Human Faecal Microbiota in Type 2 Diabetes
2016年2月26日 更新者：Société des Produits Nestlé (SPN)
Analysis of the Diversity of Faecal Bacteria in Healthy and Type 2 Diabetic Subjects
The main objective of the clinical trial is to investigate whether overweight type 2 diabetic patients have a different fecal microbiota profile compared with age, gender, BMI matched subjects and with lean healthy subjects before and after the consumption of fiber rich cereal bars.
調査の概要
詳細な説明
Gut microbiota refers to the bacterial communities in the gastrointestinal tract.
The diversity and quantity of bacteria vary depending on age of the individuals, daily diet and the segment of the intestine, which makes the gut microbiota one of the most complex bacterial ecosystems known to men.
In general, over trillions of bacteria reside in human gut.
Recent evidence indicates that gut microbiota could be involved in host metabolism by multiple pathways leading to the development of obesity and type 2 diabetes.
Increased fat storage or obesity has become one of the leading public health issues in many developed and developing countries.
However, it is not clear whether type 2 diabetes is associated with a unique gut microbiota profile.
Therefore, the primary objective of the study is to compare the fecal microbiota of overweight type 2 diabetic subjects to that of age, gender and BMI matched subjects as well as with lean non-diabetic subjects.
In addition, the investigators hypothesize that microbiota modifications with consumption of fiber rich food products can improve the metabolic outcomes of type 2 diabetics.
To test this hypothesis, the investigators plan to provide each overweight participant with two cereal bars per day for 4 weeks.
Anthropometric measurements and plasma parameters as well as the fecal microbiota will be determined.
研究の種類
介入
入学 (実際)
67
段階
- 適用できない
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
30年～55年 (大人)
健康ボランティアの受け入れ
はい
受講資格のある性別
全て
説明
Inclusion Criteria:
-All diabetic and control non-diabetic subjects (of same BMI) must comply with all the following inclusion criteria:
- Ethnic background: Caucasian
- BMI: 25 to 40 kg/m2
- Fasting blood glucose > 7 mmol/L
- Fasting Hemoglobin A1c > 7%
- Consume mainly typical Western diets daily
- Having obtained his/her informed consent
Lean non-diabetic healthy subjects must comply with the following inclusion criteria:
- Ethnic background: Caucasian
- BMI: 20 to 25 kg/m2
- Fasting blood glucose < 5.5 mmol/L
- Fasting Hemoglobin A1c < 6 %
- Consume mainly typical Western diets daily
- Having obtained his/her informed consent
Exclusion Criteria:
Diabetic and healthy (same BMI) subjects representing one or more of the following criteria are excluded from participation in the study.
- Dietary supplements or medications known to alter gut bacteria, such as antibiotic medication or intestinal transit modulators
- People actively take cortisol or dexamethasone should be excluded from the study
- People under a-amylase/a-glucosidase inhibitors should be excluded from the study. However, patients under metformin can be accepted for this study.
- Patients under metformin suffering from gastrointestinal side effects within a 6-month time period prior to the trial
- Regular consumption of fermented dairy products
- Vegetarians
- Frequent diarrhea (more than two loose stool per day) within 7 days before the enrollment
- HIV seropositive
- Having known gastrointestinal diseases such as ulcerative colitis, Crohn's disease, peptic ulcers and cancer
- Patients who cannot be expected to comply with treatment
- Currently participating or having participated in another clinical trial during the last 6 months prior to the beginning of this study
- Females with hormone therapy will be excluded from the study
Lean healthy subjects representing one or more of the following criteria are excluded from participation in the study.
- Dietary supplements or medications known to alter gut bacteria, such as antibiotic medication or intestinal transit modulators
- Regular consumption of fermented dairy products
- Vegetarians
- Frequent diarrhea (more than two loose stool per day) within 7 days before the enrollment
- HIV seropositive
- Having known gastrointestinal diseases such as ulcerative colitis, Crohn's disease, peptic ulcers and cancer
- Patients who cannot be expected to comply with treatment
- Currently participating or having participated in another clinical trial during the last 6 months prior to the beginning of this study
- Females with hormone therapy will be excluded from the study
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：基礎科学
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
介入なし：Lean non diabetic
Lean and healthy subjects receiving no intervention
|
|
|
実験的：Overweight non diabetic
fiber rich cereal bars, two bars a day for 4 weeks
|
Two cereals per day and per subject for 4 weeks
他の名前：
|
|
実験的：Overweight diabetic
fiber rich cereal bars, two bars a day for 4 weeks
|
Two cereals per day and per subject for 4 weeks
他の名前：
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Fecal microbiota profile
時間枠：Baseline samples taken after 2 weeks of diet normalization period
|
Fecal samples taken after the two week diet normalization are subjected to bacteria 16S rDNA sequencing and by quantitative PCR.
|
Baseline samples taken after 2 weeks of diet normalization period
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Metabonomic analysis in faeces
時間枠：Samples taken after 2 weeks of diet normalization period (baseline) and 4 weeks of cereal bars intake when applicable
|
Samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
Then, samples are analyzed by 1HNMR.
|
Samples taken after 2 weeks of diet normalization period (baseline) and 4 weeks of cereal bars intake when applicable
|
|
Metabonomic analysis in plasma
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
Then, samples are analyzed by 1HNMR.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Metabonomic analysis in urine
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
Then, samples are analyzed by 1HNMR.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma glucose
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma insulin
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma free fatty acids
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma triglycerides
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma total cholesterol
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
|
Plasma HDL cholesterol
時間枠：Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
Baseline samples for lean non-diabetic, overweight non-diabetic and overweight diabetic subjects.
Post intervention samples from overweight non-diabetic and diabetic subjects.
|
Samples taken after 2 weeks of diet normalization period and 4 weeks of cereal bars intake when applicable
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
協力者
捜査官
- 主任研究者：Alain Golay, Prof、University Hospital, Geneva
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2007年9月1日
一次修了 (実際)
2009年6月1日
研究の完了 (実際)
2011年4月1日
試験登録日
最初に提出
2016年2月18日
QC基準を満たした最初の提出物
2016年2月26日
最初の投稿 (見積もり)
2016年2月29日
学習記録の更新
投稿された最後の更新 (見積もり)
2016年2月29日
QC基準を満たした最後の更新が送信されました
2016年2月26日
最終確認日
2016年2月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。