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Investigation of the Effects of a Bifidobacterium Breve Strain on Fat Loss in Healthy Adults

A Randomized, Double-blind, Placebo-controlled Study to Investigate the Effects of a Bifidobacterium Breve Strain on Fat Loss in Healthy Adults

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04677738
Enrollment
95
Registered
2020-12-21
Start date
2020-08-20
Completion date
2024-01-05
Last updated
2025-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Overweight and Obesity

Brief summary

Overweight has become a critical issue in North America and the market value of weight loss products is expected to rise as the population becomes more health-conscious and aware of the risks associated with excess body weight. This randomized, placebo-controlled, clinical trial investigates the effect of Bifidobacterium breve supplementation with exercise intervention on fat loss.

Detailed description

In early adulthood, excess body weight is a risk factor associated with several health complications later on in life and probiotics have been used for decades for maintaining intestinal health, and in recent years probiotics have been proposed for weight management. This randomized, placebo-controlled, clinical trial investigates the effect of Bifidobacterium breve supplementation with exercise intervention on fat loss.

Interventions

DIETARY_SUPPLEMENTB. breve strain

Probiotic capsule. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of B. breve strain in the morning before breakfast for 12 weeks.

DIETARY_SUPPLEMENTPlacebo

Placebo capsule. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of placebo in the morning before breakfast for 12 weeks.

Sponsors

KGK Science Inc.
CollaboratorINDUSTRY
Morinaga Milk Industry Co., LTD
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female between 20 and 65 years of age, inclusive * BMI from 25.0 to 29.9 kg/m2, inclusive * Female participants are not of child-bearing potential, defined as females who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal (natural or surgically) for at least 1 year prior to screening * Or, Females of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include: 1. Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo-Provera, Lunelle), or hormone implant (Norplant System) 2. Double-barrier method 3. Intrauterine devices 4. Non-heterosexual lifestyle or agrees to use contraception if planning on changing to heterosexual partner(s) 5. Vasectomy of partner at least 6 months prior to screening * Self-reported stable body weight for the past 3 months defined as not having gained or lost more than 5 kg of body weight throughout the 3 months prior to baseline * Participants with the following body fat percentages as determined by Bioelectrical Impedance Analysis (BIA): 1. Female: ≥ 30% 2. Male: ≥ 20% * Agrees to follow the diet and exercise guidelines for the duration of the study * Willingness to complete questionnaires, records, and diaries associated with the study, to complete all clinic visits, and provide stool samples * Provide voluntary, written, informed consent to participate in the study * Healthy as determined by medical history, laboratory results and physical exam as assessed by the Qualified Investigator (QI)

Exclusion criteria

* Women who are pregnant, breastfeeding or planning to become pregnant during the trial * Allergy, sensitivity, or intolerance to the investigational product's active or inactive ingredients * Clinically significant abnormal laboratory results at screening as assessed by the QI * Current or history of any significant gastrointestinal disease requiring medication (e.g. GERD, gastroenteritis) * Irregular sleep schedule * Chronic diarrhea or constipation * Participants with hypertension and are on antihypertensive medication * Type I or Type II diabetes * Participants with hyperlipidemia and are on medication * Self-reported sleep apnea * Self-reported current or pre-existing thyroid condition. Treatment on a stable dose of medication for at least 3 months will be considered by the QI * Unstable metabolic disease or chronic diseases as assessed by the QI * History of or current diagnosis with kidney and/or liver diseases as assessed by the QI on a case-by-case basis, with the exception of history of kidney stones in participants who are symptom-free for 6 months * Significant cardiovascular event in the past 6 months. Participants with no significant cardiovascular event on stable medication may be included after assessment by the QI on a case by case basis * Major surgery in the past 3 months or individuals who have planned surgery during the trial period. Participants with minor surgery will be considered on a case-by-case basis by the QI * Cancer, except skin cancers completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than five years after diagnosis are acceptable * Individuals with an autoimmune disease or are immune-compromised * Self-reported HIV-, Hepatitis B- and/or C-positive diagnosis * Blood/bleeding disorders as determined by laboratory results * Self-reported mental or neuropsychological condition and/or cognitive impairment that, in the QI's opinion, could interfere with study participation * Metal implants that may affect the DXA scan results will be assessed on a case- by-case basis by the QI. * Current use of prescribed medications listed in Section Prescribed Medications as follows: 1. Beta-blockers and thiazide diuretics (within 4 weeks of baseline) 2. Weight loss medication (within 4 weeks of baseline) 3. Lipid-lowering medications (within 4 weeks of baseline) 4. Anticoagulants and coagulants (within 4 weeks of baseline) 5. Sleep medication 6. Selective serotonin reuptake inhibitors (SSRI) 7. Antibiotics 8. Non-steroidal anti-inflammatory drugs (NSAIDs) 9. Proton pump inhibitors (PPIs) 10. Metformin (unless on a stable dose for the last 6 months) * Current use of over-the-counter medications, supplements, foods and/or drinks as follows: 1. OTC NSAIDs (PRN use is acceptable) 2. OTC blood pressure medication or supplements (within 4 weeks of 3. baseline) 4. Lipid metabolising supplements (within 4 weeks of baseline) 5. Fish oil and omega-3 supplements 6. Red yeast rice 7. Plant sterols and stanols 8. OTC medication or supplements marketed for weight loss (within 4 weeks 9. of baseline) 10. Vitamin E supplements (within 4 weeks of baseline) 11. Coagulant/anticoagulant supplements (within 4 weeks of baseline) 12. PPIs * Use of cannabinoid products within 60 days of baseline. History of cannabis used will be assessed on a case by case basis by the QI * Use of tobacco products within 60 days of baseline * Self-reported alcohol or drug abuse within the last 12 months * High alcohol intake (average of \> 2 standard drinks per day or \> 10 per week) * Current employment that calls for shift work or have worked shift work in the last 3 weeks * Participation in other clinical research trials 30 days prior to screening * Blood donation 30 days prior to screening, during the study, or a planned donation within 30-days of the last study visit * Individuals who are unable to give informed consent * Any other condition, that, in the opinion of the QI, may adversely affect the participant's ability to complete the study or its measures, or which may pose a significant risk to the participant

