Obesity, Overweight and Obesity
Conditions
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
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.
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Change in Fat Loss (g) | 12 weeks from baseline | 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 |
| Change in Fat Loss (Percentage of Body Weight) | 12 weeks from baseline | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Android/Gynoid Fat Ratio | 12 weeks from baseline | 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. |
| Muscle Mass (g) | 12 weeks from baseline | The 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 baseline | 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. |
| Waist Circumference | Baseline, 6 weeks and 12 weeks | The difference in change from baseline between B. breve and placebo in Waist circumference after 6 and 12 weeks of supplementation. |
| Hip Circumference | Baseline, 6 weeks and 12 weeks | The difference in change from baseline between B. breve and placebo in hip circumference after 6 and 12 weeks of supplementation. |
| Waist/Hip Circumference Ratio | Baseline, 6 weeks and 12 weeks | 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. |
| Microbiota Analysis: Shannon Index | 12 weeks from baseline | 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. |
| Microbiota Analysis: Chao1 Index | 12 weeks from baseline | 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. |
| Microbiota Analysis: Evenness Index | 12 weeks from baseline | 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. |
| Microbiota Analysis: Observed ASV Index | 12 weeks from baseline | 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. |
| Microbiota Analysis: Faith's PD Index | 12 weeks from baseline | 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.). |
| Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 12 weeks from baseline | 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. |
| Total Cholesterol | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in total cholesterol after 12 weeks of supplementation. |
| HDL-cholesterol | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in HDL-cholesterol after 12 weeks of supplementation. |
| LDL-cholesterol | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in LDL-cholesterol after 12 weeks of supplementation. |
| Triglycerides | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in triglycerides after 12 weeks of supplementation. |
| Fasting Blood Glucose | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in fasting blood glucose after 12 weeks of supplementation. |
| HbA1c | Baseline and 12 weeks of supplementation | The difference in change from baseline between B. breve and placebo in HbA1c after 12 weeks of supplementation. |
| Fasting Insulin | Baseline and 12 weeks of supplementation | The 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 supplementation | The difference in change from baseline between B. breve and placebo in ALP after 12 weeks of supplementation. |
| Body Weight | 12 weeks from baseline | The 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 supplementation | The 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 supplementation | The difference in change from baseline between B. breve and placebo in AST after 12 weeks of supplementation. |
| Frequency of Bowel Movements | Baseline, 6 and 12 weeks of supplementation | The 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 supplementation | The difference in change from baseline between B. breve and placebo in GGT after 12 weeks of supplementation. |
| BMI | 12 weeks from baseline | The difference in change from baseline between B. breve and placebo in BMI after 12 weeks of supplementation |
Countries
Canada
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 95 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Withdrawal by Subject | 4 | 2 |
Baseline characteristics
| Characteristic | Placebo | B. Breve | Total |
|---|---|---|---|
| Age, Continuous | 48.04 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 Participants | 5 Participants | 9 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 43 Participants | 43 Participants | 86 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Fat mass | 30191 g STANDARD_DEVIATION 4645 | 29587 g STANDARD_DEVIATION 5942 | 29886 g STANDARD_DEVIATION 5320 |
| Fat mass ratio | 40.5 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 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized African American | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Central American | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized East Asian | 0 Participants | 3 Participants | 3 Participants |
| Race/Ethnicity, Customized Eastern European White | 4 Participants | 5 Participants | 9 Participants |
| Race/Ethnicity, Customized Hispanic or Latino | 4 Participants | 4 Participants | 8 Participants |
