History
# Registration date Revision Id
2 2019-09-26, 1398/07/04 106292
1 2015-03-10, 1393/12/19 6067
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  • Protocol summary

    Objective: The aim of this study is to determine the effects of synbiotic supplementation on carotid intima media thickness (CIMT), metabolic profiles, inflammatory factors and biomarkers of oxidative stress among type 2 diabetes patients with coronary heart disease (CHD). Study design: Parallel double-blind randomized controlled clinical trial. Inclusion and Exclusion Criteria: Invituals aged 45-75 years diagnosed with type 2 diabetes and CHD will be included in this study. Individuals with neurological and physical problems such as kidney disease coupled with heart disease, patients in addition with heart disease facing chronic pain from reins, rheumatism Etc and patients who were used from psychiatric drugs simultaneously will be excluded in the study. Population and sample size: 60 type 2 diabetes patients with CHD eligible and referred to Naghavi Clinic affiliated to Kashan University of Medical Sciences, Kashan, Iran in the study will be selected. Intervention: Patients will be assigned to receive either synbiotic capsule containing three strains of Lactobacillus acidophilus (2×109 CFU/g), Lactobacillus casei(2×109 CFU/g), Bifidobacterium bifidum (2×109 CFU/g) and inulin (800 mg) (intervention group: n=30) or placebo (control group: n=30). CIMT will be determined at baseline and after 12-wk intervention. Fasting blood samples will be taken at baseline and after 12-wk intervention to measure metabolic profiles, inflammatory factor and biomarkers of oxidative stress. Start and End Date of Intervention: 12 weeks (March 20, 2015-June 21, 2015). Outcomes: Fasting plasma glucose (FPG), serum insulin, lipid profiles, inflammatory factors and biomarkers of oxidative stress will be measured at baseline and end-of-trial.
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    هدف این مطالعه تعیین اثرات مکمل یاری سین بیوتیک بر ضخامت اینتیما- مدیای کاروتید (CIMT)، پروفایل های متابولیک، فاکتورهای التهابی و بیومارکرهای استرس اکسیداتیو در بیماران دیابت تیپ 2 مبتلا به کرونر قلبی است. طراحی مطالعه: تصادفي کارآزمایی بالینی دو سوکور موازی. افراد 75-45 ساله مبتلا به بیماری دیابت تیپ 2 و کرونر قلبی در این مطالعه وارد خواهند شد. افراد مبتلا به مشکلات عصبی و کوموربید جسمی نظیر بیماری کلیوی همراه با بیماری قلبی، بیمارانی که علاوه بر بیماری قلبی با درد مزمن ناشی از کمر، رماتیسم و غیره مواجه هستند، بیمارانی که از داروهای روانی به طور همزمان استفاده می کردند از مطالعه خارج خواهند شد. حجم نمونه و جمعیت مورد مطالعه: 60 فرد مبتلا به بیماری دیابت تیپ 2 با کرونر قلبی واجد شرایط و ارجاع شده به کلینیک نقوی وابسته به دانشگاه علوم پزشکی کاشان در مطالعه انتخاب خواهند شد. بیماران برای دریافت کپسول سین بیوتیک حاوی 3 سویه لاکتوباسیلوس اسیدوفیلوس (109×2 واحد به ازای هر گرم)، لاکتوباسیلوس کازئی (109×2 واحد به ازای هر گرم)، بیفیدوباکتریوم بیفیدوم (109×2 واحد به ازای هر گرم) و اینولین (800 میلی گرم) (گروه مداخله: 30=n) یا پلاسبو (گروه کنترل: 30=n) تقسیم خواهند شد. ضخامت اینتیما- مدیای کاروتید در ابتدا و 12 هفته بعد از مداخله تعیین خواهد شد. نمونه خون ناشتا در ابتدای مطالعه و 12 هفته بعد از مداخله برای تعیین پروفایل های متابولیک، فاکتورهای التهابی و بیومارکرهای استرس اکسیداتیو از بیماران گرفته خواهد شد. زمان مداخله: 12 هفته (از 29 اسفند 1393 تا 29 خرداد 1394). پيامدها: گلوکز پلاسمایی ناشتا، سطوح سرمی انسولین، پروفایل های لیپیدی، فاکتورهای التهابی و بیومارکرهای استرس اکسیداتیو در ابتدا و انتهای مداخله اندازه گیری خواهد شد.
