- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07758387
Polydextrose Functional Gummies for Weight Management in Adults With Overweight or Obesity (DEXTRO-PESO)
Randomized Double-Blind Clinical Trial to Evaluate the Efficacy and Safety of Functional Gummies With Polydextrose Versus Placebo for Weight Control in Adults With Overweight or Obesity
Overweight and obesity are common conditions that increase the risk of metabolic and cardiovascular diseases. Polydextrose is a type of dietary fiber that may help increase feelings of fullness by influencing natural hormones involved in appetite regulation. It may also improve postprandial glycemic responses and modulate the gut microbiota. However, evidence for its effectiveness in weight management remains limited.
The purpose of this study is to evaluate the efficacy and safety of functional gummies containing polydextrose compared with placebo for weight management in adults with overweight or obesity. Participants will be randomly assigned to receive either polydextrose or placebo gummies for 24 weeks, together with standardized dietary and physical activity recommendations.
The primary objective is to compare the percentage change in body weight over 24 weeks between participants receiving polydextrose gummies and those receiving placebo. The study will also evaluate appetite and satiety, body composition, waist circumference, metabolic parameters, quality of life, gastrointestinal symptoms, and the safety and tolerability of the study product.
The study hypothesis is that daily intake of polydextrose gummies for 24 weeks will lead to a greater reduction in body weight than placebo and may improve subjective feelings of appetite and satiety in adults with overweight or obesity.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Overweight and obesity are major public health challenges associated with an increased risk of type 2 diabetes, cardiovascular disease, metabolic dysfunction, and reduced quality of life. In this context, dietary and lifestyle interventions represent a first-line strategy for the management of overweight and the prevention of associated comorbidities, as they can induce favorable metabolic changes and improvements in vascular risk factors even when weight loss is modest. Within this framework, modulation of appetite and energy intake through functional ingredients such as dietary fibers has gained particular interest.
Polydextrose is a soluble, partially fermentable dietary fiber that resists digestion in the upper gastrointestinal tract and undergoes partial fermentation by the colonic microbiota. Proposed mechanisms of action include delayed gastric emptying, stimulation of satiety-related gut hormones such as glucagon-like peptide-1 (GLP-1), modulation of postprandial glycemic responses, and favorable effects on gut microbiota composition. However, evidence for its effectiveness in weight management is still limited and inconsistent, and further research is needed to confirm its clinical benefits.
This study is a single-center, randomized, double-blind, placebo-controlled, parallel-group clinical trial. Adult participants with overweight or class I-II obesity will be randomly assigned to receive either functional gummies containing polydextrose or matching placebo gummies for 24 weeks. Randomization will be performed using a block randomization procedure stratified by age, sex, and body mass index (BMI). Participants, investigators, and study personnel involved in clinical assessment will remain blinded to treatment allocation throughout the study.
Both study groups will receive the same standardized lifestyle recommendations, including dietary counseling based on healthy Mediterranean dietary principles and guidance to maintain habitual physical activity throughout the intervention period. Participants will also receive specific instructions to avoid consuming additional foods containing polydextrose outside the study products in order to minimize potential confounding and maintain treatment blinding. Compliance will be reinforced throughout follow-up using participant diaries, structured interviews, and product accountability procedures.
Study gummies will be consumed approximately 15 to 30 minutes before each main meal (breakfast, lunch, and dinner), and the daily dose will be gradually increased during the first weeks according to gastrointestinal tolerability, up to a maximum of three gummies before each meal in participants with good tolerability.
Participants will complete one baseline visit, one telephone follow-up at Week 4, and two on-site follow-up visits at Weeks 12 and 24. The primary objective is to evaluate the effect of polydextrose gummies versus placebo on percentage change in body weight over 24 weeks. Secondary objectives include assessing changes in appetite and satiety ratings, body composition (including fat mass and lean mass), waist circumference, and several metabolic parameters such as fasting glucose, glycated hemoglobin (HbA1c), fasting insulin, lipid profile, liver enzymes, and blood pressure. Quality of life and gastrointestinal tolerability will also be evaluated using validated questionnaires. Clinical assessments will be performed under standardized conditions to reduce measurement variability.
The study has been designed to determine whether daily supplementation with polydextrose functional gummies provides additional benefits beyond standardized lifestyle advice for body weight reduction while maintaining an acceptable safety and tolerability profile. The results are expected to contribute evidence regarding the potential role of polydextrose as a nutritional strategy for weight management in adults with overweight or obesity.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Veronica Gallo, PhD in Food Science
- Phone Number: +34692911819
- Email: vgallo@nutris.es
Study Contact Backup
- Name: Pedro De la Fuente Blasco, MSc
- Phone Number: +34696799589
- Email: pdelafuente@nutris.es
Study Locations
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Madrid
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Alcalá de Henares, Madrid, Spain, 28805
- Hospital Universitario Príncipe de Asturias
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Contact:
- Diana Barreira
- Phone Number: +34918878100
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults aged 18 to 70 years.