| Race/Ethnicity, Customized Middle Eastern | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Mixed | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized South American | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized South Asian | 0 Participants | 3 Participants | 3 Participants |
| Race/Ethnicity, Customized South East Asian | 1 Participants | 1 Participants | 2 Participants |
| Race/Ethnicity, Customized Western European White | 35 Participants | 28 Participants | 63 Participants |
| Sex: Female, Male Female | 40 Participants | 38 Participants | 78 Participants |
| Sex: Female, Male Male | 7 Participants | 10 Participants | 17 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 48 | 0 / 47 |
| other Total, other adverse events | 36 / 48 | 32 / 47 |
| serious Total, serious adverse events | 0 / 48 | 0 / 47 |
Outcome results
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Fat Loss (g) | -78.38 g | Standard Deviation 2186.66 |
| Placebo | Change in Fat Loss (g) | -9.43 g | Standard Deviation 1428.19 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Fat Loss (Percentage of Body Weight) | -0.18 percentage of body weight | Standard Deviation 2.01 |
| Placebo | Change in Fat Loss (Percentage of Body Weight) | -0.12 percentage of body weight | Standard Deviation 1.35 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Alanine Aminotransferase (ALT) | 0.60 U/L | Standard Deviation 12.72 |
| Placebo | Alanine Aminotransferase (ALT) | -1.70 U/L | Standard Deviation 7.63 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Alkaline Phosphatase (ALP) | 2.83 U/L | Standard Deviation 13.21 |
| Placebo | Alkaline Phosphatase (ALP) | 0.40 U/L | Standard Deviation 8.44 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Android/Gynoid Fat Ratio | -0.02 percentage of gynoid fat ratio | Standard Deviation 0.06 |
| Placebo | Android/Gynoid Fat Ratio | 0.01 percentage of gynoid fat ratio | Standard Deviation 0.06 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Aspartate Transaminase (AST) | 0.40 U/L | Standard Deviation 5.91 |
| Placebo | Aspartate Transaminase (AST) | -1.77 U/L | Standard Deviation 7.66 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | BMI | -0.02 kilogram per square meter (kg/m^2) | Standard Deviation 0.9 |
| Placebo | BMI | 0.03 kilogram per square meter (kg/m^2) | Standard Deviation 0.65 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Body Weight | -0.04 kg | Standard Deviation 2.45 |
| Placebo | Body Weight | 0.10 kg | Standard Deviation 1.72 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.8 g | Standard Deviation 269.1 |
| Placebo | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 83.14 g | Standard Deviation 217.59 |
| Enterotype 2-B. Breve | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -37.1 g | Standard Deviation 411.6 |
| Enterotype 2-Placebo | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 1.13 g | Standard Deviation 119.24 |
| Enterotype 3-B. Breve | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -24.43 g | Standard Deviation 190.81 |
| Enterotype 3-Placebo | Change in Android Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -122 g | Standard Deviation 65.64 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.56 percentage of android tissue | Standard Deviation 2.8 |
| Placebo | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.53 percentage of android tissue | Standard Deviation 1.17 |
| Enterotype 2-B. Breve | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.84 percentage of android tissue | Standard Deviation 4.48 |
| Enterotype 2-Placebo | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.26 percentage of android tissue | Standard Deviation 1.92 |
| Enterotype 3-B. Breve | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.33 percentage of android tissue | Standard Deviation 2.7 |
| Enterotype 3-Placebo | Change in Android Fat (% of Android Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | -1.7 percentage of android tissue | Standard Deviation 0.87 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | -0.01 percentage of gynoid fat | Standard Deviation 0.05 |
| Placebo | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.01 percentage of gynoid fat | Standard Deviation 0.06 |
| Enterotype 2-B. Breve | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | -0.04 percentage of gynoid fat | Standard Deviation 0.1 |
| Enterotype 2-Placebo | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.00 percentage of gynoid fat | Standard Deviation 0.06 |
| Enterotype 3-B. Breve | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.02 percentage of gynoid fat | Standard Deviation 0.04 |
| Enterotype 3-Placebo | Change in Android:Gynoid Fat Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | -0.03 percentage of gynoid fat | Standard Deviation 0.02 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change 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 |