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    Objective: The aim of this study is to determine the effects of synbiotic supplementation on carotid intima media thickness (CIMT), metabolic profiles, inflammatory factors and biomarkers of oxidative stress among type 2 diabetes patients with coronary heart disease (CHD).
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    هدف این مطالعه تعیین اثرات مکمل یاری سین بیوتیک بر ضخامت اینتیما- مدیای کاروتید (CIMT)، پروفایل های متابولیک، فاکتورهای التهابی و بیومارکرهای استرس اکسیداتیو در بیماران دیابت تیپ 2 مبتلا به کرونر قلبی است.
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    Study design: Parallel double-blind (both patients and researchers) randomized controlled clinical trial. Random assignment will be done by the use of computer-generated random numbers.
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    طراحی مطالعه: تصادفي کارآزمایی بالینی دو سوکور (هم بیماران و هم محققان) موازی. تصادفی سازی با استفاده از اعداد تصادفی ایجاد شده توسط کامپیوتر انجام خواهد شد.
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    Population and sample size: 60 type 2 diabetes patients with CHD eligible and referred to Naghavi cardiology Clinic affiliated to Kashan University of Medical Sciences, Kashan, Iran in the study will be selected.
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    حجم نمونه و جمعیت مورد مطالعه: 60 فرد مبتلا به بیماری دیابت تیپ 2 با کرونر قلبی واجد شرایط و ارجاع شده به کلینیک قلب نقوی وابسته به دانشگاه علوم پزشکی کاشان، کاشان، ایران در مطالعه انتخاب خواهند شد.
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    Inclusion Criteria: Subjects aged 40-85 years diagnosed with type 2 diabetes and CHD. Exclusion Criteria: Consuming synbiotics and/or probiotics supplements within the past 3 months, changes in the dosage and kind of medications, taking anti-inflammatory drugs, having an myocardial infarction within the past 3 months, having cardiac surgery within the past 3 months, significant renal and hepatic failure.
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    معیارهای ورود مطالعه: افراد 85-40 ساله مبتلا به بیماری دیابت تیپ 2 با کرونر قلبی. معیارهای خروج مطالعه: مصرف مکمل سین بیوتیک و/یا پروبیوتیک در طی سه ماه گذشته، تغییر در دوز و نوع داروها، گرفتن داروهای ضد التهابی، داشتن سکته قلبی در سه ماه گذشته، داشتن جراحی قلبی در طی سه ماه گذشته، اختلال کلیوی و کبدی بالقوه.
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    Intervention group: Synbiotic capsule containing three strains of Lactobacillus acidophilus (2×109 CFU/g), Lactobacillus casei(2×109 CFU/g), Bifidobacterium bifidum (2×109 CFU/g) and inulin (800 mg), daily, for 12 weeks orally. Control group: Placebo capsule, daily, for 12 weeks orally.
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    گروه مداخله: کپسول سین بیوتیک حاوی 3 سویه لاکتوباسیلوس اسیدوفیلوس (109×2 واحد به ازای هر گرم)، لاکتوباسیلوس کازئی (109×2 واحد به ازای هر گرم)، بیفیدوباکتریوم بیفیدوم (109×2 واحد به ازای هر گرم) و اینولین (800 میلی گرم)، روزانه، به صورت خوراکی برای 12 هفته. گروه کنترل: کپسول پلاسبو، روزانه، به صورت خوراکی برای 12 هفته.
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    Outcomes: Biomarkers of insulin metabolism and CIMT (primary outcomes), and lipid and metabolic profiles (secondry outcomes) will be quantified at the study baseline and end-of-trial.
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    پيامدها: بیومارکرهای متابولیسم انسولین و ضخامت انتیمای عروقی (پیامدهای اولیه) و پروفایل های لیپیدی و متابولیکی (پیامدهای ثانویه) در ابتدا و انتهای مداخله اندازه گیری خواهد شد.
  • General information