- Body mass index (BMI) between 25 and 39.9 kg/m² (overweight or obesity class I-II).
- Stable body weight (no change greater than 3%) in the 3 months before joining the study.
- Usually eat at least 2 meals per day.
- Able and willing to follow the study procedures for 24 weeks, attend all scheduled visits, and complete the required records.
- Willing and able to sign the informed consent form.
Exclusion Criteria:
- Type 2 diabetes with glycated hemoglobin (HbA1c) greater than 7%, type 1 diabetes, or type 2 diabetes treated with multiple daily insulin injections.
- Treatment with sodium-glucose co-transporter-2 (SGLT2) inhibitors for diabetes, heart failure, or chronic kidney disease.
- Uncontrolled thyroid disease [thyroid-stimulating hormone (TSH) outside the normal range] or recent changes in thyroid medication in the last 3 months.
- Significant gastrointestinal disease (such as severe irritable bowel syndrome, Crohn's disease, or ulcerative colitis).
- History of bariatric surgery.
- Liver cirrhosis.
- Advanced chronic kidney disease (stage IV-V).
- Following a very low-calorie diet (less than 800 kcal/day).
- Alcohol dependence or heavy alcohol use that, in the investigator's opinion, could affect the study.
- Current or recent eating disorder.
- Planning to start or recently started a specific weight-loss diet different from the one recommended by the study endocrinology service.
- Currently taking or having taken in the last 3 months medicines that affect appetite or body weight (such as anorectic drugs, GLP-1 receptor agonists, chronic corticosteroids, antipsychotics, or fiber supplements).
- Pregnancy or breastfeeding.
- Women of childbearing potential who are trying to become pregnant or plan to become pregnant during the study.
- Known allergy or intolerance to any ingredient of the study gummies.
- History of severe gastrointestinal problems with fermentable fibers.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Polydextrose Gummies Group
Participants will receive functional gummies containing polydextrose for 24 weeks according to the protocol-defined stepwise dose-escalation schedule.
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Participants in the experimental group will consume the polydextrose gummies before each main meal (breakfast, lunch, and dinner) for 24 weeks.
The daily dose will be gradually increased during the first week from 1 gummy before each meal to 2 gummies before each meal.
From week 4 onwards, participants with good gastrointestinal tolerability will increase to 3 gummies before each meal, while those with acceptable tolerability will remain at 2 gummies before each meal.
Participants with poor tolerability will be withdrawn from the study.
The gummies will be taken approximately 15 to 30 minutes before meals, preferably with a glass of water.
All participants will also receive standard dietary and physical activity recommendations.
|
|
Placebo Comparator: Placebo Gummies Group
Participants will receive matching placebo gummies without polidextrose for 24 weeks according to the protocol-defined stepwise dose-escalation schedule.
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Participants in the control group will consume matching placebo gummies without polydextrose before each main meal (breakfast, lunch, and dinner) for 24 weeks.
The daily dose will be gradually increased during the first week from 1 gummy before each meal to 2 gummies before each meal.
From week 4 onwards, participants with good gastrointestinal tolerability will increase to 3 gummies before each meal, while those with acceptable tolerability will remain at 2 gummies before each meal.
Participants with poor tolerability will be withdrawn from the study.
The gummies will be taken approximately 15 to 30 minutes before meals, preferably with a glass of water.
All participants will also receive standard dietary and physical activity recommendations.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body Weight
Time Frame: Baseline and Week 24
|
Percentage change in total body weight from baseline to week 24, calculated as [(weight at week 24 - baseline weight) / baseline weight] × 100.
Body weight will be measured in kilograms using a calibrated scale under standardized conditions.
Negative values indicate weight loss, whereas positive values indicate weight gain.
|
Baseline and Week 24
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjective Appetite and Satiety Scores
Time Frame: Baseline and weeks 4, 12, and 24
|
Change in subjective feelings of hunger and fullness assessed using a 10-point Visual Analog Scale (VAS), where 0 indicates "no hunger" / "not full at all" and 10 indicates "maximum hunger" / "extremely full".
Higher scores indicate greater hunger or greater satiety, depending on the item.
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Baseline and weeks 4, 12, and 24
|
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Fat Mass
Time Frame: Baseline and week 24
|
Change in fat mass measured in kilograms and as a percentage of total body weight by bioelectrical impedance analysis (BIA).
