Does Weight Loss Surgery and Probiotic Supplementation Lead to a "Lean" Gut Microbiota?
1 other identifier
interventional
18
1 country
1
Brief Summary
The purpose of the weight-loss study is to characterize the effect of LGG supplementation on the relative abundance of phyla in the gut microbiota of patients undergoing gastric bypass and sleeve gastrectomy surgery, and to elucidate a relationship between the gut microbiota pattern and the degree of weight-loss post-surgery. The investigators hypothesize that LGG administration will result in a "leaner" pattern of gut microbiota that will lead to higher weight loss at 3 months post-surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1 obesity
Started Sep 2013
Typical duration for phase_1 obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 13, 2013
CompletedFirst Posted
Study publicly available on registry
June 6, 2013
CompletedStudy Start
First participant enrolled
September 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedFebruary 10, 2016
February 1, 2016
2.3 years
May 13, 2013
February 9, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Weight Loss
4 months
Secondary Outcomes (1)
Percentage of Bacteria Phyla
4 months
Study Arms (2)
LGG Administration
EXPERIMENTALLactobacillus Rhamnosus GG (LGG) will be taken orally for 44 days. The daily dose is 2\*10\^10 organisms. The LGG is contained in capsules (1\*10\^10 organisms per capsule), and two capsules will be taken per day.
Placebo
PLACEBO COMPARATORPlacebo to be taken orally for 44 days.
Interventions
LGG will be administered orally for 44 days
Eligibility Criteria
You may qualify if:
- Age greater than or equal to 18 years
- Able to give informed consent and report on side effects
- Tolerating an oral/enteral diet
- Stable comorbid conditions
- Outpatient
You may not qualify if:
- Inpatients
- Pregnancy (urine test done on all patients routinely pre-op)/ unwilling to comply with contraceptive requirement after gastric bypass surgery
- Known use of LGG or another probiotic (not including yogurt) within the previous 30 days
- Presence of an active bowel leak, acute abdomen, active intestinal disease, or significant bowel dysfunction
- Presence of an absolute neutrophil count less than 500 per cubic mm (must have had a Complete Blood Count within the last 6 months) or anticipation post chemotherapy that the absolute neutrophil count will fall below 500 per cubic mm.
- History of adverse reaction to product containing lactobacillus
- Active colitis (\*see definition below)
- Known or suspected allergies to probiotics, lactobacillus, milk protein, or microcrystalline cellulose
- Structural heart disease, history of endocarditis or valve replacement, implanted cardiac device, congestive heart failure
- Positive baseline stool culture for LGG
- Recent or planned chemotherapy or radiation therapy
- Solid organ transplant within the prior year
- Stem cell transplant within the prior year
- On active immunosuppressive medication \[anti-rejection, injectable immunosuppressive drugs for autoimmune disease, or corticosteroids (greater than ½ mg per kg body weight of prednisone or its equivalent) not including inhaled or topical steroids\]
- Allergy or intolerance to or contraindication to two or more of the rescue antibiotic regimens (ampicillin, clindamycin, moxifloxacin)
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tufts Medical Center Weight and Wellness Center
Boston, Massachusetts, 02111, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shira Doron, MD
Tufts Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 13, 2013
First Posted
June 6, 2013
Study Start
September 1, 2013
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
February 10, 2016
Record last verified: 2016-02