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    40
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    85
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    2015-03-15, 1393/12/24
    2015-03-02, 1393/12/11
    Subjects aged 40-85 years diagnosed with type 2 diabetes and CHD
    افراد 85-40 ساله مبتلا به بیماری دیابت تیپ 2 با کرونر قلبی
    Consuming synbiotics and/or probiotics supplements within the past 3 months
    Changes in the dosage and kind of medications
    Taking anti-inflammatory drugs
    Having an myocardial infarction within the past 3 months
    Having cardiac surgery within the past 3 months
    Significant renal and hepatic failure
    مصرف مکمل سین بیوتیک و/یا پروبیوتیک در طی سه ماه گذشته
    تغییر در دوز و نوع داروها
    گرفتن داروهای ضد التهابی
    داشتن سکته قلبی در سه ماه گذشته
    داشتن جراحی قلبی در طی سه ماه گذشته
    اختلال کلیوی و کبدی بالقوه
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    At study baseline and after stratification for pre-intervention BMI and age, subjects will be randomly divided into two groups to take supplements (n = 30) or placebo (n = 30). Randomization will be done by the use of computer-generated random numbers.
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    در ابتدای مطالعه و بعد از طبقه بندی بر اساس مقادیر پایه نمایه توده بدنی و سن، افراد به طور تصادفی به دو گروه برای دریافت مکمل (n = 30) و پلاسبو (n = 30) تخصیص داده می شوند. تصادفی سازی با استفاده از جدول اعداد تصادفی ایجاد شده توسط کامپیوتر انجام خواهد شد.
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    Participants, investigators or the assessors of the outcomes are unaware of the study groups.
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    شرکت کنندگان و هم محققان یا ارزیابان پیامد از تخصیص گروههای مطالعه بی اطلاعند.
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  • Primary outcomes

    #1
    Fasting plasma glucose
    Insulin
    قند خون ناشتا
    انسولین
    Baseline and End-of-trial
    At the beginning of the study and after 12 weeks of intervention
    ابتدا و انتهای مداخله
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    Enzymatic
    Elisa
    آنزیمی
    الایزا
    #2
    Insulin
    Carotid intima media thickness
    انسولین
    ضخامت اینتیما- مدیای کاروتید
    Baseline and End-of-trial
    At the beginning of the study and after 12 weeks of intervention
    ابتدا و انتهای مداخله
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    Elisa
    Sonography
    الایزا
    سونوگرافی
    #3
    Cholesterol
    Insulin resistance
    کلسترول
    مقاومت به انسولین
    Baseline and End-of-trial
    At the beginning of the study and after 12 weeks of intervention
    ابتدا و انتهای مداخله
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    Enzymatic
    Calculation using HOMA formula
    آنزیمی
    محاسبه شده با فرمول HOMA
    #4
    Triglyceride
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    تری گلیسرید
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    Baseline and End-of-trial
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    ابتدا و انتهای مداخله
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    Enzymatic
    empty
    آنزیمی
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    #5
    Total antioxidant capacity
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    ظرفتیت آنتی اکسیدانی توتال
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    Baseline and End-of-trial
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    ابتدا و انتهای مداخله
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    Spectrophotometry
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    اسپکتروفتومتری
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    #6
    Hs-CRP
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    پروتئین واکنشگر C با حساسیت بالا
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    Baseline and End-of-trial
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    ابتدا و انتهای مداخله
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    Elisa
    empty
    الایزا
    empty
    #7
    Nitric oxide
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    نیتریک اکساید
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    Baseline and End-of-trial
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    ابتدا و انتهای مداخله
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    Spectrophotometry
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    اسپکتروفتومتری
    empty
    #8
    Carotid intima media thickness
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    ضخامت اینتیما- مدیای کاروتید
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    Baseline and End-of-trial
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    ابتدا و انتهای مداخله
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    Sonography
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    سونوگرافی
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  • Secondary outcomes