Design outcomes

Primary

MeasureTime frameDescription
Change in Fat Loss (g)12 weeks from baselineThe difference in change in fat loss from baseline (g), as assessed by Dual-Energy X-Ray Absorptiometry (DXA), between B. breve and placebo after 12 weeks of supplementation. Body tissue density will be measured by a form of X-ray radiation and converted into body fat and muscle mass percentage for assessment
Change in Fat Loss (Percentage of Body Weight)12 weeks from baselineThe difference in change in fat loss from baseline (percentage of body weight), as assessed by Dual-Energy X-Ray Absorptiometry (DXA), between B. breve and placebo after 12 weeks of supplementation. Body tissue density will be measured by a form of X-ray radiation and converted into body fat and muscle mass percentage for assessment

Secondary

MeasureTime frameDescription
Android/Gynoid Fat Ratio12 weeks from baselineThe difference in change from baseline between B. breve and placebo in android/gynoid fat ratio as assessed by DXA after 12 weeks of supplementation. Android-gynoid percent fat ratio is a pattern of body fat distribution that is associated with an increased risk for metabolic syndrome in healthy adults. The measurement of android/gynoid fat ratio is defined as the ratio of the percentage of android fat to the percentage of gynoid fat.
Muscle Mass (g)12 weeks from baselineThe difference in change from baseline between B. breve and placebo in muscle mass (g) as assessed by DXA after 12 weeks of supplementation.
Muscle Mass (Percentage of Body Weight)12 weeks from baselineThe difference in change from baseline between B. breve and placebo in muscle mass (percentage of body weight) as assessed by DXA after 12 weeks of supplementation.
Waist CircumferenceBaseline, 6 weeks and 12 weeksThe difference in change from baseline between B. breve and placebo in Waist circumference after 6 and 12 weeks of supplementation.
Hip CircumferenceBaseline, 6 weeks and 12 weeksThe difference in change from baseline between B. breve and placebo in hip circumference after 6 and 12 weeks of supplementation.
Waist/Hip Circumference RatioBaseline, 6 weeks and 12 weeksThe difference in change from baseline between B. breve and placebo in waist/hip circumference ratio after 6 and 12 weeks of supplementation. The waist/hip circumference ratio is defined as the percentage of waist circumference to hip circumference. The change in waist/hip circumference ratio from baseline to week 12 was calculated.
Microbiota Analysis: Shannon Index12 weeks from baselineAlpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Shannon Index (or Shannon-Wiener/Shannon-Weaver index) is a widely used metric in ecology to quantify alpha diversity, which measures both species richness and evenness. The value of the Shannon Index ranges from a minimum of zero, when there is only one species present (no diversity), to a maximum of ln(S), the natural logarithm of the total number of species (richness) to the base of Euler's number (e), which means all species are equally abundant. High values indicate a diverse, balanced community.
Microbiota Analysis: Chao1 Index12 weeks from baselineAlpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Chao1 Index estimates total species richness, including rare/undetected species. The value of the Chao1 Index ranges from a minimum, close to zero (suggesting reduced richness, often observed in dysbiosis) to a theoretically unbounded maximum, as it depends on rare species. Higher values indicate greater estimated species richness, generally associated with a healthier gut microbiome, linked to resilience, metabolic versatility, and protection against pathogens.
Microbiota Analysis: Evenness Index12 weeks from baselineAlpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Evenness Index measures how evenly individuals are distributed among species in a community, such as the gut microbiome. It complements species richness (the number of species) to describe diversity, ranging from 0 (only a single species, meaning there is no evenness.) to 1, where 1 indicates perfect evenness, meaning all species are equally abundant. Higher Evenness Index value (closer to 1) is generally considered better, as it suggests a more balanced and stable ecosystem. Conversely, lower value (closer to 0) is generally considered worse, as it suggests that a few species dominate the community, which can be associated with dysbiosis or an unhealthy gut microbiome.
Microbiota Analysis: Observed ASV Index12 weeks from baselineAlpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. Observed ASV (Amplicon Sequence Variants) Index refers to the number of distinct Amplicon Sequence Variants (ASVs) detected in a sample. ASVs are highly resolved sequences used to identify and differentiate microbial taxa, providing finer resolution than traditional Operational Taxonomic Units (OTUs). The range of Observed ASV Index in gut microbiome samples can range from a few hundred to several thousand, depending on several factors, including sample source, health status of the host, diet and lifestyle, as well as sequencing depth and methodology. Typically, higher Observed ASV Index indicates a more diverse microbial community, which can contribute to improved gut function and overall health.
Microbiota Analysis: Faith's PD Index12 weeks from baselineAlpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. Faith's Phylogenetic Diversity (PD) is a measure used in ecology to quantify the biodiversity of a sample based on the phylogenetic tree. In the context of the gut microbiome, it specifically measures the diversity of microbial species by considering both the number of species present (richness) and the phylogenetic differences between them. In practice, the values can range from very low (close to zero, indicating low microbial diversity linked to various health issues) to very high (indicates greater evolutionary diversity, which may enhance ecosystem resilience and is generally considered better in the context of gut microbiome health.).
