- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07915687
Synbiotic as an Adjuvant Therapy for Dyslipidaemia and Gut Health
Evaluation of Synbiotic as an Adjuvant Therapy for Dyslipidaemia and Gut Health: A Randomised Double-blind, Placebo-controlled Study
This 12-week randomized study investigates the effects of a synbiotic supplement (LAB12-G, combining oat-derived β-glucan and L. plantarum LAB12) on individuals with dyslipidemia who are currently on statin therapy. Participants will be assigned to either the LAB12-G treatment group or a placebo group receiving a β-glucan-free oat-based product. Both groups will consume two sachets of their assigned product daily by mixing with 200 mL of water during breakfast and dinner. Participants are required to continue all their medications including the statins throughout the whole study. The primary objectives are to evaluate whether this synbiotic combination improves cholesterol levels and gut microbiota composition when used alongside standard statin treatment.
연구 개요
연구 유형
등록 (추정된)
단계
- 2 단계
연락처 및 위치
연구 연락처
- 이름: Mohammad Amirul Izzan Amran, Dr
- 전화번호: +60199322400
- 이메일: 2024860784@student.uitm.edu.my
연구 연락처 백업
- 이름: Nur Atiqah Kamal Rodin
- 이메일: nuratiqahkr@uitm.edu.my
연구 장소
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Selangor
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Sungai Buloh, Selangor, 말레이시아, 4700
- Primary Care Clinic, UiTM Sungai Buloh Campus
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
I. Male and female aged 18-65 years.
II. Have intermediate (moderate) CVD risk i.e., 10-20% 10-year CVD risk based on Framingham Risk Score AND have LDL-C level of >2.6 mmol/L on 10-20 mg of atorvastatin, 5-10 mg of rosuvastatin or 20-40 mg of simvastatin (NICE, 2023).
III. BMI of 18.5 - 40.0kg/m2.
IV. TG of >1.7 mmol/L.
V. Willing to refrain from consumption of other probiotic products, oat products, barley products and psyllium husk products during the intervention period.
Exclusion Criteria:
I. Use of probiotics or prebiotics within 6 weeks before inclusion. II. Systemic antibiotics within 6 weeks before inclusion. III. Daily alcohol consumption >30 mL. IV. Smoker. V. Diagnosed with immunodeficiency. VI. Diagnosed with type I and II diabetes mellitus. VII. Diagnosed with chronic kidney disease (Stage 3, 4, 5; Estimated Glomerular Filtration Rate of 60 ml/min/1.73 m² that has been present for more than three months) (Whelton et al., 2018) VIII. Diagnosed with cancer or any life-threatening illnesses. IX. Diagnosed with decompensated chronic liver disease (e.g., ascites, jaundice, hepatic encephalopathy, or variceal bleeding) (EASL 2018), acute liver failure, acute hepatitis requiring hospitalisation.
X. Diagnosed with clinically significant gastrointestinal disease that may affect nutrient absorption, gut microbiota, or study participation (e.g., inflammatory bowel disease, celiac disease, chronic pancreatitis, short bowel syndrome, gastrointestinal obstruction, or active gastrointestinal infection) XI. Diagnosed with any acute medical condition requiring hospitalisation XII. Diagnosed with organic heart diseases, including but not limited to congenital heart disease, rheumatic heart disease, hypertrophic or dilated cardiomyopathy.
XIII. Breast-feeding or pregnant or plan to become pregnant in the next 6-12 months.
XIV. Participation in another clinical trial within the last 6 months. XV. Cognitive impairment and psychological disorders causing incapacity to give informed consent.
XVI. Vulnerable group [e.g. children (<18 years old), individuals with physical and cognitive disabilities] XVII. Current use of lipid-lowering therapy other than atorvastatin 10-20 mg or simvastatin 20-40 mg or rosuvastatin 5-10 mg, including other statins (pravastatin, lovastatin, fluvastatin, or pitavastatin), ezetimibe, PCSK9 inhibitors, fibrates, omega-3 fatty acid preparations, nicotinic acid (niacin), or any other lipid-lowering medication or supplement.
