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The present study is a randomized, double-blind (Double dummy), placebo-controlled, parallel-group study to assess the gut health effects of heat-killed post biotics in overweight and obese individuals
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | 1 capsule to be consumed once a day |
|
| EF2001 | Active Comparator | 1 capsule to be consumed once a day |
|
| beLP1 | Active Comparator | 1 capsule to be consumed once a day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EF2001 | Dietary Supplement | One capsule to be consumed once a day |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To assess efficacy of the Post-biotics on Gastrointestinal Symptom Rating Scale (GSRS) from baseline. | Questions are to be rated on a Likert scale ranging from no discomfort at all (0) to very severe discomfort (3). A total score is calculated by summing the ratings provided on all questions. The questionnaire has 18 items - epigastric pain, colicky pain, dull pain, undefined pain, heartburn, acid regurgitation, sucking sensation, nausea and vomiting, borborygmus, abdominal distension, eructation, increased flatus, decreased passage of stools, increased passage of stools, loose stools, hard stools, urgent need for defecation and feeling of incomplete evacuation | Day 42 and Day 84 |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the impact of the IP from baseline as compared to placebo on Body Composition using Dual Energy X-ray Absorptiometry scan (DEXA).. | The overall body composition (Lean Body Mass, Body Fat percent, Fat Free Mass, android and gynoid fat) will be evaluated using Dual Energy X-ray Absorptiometry scan (DEXA). | Day 42 and Day 84 |
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Inclusion Criteria:
Male and female individuals with the age ≥18 and ≤45 years with active lifestyle, moderate physical activity level as per International Physical Activity Questionnaire - Short Form (IPAQ-SF - SF)
BMI of ≥ 25 - ≤ 35 kg/m2
Individuals with liver & renal function test values as defined below:
Having at least two of the following five metabolic risk factors:
History of mild to moderate gastrointestinal discomfort for at least last three months
Individuals experiencing moderate-intensity gastrointestinal symptoms, evaluated based on the combined scores of two GSRS domains (dyspeptic syndrome and bowel dysfunction), falling within the range of ≥ 15 and ≤ 29 over the past two weeks. (The highest score out of two weeks' GSRS scores will be taken into consideration for the study)
Willing to complete all study procedures including study-related questionnaires and comply with study requirements.
Willing to abstain from other supplements or medication.
Ready to give voluntary, written, informed consent to participate in the study
No prohibited antibiotic usage within the last 30 days.
History of stable weight over the last 6 months (<10% change)
Willing to maintain current dietary and exercise habits, aside from any changes to be made per the study exercise protocol
Randomization Criteria:
Exclusion Criteria:
Individual who smokes and consumes tobacco regularly.
Presence of unstable, acutely symptomatic, or life-limiting illness.
Individuals with neurological conditions causing functional or cognitive impairments.
Individual under use of antibiotics or signs of active systemic infection at the time of screening. Treatment visits will be rescheduled to allow the subject to wash off the antibiotic for at least five days prior to any test visit
Individual states they regularly consume supplemental enzymes and are unwilling to stop at least one week prior to screening and throughout the study. Supplemental enzymes may include standalone enzyme supplements, probiotic supplements with enzymes, and any medications containing enzymes.
Individuals state they have an allergy or intolerance to any ingredient in the study product or test meal.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. KotharisDigestive andLiver care | Pune | Maharashta | 411028 | India | ||
| AIIMS Hospital |
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Randomized, parallel group, placebo controlled trial
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| beLP1 |
| Dietary Supplement |
One capsule to be consumed once a day |
|
| Placebo | Dietary Supplement | One capsule to be consumed once a day |
|
| To assess the impact of the IP from baseline as compared to Gut permeability by assessing the levels of Lipopolysaccharide Binding Protein (LBP). |
The amount of the LBP will be calculated based on the standard curve. A study demonstrated an average of 7.8 μg/mL of LBP in obese individuals and 6 μg/mL in normal weight individuals. |
| Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Homeostasis Model Assessment-Estimated Insulin Resistance (HOMA-IR) | HOMA-IR = (Fasting glucose × Insulin levels) ÷ 40 In a clinical study, subjects without metabolic syndrome exhibited a HOMA-IR value of 2.39, whereas obese subjects showed a higher HOMA-IR of 4.04. | Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Immunomodulation using INF-γ | In the current study, the impact of the heat killed postbiotics will be evaluated in enhancing the immune-modulatory characteristics in individuals under metabolic stress | Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Cytokine levels like IL-6. | IL-6 may be considered as a significant prognostic indicator of risk of any metabolic disorder. | Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Inflammation by assessing the levels of Tumor necrosis factor -alpha (TNF - α) | TNF levels were elevated in adipose tissue in obese and insulin-resistant rodents and suggested that TNF had a role in mediating insulin resistance | Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Lipid profile: Total cholesterol, Triglyceride, HDL, LDL. | The Lipid Profile will be performed on Roche cobas, Desirable cholesterol level is < 5.17 mmol/L (< 200 mg/dL). Desirable HDL level is > 1.68 mmol/L (> 65 mg/dL) in females & > 1.45 mmol/L (> 55 mg/dL) in males. Normal range of triglycerides is < 1.70 mmol/L (< 150 mg/dL) | Day 42 and Day 84 |
| To assess the impact of the IP from baseline on Perceived Stress Scale (PSS) | Perceived Stress Scale (PSS). Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress. | Day 42 and Day 84 |
| To assess the impact of the IP from baseline as compared to placebo on Quality of life using Digestive Associated Quality of Life Questionnaire. | Quality of life using Digestive Associated Quality of Life Questionnaire., The total score represents the sum of the responses to the 9 statements with possible scores ranging from 0 to 9. A higher score indicates a lower (worse) digestion-associated QOL. | Day 42 and Day 84 |
| To assess the impact of the IP on change in the following parameters baseline on Short Chain Fatty Acids (SCFA) | Short Chain Fatty Acids (SCFA) | Day 84 |
| To assess the impact of the IP on change in the following parameters from baseline on Humoral response as assessed by Th1/Th2 in plasma. | Th1 cells secrete the cytokine interferon-gamma and activate inflammatory pathways mainly via macrophage activation .Th2 cells secrete cytokines interleukin-4 and -5 that upregulate antibody formation via B cells, mast cells, eosinophils, and other pathways. Th1 and Th2 cells can cross-inhibit each other | Day 84 |
| To assess the impact of the IP on change in the following parameters from baseline on Gut microbiome diversity using metagenome NGS sequencing of the fecal samples. | Gut microbiome diversity using metagenome NGS sequencing of the fecal samples. | Day 84 |
| Dombivali |
| Maharashtra |
| 421203 |
| India |
| Ramesh Dargad Clinic | Mumbai | Maharashtra | 400049 | India |
| Sarthak Health Clinic. | Nashik | Maharashtra | 422001 | India |
| Surya Multispeciality hospita | Nashik | Maharashtra | 422003 | India |
| Dr. Thakare superspeaciality clinic | Nashik | Maharashtra | 422008 | India |
| Life care Hospital | Nashik | Maharashtra | 422009 | India |
| Metabol | Ghātkopar | 400086 | India |
| Dhanwantari Hospita | Pune | 411002 | India |