Change in Weight in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in weight in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in body mass index in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in total body fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in total body fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in muscle mass (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in muscle mass (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in android fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in android fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in gynoid fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in gynoid fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in android:gynoid fat ratio in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in waist circumference in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in hip circumference, in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 012 weeks from baselineThe change from baseline between B. breve and placebo in waist:hip circumference ratio in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.
Total CholesterolBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in total cholesterol after 12 weeks of supplementation.
HDL-cholesterolBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in HDL-cholesterol after 12 weeks of supplementation.
LDL-cholesterolBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in LDL-cholesterol after 12 weeks of supplementation.
TriglyceridesBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in triglycerides after 12 weeks of supplementation.
Fasting Blood GlucoseBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in fasting blood glucose after 12 weeks of supplementation.
HbA1cBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in HbA1c after 12 weeks of supplementation.
Fasting InsulinBaseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in fasting insulin after 12 weeks of supplementation.
Alkaline Phosphatase (ALP)Baseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in ALP after 12 weeks of supplementation.
Body Weight12 weeks from baselineThe difference in change from baseline between B. breve and placebo in body weight after 12 weeks of supplementation
Alanine Aminotransferase (ALT)Baseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in ALT after 12 weeks of supplementation.
Aspartate Transaminase (AST)Baseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in AST after 12 weeks of supplementation.
Frequency of Bowel MovementsBaseline, 6 and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in Frequency of bowel movements after 6 and 12 weeks of supplementation.
Gamma-glutamyl Transferase (GGT)Baseline and 12 weeks of supplementationThe difference in change from baseline between B. breve and placebo in GGT after 12 weeks of supplementation.
BMI12 weeks from baselineThe difference in change from baseline between B. breve and placebo in BMI after 12 weeks of supplementation

Countries

Canada

Participant flow

Participants by arm

ArmCount
B. Breve
Capsule containing B breve strain. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of B. breve strain in the morning before breakfast for 12 weeks. B. breve strain: Probiotic capsule. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of B. breve strain in the morning before breakfast for 12 weeks.
48
Placebo
Placebo delivered in capsule format. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of placebo in the morning before breakfast for 12 weeks. Placebo: Placebo capsule. Participants will be instructed to take 2 capsules of placebo for 4 weeks during the run-in period. On day 1 participants will be instructed to take 2 capsules of placebo in the morning before breakfast for 12 weeks.
47
Total95

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject42

Baseline characteristics

CharacteristicPlaceboB. BreveTotal
Age, Continuous48.04 years
STANDARD_DEVIATION 11.16
41.71 years
STANDARD_DEVIATION 10.43
44.84 years
STANDARD_DEVIATION 11.2
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants5 Participants9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
43 Participants43 Participants86 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Fat mass30191 g
STANDARD_DEVIATION 4645
29587 g
STANDARD_DEVIATION 5942
29886 g
STANDARD_DEVIATION 5320
Fat mass ratio40.5 percentage of body weight
STANDARD_DEVIATION 5.8
39.4 percentage of body weight
STANDARD_DEVIATION 7.5
40.0 percentage of body weight
STANDARD_DEVIATION 6.7
Race/Ethnicity, Customized
African
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
African American
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Central American
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
East Asian
0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Eastern European White
4 Participants5 Participants9 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants4 Participants8 Participants
Race/Ethnicity, Customized
Middle Eastern
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Mixed
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Other
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
South American
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
South Asian
0 Participants3 Participants3 Participants
Race/Ethnicity, Customized
South East Asian
1 Participants1 Participants2 Participants
Race/Ethnicity, Customized
Western European White
35 Participants28 Participants63 Participants
Sex: Female, Male
Female
40 Participants38 Participants78 Participants
Sex: Female, Male
Male
7 Participants10 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 480 / 47
other
Total, other adverse events
36 / 4832 / 47
serious
Total, serious adverse events
0 / 480 / 47

