NCT02158676

Brief Summary

The study will recruit patients submitted to bariatric surgery. Individuals will be supplemented with 6g/day of prebiotic or synbiotic or placebo (maltodextrin) for 15 days. Immunological, metabolic and anthropometric parameters will be assessed before and after the supplementation. Our hypothesis is that prebiotic or synbiotic supplementation modulate plasma concentrations of immunological and metabolic parameters and anthropometric measures of subjects undergoing gastric bypass Roux-Y.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
18

participants targeted

Target at below P25 for not_applicable obesity

Timeline
Completed

Started Oct 2013

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2013

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2014

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

June 2, 2014

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 9, 2014

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2015

Completed
Last Updated

April 14, 2017

Status Verified

April 1, 2017

Enrollment Period

7 months

First QC Date

June 2, 2014

Last Update Submit

April 12, 2017

Conditions

Keywords

Roux-en-y gastric bypassInflammatory markersNutritional statusFatty acidsGlucosePrebioticSynbiotic

Outcome Measures

Primary Outcomes (3)

  • Change in IL-1 beta concentrations

    Will be evaluated IL-1 beta plasma concentrations in baseline which corresponds to the day that the patient will undergo surgery, in 30 days after surgery (before supplementation) and in 45 days after surgery (after supplementation).

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • Change in IL-6 concentrations

    Will be evaluated IL-6 beta plasma concentrations in baseline which corresponds to the day that the patient will undergo surgery, in 30 days after surgery (before supplementation) and in 45 days after surgery (after supplementation).

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • Change in TNF-alpha concentrations

    Will be evaluated TNF-alpha plasma concentrations in baseline which corresponds to the day that the patient will undergo surgery, in 30 days after surgery (before supplementation) and in 45 days after surgery (after supplementation).

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

Secondary Outcomes (10)

  • Change in nutritional status

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • Change in risk of inflammatory and nutritional complications

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation)

  • Change in fasting glucose concentrations

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • Change in fasting insulin concentrations

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • Change in HOMA-IR index

    Baseline (before surgery); Day 30 (after surgery, before supplementation); Day 45 (after surgery, after supplementation).

  • +5 more secondary outcomes

Study Arms (3)

Prebiotic

EXPERIMENTAL

6 g/day of prebiotic (fructooligosaccharides) for 15 days.

Dietary Supplement: Prebiotic

Synbiotic

EXPERIMENTAL

6 g/day of synbiotic (fructooligosaccharides + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019) for 15 days.

Dietary Supplement: Synbiotic

Placebo

PLACEBO COMPARATOR

6 g/day of placebo (maltodextrin) for 15 days.

Other: Placebo

Interventions

PrebioticDIETARY_SUPPLEMENT

Fructooligosaccharides

Prebiotic
SynbioticDIETARY_SUPPLEMENT

Fructooligosaccharides + Lactobacillus paracasei LPC-37 + Lactobacillus rhamnosus HN001 + Lactobacillus acidophilus NCFM + Bifidobacterium lactis HN019

Synbiotic
PlaceboOTHER

Maltodextrin

Placebo

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age greater than 18 years and less than 65 years
  • Body mass index (BMI)\> 40kg/m2 or\> 35kg/m2 with at least one comorbidity
  • Failure in the non-pharmacological and pharmacological treatment.

You may not qualify if:

  • Significant intellectual limitations without adequate family support.
  • Uncontrolled psychiatric disorder.
  • Alcohol dependence and / or illicit drugs dependence.
  • Current use of anti-inflammatory drugs and / or antibiotics and / or immunosuppressants
  • Display intolerance prebiotics and / or probiotics and / or symbiotic
  • Having made use of prebiotic and / or probiotic and / or symbiotic prior to the study period.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Universitário Polydoro Ernani de São Thiago

Florianópolis, Santa Catarina, 88040-900, Brazil

Location

Related Publications (1)

  • Fernandes R, Beserra BT, Mocellin MC, Kuntz MG, da Rosa JS, de Miranda RC, Schreiber CS, Frode TS, Nunes EA, Trindade EB. Effects of Prebiotic and Synbiotic Supplementation on Inflammatory Markers and Anthropometric Indices After Roux-en-Y Gastric Bypass: A Randomized, Triple-blind, Placebo-controlled Pilot Study. J Clin Gastroenterol. 2016 Mar;50(3):208-17. doi: 10.1097/MCG.0000000000000328.

Related Links

MeSH Terms

Conditions

Obesity

Interventions

PrebioticsSynbiotics

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Dietary FiberDietary CarbohydratesCarbohydratesPolysaccharides, BacterialPolysaccharidesFoodDiet, Food, and NutritionPhysiological PhenomenaDietary SupplementsFood and BeveragesProbiotics

Study Officials

  • Ricardo Fernandes, Master's

    Universidade Federal de Santa Catarina

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctor in Tropical Diseases

Study Record Dates

First Submitted

June 2, 2014

First Posted

June 9, 2014

Study Start

October 1, 2013

Primary Completion

May 1, 2014

Study Completion

July 1, 2015

Last Updated

April 14, 2017

Record last verified: 2017-04

Locations