| Placebo | Change in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0 | 0.16 kilogram per square meter (kg/m^2) | Standard Deviation 0.67 |
| Enterotype 2-B. Breve | Change in Body Mass Index in Participant Groups Classified by Microbiota Composition at Week 0 | 0.18 kilogram per square meter (kg/m^2) | Standard Deviation 0.6 |
| Enterotype 2-Placebo | Change 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. Breve | Change 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-Placebo | Change 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 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 83.52 g | Standard Deviation 555.31 |
| Placebo | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 75.09 g | Standard Deviation 310.83 |
| Enterotype 2-B. Breve | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 94.50 g | Standard Deviation 452.95 |
| Enterotype 2-Placebo | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -4.13 g | Standard Deviation 524.2 |
| Enterotype 3-B. Breve | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 107.29 g | Standard Deviation 420.15 |
| Enterotype 3-Placebo | Change in Gynoid Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 36 g | Standard Deviation 677.02 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.2 percentage of gynoid tissue | Standard Deviation 2.48 |
| Placebo | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.28 percentage of gynoid tissue | Standard Deviation 1.75 |
| Enterotype 2-B. Breve | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.74 percentage of gynoid tissue | Standard Deviation 2.44 |
| Enterotype 2-Placebo | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.1 percentage of gynoid tissue | Standard Deviation 2.65 |
| Enterotype 3-B. Breve | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.36 percentage of gynoid tissue | Standard Deviation 2.51 |
| Enterotype 3-Placebo | Change in Gynoid Fat (% of Gynoid Tissue) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.57 percentage of gynoid tissue | Standard Deviation 1.6 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -1.08 cm | Standard Deviation 4.08 |
| Placebo | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -0.26 cm | Standard Deviation 5.08 |
| Enterotype 2-B. Breve | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -1.07 cm | Standard Deviation 3.3 |
| Enterotype 2-Placebo | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -1.77 cm | Standard Deviation 4.04 |
| Enterotype 3-B. Breve | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -0.86 cm | Standard Deviation 2.13 |
| Enterotype 3-Placebo | Change in Hip Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -2.1 cm | Standard Deviation 0.17 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 108.28 g | Standard Deviation 1273.45 |
| Placebo | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 364.82 g | Standard Deviation 981.21 |
| Enterotype 2-B. Breve | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 600.4 g | Standard Deviation 1660.45 |
| Enterotype 2-Placebo | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -82.87 g | Standard Deviation 1441.46 |
| Enterotype 3-B. Breve | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -580.57 g | Standard Deviation 1202.31 |
| Enterotype 3-Placebo | Change in Muscle Mass (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 550 g | Standard Deviation 641.47 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.31 percentage of body weight | Standard Deviation 2.04 |
| Placebo | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.2 percentage of body weight | Standard Deviation 1.04 |
| Enterotype 2-B. Breve | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.26 percentage of body weight | Standard Deviation 2.28 |
| Enterotype 2-Placebo | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.12 percentage of body weight | Standard Deviation 1.7 |
| Enterotype 3-B. Breve | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.48 percentage of body weight | Standard Deviation 1.86 |
| Enterotype 3-Placebo | Change in Muscle Mass (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 1.18 percentage of body weight | Standard Deviation 1.84 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -238.24 g | Standard Deviation 2301.91 |
| Placebo | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 55.77 g | Standard Deviation 1290.03 |
| Enterotype 2-B. Breve | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 31.8 g | Standard Deviation 2251.64 |
| Enterotype 2-Placebo | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 51.67 g | Standard Deviation 1506.94 |
| Enterotype 3-B. Breve | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | 335.14 g | Standard Deviation 1883.4 |
| Enterotype 3-Placebo | Change in Total Body Fat (g) in Participant Groups Classified by Microbiota Composition at Week 0 | -793 g | Standard Deviation 2325.77 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.28 percentage of body weight | Standard Deviation 2.02 |
| Placebo | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.14 percentage of body weight | Standard Deviation 1.05 |
| Enterotype 2-B. Breve | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -0.31 percentage of body weight | Standard Deviation 2.26 |
| Enterotype 2-Placebo | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.09 percentage of body weight | Standard Deviation 1.64 |
| Enterotype 3-B. Breve | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | 0.38 percentage of body weight | Standard Deviation 1.79 |
| Enterotype 3-Placebo | Change in Total Body Fat (% of Body Weight) in Participant Groups Classified by Microbiota Composition at Week 0 | -1.02 percentage of body weight | Standard Deviation 1.95 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -0.36 cm | Standard Deviation 3.46 |
| Placebo | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | 0.00 cm | Standard Deviation 3.41 |
| Enterotype 2-B. Breve | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | 0.63 cm | Standard Deviation 2.38 |
| Enterotype 2-Placebo | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -0.94 cm | Standard Deviation 3.29 |
| Enterotype 3-B. Breve | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | 0.03 cm | Standard Deviation 0.93 |
| Enterotype 3-Placebo | Change in Waist Circumference in Participant Groups Classified by Microbiota Composition at Week 0 | -2.4 cm | Standard Deviation 3.4 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.01 percentage of hip circumference | Standard Deviation 0.05 |
| Placebo | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.00 percentage of hip circumference | Standard Deviation 0.06 |
| Enterotype 2-B. Breve | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.02 percentage of hip circumference | Standard Deviation 0.04 |
| Enterotype 2-Placebo | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.01 percentage of hip circumference | Standard Deviation 0.03 |
| Enterotype 3-B. Breve | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | 0.01 percentage of hip circumference | Standard Deviation 0.01 |
| Enterotype 3-Placebo | Change in Waist:Hip Circumference Ratio in Participant Groups Classified by Microbiota Composition at Week 0 | -0.01 percentage of hip circumference | Standard Deviation 0.04 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | -0.17 kg | Standard Deviation 2.76 |
| Placebo | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | 0.46 kg | Standard Deviation 1.79 |
| Enterotype 2-B. Breve | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | 0.58 kg | Standard Deviation 1.96 |
| Enterotype 2-Placebo | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | -0.25 kg | Standard Deviation 1.37 |
| Enterotype 3-B. Breve | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | -0.44 kg | Standard Deviation 1.93 |
| Enterotype 3-Placebo | Change in Weight in Participant Groups Classified by Microbiota Composition at Week 0 | -0.77 kg | Standard Deviation 2.63 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Fasting Blood Glucose | 0.05 mmol/L | Standard Deviation 0.39 |
| Placebo | Fasting Blood Glucose | 0.15 mmol/L | Standard Deviation 0.33 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Fasting Insulin | -9.43 pmol/L | Standard Deviation 61.49 |
| Placebo | Fasting Insulin | 4.10 pmol/L | Standard Deviation 28.25 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Frequency of Bowel Movements | 6 weeks from baseline | -0.36 bowel movements | Standard Deviation 2.03 |
| B. Breve | Frequency of Bowel Movements | 12 weeks from baseline | -0.12 bowel movements | Standard Deviation 2.05 |
| Placebo | Frequency of Bowel Movements | 6 weeks from baseline | 0.82 bowel movements | Standard Deviation 2.68 |
| Placebo | Frequency of Bowel Movements | 12 weeks from baseline | 0.62 bowel movements | Standard Deviation 2.37 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Gamma-glutamyl Transferase (GGT) | 0.81 U/L | Standard Deviation 5.58 |
| Placebo | Gamma-glutamyl Transferase (GGT) | 0.25 U/L | Standard Deviation 3.72 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | HbA1c | 0.02 percentage of glycated hemoglobin | Standard Deviation 0.17 |
| Placebo | HbA1c | 0.03 percentage of glycated hemoglobin | Standard Deviation 0.17 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | HDL-cholesterol | -0.03 mmol/L | Standard Deviation 0.18 |
| Placebo | HDL-cholesterol | 0.00 mmol/L | Standard Deviation 0.19 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Hip Circumference | 6 weeks from baseline | -0.67 cm | Standard Deviation 3.97 |