Outcome results

Primary

Change in Fat Loss (g)

The difference in change in fat loss from baseline (g), as assessed by Dual-Energy X-Ray Absorptiometry (DXA), between B. breve and placebo after 12 weeks of supplementation. Body tissue density will be measured by a form of X-ray radiation and converted into body fat and muscle mass percentage for assessment

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Fat Loss (g)-78.38 gStandard Deviation 2186.66
PlaceboChange in Fat Loss (g)-9.43 gStandard Deviation 1428.19
Primary

Change in Fat Loss (Percentage of Body Weight)

The difference in change in fat loss from baseline (percentage of body weight), as assessed by Dual-Energy X-Ray Absorptiometry (DXA), between B. breve and placebo after 12 weeks of supplementation. Body tissue density will be measured by a form of X-ray radiation and converted into body fat and muscle mass percentage for assessment

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Fat Loss (Percentage of Body Weight)-0.18 percentage of body weightStandard Deviation 2.01
PlaceboChange in Fat Loss (Percentage of Body Weight)-0.12 percentage of body weightStandard Deviation 1.35
Secondary

Alanine Aminotransferase (ALT)

The difference in change from baseline between B. breve and placebo in ALT after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveAlanine Aminotransferase (ALT)0.60 U/LStandard Deviation 12.72
PlaceboAlanine Aminotransferase (ALT)-1.70 U/LStandard Deviation 7.63
Secondary

Alkaline Phosphatase (ALP)

The difference in change from baseline between B. breve and placebo in ALP after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveAlkaline Phosphatase (ALP)2.83 U/LStandard Deviation 13.21
PlaceboAlkaline Phosphatase (ALP)0.40 U/LStandard Deviation 8.44
Secondary

Android/Gynoid Fat Ratio

The difference in change from baseline between B. breve and placebo in android/gynoid fat ratio as assessed by DXA after 12 weeks of supplementation. Android-gynoid percent fat ratio is a pattern of body fat distribution that is associated with an increased risk for metabolic syndrome in healthy adults. The measurement of android/gynoid fat ratio is defined as the ratio of the percentage of android fat to the percentage of gynoid fat.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveAndroid/Gynoid Fat Ratio-0.02 percentage of gynoid fat ratioStandard Deviation 0.06
PlaceboAndroid/Gynoid Fat Ratio0.01 percentage of gynoid fat ratioStandard Deviation 0.06
Secondary

Aspartate Transaminase (AST)

The difference in change from baseline between B. breve and placebo in AST after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveAspartate Transaminase (AST)0.40 U/LStandard Deviation 5.91
PlaceboAspartate Transaminase (AST)-1.77 U/LStandard Deviation 7.66
Secondary

BMI

The difference in change from baseline between B. breve and placebo in BMI after 12 weeks of supplementation

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveBMI-0.02 kilogram per square meter (kg/m^2)Standard Deviation 0.9
PlaceboBMI0.03 kilogram per square meter (kg/m^2)Standard Deviation 0.65
Secondary

Body Weight

The difference in change from baseline between B. breve and placebo in body weight after 12 weeks of supplementation

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveBody Weight-0.04 kgStandard Deviation 2.45
PlaceboBody Weight0.10 kgStandard Deviation 1.72
Secondary

Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in android fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-0.8 gStandard Deviation 269.1
PlaceboChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 083.14 gStandard Deviation 217.59
Enterotype 2-B. BreveChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-37.1 gStandard Deviation 411.6
Enterotype 2-PlaceboChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 01.13 gStandard Deviation 119.24
Enterotype 3-B. BreveChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-24.43 gStandard Deviation 190.81
Enterotype 3-PlaceboChange in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-122 gStandard Deviation 65.64
Secondary

Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in android fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0-0.56 percentage of android tissueStandard Deviation 2.8
PlaceboChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.53 percentage of android tissueStandard Deviation 1.17
Enterotype 2-B. BreveChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0-0.84 percentage of android tissueStandard Deviation 4.48
Enterotype 2-PlaceboChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.26 percentage of android tissueStandard Deviation 1.92
Enterotype 3-B. BreveChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.33 percentage of android tissueStandard Deviation 2.7
Enterotype 3-PlaceboChange in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0-1.7 percentage of android tissueStandard Deviation 0.87
Secondary

Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in android:gynoid fat ratio in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0-0.01 percentage of gynoid fatStandard Deviation 0.05
PlaceboChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 00.01 percentage of gynoid fatStandard Deviation 0.06
Enterotype 2-B. BreveChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0-0.04 percentage of gynoid fatStandard Deviation 0.1
Enterotype 2-PlaceboChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 00.00 percentage of gynoid fatStandard Deviation 0.06
Enterotype 3-B. BreveChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 00.02 percentage of gynoid fatStandard Deviation 0.04
Enterotype 3-PlaceboChange in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0-0.03 percentage of gynoid fatStandard Deviation 0.02
Secondary

Change in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in body mass index in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0-0.06 kilogram per square meter (kg/m^2)Standard Deviation 1.04
PlaceboChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 00.16 kilogram per square meter (kg/m^2)Standard Deviation 0.67
Enterotype 2-B. BreveChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 00.18 kilogram per square meter (kg/m^2)Standard Deviation 0.6
Enterotype 2-PlaceboChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0-0.11 kilogram per square meter (kg/m^2)Standard Deviation 0.52
Enterotype 3-B. BreveChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0-0.13 kilogram per square meter (kg/m^2)Standard Deviation 0.7
Enterotype 3-PlaceboChange in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0-0.3 kilogram per square meter (kg/m^2)Standard Deviation 1.01
Secondary

Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in gynoid fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 083.52 gStandard Deviation 555.31
PlaceboChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 075.09 gStandard Deviation 310.83
Enterotype 2-B. BreveChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 094.50 gStandard Deviation 452.95
Enterotype 2-PlaceboChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-4.13 gStandard Deviation 524.2
Enterotype 3-B. BreveChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0107.29 gStandard Deviation 420.15
Enterotype 3-PlaceboChange in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 036 gStandard Deviation 677.02
Secondary

Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in gynoid fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.2 percentage of gynoid tissueStandard Deviation 2.48
PlaceboChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.28 percentage of gynoid tissueStandard Deviation 1.75
Enterotype 2-B. BreveChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.74 percentage of gynoid tissueStandard Deviation 2.44
Enterotype 2-PlaceboChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.1 percentage of gynoid tissueStandard Deviation 2.65
Enterotype 3-B. BreveChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 00.36 percentage of gynoid tissueStandard Deviation 2.51
Enterotype 3-PlaceboChange in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0-0.57 percentage of gynoid tissueStandard Deviation 1.6
Secondary

Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in hip circumference, in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-1.08 cmStandard Deviation 4.08
PlaceboChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-0.26 cmStandard Deviation 5.08
Enterotype 2-B. BreveChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-1.07 cmStandard Deviation 3.3
Enterotype 2-PlaceboChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-1.77 cmStandard Deviation 4.04
Enterotype 3-B. BreveChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-0.86 cmStandard Deviation 2.13
Enterotype 3-PlaceboChange in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0-2.1 cmStandard Deviation 0.17
Secondary

Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in muscle mass (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0108.28 gStandard Deviation 1273.45
PlaceboChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0364.82 gStandard Deviation 981.21
Enterotype 2-B. BreveChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0600.4 gStandard Deviation 1660.45
Enterotype 2-PlaceboChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0-82.87 gStandard Deviation 1441.46
Enterotype 3-B. BreveChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0-580.57 gStandard Deviation 1202.31
Enterotype 3-PlaceboChange in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0550 gStandard Deviation 641.47
Secondary

Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in muscle mass (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 00.31 percentage of body weightStandard Deviation 2.04
PlaceboChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 00.2 percentage of body weightStandard Deviation 1.04
Enterotype 2-B. BreveChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 00.26 percentage of body weightStandard Deviation 2.28
Enterotype 2-PlaceboChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-0.12 percentage of body weightStandard Deviation 1.7
Enterotype 3-B. BreveChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-0.48 percentage of body weightStandard Deviation 1.86
Enterotype 3-PlaceboChange in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 01.18 percentage of body weightStandard Deviation 1.84
Secondary

Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in total body fat (g) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-238.24 gStandard Deviation 2301.91
PlaceboChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 055.77 gStandard Deviation 1290.03
Enterotype 2-B. BreveChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 031.8 gStandard Deviation 2251.64
Enterotype 2-PlaceboChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 051.67 gStandard Deviation 1506.94
Enterotype 3-B. BreveChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0335.14 gStandard Deviation 1883.4
Enterotype 3-PlaceboChange in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0-793 gStandard Deviation 2325.77
Secondary

Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in total body fat (%) in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-0.28 percentage of body weightStandard Deviation 2.02
PlaceboChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-0.14 percentage of body weightStandard Deviation 1.05
Enterotype 2-B. BreveChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-0.31 percentage of body weightStandard Deviation 2.26
Enterotype 2-PlaceboChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 00.09 percentage of body weightStandard Deviation 1.64
Enterotype 3-B. BreveChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 00.38 percentage of body weightStandard Deviation 1.79
Enterotype 3-PlaceboChange in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0-1.02 percentage of body weightStandard Deviation 1.95
Secondary

Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in waist circumference in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0-0.36 cmStandard Deviation 3.46
PlaceboChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 00.00 cmStandard Deviation 3.41
Enterotype 2-B. BreveChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 00.63 cmStandard Deviation 2.38
Enterotype 2-PlaceboChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0-0.94 cmStandard Deviation 3.29
Enterotype 3-B. BreveChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 00.03 cmStandard Deviation 0.93
Enterotype 3-PlaceboChange in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0-2.4 cmStandard Deviation 3.4
Secondary

Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in waist:hip circumference ratio in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 00.01 percentage of hip circumferenceStandard Deviation 0.05
PlaceboChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 00.00 percentage of hip circumferenceStandard Deviation 0.06
Enterotype 2-B. BreveChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 00.02 percentage of hip circumferenceStandard Deviation 0.04
Enterotype 2-PlaceboChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 00.01 percentage of hip circumferenceStandard Deviation 0.03
Enterotype 3-B. BreveChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 00.01 percentage of hip circumferenceStandard Deviation 0.01
Enterotype 3-PlaceboChange in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0-0.01 percentage of hip circumferenceStandard Deviation 0.04
Secondary

Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0

The change from baseline between B. breve and placebo in weight in participant groups classified by microbiota composition at week 0, after 12 weeks of supplementation. These individual outcomes comprise relevant aspects of body composition. Each outcome will be analyzed separately and interpreted separately as well as collectively to inform relevant changes to body composition as a whole during the study.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveChange in Weight in Participant Groups Classified by Microbiota Composition at Week 0-0.17 kgStandard Deviation 2.76
PlaceboChange in Weight in Participant Groups Classified by Microbiota Composition at Week 00.46 kgStandard Deviation 1.79
Enterotype 2-B. BreveChange in Weight in Participant Groups Classified by Microbiota Composition at Week 00.58 kgStandard Deviation 1.96
Enterotype 2-PlaceboChange in Weight in Participant Groups Classified by Microbiota Composition at Week 0-0.25 kgStandard Deviation 1.37
Enterotype 3-B. BreveChange in Weight in Participant Groups Classified by Microbiota Composition at Week 0-0.44 kgStandard Deviation 1.93
Enterotype 3-PlaceboChange in Weight in Participant Groups Classified by Microbiota Composition at Week 0-0.77 kgStandard Deviation 2.63
Secondary

Fasting Blood Glucose

The difference in change from baseline between B. breve and placebo in fasting blood glucose after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveFasting Blood Glucose0.05 mmol/LStandard Deviation 0.39
PlaceboFasting Blood Glucose0.15 mmol/LStandard Deviation 0.33
Secondary

Fasting Insulin

The difference in change from baseline between B. breve and placebo in fasting insulin after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveFasting Insulin-9.43 pmol/LStandard Deviation 61.49
PlaceboFasting Insulin4.10 pmol/LStandard Deviation 28.25
Secondary

Frequency of Bowel Movements

The difference in change from baseline between B. breve and placebo in Frequency of bowel movements after 6 and 12 weeks of supplementation.

Time frame: Baseline, 6 and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveFrequency of Bowel Movements6 weeks from baseline-0.36 bowel movementsStandard Deviation 2.03
B. BreveFrequency of Bowel Movements12 weeks from baseline-0.12 bowel movementsStandard Deviation 2.05
PlaceboFrequency of Bowel Movements6 weeks from baseline0.82 bowel movementsStandard Deviation 2.68
PlaceboFrequency of Bowel Movements12 weeks from baseline0.62 bowel movementsStandard Deviation 2.37
Secondary

Gamma-glutamyl Transferase (GGT)

The difference in change from baseline between B. breve and placebo in GGT after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveGamma-glutamyl Transferase (GGT)0.81 U/LStandard Deviation 5.58
PlaceboGamma-glutamyl Transferase (GGT)0.25 U/LStandard Deviation 3.72
Secondary

HbA1c

The difference in change from baseline between B. breve and placebo in HbA1c after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveHbA1c0.02 percentage of glycated hemoglobinStandard Deviation 0.17
PlaceboHbA1c0.03 percentage of glycated hemoglobinStandard Deviation 0.17
Secondary

HDL-cholesterol

The difference in change from baseline between B. breve and placebo in HDL-cholesterol after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveHDL-cholesterol-0.03 mmol/LStandard Deviation 0.18
PlaceboHDL-cholesterol0.00 mmol/LStandard Deviation 0.19
Secondary

Hip Circumference

The difference in change from baseline between B. breve and placebo in hip circumference after 6 and 12 weeks of supplementation.

