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Metabolic SyndromeNCT05114018

Effect of Pasteurized Akkermansia Muciniphila on Insulin Resistance in Otherwise Healthy Subjects With Dysglycaemia

A study testing Pasteurized A. muciniphila in people with Metabolic Syndrome and Pre-diabetes, run by A-Mansia Biotech S.A. at 2 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to demonstrate the efficacy of pasteurized Akkermansia muciniphila (pAKK) in improving insulin sensitivity in hyperglycaemic, but otherwise healthy persons with metabolic syndrome. This is the primary objective of this study. Read more about this study

Who is it for?
Ages 21 to 75 yearsHealthy volunteers can take part
What is being tested?
Pasteurized A. muciniphila
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
143 participants
Where
2 sitesin 2 countries
Study dates
24 Jun 2020to 31 Aug 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Written informed consent;
  • BMI between >25 and <40 Kg/m2;
  • Qualifying for the diagnosis of metabolic syndrome according to the International Diabetes Federation (IDF 2006) criteria. At least any three of five citeria, with the modification that the criterion FPG≥100 mg/dL (5.6 mmol/L) is required among at least three of five:
  • Increased waist circumference: for Europid, sub-Saharan African, Eastern and Middle-Eastern ≥94 cm (men) or ≥80 cm (women), with ethnic-specific waist circumference cut-points: for South Asian and Chinese patients, waist ≥90 cm (men) or ≥80 cm (women); for Japanese patients, waist ≥90 cm (men) or ≥80 cm (women);
  • Triglycerides ≥150 mg/dL (1.7 mmol/L) (exception: triglycerides ≥100 mg/dL (1.13mmol/L) for sub-Saharan African) or treatment for elevated triglycerides;
  • HDL cholesterol <40 mg/dL (1.03 mmol/L) in men or <50 mg/dL (1.29 mmol/L) in females, or treatment for low HDL;
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  • Systolic blood pressure ≥130, diastolic blood pressure ≥85 mmHg, or treatment for hypertension;
  • FPG ≥100 mg/dL (5.6 mmol/L) or previously diagnosed type 2 diabetes; an oral glucose tolerance test is recommended for patients with an elevated FPG, but it is not required.
  • If participant has a prior diagnosis of pre-diabetes or Type II diabetes, and has been unmedicated for 3-months prior to screening;
  • If female, must meet all the following criteria:
  • Not pregnant or breastfeeding
  • If of childbearing potential (including peri-menopausal women who have had a menstrual period within one year) must practice and be willing to continue to practice appropriate birth control (defined as a method which results in a low failure rate, i.e., less than 1% per year, when used consistently and correctly, such as double barrier methods [male condom with spermicide, with or without cervical cap or diaphragm], implants, injectable or oral contraceptives [must have been using for at least the last 3 months], some intrauterine contraceptive devices, tubal ligation, or in an established relationship with a vasectomized partner) during the entire duration of the study
  • Be willing to maintain stable dietary habits and physical activity levels throughout the trial period;
  • Be able to communicate well with the Investigator, to understand and comply with the requirements of the study and be judged suitable for the study in the opinion of the Investigator.
  • Within 3 months following to the exit of the study for failure to comply with one or more of the inclusion criteria listed above, a re-screening could be performed.