Body composition will be assessed under standardized conditions, including fasting, consistent hydration, the same time of day, and use of the same device.
Negative values indicate a reduction in fat mass.
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Baseline and week 24
|
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Lean Body Mass
Time Frame: Baseline and Week 24
|
Change in lean body mass measured in kilograms and as a percentage of total body weight by bioelectrical impedance analysis (BIA).
Body composition will be assessed under standardized conditions, including fasting, consistent hydration, the same time of day, and use of the same device.
Positive values indicate an increase in lean body mass.
|
Baseline and Week 24
|
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Body Mass Index (BMI)
Time Frame: Baseline and week 24
|
Change in body mass index (BMI), calculated as weight (kg) divided by height (m) squared.
Weight will be measured under standardized fasting conditions.
Height will be measured at baseline.
A negative change indicates a reduction in BMI.
|
Baseline and week 24
|
|
Waist Circumference
Time Frame: Baseline, week 12, and week 24
|
Change in waist circumference measured in centimeters using a standardized protocol.
A negative change indicates a reduction in waist circumference.
|
Baseline, week 12, and week 24
|
|
Plasma Glucose
Time Frame: Baseline, week 12, and week 24
|
Change in fasting plasma glucose measured in mg/dL after an overnight fast.
A negative change indicates a reduction in fasting glucose levels.
|
Baseline, week 12, and week 24
|
|
Glycated Hemoglobin (HbA1c)
Time Frame: Baseline, week 12, and week 24
|
Change in HbA1c measured as a percentage.
A negative change indicates improvement in long-term glycemic control.
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Baseline, week 12, and week 24
|
|
Fasting Insulin
Time Frame: Baseline, week 12, and week 24
|
Change in fasting insulin measured in µU/mL after an overnight fast.
A negative change indicates a reduction in fasting insulin levels.
|
Baseline, week 12, and week 24
|
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Lipid Profile
Time Frame: Baseline, week 12, and week 24
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Change in total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides measured in mg/dL in fasting conditions.
A negative change indicates a reduction in total cholesterol, LDL cholesterol, and triglycerides.
For HDL cholesterol, a positive change indicates improvement.
|
Baseline, week 12, and week 24
|
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Liver Enzymes
Time Frame: Baseline, week 12, and week 24
|
Change in alanine aminotransferase (ALT), aspartate aminotransferase (AST), and gamma-glutamyl transferase (GGT) measured in U/L in fasting conditions.
Reductions indicate improvement in liver enzyme levels.
|
Baseline, week 12, and week 24
|
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Systolic and Diastolic Blood Pressure
Time Frame: Baseline, week 12, and week 24
|
Change in systolic and diastolic blood pressure measured in mmHg under standardized conditions.
A negative change indicates a reduction in blood pressure.
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Baseline, week 12, and week 24
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Quality of Life Scores
Time Frame: Baseline and week 24
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Change in quality of life assessed using the 12-Item Short Form Health Survey (SF-12) questionnaire.
Scores are transformed to physical and mental component summaries, with higher scores indicating better quality of life.
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Baseline and week 24
|
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Gastrointestinal Symptoms Scores
Time Frame: Baseline, week 4, week 12, and week 24
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Change in gastrointestinal symptoms assessed using the Gastrointestinal Symptom Rating Scale (GSRS) questionnaire.
Higher scores indicate more severe gastrointestinal symptoms.
|
Baseline, week 4, week 12, and week 24
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017 Dec 16;390(10113):2627-2642. doi: 10.1016/S0140-6736(17)32129-3. Epub 2017 Oct 10.
- Blundell J, de Graaf C, Hulshof T, Jebb S, Livingstone B, Lluch A, Mela D, Salah S, Schuring E, van der Knaap H, Westerterp M. Appetite control: methodological aspects of the evaluation of foods. Obes Rev. 2010 Mar;11(3):251-70. doi: 10.1111/j.1467-789X.2010.00714.x. Epub 2010 Jan 29.
- Blaak EE, Antoine JM, Benton D, Bjorck I, Bozzetto L, Brouns F, Diamant M, Dye L, Hulshof T, Holst JJ, Lamport DJ, Laville M, Lawton CL, Meheust A, Nilson A, Normand S, Rivellese AA, Theis S, Torekov SS, Vinoy S. Impact of postprandial glycaemia on health and prevention of disease. Obes Rev. 2012 Oct;13(10):923-84. doi: 10.1111/j.1467-789X.2012.01011.x. Epub 2012 Jul 11.