    #1
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    Fasting plasma sugar
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    قند خون ناشتا
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    At the beginning of the study and after 12 weeks of intervention
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    در ابتدای مطالعه و 12 هفته بعد از مداخله
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    Enzymatic kit
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    کیت آنزیمی
    #2
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    Triglycerides
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    تری گلیسرید
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Enzymatic kit
    empty
    کیت آنزیمی
    #3
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    HDL-cholesterol
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    کلسترول HDL
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Enzymatic kit
    empty
    کیت آنزیمی
    #4
    empty
    Total cholesterol
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    کلسترول تام
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Enzymatic kit
    empty
    کیت آنزیمی
    #5
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    Hs-CRP
    empty
    پروتئین واکنشگر C با حساسیت بالا
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Elisa kit
    empty
    کیت الایزا
    #6
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    Nitric oxide
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    نیتریک اکساید
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Spectrophotometry
    empty
    اسپکتروفتومتری
    #7
    empty
    Glutathione
    empty
    گلوتاتیون
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Spectrophotometry
    empty
    اسپکتروفتومتری
    #8
    empty
    Total antioxidant capacity
    empty
    ظرفیت آنتی اکسیدانی توتال
    empty
    At the beginning of the study and after 12 weeks of intervention
    empty
    در ابتدای مطالعه و 12 هفته بعد از مداخله
    empty
    Spectrophotometry
    empty
    اسپکتروفتومتری
  • Recruitment centers

    #1
    Name of recruitment center - English: Naghavi Clinic
    Name of recruitment center - Persian: کلینیک نقوی
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Street address - English: Shahid Rajaee Avenue, Kashan
    Street address - Persian: کاشان، خیابان شهید رجایی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    Name of recruitment center - English: Naghavi cardiology Clinic
    Name of recruitment center - Persian: کلینیک قلب نقوی
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Street address - English: Shahid Rajaee Avenue, Kashan
    Street address - Persian: کاشان، خیابان شهید رجایی
    City - English: Kashan
    City - Persian: کاشان
    Province: Ilam
    Country: Iran (Islamic Republic of)
    Postal code: 81151-87159
    Phone: +98 31 5546 3378
    Fax:
    Email: asemi_r@yahoo.com
    Web page address:
  • Sponsors / Funding sources

    #1
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Street address - English: Bolvare Ghotbe Ravandi, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Gholamali Hamidi
    Full name of responsible person - Persian: غلامعلی حمیدی
    Street address - English: Ghotbe Ravandi Boulevard, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Country: Iran (Islamic Republic of)
    Postal code: 81151-87159
    Phone: +98 31 5554 2999
    Fax:
    Email: research@kaums.ac.ir
    Web page address:
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    Public
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    Domestic
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    Academic
  • Person responsible for general inquiries

    contact.organization_id:
    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English:
    Full name of responsible person - Persian:
    Position - English:
    Position - Persian:
    Latest degree:
    Area of specialty/work:
    Area of specialty/work title - English:
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    Street address - English:
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    City - English:
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    Province:
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    Province - Persian:
    contact.provinces_available:
    Country:
    Postal code:
    Phone:
    Mobile:
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    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Position - English: Associate professor
    Position - Persian: دانشیار
    Latest degree: phd
    Area of specialty/work: 34
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Ghotbe Ravandi Boulevard, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 81151-87159
    Phone: +98 31 5546 3378
    Mobile: 00
    Fax:
    Email: asemi_r@yahoo.com
    Web page address:
  • Person responsible for scientific inquiries

