AzTrials
AzTrials

EndotoxemiaNCT05776329

Dietary Intervention to Reduce Metabolic Endotoxemia

A study testing AIA-D and CONV-D in people with Endotoxemia and Intestinal Microbiota, run by Centro de Investigación en Alimentación y Desarrollo A.C. at 2 sites in Mexico.

Completed

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

Official record
Search all trials

Trial summary

The goal of this randomized clinical trial is to compare an antiinflammatory and environmentally friendly dietary strategy (AIA-D) designed based on the planetary health diet recommendations translated to the regional context and including nutrients related to antiinflammatory responses with an active control diet… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Endotoxemia, Intestinal Microbiota, Dietary Habits
What is being tested?
AIA-D and CONV-D
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
2 sitesMexico
Study dates
14 Apr 2023to 30 Jan 2024
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 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Obesity according to body mass index: ≥ 30 kg/m2
  • Willingness to participate and sign the consent form.
  • Willingness to follow the dietary recommendations of the protocol.
  • Have access to the internet and an electronic device.

Who cannot join

  • Clinically diagnosed with hyperglycemia, hypertension, cardiovascular disease, renal disease, hepatic disease, immunosuppression, or another metabolic disease.
  • Being under a dietary restriction regimen or pharmacological treatment to lose weight.
  • Consuming dietary supplements for at least six months (vitamins, fatty acids, probiotics, prebiotics).
  • Being under treatment with antibiotics or anti-inflammatory drugs in the last three months.
  • Having bariatric surgery.
  • Being pregnant or lactating.
Show all 11Show fewer
  • Present gastrointestinal disease
  • Present Coronavirus disease (COVID-19) symptoms
  • Develop diseases that affect body weight
  • Becoming pregnant
  • Withdrawal of informed consent.

Trial locations and contacts

2 sites in 1 country.

Mexico2 sites
  • Universidad Vizcaya de las Américas

    Hermosillo, Sonora, 83240

  • Centro de Investigación en Alimentación y Desarrollo

    Hermosillo, Sonora, 83304

Other trials in Mexico

About this study

Official title: Randomized Controlled Clinical Trial on the Anti-inflammatory Effect of a Sustainable Dietary Strategy in Adults With Obesity

The goal of this randomized clinical trial is to compare an antiinflammatory and environmentally friendly dietary strategy (AIA-D) designed based on the planetary health diet recommendations translated to the regional context and including nutrients related to antiinflammatory responses with an active control diet based on general healthy diet recommendations (CONV-D) in adults from 18 to 50 years of age with obesity (body mass index ≥30 kg/m2). The main questions it aims to answer are:

  • If the intervention with AIA-D will cause a significant decrease at the end of the intervention (six weeks) in lipopolysaccharide-binding protein (LBP) compared to CONV-D.
  • If intervention with AIA-D will cause a significant increase at the end of the intervention (six weeks) in the relative abundance of two specific bacteria genera (AM and FP) when compared to CONV-D.
Read more

Participants will:

  • Sign the informed consent.
  • Provide two peripheral blood samples (taken by our trained professionals).
  • Provide two samples of feces.
  • Allow anthropometric (body weight, height, hip and waist circumferences) blood pressure measurements on two occasions.
  • Respond to 24 h dietary recall on two occasions.
  • Attend the 1-hour group sessions requested (three for AIA-D and one for CONV-D).
  • Follow the dietary recommendations provided.
  • Be willing to participate in social media groups to receive information and follow up during the six weeks of the intervention.

Researchers will compare an antiinflammatory and environmentally friendly strategy (AIA-D) with an active control diet (CONV-D) based on general healthy diet recommendations to see if AIA-D decreases metabolic endotoxemia measured through LBP serum levels and increase the relative abundance of AM and FP, compared to CONV-D.

Read the detailed description

This randomized clinical trial proposes to evaluate an environmentally friendly dietary strategy (AIA-D) designed based on the planetary health diet recommendations translated to the regional context and including nutrients related to anti-inflammatory responses that can decrease metabolic endotoxemia and promote FP and AM growth associated with anti-inflammatory effects and good intestinal health compared to an active control diet (CONV-D) general healthy diet recommendations.

Primary hypothesis: The intervention with a low-inflammatory and environmentally friendly dietary strategy aimed at adults diagnosed with obesity (body mass index ≥30 kg/m2) will cause a significant decrease at the end of the intervention (six weeks) in the levels of lipopolysaccharide-binding protein (metabolic endotoxemia), and significantly increase the relative abundance of AM and FP, when compared to general healthy diet recommendations.

Secondary hypotheses: The intervention with a low-inflammatory and environmentally friendly dietary strategy aimed at adults diagnosed with obesity (body mass index ≥30 kg/m2) will cause a significant increase at the end of the intervention (six weeks) in the relative abundance of Prevotella, when compared to general healthy diet recommendations.