- Magkos F, Fraterrigo G, Yoshino J, Luecking C, Kirbach K, Kelly SC, de las Fuentes L, He S, Okunade AL, Patterson BW, Klein S. Effects of Moderate and Subsequent Progressive Weight Loss on Metabolic Function and Adipose Tissue Biology in Humans with Obesity. Cell Metab. 2016 Apr 12;23(4):591-601. doi: 10.1016/j.cmet.2016.02.005. Epub 2016 Feb 22.
- Svedlund J, Sjodin I, Dotevall G. GSRS--a clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 1988 Feb;33(2):129-34. doi: 10.1007/BF01535722.
- Flood MT, Auerbach MH, Craig SA. A review of the clinical toleration studies of polydextrose in food. Food Chem Toxicol. 2004 Sep;42(9):1531-42. doi: 10.1016/j.fct.2004.04.015.
- Thompson SV, Hannon BA, An R, Holscher HD. Effects of isolated soluble fiber supplementation on body weight, glycemia, and insulinemia in adults with overweight and obesity: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr. 2017 Dec;106(6):1514-1528. doi: 10.3945/ajcn.117.163246. Epub 2017 Nov 1.
- Kaczmarczyk MM, Miller MJ, Freund GG. The health benefits of dietary fiber: beyond the usual suspects of type 2 diabetes mellitus, cardiovascular disease and colon cancer. Metabolism. 2012 Aug;61(8):1058-66. doi: 10.1016/j.metabol.2012.01.017. Epub 2012 Mar 7.
- Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014 Jul 1;63(25 Pt B):2985-3023. doi: 10.1016/j.jacc.2013.11.004. Epub 2013 Nov 12. No abstract available.
- Saraiva A, Carrascosa C, Raheem D, Ramos F, Raposo A. Maltitol: Analytical Determination Methods, Applications in the Food Industry, Metabolism and Health Impacts. Int J Environ Res Public Health. 2020 Jul 20;17(14):5227. doi: 10.3390/ijerph17145227.
- Roytio H, Ouwehand AC. The fermentation of polydextrose in the large intestine and its beneficial effects. Benef Microbes. 2014 Sep;5(3):305-13. doi: 10.3920/BM2013.0065.
- Gibb RD, Sloan KJ, McRorie JW Jr. Psyllium is a natural nonfermented gel-forming fiber that is effective for weight loss: A comprehensive review and meta-analysis. J Am Assoc Nurse Pract. 2023 Aug 1;35(8):468-476. doi: 10.1097/JXX.0000000000000882.
- Kellow NJ, Coughlan MT, Reid CM. Metabolic benefits of dietary prebiotics in human subjects: a systematic review of randomised controlled trials. Br J Nutr. 2014 Apr 14;111(7):1147-61. doi: 10.1017/S0007114513003607. Epub 2013 Nov 13.
- Martinelli M, Walz F, Goni E, Passutti G, Osella C, Drago SR. Effects of puddings containing whey protein and polydextrose on subjective feelings of appetite and short-term energy intake in healthy adults. Int J Food Sci Nutr. 2017 Sep;68(6):733-741. doi: 10.1080/09637486.2017.1283394. Epub 2017 Jan 31.
- Ibarra A, Astbury NM, Olli K, Alhoniemi E, Tiihonen K. Effect of Polydextrose on Subjective Feelings of Appetite during the Satiation and Satiety Periods: A Systematic Review and Meta-Analysis. Nutrients. 2016 Jan 14;8(1):45. doi: 10.3390/nu8010045.
- Hibberd AA, Yde CC, Ziegler ML, Honore AH, Saarinen MT, Lahtinen S, Stahl B, Jensen HM, Stenman LK. Probiotic or synbiotic alters the gut microbiota and metabolism in a randomised controlled trial of weight management in overweight adults. Benef Microbes. 2019 Mar 13;10(2):121-135. doi: 10.3920/BM2018.0028. Epub 2018 Dec 10.
- Chen Y, Ma L, Han Z, Xiong P. The global burden of disease attributable to high body mass index in 204 countries and territories: Findings from 1990 to 2019 and predictions to 2035. Diabetes Obes Metab. 2024 Sep;26(9):3998-4010. doi: 10.1111/dom.15748. Epub 2024 Jul 3.
- Canfora EE, Blaak EE. The role of polydextrose in body weight control and glucose regulation. Curr Opin Clin Nutr Metab Care. 2015 Jul;18(4):395-400. doi: 10.1097/MCO.0000000000000184.
- Astbury NM, Taylor MA, French SJ, Macdonald IA. Snacks containing whey protein and polydextrose induce a sustained reduction in daily energy intake over 2 wk under free-living conditions. Am J Clin Nutr. 2014 May;99(5):1131-40. doi: 10.3945/ajcn.113.075978. Epub 2014 Mar 26.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DEXTRO-PESO
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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