    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Position - English: Nutrition PhD
    Position - Persian: دکترای تغذیه
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Bolvare Ghotbe Ravandi, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone: +98 31 5546 3378
    Mobile: +98 913 361 5446
    Fax:
    Email: asemi_z@kaums.ac.ir- asemi_r@yahoo.com
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Position - English: Nutrition PhD
    Position - Persian: دکترای تغذیه
    Latest degree: phd
    Area of specialty/work: 34
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Ghotbe Ravandi Boulevard, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 81151-87159
    Phone: +98 31 5546 3378
    Mobile: +98 913 361 5446
    Fax:
    Email: asemi_r@yahoo.com
    Web page address:
  • Person responsible for updating data

    contact.organization_id:
    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Position - English:
    Position - Persian:
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English:
    Street address - Persian:
    City - English:
    City - Persian:
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone: 00
    Mobile: 00
    Fax:
    Email: asemi_z@kaums.ac.ir- asemi_r@yahoo.com
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Kashan University of Medical Sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی کاشان
    Full name of responsible person - English: Zatollah Asemi
    Full name of responsible person - Persian: ذات اله عاصمی
    Position - English: Associate professor
    Position - Persian: دانشیار
    Latest degree: phd
    Area of specialty/work: 34
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Ghotbe Ravandi Boulevard, Kashan
    Street address - Persian: کاشان، بلوار قطب راوندی
    City - English: Kashan
    City - Persian: کاشان
    Province: Isfehan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 81151-87159
    Phone: 00
    Mobile: 00
    Fax:
    Email: asemi_r@yahoo.com
    Web page address:
  • Sharing plan

    undecided
    undecided
    undecided
    undecided
    undecided
    undecided
    undecided
    empty
    Undecided - It is not yet known if there will be a plan to make this available.
    empty
    هنوز تصمیم نگرفته‌ام - برنامه انتشار آن هنوز مشخص نیست.

Protocol summary

Study aim
Objective: The aim of this study is to determine the effects of synbiotic supplementation on carotid intima media thickness (CIMT), metabolic profiles, inflammatory factors and biomarkers of oxidative stress among type 2 diabetes patients with coronary heart disease (CHD).
Design
Study design: Parallel double-blind (both patients and researchers) randomized controlled clinical trial. Random assignment will be done by the use of computer-generated random numbers.
Settings and conduct
Population and sample size: 60 type 2 diabetes patients with CHD eligible and referred to Naghavi cardiology Clinic affiliated to Kashan University of Medical Sciences, Kashan, Iran in the study will be selected.
Participants/Inclusion and exclusion criteria
Inclusion Criteria: Subjects aged 40-85 years diagnosed with type 2 diabetes and CHD. Exclusion Criteria: Consuming synbiotics and/or probiotics supplements within the past 3 months, changes in the dosage and kind of medications, taking anti-inflammatory drugs, having an myocardial infarction within the past 3 months, having cardiac surgery within the past 3 months, significant renal and hepatic failure.
Intervention groups
Intervention group: Synbiotic capsule containing three strains of Lactobacillus acidophilus (2×109 CFU/g), Lactobacillus casei(2×109 CFU/g), Bifidobacterium bifidum (2×109 CFU/g) and inulin (800 mg), daily, for 12 weeks orally. Control group: Placebo capsule, daily, for 12 weeks orally.
Main outcome variables
Outcomes: Biomarkers of insulin metabolism and CIMT (primary outcomes), and lipid and metabolic profiles (secondry outcomes) will be quantified at the study baseline and end-of-trial.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT201503025623N37
Registration date: 2015-03-10, 1393/12/19
Registration timing: registered_while_recruiting

