The purpose of this study is to conduct a multicenter randomized, double-blind, placebo-controlled clinical trial, evaluating the effects and change of gut microbiota after berberine and/or probiotics administration in patients with newly diagnosed type 2 diabetes
In the present study, about 400 newly-diagnosed type 2 diabetes patients will be enrolled from multiple centers in China. Randomisation was computer generated and stratified by age. After screening, eligible subjects will be given Gentamycin Sulfate Sustained-release Tablets 80mg bid po for a week at the washout period, then all participants will be randomly assigned into one of the following four groups: Berberine hydrochloride tablets(0.6g bid po)and ProMetS probiotics powder(4g qN po), Berberine placebo tablets(6 pills bid po) and ProMetS probiotics powder (4g qN po), Berberine hydrochloride tablets(0.6g bid po)and Probiotics placebo powder (2 strips qN po), Berberine placebo tablets(6 pills bid po) and Probiotics placebo powder (2 strips qN po) for 3 months. The primary objective is to determine whether a combination of probiotics and berberine is preferable to either berberine alone or probiotics alone, in comparison with placebo in improving 1). glycemic control, as measured by change in HbA1c level from baseline to 13-week follow-up, and 2). glycemic control, as measured by change in HbA1c level from baseline to 13-week follow-up in participants aged ≥ 50 years. Blood, feces and urine samples will be collected before and after treatment. HbA1C, fasting plasma glucose (FPG), postprandial plasma glucose (PPG), GLP-1 , lipids, amino acids, bile acids and other metabolic related components and parameters will be measured. Furthermore, the change of gut microbiota will be evaluated too.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
400
1. 0.6g (6 pills) of Berberine tablets administered twice a day orally before meal ; 2. 4g (2 strips) of ProMetS probiotics powder administered orally every night
1. 6 pills of Berberine placebo tablets administered twice a day orally before meal; 2. 4g (2 strips) of ProMetS probiotics powder administered orally every night
1. 0.6g (6 pills) of Berberine tablets administered twice a day orally before meal; 2. 2 strips of probiotics placebo powder administered orally every night
Ruijin hospital,Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
HbA1c
Time frame: 13 weeks
Gut microbiome
Time frame: 13 weeks
Fasting glucose levels
Time frame: 13 weeks
2-hour postprandial glucose levels
Time frame: 13 weeks
Fasting insulin levels
Time frame: 13 weeks
2-hour postprandial insulin levels
Time frame: 13 weeks
Serum Triglycerides
Time frame: 13 weeks
Serum total Cholesterol
Time frame: 13 weeks
Serum HDL-c
Time frame: 13 weeks
Serum LDL-c
Time frame: 13 weeks
Blood metabolomics profile measurement
In aid of LC/MS and GC/MS technique, we will measure the metabolomics molecular profile in blood samples before and after treatment. The metabolomics measurement will help to detect the profile of all kinds of bile acid species, lipids species and amino acid species. The composition change of all these biological molecular induced by the treatment is our major interest rather than single molecular quantification
Time frame: 13 weeks
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1. 6 pills of Berberine placebo tablets administered twice a day orally before meal; 2. 2 strips of probiotics placebo powder administered orally every night
Blood Incretin
In aid of multiple ELISA based on xMAP Luminex technology, we will measure gut hormones, including Glp-1, GIP and PYY in ng/ml.
Time frame: 13 weeks
Inflammation markers (hs-CRP, TNF-alfa, IL-6, and IL-8 etc. in ng/ml)
Time frame: 13 weeks