Who cannot join

  • Uncontrolled hyperglycemia assessed by HbA1c ≥ 6.5%;
  • Suffering from a metabolic disorder such as diabetes mellitus that requires lifesyle and dietary recommendations or a medication according to the recommendations, uncontrolled thyroidal trouble (Confirmed by clinical significant abnormal TSG/T4 and/or stabled medication for >3 months) or other metabolic disorder;
  • Suffering from a severe chronic disease (e.g., cancer, HIV, renal failure, hepatic or biliary disorders ongoing, chronic inflammatory digestive disease, inflammatory bowel disease, irritable bowel syndrome, arthritis or other chronic respiratory trouble, etc.) or gastrointestinal disorders found to be inconsistent with the conduct of the study by the investigator (e.g., celiac disease);
  • With a history of retinopathy, microalbuminuria, ischemic cardiovascular event during the previous 6 months;
  • Consumption of more than 30 g of dietary fibre per day, as measured by the Block Fibre Screener
  • Prior diagnosis of Type I diabetes mellitus (i.e., a clinical diagnosis made before the screening visit of this study);
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  • Alcohol consumption (>21 units per week);
  • Smoking more than 10 cigarettes per day;
  • Previous bariatric surgery;
  • Any surgery in the 3 months before the study or planned for 6 months after enrolling;
  • Pregnancy or pregnancy planned in the 6 months after enrolling or lactating women;
  • Consumption of dietary supplements (omega-3 fatty acids, probiotics, prebiotics, plant stanols/sterols) in the 4-weeks before the study;
  • Presence or history of significant and diagnosed gastrointestinal diseases that, in the opinion of the investigator, could be associated with disturbed gastrointestinal absorption (e.g., resections, diverticula, active and diagnostically confirmed irritable bowel syndrome, malabsorption syndrome);
  • Present or recent (within 3-months of screening) use of any other medication which, in the opinion of the investigator, could interfere with the outcome of the study, including but not limited to antithrombotic agents, anti-inflammatory agents and chronic NSAID use (except low-dose prophylactic, proton pump inhibitors (PPIs), antihistamines, if ongoing (3-months) and on a stable dose throughout study period);
  • Steroids (over the counter (OTC) NSAIDS, topical steroids and inhalers are allowed)
  • Current or planned participation in a weight-loss regimen (including intermediate fasting), including extreme dietary practices or exercise;
  • Anorexia nervosa, bulimia or significant eating disorders according to the investigators;
  • Having lost >5% of their body weight within 3-months prior to screening;
  • Lactose intolerance or milk protein allergy;
  • Gluten intolerance;
  • Current treatment with medications influencing the parameters of interest (glucose-lowering drugs such as metformin, DPP4 inhibitors, GLP-1 receptor agonists, acarbose, sulfonylureas, glinides, thiazolidinediones, sodium-glucose cotransporter -2 inhibitors, insulin, lactulose, glucocorticoids, immunosuppressive agents, , orlistat, cholestyramine or ezetimibe);
  • Antibiotic use in the 3 months before the study;
  • Participant has a known allergy to inactive or active ingredients in the study products;
  • Participation in other clinical research trials within 90 days prior to randomization;
  • 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.

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Germany1 site
  • Clinical Research Center (CRC) Kiel GmbH

    Kiel

Other trials in Germany

Ireland1 site
  • Atlantia Food Clinical Trials

    Cork

Other trials in Ireland

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Study to Investigate the Effects of 'Next Generation Beneficial Microbes', Akkermansia Muciniphila (AMF-01), on Long-term Improvements in Insulin Resistance in Otherwise Healthy Hyperglycaemic Adults

The purpose of this study is to demonstrate the efficacy of pasteurized Akkermansia muciniphila (pAKK) in improving insulin sensitivity in hyperglycaemic, but otherwise healthy persons with metabolic syndrome. This is the primary objective of this study. Secondary objectives consist of evaluation of the effects of next generation beneficial microbes on metabolic health, anthropometry and body composition, and safety.

Therefore, the trial is designed as a phase 2, randomized, double-blind, placebo-controlled, parallel group, multi-center trial comparing pAKK with placebo in restoring insulin sensitivity in dysglycaemic but otherwise healthy subjects with metabolic syndrome.

In total, 144 enrolled participants will attend 6 study visits in total. Study visits may be conducted in the clinic, at home by a Healthcare Professional, or by telephone / telemedicine.

Read the detailed description

Overweight and obesity have reached worldwide epidemic level. Observation of elevated glycaemia like impaired fasting glucose and impaired glucose tolerance are reflecting pre-diabetic states often occurring in the context of development of insulin resistance in persons with metabolic syndrome. Moreover, this status is associated with the risk for developing type 2 diabetes as well as cardiovascular disease. In a proof of concept study the supplementation with A. muciniphila was safe and improved metabolic health in persons with metabolic syndrome.

The purpose of this study is to demonstrate the efficacy of pasteurized Akkermansia muciniphila (pAKK) in improving insulin sensitivity in hyperglycaemic, but otherwise healthy persons with metabolic syndrome. This is the primary objective of this study. Secondary objectives consist of evaluation of the effects of next generation beneficial microbes on metabolic health, anthropometry and body composition, and safety.

Therefore, the trial is designed as a phase 2, randomized, double-blind, placebo-controlled, parallel group, multi-center trial comparing pAKK with placebo in restoring insulin sensitivity in dysglycaemic but otherwise healthy subjects with metabolic syndrome.

In total, 144 enrolled participants will attend 6 study visits in total. Study visits may be conducted in the clinic, at home by a Healthcare Professional, or by telephone / telemedicine.

Being tested
Pasteurized A. muciniphila, placebo
Medical subject headings
Metabolic Syndrome, Glucose Intolerance, Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pasteurized A. muciniphilaDietary supplement

    Daily oral dose

  • placeboDietary supplement

    Placebo = identical to verum regarding the form, size, taste, color and intake

Study groups in NCT05114018
Study groupRoleWhat they receive
Experimental group receiving pasteurized Akkermansia muciniphilaExperimentalExperimental group receiving pasteurized Akkermansia muciniphila.
Receives: Dietary Supplement: Pasteurized A. muciniphila
Control groupPlacebo comparatorControl group receiving placebo, identical to verum regarding the form, size, taste, color and intake.
Receives: Dietary Supplement: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Insulin sensitivity by Matsuda Index

    Absolute change from baseline to day 120 in treatment group as compared to placebo in insulin sensitivity as determined by Matsuda.

    Measured: From baseline to day 120

Secondary outcomes (21)
  1. Insulin sensitivity by homeostasis model assessment-estimated (HOMA) insuline sensitivity

    change in treatment group as compared to placebo by measuring fasting glucose and insulin values

    Measured: From baseline to day 120

  2. fasting blood glucose

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  3. 3-hour blood glucose incremental Area Under the Curve (AUC) as measured by Oral Glucose Tolerance Test (OGTT)

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  4. Peak Plasma Concentration (Cmax) of blood glucose as measured by OGTT

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  5. 3-hour blood insulin incremental Area Under the Curve (AUC) as measured by OGTT

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  6. Peak Plasma Concentration (Cmax) of blood insulin as measured by OGTT

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  7. Glycosylated hemoglobin (HbA1c)

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  8. Postprandial triglyceride (TG) response as incremental Area Under the Curve (AUC) as measured by OGTT

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  9. Peak Plasma Concentration (Cmax) of blood TG as measured by OGTT

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  10. Blood lipid profile by total cholesterol, TG, low density lipoprotein, high density lipoprotein, non-esterified fatty acids

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  11. Liver enzymes (ALT, AST, GGT, bilirubin, alkaline phosphatase)

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  12. Anthropometry by Height (m) and body weight (kg) combined into BMI (kg/m2)

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  13. Circumference (cm) of waist, hip and neck and waist, hip and height measurement will be combined into Waist-to-Hip ratio (W:H) and Waist-to-Height ratio (WHtR)

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  14. Body composition by measurement of body fat mass by DEXA measurement

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  15. Body composition by measurement of lean mass by DEXA measurement

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  16. Body composition by measurement of trunk fat mass by DEXA measurement

    change in treatment group as compared to placebo

    Measured: From baseline to day 120

  17. Vital signs: heart rate

    evaluation of heart rate

    Measured: From baseline to day 120

  18. Vital signs: blood pressure

    evaluation of Systolic blood pressure (SBP) (mmHg) and diastolic blood pressure (DBP) (mmHg)

    Measured: From baseline to day 120

  19. Vital signs: body temperature

    evaluation of body temperature

    Measured: From baseline to day 120

  20. Vital signs: respiratory rate

    evaluation of respiratory rate

    Measured: From baseline to day 120

  21. Adverse events

    evaluation of occurrence of the nature, frequency, severity and relatedness of adverse events as well as clinically significant laboratory values

    Measured: From baseline to day 120

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2021
  2. Study start24 Jun 2020
  3. Primary completion28 Jul 2023
  4. Study completion31 Aug 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
randomized, double-blind, placebo-controlled, parallel group, multi-center trial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
143 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05114018
Sponsor's protocol ID
AFCRO-117
Status last verified
Sep 2023
First submitted
7 Oct 2021
Last updated
8 Jun 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Depommier C, Everard A, Druart C, Plovier H, Van Hul M, Vieira-Silva S, Falony G, Raes J, Maiter D, Delzenne NM, de Barsy M, Loumaye A, Hermans MP, Thissen JP, de Vos WM, Cani PD. Supplementation with Akkermansia muciniphila in overweight and obese human volunteers: a proof-of-concept exploratory study. Nat Med. 2019 Jul;25(7):1096-1103. doi: 10.1038/s41591-019-0495-2. Epub 2019 Jul 1.

    PubMed 31263284
  • Suenaert P, Segers A, Rymenans L, Devroye H, Moll JM, Cani PD, de Vos WM. Effect of pasteurized Akkermansia muciniphila MucT on insulin sensitivity, body composition, and GLP-1 production in subjects with metabolic syndrome: impact of low baseline gut Akkermansia levels. Gut Microbes. 2026 Dec 31;18(1):2690689. doi: 10.1080/19490976.2026.2690689. Epub 2026 Jun 24.

    PubMed 42343233

Questions about this trial

What is this clinical trial studying?

A study testing Pasteurized A. muciniphila in people with Metabolic Syndrome and Pre-diabetes, run by A-Mansia Biotech S.A. at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Germany, Ireland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Insulin sensitivity by Matsuda Index (time frame: From baseline to day 120). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05114018, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jun 2025.

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