Last update: 2019-10-04, 1398/07/12
Update count: 1
Registration date
2015-03-10, 1393/12/19
Registrant information
Name
Zatollah Asemi
Name of organization / entity
Kashan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 36 1534 3570
Email address
asemi_z@kaums.ac.ir
Recruitment status
Recruitment complete
Funding source
Kashan University of Medical Sciences
Expected recruitment start date
2015-03-02, 1393/12/11
Expected recruitment end date
2015-03-19, 1393/12/28
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effects of synbiotic supplementation on carotid intima media thickness (CIMT) and metabolic profiles among type 2 diabetes patients with coronary heart disease
Public title
Effect of supplementation in treatment of Coronary Heart Disease
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Subjects aged 40-85 years diagnosed with type 2 diabetes and CHD
Exclusion criteria:
Consuming synbiotics and/or probiotics supplements within the past 3 months Changes in the dosage and kind of medications Taking anti-inflammatory drugs Having an myocardial infarction within the past 3 months Having cardiac surgery within the past 3 months Significant renal and hepatic failure
Age
From 40 years old to 85 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
At study baseline and after stratification for pre-intervention BMI and age, subjects will be randomly divided into two groups to take supplements (n = 30) or placebo (n = 30). Randomization will be done by the use of computer-generated random numbers.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants, investigators or the assessors of the outcomes are unaware of the study groups.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Kashan University of Medical Sciences
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
81151-87159
Approval date
2015-03-01, 1393/12/10
Ethics committee reference number
93209

Health conditions studied

1

Description of health condition studied
Coronary Heart Disease
ICD-10 code
I25.9
ICD-10 code description
Ischaemic heart disease (chronic)

Primary outcomes

1

Description
Insulin
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Elisa

2

Description
Carotid intima media thickness
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Sonography

3

Description
Insulin resistance
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Calculation using HOMA formula

Secondary outcomes

1

Description
Fasting plasma sugar
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Enzymatic kit

2

Description
Triglycerides
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Enzymatic kit

3

Description
HDL-cholesterol
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Enzymatic kit

4

Description
Total cholesterol
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Enzymatic kit

5

Description
Hs-CRP
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Elisa kit

6

Description
Nitric oxide
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Spectrophotometry

7

Description
Glutathione
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Spectrophotometry

8

Description
Total antioxidant capacity
Timepoint
At the beginning of the study and after 12 weeks of intervention
Method of measurement
Spectrophotometry

Intervention groups

1

Description
Intervention group: Synbiotic capsule containing three strains of Lactobacillus acidophilus (2×109 CFU/g), Lactobacillus casei(2×109 CFU/g), Bifidobacterium bifidum (2×109 CFU/g) and inulin (800 mg), daily, for 12 weeks orally.
Category
Treatment - Drugs

2

Description
Control group: Placebo capsule, daily, for 12 weeks orally.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Naghavi cardiology Clinic
Full name of responsible person
Zatollah Asemi
Street address
Shahid Rajaee Avenue, Kashan
City
Kashan
Province
Ilam
Postal code
81151-87159
Phone
+98 31 5546 3378
Email
asemi_r@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kashan University of Medical Sciences
Full name of responsible person
Gholamali Hamidi
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
81151-87159
Phone
+98 31 5554 2999
Email
research@kaums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kashan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Kashan University of Medical Sciences
Full name of responsible person
Zatollah Asemi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
81151-87159
Phone
+98 31 5546 3378
Email
asemi_r@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kashan University of Medical Sciences
Full name of responsible person
Zatollah Asemi
Position
Nutrition PhD
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
81151-87159
Phone
+98 31 5546 3378
Fax
Email
asemi_r@yahoo.com
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Kashan University of Medical Sciences
Full name of responsible person
Zatollah Asemi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Ghotbe Ravandi Boulevard, Kashan
City
Kashan
Province
Isfehan
Postal code
81151-87159
Phone
00
Fax
Email
asemi_r@yahoo.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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