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NCT Number: NCT05353504

Impact of Microbiome-changing Interventions on Food Decision-making

The investigators aim to test the hypothesis that a microbiome-changing dietary intervention improves food decision-making and to determine the underlying microbiotal and metabolic mechanisms. To this end, 90 overweight/obese adults will be enrolled in a randomized controlled trial to test the effects of a pre-biotic dietary intervention (supplementary intake of soluble fibre) or a behavioural lifestyle intervention (weekly educational program) vs. control condititon (supplementary intake of isocaloric starch) over a period of 26 weeks. Before and after the intervention/control period, participants will undergo task-based functional and structural MRI and cognitive testing. The gut microbiota will be assessed using 16S rDNA next-generation sequencing (V3/V4 region) in stool samples. Diet, anthropometry and lifestyle will be monitored with questionnaires and metabolomics will be assayed in peripheral blood and stool (e.g. SCFA). Using a modulation of gut-brain communication through a prebiotic diet and lifestyle intervention, respectively, the investigators will be able to discover microbiota communities that play a key role for eating behaviour. Related mechanistic insights could help to develop novel preventive and therapeutic options to combat unhealthy weight gain in our obesogenic society.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences

Leipzig, Germany

Location status: Recruiting

Location contact

Meghedi Vartanian, Msc

CONTACT

[email protected]

+49(0)341/9940-954

Silke Friedrich

CONTACT

[email protected]

+49(0)341/9940-954

Veronica Witte, PhD

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • BMI >= 25 kg/m2 or WHR >= 0.9/0.85 (m/d, f)
  • no MRI contra-indication
  • written informed consent

Exclusion criteria

  • athletes
  • occurrence of a clinically relevant psychiatric disease in the last 12 months, e.g. depression, substance abuse, eating disorders, schizophrenia
  • any chronic inflammatory or malignant disease
  • type 1 diabetes
  • previous bariatric/gastric surgery
  • pregnancy or breastfeeding woman

Treatment and study plan

Inulin

Dietary Supplement

28g/day delivered in 2 sachets throughout the day with main meals

Lifestyle Intervention

Behavioral

weekly educational sessions to improve individual's eating behaviour

Placebo

Dietary Supplement

equicaloric maltodextrin delivered in 2 sachets throughout the day with main meals

Primary outcomes

  1. blood-oxygenation-level-dependent (BOLD) activity during food wanting

    Time frame: 6 months

    BOLD-acitvity will be measured using event-related echo-planar T2*-weighted magnetic resonance imaging (MRI) during food wanting task according to previously described procedures (details of preprocessing at: https://osf.io/ynkxw). Onsets of food and art stimuli presentation will be modelled as separate regressors convolving delta functions with a canonical hemodynamic response function. Wanting rating scores (on an 8-point likert scale) per stimulus will be added as covariates. In a parallel model, kcal of food stimuli will be added multiplied with wanting scores to model high caloric food wanting interaction. At the group level, we will assess the contrasts food > art and wanting modulation.

Secondary outcomes

  1. microbial alpha and beta diversity

    Time frame: 6 months

    Changes in alpha and beta diversity assessed using 16S rRNA sequencing of stool samples

  2. fMRI BOLD activity memory performance

    Time frame: 6 months

    BOLD-acitvity will be measured using event-related echo-planar T2*-weighted magnetic resonance imaging (MRI) during food wanting and food memory recognition tasks according to previously described procedures (details of preprocessing at: https://osf.io/ynkxw). Onsets of food and art stimuli presentation in encoding and recognition will be modelled as separate regressors convolving delta functions with a canonical hemodynamic response function. Correctly remembered and correctly rejected, as well as misses and false alarms will be modeled separately. In parallel models, similar and new items als well as wanting rating scores (on an 8-point likert scale) per stimulus and kcal of food stimuli multiplied with wanting scores will be added as covariates. At the group level, we will assess the contrasts correct > false and wanting modulation.

  3. satiety

    Time frame: 6 months

    self-reported hunger feeling on a 8-point score from minimum 0 (not at all) to maximum 8 (very much).

  4. ghrelin

    Time frame: 6 months

    ghrelin pg/ml in blood

  5. leptin

    Time frame: 6 months

    leptin ng/ml in blood

  6. GLP-1

    Time frame: 6 months

    Glucagon-like peptide-1 (GLP-1) pg/ml in blood

  7. PYY

    Time frame: 6 months

    peptide YY pg/ml in blood

  8. insulin

    Time frame: 6 months

    insulin in blood uU/ml

  9. HbA1c

    Time frame: 6 months

    hemoglycated globulin A1c in blood %

  10. inflammatory markers

    Time frame: 6 months

    high sensitive C-reactive protein mg/l (and optionally tumor necrosis factor alpha and interleukin 6 in blood, pg/ml)

  11. microbial metabolic markers in blood

    Time frame: 6 months

    short-chain fatty acids (SCFA), bile acids

  12. body mass index

    Time frame: 6 months

    weight kg/height in m squared

  13. waist hip ratio

    Time frame: 6 months

    waist (cm) to hip (cm) circumeference ratio

  14. body fat

    Time frame: 6 months

    body fat % according to bioelectrical impedance analysis

  15. food craving

    Time frame: 6 months

    assessed with the food craving questionnaire (Meule et al., 2012, German version).

  16. executive attention performance

    Time frame: 6 months

    measured using the attention network task (ANT)

Study contacts

Contact information is provided by the study sponsor or research team.

Meghedi Vartanian, MSc

CONTACT

[email protected]

+49(0)341/9940-951

Sponsors and collaborators

Lead sponsor

Max Planck Institute for Human Cognitive and Brain Sciences

Other

Collaborators

  • DFG - Deutsche Forschungs Gemeinschaft (German Research Foundation)
  • Helmholtz-Zentrum für Umweltforschung - UFZ
  • Universitätsklinikum Leipzig

Registry information

Official study title

"SFB 1052/3 - Mechanismen Der Adipositas, Projekt A1: Veränderung Der Neurobiologischen Grundlagen Von Ess-Entscheidungen Bei Adipositas" Engl. "CRC 1052/3 - Obesity Mechanisms, Project A1: Targeting Neurobehavioral Determinants of Obesity"

Acronym: MIFOOD

Important dates

Study start
2022
Primary completion
2024
Study completion
2026
First posted
Apr 29, 2022
Registry last updated
Apr 29, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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