Metabolic syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: otherwise healthy Caucasian obese subjects with metabolic syndrome (males, aged 21 to 69 years-old; body mass index (BMI) 25 to 43 kg/m2, fasting plasma glucose > 5.6 mmol/l and/or HOMA-IR>2.5, fasting triglycerides > 1.6 mmol/l, waist circumference > 102 cm and not on concomitant medication and regular stool pattern.
Exclusion criteria
Exclusion criteria: A history of cardiovascular event (myocardial infarction or pacemaker implantation), smoking,cholecystectomy, use of medication including proton pump inhibitors (PPI as this influences intestinal microbiota composition), oral anticoagulants and/or oral antibiotics in the past three months, (expected) prolonged compromised immunity (e.g. due to recent cytotoxic chemotherapy or HIV-infection with a CD4 count 12 to 15 g of alcohol per day, or >12 oz of beer, 5 oz of wine, or 1.5 oz of distilled spirits); or overt Dm2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is safety (plasma biochemistry eg hepatic /inflammatory/cholesterol markers) in relation to efficacy (changes in fecal E. hallii levels and insulin sensitivity as assessed by hyperinsulinemic clamp using [6,6 2H2]-glucose and [1,1,2,3,3]-2H5-glycerol infusion) between baseline and 4 weeks of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include daily dietary intake and quality of life and bowel habits (monitored using standardized questionnaires) as well as intestinal microbiota composition (including fecal E. hallii) in fecal samples at 1, 2, 4 weeks after treatment. Moreover, effects on bile acid metabolism in 24h feces and hepatic MRI (for liverfat content) at baseline and after 4 weeks. Finally, washout of fecal E.hallii will be determined after cessation of therapy at 4 weeks by collecting fecal samples at 5 and 6 weeks. | — |
Countries
Netherlands