The intervention with a low-inflammatory and environmentally friendly dietary strategy aimed at adults diagnosed with obesity (body mass index ≥30 kg/m2) will cause a significant decrease at the end of the intervention (six weeks) of body weight, percentage of body fat, body mass index, circumferences of waist and hip when compared to general healthy diet recommendations.

The intervention with a low-inflammatory and environmentally friendly dietary strategy aimed at adults diagnosed with obesity (body mass index ≥30 kg/m2) will improve blood pressure more than the general healthy diet recommendations.

Being tested
AIA-D, CONV-D
Keywords
Metabolic endotoxemia, Lipopolysaccharide binding protein, Dietary inflammatory index, Planetary health diet
Medical subject headings
Endotoxemia, Feeding Behavior, Obesity

What participants receive

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

  • AIA-DBehavioural

    The total energy contribution (1800 kcal/d) is 20% from protein, 25% from lipids, and 55% from carbohydrates. The recommendations include increasing protein intake primarily from plant sources, limiting the intake of red and processed meat, reducing refined sugar, and moderating dairy consumption. It also includes a list of locally produced and seasonal fruits and vegetables and a list of selected ingredients with anti-inflammatory properties to elaborate their foods. Participants will attend 3 motivational sessions of 1 h every two weeks. Besides nutrition and health, the motivational talks focused on the environmental impact of sustainability. Session 1: Planetary healthy diet. The inflammatory potential of diet. Explanation of the program. Session 2. Effect of ultra-processed food on health. Session 3. Healthy diets.

    Follow-up information, recipes, and pictures of dishes that meet the given recommendations will be sent once a week through closed social media groups.

  • CONV-DBehavioural

    CONV-D is based on general healthy diet recommendations. The total energy contribution (1800 kcal/d) was 20% from protein, 25% from lipids, and 55% from carbohydrates.

    Among the recommended food groups are fruits (5 times a day), vegetables (5 times a day), cereals (3 times a day), legumes (3 times a day), dairy products (2 times a day), food of animal origin (3 times per day).

    Participants in the CONV-D group will attend one motivational and nutritional orientation session on day 1 of the intervention.

    Session 1. Food and nutrition. Obesity and diet. General healthy diet recommendations. Delivery of material (table of food equivalents).

    Follow-up information will be sent once a week through closed social media groups.

Study groups in NCT05776329
Study groupRoleWhat they receive
Low-inflammatory and environmentally friendly dietary strategy (AIA-D)ExperimentalThe environmentally friendly dietary strategy (AIA-D) designed based on the planetary health diet recommendations translated to the regional context and includes nutrients related to anti-inflammatory responses
Receives: Behavioral: AIA-D
General healthy diet recommendations (CONV-D).Active comparatorThe active comparator CONV-D is based on the general healthy diet recommendations
Receives: Behavioral: CONV-D

What is being measured

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

  1. Change in Lipopolysaccharide-binding protein (LBP).

    Peripheral blood samples will be taken before and after the intervention, centrifuged for serum extraction, and stored at -80°C until analysis. ELISA kits were used to quantify LBP.

    Measured: Baseline to six weeks

  2. Change in relative abundance of FP

    According to the manufacturer's instructions, total DNA will be extracted from fecal samples and quantified by a spectrophotometer, where the ratio of 1.8-2.0 (260/280) is acceptable. DNA samples will be stored at -80°C until analysis. FP will be amplified from DNA extracted from fecal samples by quantitative polymerase chain reaction (qPCR). A specific set of primers will be used. The relative expression of the gen (relative abundance) will be calculated. The 16S ribosomal RNA (16S) (V4) normalizing gen will be used for analysis.

    Measured: Baseline to six weeks

  3. Change in relative abundance of AM

    According to the manufacturer's instructions, total DNA will be extracted from fecal samples and quantified by a spectrophotometer, where the ratio of 1.8-2.0 (260/280) is acceptable. DNA samples will be stored at -80°C until analysis. AM will be amplified from DNA extracted from fecal samples by quantitative polymerase chain reaction (qPCR). A specific set of primers will be used. The relative expression of the gen (relative abundance) will be calculated. The 16S ribosomal RNA (16S) (V4) normalizing gen will be used for analysis.

    Measured: Baseline to six weeks

Secondary outcomes (10)
  1. Change in abundance of Prevotella

    According to the manufacturer's instructions, total DNA will be extracted from fecal samples and quantified by a spectrophotometer, where the ratio of 1.8-2.0 (260/280) is acceptable. DNA samples will be stored at -80°C until analysis. Prevotella will be amplified from DNA extracted from fecal samples by quantitative polymerase chain reaction (qPCR). A specific set of primers will be used. The relative expression of the gen (relative abundance) will be calculated. The 16S ribosomal RNA (16S) (V4) normalizing gen will be used for analysis.