| B. Breve | Hip Circumference | 12 weeks from baseline | -1.04 cm | Standard Deviation 3.58 |
| Placebo | Hip Circumference | 6 weeks from baseline | -0.80 cm | Standard Deviation 3.77 |
| Placebo | Hip Circumference | 12 weeks from baseline | -0.97 cm | Standard Deviation 4.51 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | LDL-cholesterol | -0.06 mmol/L | Standard Deviation 0.57 |
| Placebo | LDL-cholesterol | 0.09 mmol/L | Standard Deviation 0.47 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Microbiota Analysis: Chao1 Index | Chao1@baseline | 135.90 Chao1 index | Standard Deviation 31.16 |
| B. Breve | Microbiota Analysis: Chao1 Index | Chao1@12 weeks | 165.90 Chao1 index | Standard Deviation 40.57 |
| Placebo | Microbiota Analysis: Chao1 Index | Chao1@baseline | 141.50 Chao1 index | Standard Deviation 36.73 |
| Placebo | Microbiota Analysis: Chao1 Index | Chao1@12 weeks | 158.20 Chao1 index | Standard Deviation 39.36 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Microbiota Analysis: Evenness Index | Evenness@baseline | 0.84 Evenness Index | Standard Deviation 0.026 |
| B. Breve | Microbiota Analysis: Evenness Index | Evenness@12 weeks | 0.82 Evenness Index | Standard Deviation 0.03 |
| Placebo | Microbiota Analysis: Evenness Index | Evenness@baseline | 0.84 Evenness Index | Standard Deviation 0.038 |
| Placebo | Microbiota Analysis: Evenness Index | Evenness@12 weeks | 0.82 Evenness Index | Standard Deviation 0.0058 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Microbiota Analysis: Faith's PD Index | Faith's PD@baseline | 14.82 Faith's PD Index | Standard Deviation 3.17 |
| B. Breve | Microbiota Analysis: Faith's PD Index | Faith's PD@12 weeks | 15.71 Faith's PD Index | Standard Deviation 3.81 |
| Placebo | Microbiota Analysis: Faith's PD Index | Faith's PD@baseline | 14.57 Faith's PD Index | Standard Deviation 3.84 |
| Placebo | Microbiota Analysis: Faith's PD Index | Faith's PD@12 weeks | 15.53 Faith's PD Index | Standard Deviation 3.49 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Microbiota Analysis: Observed ASV Index | Observed ASV@baseline | 136.60 Observed ASV Index | Standard Deviation 32.94 |
| B. Breve | Microbiota Analysis: Observed ASV Index | Observed ASV@12 weeks | 163.00 Observed ASV Index | Standard Deviation 38.68 |
| Placebo | Microbiota Analysis: Observed ASV Index | Observed ASV@baseline | 132.40 Observed ASV Index | Standard Deviation 35.65 |
| Placebo | Microbiota Analysis: Observed ASV Index | Observed ASV@12 weeks | 156.1 Observed ASV Index | Standard Deviation 38.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Microbiota Analysis: Shannon Index | Shannon@baseline | 5.92 Shannon Index | Standard Deviation 0.42 |
| B. Breve | Microbiota Analysis: Shannon Index | Shannon@12 weeks | 6.00 Shannon Index | Standard Deviation 0.43 |
| Placebo | Microbiota Analysis: Shannon Index | Shannon@baseline | 5.88 Shannon Index | Standard Deviation 0.52 |
| Placebo | Microbiota Analysis: Shannon Index | Shannon@12 weeks | 5.97 Shannon Index | Standard Deviation 0.5 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Muscle Mass (g) | 110.64 g | Standard Deviation 1380.62 |
| Placebo | Muscle Mass (g) | 210.82 g | Standard Deviation 1157.93 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Muscle Mass (Percentage of Body Weight) | 0.17 percentage of body weight | Standard Deviation 2.04 |
| Placebo | Muscle Mass (Percentage of Body Weight) | 0.15 percentage of body weight | Standard Deviation 1.38 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Total Cholesterol | -0.05 mmol/L | Standard Deviation 0.69 |
| Placebo | Total Cholesterol | 0.08 mmol/L | Standard Deviation 0.53 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| B. Breve | Triglycerides | 0.09 mmol/L | Standard Deviation 0.54 |
| Placebo | Triglycerides | -0.04 mmol/L | Standard Deviation 0.5 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Waist Circumference | 6 weeks from baseline | -0.22 cm | Standard Deviation 3.32 |
| B. Breve | Waist Circumference | 12 weeks from baseline | -0.06 cm | Standard Deviation 2.92 |
| Placebo | Waist Circumference | 6 weeks from baseline | -0.54 cm | Standard Deviation 3.31 |
| Placebo | Waist Circumference | 12 weeks from baseline | -0.54 cm | Standard Deviation 3.35 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| B. Breve | Waist/Hip Circumference Ratio | 6 weeks from baseline | 0.00 percentage of hip circumference | Standard Deviation 0.04 |
| B. Breve | Waist/Hip Circumference Ratio | 12 weeks from baseline | 0.01 percentage of hip circumference | Standard Deviation 0.04 |
| Placebo | Waist/Hip Circumference Ratio | 6 weeks from baseline | 0.00 percentage of hip circumference | Standard Deviation 0.05 |
| Placebo | Waist/Hip Circumference Ratio | 12 weeks from baseline | 0.00 percentage of hip circumference | Standard Deviation 0.05 |