Time frame: Baseline, 6 weeks and 12 weeks

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveHip Circumference6 weeks from baseline-0.67 cmStandard Deviation 3.97
B. BreveHip Circumference12 weeks from baseline-1.04 cmStandard Deviation 3.58
PlaceboHip Circumference6 weeks from baseline-0.80 cmStandard Deviation 3.77
PlaceboHip Circumference12 weeks from baseline-0.97 cmStandard Deviation 4.51
Secondary

LDL-cholesterol

The difference in change from baseline between B. breve and placebo in LDL-cholesterol after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveLDL-cholesterol-0.06 mmol/LStandard Deviation 0.57
PlaceboLDL-cholesterol0.09 mmol/LStandard Deviation 0.47
Secondary

Microbiota Analysis: Chao1 Index

Alpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Chao1 Index estimates total species richness, including rare/undetected species. The value of the Chao1 Index ranges from a minimum, close to zero (suggesting reduced richness, often observed in dysbiosis) to a theoretically unbounded maximum, as it depends on rare species. Higher values indicate greater estimated species richness, generally associated with a healthier gut microbiome, linked to resilience, metabolic versatility, and protection against pathogens.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveMicrobiota Analysis: Chao1 IndexChao1@baseline135.90 Chao1 indexStandard Deviation 31.16
B. BreveMicrobiota Analysis: Chao1 IndexChao1@12 weeks165.90 Chao1 indexStandard Deviation 40.57
PlaceboMicrobiota Analysis: Chao1 IndexChao1@baseline141.50 Chao1 indexStandard Deviation 36.73
PlaceboMicrobiota Analysis: Chao1 IndexChao1@12 weeks158.20 Chao1 indexStandard Deviation 39.36
Secondary

Microbiota Analysis: Evenness Index

Alpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Evenness Index measures how evenly individuals are distributed among species in a community, such as the gut microbiome. It complements species richness (the number of species) to describe diversity, ranging from 0 (only a single species, meaning there is no evenness.) to 1, where 1 indicates perfect evenness, meaning all species are equally abundant. Higher Evenness Index value (closer to 1) is generally considered better, as it suggests a more balanced and stable ecosystem. Conversely, lower value (closer to 0) is generally considered worse, as it suggests that a few species dominate the community, which can be associated with dysbiosis or an unhealthy gut microbiome.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveMicrobiota Analysis: Evenness IndexEvenness@baseline0.84 Evenness IndexStandard Deviation 0.026
B. BreveMicrobiota Analysis: Evenness IndexEvenness@12 weeks0.82 Evenness IndexStandard Deviation 0.03
PlaceboMicrobiota Analysis: Evenness IndexEvenness@baseline0.84 Evenness IndexStandard Deviation 0.038
PlaceboMicrobiota Analysis: Evenness IndexEvenness@12 weeks0.82 Evenness IndexStandard Deviation 0.0058
Secondary

Microbiota Analysis: Faith's PD Index

Alpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. Faith's Phylogenetic Diversity (PD) is a measure used in ecology to quantify the biodiversity of a sample based on the phylogenetic tree. In the context of the gut microbiome, it specifically measures the diversity of microbial species by considering both the number of species present (richness) and the phylogenetic differences between them. In practice, the values can range from very low (close to zero, indicating low microbial diversity linked to various health issues) to very high (indicates greater evolutionary diversity, which may enhance ecosystem resilience and is generally considered better in the context of gut microbiome health.).

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveMicrobiota Analysis: Faith's PD IndexFaith's PD@baseline14.82 Faith's PD IndexStandard Deviation 3.17
B. BreveMicrobiota Analysis: Faith's PD IndexFaith's PD@12 weeks15.71 Faith's PD IndexStandard Deviation 3.81
PlaceboMicrobiota Analysis: Faith's PD IndexFaith's PD@baseline14.57 Faith's PD IndexStandard Deviation 3.84
PlaceboMicrobiota Analysis: Faith's PD IndexFaith's PD@12 weeks15.53 Faith's PD IndexStandard Deviation 3.49
Secondary

Microbiota Analysis: Observed ASV Index

Alpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. Observed ASV (Amplicon Sequence Variants) Index refers to the number of distinct Amplicon Sequence Variants (ASVs) detected in a sample. ASVs are highly resolved sequences used to identify and differentiate microbial taxa, providing finer resolution than traditional Operational Taxonomic Units (OTUs). The range of Observed ASV Index in gut microbiome samples can range from a few hundred to several thousand, depending on several factors, including sample source, health status of the host, diet and lifestyle, as well as sequencing depth and methodology. Typically, higher Observed ASV Index indicates a more diverse microbial community, which can contribute to improved gut function and overall health.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveMicrobiota Analysis: Observed ASV IndexObserved ASV@baseline136.60 Observed ASV IndexStandard Deviation 32.94
B. BreveMicrobiota Analysis: Observed ASV IndexObserved ASV@12 weeks163.00 Observed ASV IndexStandard Deviation 38.68
PlaceboMicrobiota Analysis: Observed ASV IndexObserved ASV@baseline132.40 Observed ASV IndexStandard Deviation 35.65
PlaceboMicrobiota Analysis: Observed ASV IndexObserved ASV@12 weeks156.1 Observed ASV IndexStandard Deviation 38.3
Secondary