XVIII. Known hypersensitivity or allergy to probiotics, β-glucan, oats or any component of the investigational or placebo products.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: LAB12 Synbiotic Group
Participants receive a synbiotic combination of Lactobacillus plantarum LAB12 and SWEOAT® Bran, taken in addition to their standard background dyslipidaemia therapy. |
A synbiotic formulation containing 1.7 g of oat-derived β-glucan and 0.5 g of Lactobacillus plantarum LAB12 (1 × 10⁹ CFU/g) per sachet. Administered orally as two sachets daily for 12 weeks. |
|
위약 비교기: Placebo group
Participants receive an inactive oat-based placebo that does not contain Lactobacillus plantarum LAB12 or SWEOAT® Bran, taken in addition to their standard background dyslipidaemia therapy. |
An inactive, β-glucan-free oat-based powder matched in appearance and packaging to the active synbiotic. Administered orally as two sachets daily for 12 weeks. |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Change from Baseline in Low-Density Lipoprotein Cholesterol (LDL-C)
기간: Baseline and Week 12
|
Evaluated as the absolute change in LDL-C concentrations from baseline. |
Baseline and Week 12
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Change from Baseline in Gut Microbiota Profile
기간: Baseline and Week 12
|
Analyzed via 16S rRNA sequencing to assess changes in microbial diversity and relative abundance of taxa |
Baseline and Week 12
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Change from Baseline in Total Cholesterol (TC)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum Total Cholesterol |
Baseline and Week 12
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Change from Baseline in High-Density Lipoprotein Cholesterol (HDL-C)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum HDL-C |
Baseline and Week 12
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Change from Baseline in Triglycerides (TG)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum Triglycerides |
Baseline and Week 12
|
|
Change from Baseline in Apolipoprotein B (ApoB)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum ApoB levels |
Baseline and Week 12
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Change from Baseline in Hemoglobin A1c (HbA1c)
기간: Baseline and Week 12
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Evaluated as the absolute change in HbA1c percentage |
Baseline and Week 12
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Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP)
기간: Baseline and Week 12
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Evaluated as the absolute change in plasma hsCRP levels |
Baseline and Week 12
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Change from Baseline in Tumor Necrosis Factor-alpha (TNF-α)
기간: Baseline and Week 12
|
Evaluated as the absolute change in plasma TNF-α levels |
Baseline and Week 12
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Change from Baseline in Interleukin-6 (IL-6)
기간: Baseline and Week 12
|
Evaluated as the absolute change in plasma IL-6 levels |
Baseline and Week 12
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Change from Baseline in Alanine Transaminase (ALT)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum ALT levels |
Baseline and Week 12
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Change from Baseline in Alkaline Phosphatase (ALP)
기간: Baseline and Week 12
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Evaluated as the absolute change in serum ALP levels |
Baseline and Week 12
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Change from Baseline in Body Weight
기간: Baseline and Week 12
|
Evaluated as the absolute change in body weight in kilograms |
Baseline and Week 12
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Change from Baseline in Body Mass Index (BMI)
기간: Baseline and Week 12
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Evaluated as the absolute change in BMI (calculated as weight in kilograms divided by height in meters squared) |
Baseline and Week 12
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Change from Baseline in Systolic Blood Pressure (SBP)
기간: Baseline and Week 12
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Evaluated as the absolute change in resting systolic blood pressure |
Baseline and Week 12
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Change from Baseline in Diastolic Blood Pressure (DBP)
기간: Baseline and Week 12
|
Evaluated as the absolute change in resting diastolic blood pressure |
Baseline and Week 12
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Change from Baseline in Waist Circumference (WC)
기간: Baseline and Week 12
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Evaluated as the absolute change in waist circumference |
Baseline and Week 12
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Change from Baseline in Hip Circumference (HC)
기간: Baseline and Week 12
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Evaluated as the absolute change in hip circumference |
Baseline and Week 12
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Change from Baseline in Thigh Circumference (TC)
기간: Baseline and Week 12
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Evaluated as the absolute change in thigh circumference |
Baseline and Week 12
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Change from Baseline in Body Fat Percentage
기간: Baseline and Week 12
|
Evaluated as the absolute change in body fat percentage |
Baseline and Week 12
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Change from Baseline in Urine pH
기간: Baseline and Week 12
|
The number of participants exhibiting newly occurring or worsening clinically significant abnormal chemical urinalysis findings (e.g., proteinuria, glycosuria) compared to baseline |
Baseline and Week 12
|
공동 작업자 및 조사자
수사관
- 연구 책임자: Kalavathy Ramasamy, Professor Dr, Universiti Teknologi Mara
- 연구 의자: Lim Siong Meng, Professor Dr, Universiti Teknologi Mara
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .