About this trial
This study is a randomized controlled trial with 120 overweight or obese (body-mass index, BMI, ≥ 24 kg/m²) participants and 20 normal-weight participants. Twelve weeks of energy-restricted nutritional and lifestyle intervention with placebo, Lactobacillus paracasei LC-19 (LC-19), or semaglutide (a glucagon-like peptide-1 receptor agonist, GLP-1RA) will be randomly conducted in the overweight or obese participants. The primary goal is to clarify the roles of LC-19 and semaglutide in weight reduction and in improving energy, glucose, and lipid metabolism, while also comparing side effects, adverse events, and long-term outcomes such as weight regain between these two interventions. In addition, the study will explore key factors affecting intervention response to provide evidence for optimizing individualized intervention strategies.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 20 to 50 years.
Normal-weight participants: 18.5 kg/m² ≤ Body Mass Index (BMI) < 24 kg/m².
Willingness to participate in this study and provide signed informed consent.
Disqualifiers
Waist circumference ≥ 90 cm for men or ≥ 85 cm for women.
Fasting glucose ≥ 6.1 mmol/L or 2-hour postprandial glucose ≥ 7.8 mmol/L, or a confirmed diagnosis of diabetes.
Systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 85 mmHg, or currently under antihypertensive treatment.
Fasting triglycerides (TG) ≥ 1.7 mmol/L; high-density lipoprotein cholesterol (HDL-C) < 0.9 mmol/L in men or < 1.0 mmol/L in women.
Trial design
Parallel
Treatments tested in this trial
General lifestyle and nutritional education
BehavioralParticipants will receive dietary advice, behavior guidance and nutritional and lifestyle education based on dietary guidelines.
Energy-restricted nutritional and lifestyle intervention
BehavioralParticipants will receive dietary advice, behavioral guidance and nutritional and lifestyle education by dietitian and physicians. App-connected wearable devices will be utilized to monitor their dietary intakes and App-connected scale will be used to monitor their weight changes during interventions.
Placebo
Dietary supplementParticipants will receive one bag (2 g; 1 × 10¹² CFU) daily of LC-19.
Probiotic
Dietary supplementparticipants will receive daily one bag of LC-19 (10\^12 cfu/bag).
semaglutide
DrugParticipants will receive prescibed semaglutide therapy
Treatment groups
Trial outcomes
Primary outcomes
Change in Body Weight (kg) from Baseline to Week 12
The change between the baseline and after 12-week intervention. Weight will be assessed using a Seca 255 scale (ScalesGalore).
Secondary outcomes
Change in Energy Expenditure Rate (kcal/min) from Baseline to Week 12
The change from baseline to after the 12-week intervention. Energy expenditure rate (kcal/min) will be assessed with a whole-room indirect calorimeter (Sable).
Change in Respiratory Quotient from Baseline to Week 12
The change from baseline to after the 12-week intervention. Respiratory quotient will be assessed with a whole-room indirect calorimeter.
Change in Fat Oxidation Rate (g/min) from Baseline to Week 12
The change from baseline to after the 12-week intervention. Fat oxidation rate (g/min) will be assessed with a whole-room indirect calorimeter.
Change in Carbohydrate Oxidation Rate (g/min) from Baseline to Week 12
The change from baseline to after the 12-week intervention. Carbohydrate oxidation rate (g/min) will be assessed with a whole-room indirect calorimeter.
Sponsors and contacts
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