Microbiota Analysis: Shannon Index

Alpha diversity at baseline and after 12-week intake were calculated by R. Alpha diversity index is usually unitless since it is a numerical value calculated by a mathematical formula, not a physical quantity. The Shannon Index (or Shannon-Wiener/Shannon-Weaver index) is a widely used metric in ecology to quantify alpha diversity, which measures both species richness and evenness. The value of the Shannon Index ranges from a minimum of zero, when there is only one species present (no diversity), to a maximum of ln(S), the natural logarithm of the total number of species (richness) to the base of Euler's number (e), which means all species are equally abundant. High values indicate a diverse, balanced community.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveMicrobiota Analysis: Shannon IndexShannon@baseline5.92 Shannon IndexStandard Deviation 0.42
B. BreveMicrobiota Analysis: Shannon IndexShannon@12 weeks6.00 Shannon IndexStandard Deviation 0.43
PlaceboMicrobiota Analysis: Shannon IndexShannon@baseline5.88 Shannon IndexStandard Deviation 0.52
PlaceboMicrobiota Analysis: Shannon IndexShannon@12 weeks5.97 Shannon IndexStandard Deviation 0.5
Secondary

Muscle Mass (g)

The difference in change from baseline between B. breve and placebo in muscle mass (g) as assessed by DXA after 12 weeks of supplementation.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveMuscle Mass (g)110.64 gStandard Deviation 1380.62
PlaceboMuscle Mass (g)210.82 gStandard Deviation 1157.93
Secondary

Muscle Mass (Percentage of Body Weight)

The difference in change from baseline between B. breve and placebo in muscle mass (percentage of body weight) as assessed by DXA after 12 weeks of supplementation.

Time frame: 12 weeks from baseline

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveMuscle Mass (Percentage of Body Weight)0.17 percentage of body weightStandard Deviation 2.04
PlaceboMuscle Mass (Percentage of Body Weight)0.15 percentage of body weightStandard Deviation 1.38
Secondary

Total Cholesterol

The difference in change from baseline between B. breve and placebo in total cholesterol after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveTotal Cholesterol-0.05 mmol/LStandard Deviation 0.69
PlaceboTotal Cholesterol0.08 mmol/LStandard Deviation 0.53
Secondary

Triglycerides

The difference in change from baseline between B. breve and placebo in triglycerides after 12 weeks of supplementation.

Time frame: Baseline and 12 weeks of supplementation

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureValue (MEAN)Dispersion
B. BreveTriglycerides0.09 mmol/LStandard Deviation 0.54
PlaceboTriglycerides-0.04 mmol/LStandard Deviation 0.5
Secondary

Waist Circumference

The difference in change from baseline between B. breve and placebo in Waist circumference after 6 and 12 weeks of supplementation.

Time frame: Baseline, 6 weeks and 12 weeks

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveWaist Circumference6 weeks from baseline-0.22 cmStandard Deviation 3.32
B. BreveWaist Circumference12 weeks from baseline-0.06 cmStandard Deviation 2.92
PlaceboWaist Circumference6 weeks from baseline-0.54 cmStandard Deviation 3.31
PlaceboWaist Circumference12 weeks from baseline-0.54 cmStandard Deviation 3.35
Secondary

Waist/Hip Circumference Ratio

The difference in change from baseline between B. breve and placebo in waist/hip circumference ratio after 6 and 12 weeks of supplementation. The waist/hip circumference ratio is defined as the percentage of waist circumference to hip circumference. The change in waist/hip circumference ratio from baseline to week 12 was calculated.

Time frame: Baseline, 6 weeks and 12 weeks

Population: Per-protocol population after excluding the participants with concomitant medication or foods according to the judgement of principal investigator.

ArmMeasureGroupValue (MEAN)Dispersion
B. BreveWaist/Hip Circumference Ratio6 weeks from baseline0.00 percentage of hip circumferenceStandard Deviation 0.04
B. BreveWaist/Hip Circumference Ratio12 weeks from baseline0.01 percentage of hip circumferenceStandard Deviation 0.04
PlaceboWaist/Hip Circumference Ratio6 weeks from baseline0.00 percentage of hip circumferenceStandard Deviation 0.05
PlaceboWaist/Hip Circumference Ratio12 weeks from baseline0.00 percentage of hip circumferenceStandard Deviation 0.05

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026