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OpenTrials
Completed

NCT Number: NCT02743195

Polyphenol/Prebiotic Blend Effects on GI Health and Microbial Composition

The gastrointestinal (GI) ecosystem is a complex network of bacterial cells, host cells and tissues that change with age. Fewer numbers and less diversity of beneficial bacteria and greater number and diversity of non-beneficial bacteria occurs with age and conditions associated with accelerated aging (i.e. obesity, high fat diet)(1,2). This imbalance of the microbiota contributes to increased inflammation of the gastrointestinal lining and changes to the integrity of the intestinal cell wall.

Prebiotics, such as non-digestible carbohydrates, can induce the growth or activity microorganisms that contribute to the well-being of the host. Recent studies have shown that prebiotic treatment can have beneficial effects on glucose levels, lipid metabolism, and inflammatory markers in an obese population(3). The polyphenol blend is rich in anthocyanins, which is a unique subgroup of flavonoids that have been demonstrated to impact the microbiome and have anti-inflammatory properties(4,5,6,7). This open-label study will assess the benefits of a prebiotic and polyphenol blend in healthy obese adults.

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Key information

Age range

20 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

KGK Synergize Inc.

London, Ontario, N6A 5R8, Canada

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Males and Females 20-60 years of age
  • Female subjects of childbearing potential must agree to use a medically approved method of birth control and have a negative urine pregnancy test result. Acceptable methods of birth control include:

Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo-Provera, Lunelle), or hormone implant (Norplant System)

Double-barrier methods

Non-hormonal intrauterine devices

Vasectomy of partner

Non-heterosexual lifestyles

  • Subjects with BMI of 29.9-39.9±1 kg/m²
  • Subjects who agree to maintain their current level of physical activity throughout the trial period
  • Subjects who agree to discontinue the use or pre- and probiotic and/or polyphenol supplements from four weeks prior to baseline and for the duration of the study
  • Subjects who agree to discontinue foods containing anthocyanins (such as blueberries, blackberries, cherries, grapes, grape juice, pomegranate, raspberries, huckleberries, strawberries, and wine) from two weeks prior to baseline and for the duration of the study
  • Healthy as determined by laboratory results and medical history
  • Subjects must agree to comply with study procedures
  • Has given voluntary, written, informed consent to participate in the study

Exclusion criteria

  • Women who are pregnant, breastfeeding, or planning to become pregnant during the course of the trial.
  • Subjects who have used an over-the-counter or prescription laxative medication within 4 weeks prior to baseline
  • Subjects who have used prebiotic, probiotic supplements or supplemented foods within 4 weeks of enrollment
  • Use of polyphenol supplements within 4 weeks prior to baseline
  • Subjects with type I diabetes or uncontrolled type II diabetes
  • Previous history of gastrointestinal surgery (except appendectomy, hernia repair, or hemorrhoidectomy).
  • Previous history of gastrointestinal diseases (except hemorrhoids and uncomplicated diverticula), as assessed by ultrasonography, colonoscopy, or rectoscopy, or history of Clostridium difficile-associated diarrhea
  • Presence of rectal bleeding (unless due to hemorrhoids)
  • Recent weight-loss (greater than 5 kg in the past month)
  • Iron deficiency (anemia) diagnosed within 3 months of baseline
  • Subjects who were smokers within 1 year of baseline
  • Subjects with active eating disorder
  • Subjects who have used oral antibiotics within 5 weeks of baseline
  • Unstable medical condition as determined by principal investigator
  • History of or current diagnosis of any cancer (except for successfully treated basal cell carcinoma) diagnosed less than 5 years prior to screening. Subjects with cancer in full remission more than 5 years of diagnosis are acceptable.
  • Alcohol abuse or drug abuse within the past 6 months
  • Consumption of >2 standard alcoholic drinks per day
  • Use of medicinal marijuana
  • Use of anti-inflammatory medications, more than once per week or if prescribed by a physician, 4 weeks prior to randomization and for the duration of the study
  • Participation in a clinical research trial within 30 days prior to baseline
  • Allergy or sensitivity to the test material's active or inactive ingredients
  • Allergy or sensitivity to Lactulose or Mannitol
  • Individuals who are cognitively impaired and/or who are unable to give informed consent
  • Any other condition which in the Investigator's opinion may adversely affect the subject's ability to complete the study or its measures or which may pose significant risk to the subject

Treatment and study plan

Polyphenol/prebiotic blend

Dietary Supplement

Primary outcomes

  1. Change from baseline in microbial composition in the feces at day 57

    Time frame: Baseline, Day 57

Secondary outcomes

  1. Change from baseline in calprotectin in the feces at day 57

    Time frame: Baseline, Day 57

  2. Change from baseline in IL-6 in the feces at day 57

    Time frame: Baseline, Day 57

  3. Change from baseline in IL-8 in the feces at day 57

    Time frame: Baseline, Day 57

  4. Change from baseline in IL-10 in the feces at day 57

    Time frame: Baseline, Day 57

  5. Change from baseline in IL-1β in the feces at day 57

    Time frame: Baseline, Day 57

  6. Change from baseline in IL-12p70 in the feces at day 57

    Time frame: Baseline, Day 57

  7. Change from baseline in TNFα in the feces at day 57

    Time frame: Baseline, Day 57

  8. Change from baseline in urine sugar test for gut permeability at day 57

    Time frame: Baseline, Day 57

  9. Change from baseline in plasma zonulin at day 57

    Time frame: Baseline, Day 57

  10. Change from baseline in Total Cholesterol at day 57

    Time frame: Baseline, Day 57

  11. Change from baseline in HDL-C at day 57

    Time frame: Baseline, Day 57

  12. Change from baseline in LDL-C at day 57

    Time frame: Baseline, Day 57

  13. Change from baseline in Triglycerides at day 57

    Time frame: Baseline, Day 57

  14. Change from baseline in weekly mean of daily Bristol Stool Scale (BSS) scores at day 57

    Time frame: Baseline, Day 57

  15. Change from baseline in plasma endotoxin at day 57

    Time frame: Baseline, Day 57

Other outcomes

  1. Change from baseline in hematology and clinical chemistry at day 57

    Time frame: Baseline, Day 57

    Looking at number of participants with abnormal laboratory values related to treatment

  2. Change from baseline in kidney and liver function at day 57

    Time frame: Baseline, Day 57

    Looking at number of participants with abnormal laboratory values related to treatment

  3. Change from baseline in electrolytes at day 57

    Time frame: Baseline, Day 57

  4. Change from baseline in heart rate at day 57

    Time frame: Baseline, Day 57

  5. Change from baseline in blood pressure at day 57

    Time frame: Baseline, Day 57

  6. Change from baseline in adverse events at day 57

    Time frame: Baseline, Day 57

Sponsors and collaborators

Lead sponsor

Pharmanex

Industry

Collaborators

  • KGK Science Inc.

Registry information

Official study title

An Open Label Study to Investigate a Polyphenol/Prebiotic Blend on Microbial Composition in Otherwise Healthy Obese Males and Females

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Apr 19, 2016
Registry last updated
Aug 3, 2016

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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