    Measured: Baseline to six weeks

  2. Change in body weight

    Body weight will be measured with minimal clothing using a digital electronic scale (capacity of 0 to 150 ± 0.05 kg).

    Measured: Baseline to six weeks

  3. Change in body mass index

    The body mass index will be calculated by dividing the weight (kg) by the square of height (m). Height will be measured using a stadiometer (rank 0.70-2.05 m) while barefoot participants were standing with their heads in the Frankfurt plane

    Measured: Baseline to six weeks

  4. Change in hip circumference

    The hip circumference will be measured using a flexible anthropometric tape (200 cm) at the widest circumference of the gluteus.

    Measured: Baseline to six weeks

  5. Change in waist circumference

    The waist circumference will be measured using a flexible anthropometric tape (200 cm) at the level of the umbilicus

    Measured: Baseline to six weeks

  6. Change in waist-to-hip ratio

    The waist-to-hip ratio will be calculated by dividing waist circumference (cm) by hip circumference (cm).

    Measured: Baseline to six weeks

  7. Change in percentage of body fat

    An electrical bioimpedance analysis device will measure body fat.

    Measured: Baseline to six weeks

  8. Change in the dietary inflammatory index.

    The DII and energy-adjusted-DII (E-DII) will be calculated from the dietary data collected using 24-h dietary recall for each participant. E-DII scores were calculated using the density approach wherein all nutrients were converted to 1000 kcal consumption.

    Measured: Baseline to six weeks

  9. Change in blood pressure

    Systolic and diastolic blood pressure will be measured by a digital device.

    Measured: Baseline to six weeks

  10. Retention

    Percentage of participants that finished the intervention

    Measured: Baseline to six weeks

Timeline

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

  1. First posted20 Mar 2023
  2. Study start14 Apr 2023
  3. Primary completion30 Jan 2024
  4. Study completion30 Jan 2024

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
An interventional randomized controlled clinical trial of parallel design with active control.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05776329
Sponsor's protocol ID
SYMC001
Status last verified
Feb 2024
First submitted
8 Mar 2023
Last updated
7 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The database will be available from the principal investigator upon reasonable request.

Publications

  • Halmos EP, Christophersen CT, Bird AR, Shepherd SJ, Gibson PR, Muir JG. Diets that differ in their FODMAP content alter the colonic luminal microenvironment. Gut. 2015 Jan;64(1):93-100. doi: 10.1136/gutjnl-2014-307264. Epub 2014 Jul 12.

    PubMed 25016597
  • Gray L, Hasebe K, O'Hely M, Ponsonby AL, Vuillermin P, Collier F; BIS Investigator Group. Rapid PCR identification of Prevotella copri in an Australian cohort of pregnant women. J Dev Orig Health Dis. 2020 Jun;11(3):228-234. doi: 10.1017/S2040174419000849. Epub 2019 Dec 17.

    PubMed 31843036
  • Shivappa N, Steck SE, Hurley TG, Hussey JR, Hebert JR. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 2014 Aug;17(8):1689-96. doi: 10.1017/S1368980013002115. Epub 2013 Aug 14.

    PubMed 23941862
  • Hebert JR, Shivappa N, Wirth MD, Hussey JR, Hurley TG. Perspective: The Dietary Inflammatory Index (DII)-Lessons Learned, Improvements Made, and Future Directions. Adv Nutr. 2019 Mar 1;10(2):185-195. doi: 10.1093/advances/nmy071.

    PubMed 30615051
  • Willett W, Rockstrom J, Loken B, Springmann M, Lang T, Vermeulen S, Garnett T, Tilman D, DeClerck F, Wood A, Jonell M, Clark M, Gordon LJ, Fanzo J, Hawkes C, Zurayk R, Rivera JA, De Vries W, Majele Sibanda L, Afshin A, Chaudhary A, Herrero M, Agustina R, Branca F, Lartey A, Fan S, Crona B, Fox E, Bignet V, Troell M, Lindahl T, Singh S, Cornell SE, Srinath Reddy K, Narain S, Nishtar S, Murray CJL. Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019 Feb 2;393(10170):447-492. doi: 10.1016/S0140-6736(18)31788-4. Epub 2019 Jan 16. No abstract available.

    PubMed 30660336

Questions about this trial

What is this clinical trial studying?

A study testing AIA-D and CONV-D in people with Endotoxemia and Intestinal Microbiota, run by Centro de Investigación en Alimentación y Desarrollo A.C. at 2 sites in Mexico.

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 4 inclusion and 11 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 7 Feb 2024. 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 Mexico. 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. 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?

Change in Lipopolysaccharide-binding protein (LBP). (time frame: Baseline to six weeks). The study lists 3 primary outcomes in all. 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 NCT05776329, which also lists 5 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 7 Feb 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in