigorous blinding and randomization procedures, HOPE aims to generate high-quality clinical evidence on the potential role of hydrogen-rich water as a non-pharmacological, adjunctive strategy for weight management and metabolic health.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
120
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Sergej Ostojic, MD, PhD
- Phone Number: +381112643242
- Email: sergej.ostojic@chess.edu.rs
Study Locations
-
-
-
Belgrade, Serbia, 11000
- Center for Health Sciences
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Age > 18 years
- Body mass index > 25.0 kg/m2 (persisted for at least six months before screening)
- Stable on their therapy (if any) for ≥ 3 months
- Free of acute disorders and severe chronic diseases
- Informed consent signed
- Normal fasting breath hydrogen levels < 15 ppm
Exclusion Criteria:
- History of dietary supplement use 4 weeks before the study commences
- Abnormal values for lab clinical chemistry not related with stiyd outcomes (> 2 SD)
- No consent to randomization
- Unwillingness to return for follow-up analysis
- Participation in other clinical trials
- Participants starting or changing major treatments during the study period
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Hydrogen-rich water
1.0 L of hydrogen-rich water per day
|
Hydrogen-rich water (1.0 L per day)
|
|
Active Comparator: Control
1.0 L of hydrogen-free water per day
|
Hydrogen-free water (1.0 L per day)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Apolipoprotein B
Time Frame: Change from baseline apolipoprotein B at 6 months
|
Serum level of apolipoprotein B
|
Change from baseline apolipoprotein B at 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lipoprotein (a)
Time Frame: Change from baseline lipoprotein (a) at 6 months
|
Serum level of lipoprotein (a)
|
Change from baseline lipoprotein (a) at 6 months
|
|
GLP-1
Time Frame: Change from baseline GLP-1 at 6 months
|
Serum level of GLP-1
|
Change from baseline GLP-1 at 6 months
|
|
Short-chain fatty acids
Time Frame: Change from baseline short-chain fatty acids at 6 months
|
Serum level of short-chain fatty acids
|
Change from baseline short-chain fatty acids at 6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fat mass
Time Frame: Change from baseline body fat percentage at 6 months
|
Body fat percentage
|
Change from baseline body fat percentage at 6 months
|
|
Fasting breath hydrogen
Time Frame: Change from baseline breath levels of molecular hydrogen at fasting at 6 months
|
Breath levels of molecular hydrogen at fasting
|
Change from baseline breath levels of molecular hydrogen at fasting at 6 months
|
|
Post-prandial breath hydrogen
Time Frame: Change from baseline breath levels of molecular hydrogen after meal at 6 months
|
Breath levels of molecular hydrogen after meal
|
Change from baseline breath levels of molecular hydrogen after meal at 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Nikola Todorovic, PhD, Center for Mitochondrial Medicine
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Korovljev D, Ostojic J, Todorovic N, Ostojic SM. Molecular hydrogen modulates brain glutamate/GABA-glutamine cycle in overweight humans. Arch Med Sci. 2023 Jul 13;19(4):1151-1153. doi: 10.5114/aoms/162938. eCollection 2023.
- Todorovic N, Baltic S, Nedeljkovic D, Kuzmanovic J, Korovljev D, Javorac D, Bijelic K, Kladar N, Tarnava A, Ostojic SM. The Effects of 8-Week Hydrogen-Rich Water Consumption on Appetite, Body Composition, Sleep Quality, and Circulating Glucagon-like Peptide-1 in Obese Men and Women (HYDRAPPET): A Randomized Controlled Trial. Medicina (Kaunas). 2025 Jul 18;61(7):1299. doi: 10.3390/medicina61071299.
- Todorovic N, Kuzmanovic J, Javorac D, Ostojic SM. Role of molecular hydrogen in obesity treatment: modulation of GLP-1, irisin, and PGC-1alpha for improved metabolism. Med Gas Res. 2025 Sep 1;15(3):442-443. doi: 10.4103/mgr.MEDGASRES-D-24-00146. Epub 2025 Feb 7. No abstract available.
- Korovljev D, Todorovic N, Ranisavljev M, Andjelic B, Kladar N, Stajer V, Ostojic SM. Hydrogen-rich water upregulates fecal propionic acid levels in overweight adults. Nutrition. 2023 Dec;116:112200. doi: 10.1016/j.nut.2023.112200. Epub 2023 Sep 1. No abstract available.
- Todorovic N, Fernandez-Landa J, Santibanez A, Kura B, Stajer V, Korovljev D, Ostojic SM. The Effects of Hydrogen-Rich Water on Blood Lipid Profiles in Clinical Populations: A Systematic Review and Meta-Analysis. Pharmaceuticals (Basel). 2023 Jan 18;16(2):142. doi: 10.3390/ph16020142.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
April 15, 2026
Primary Completion (Estimated)
January 15, 2027
Study Completion (Estimated)
February 15, 2027
Study Registration Dates
First Submitted
February 7, 2026
First Submitted That Met QC Criteria
February 7, 2026
First Posted (Actual)
February 13, 2026
Study Record Updates
Last Update Posted (Actual)
February 13, 2026
Last Update Submitted That Met QC Criteria
February 7, 2026
Last Verified
February 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13012-20-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Data obtained through this study may be provided to qualified researchers with academic interest in obesity/overweight.
Data will be coded, with no PHI included.
Approval of the request and execution of all applicable agreements are prerequisites to the sharing of data with the requesting party.
IPD Sharing Time Frame
Data requests can be submitted starting 9 months after article publication and the data will be made accessible for up to 24 months.
Extensions will be considered on a case-by-case basis.
IPD Sharing Access Criteria
Data obtained through this study may be provided to qualified researchers with academic interest in obesity/overweight.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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