About this trial
This clinical trial aims to evaluate the safety and efficacy of oral Lactobacillus reuteri supplementation for treating obesity-induced skin barrier impairment in individuals aged 18-40 with a BMI ≥30. The study focuses on the following questions:
Can oral Lactobacillus reuteri supplementation reduce skin barrier damage (measured by transepidermal water loss/TEWL) in obese participants? Does modulation of gut microbiota with Lactobacillus reuteri impact skin barrier function and systemic inflammation?
Researchers will compare outcomes across two groups:
Intervention Group (Obese): Oral Lactobacillus reuteri capsules. Placebo Control Group (Obese): Oral inactive (heat-killed) Lactobacillus reuteri.
Participant Procedures:
Take daily oral capsules (Lactobacillus reuteri or inactive strain) for 4 weeks.
Undergo non-invasive skin testing (TEWL measurements) at baseline and study completion.
Provide stool and samples for analyses. Complete weekly check-ins to report adverse effects (e.g., gastrointestinal discomfort, skin irritation).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
a. Normal weight (18.5-24.9 kg/m²)
b. Overweight (25-29.9 kg/m²)
c. Obesity (≥30 kg/m²)
2. Presence of skin barrier impairment (e.g., dryness, erythema, desquamation, or itching)
Disqualifiers
1. Known allergy or hypersensitivity to probiotics, placebo, or investigational product
2. Active skin disease (e.g., psoriasis, eczema, infection) requiring treatment
a. Cardiopulmonary disease (NYHA class III/IV)
b. Uncontrolled diabetes (HbA1c >9%)
Trial design
Parallel
Treatments tested in this trial
Oral Lactobacillus reuteri group
Biological/Vaccine1×10\^11 CFU of inactive Lactobacillus reuteri was given orally once daily for one month
Oral administration of inactive Lactobacillus reuteri group
Biological/Vaccine1×10\^11 CFU of inactive Lactobacillus reuteri was given orally once daily for one month
Treatment groups
Trial outcomes
Primary outcomes
Change in Transepidermal Water Loss (TEWL)
Mean change from baseline in transepidermal water loss (TEWL) on the volar forearm, measured by Tewameter under standardized conditions, reported in grams per square meter per hour (g/m²/h).
Secondary outcomes
Change in Fecal Genistein Concentration
Mean change from baseline in the concentration of genistein in fecal samples, quantified using LC-MS/MS, reported in micrograms per gram (μg/g)
Change in Skin Microbial Alpha Diversity
Mean change from baseline in the Shannon Diversity Index of skin microbiota, assessed via 16S rRNA gene sequencing.
Change in clinical skin health score
Mean change from baseline in the total score of the Skin Dryness Scoring System, reported as a continuous score (0-8, replace with your scale range).
Change in Body Mass Index (BMI)
Mean change from baseline in Body Mass Index (BMI), calculated as weight in kilograms divided by height in meters squared, reported in kg/m².
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: