ClinicalTrials.gg
CompletedNCT04190706SINFONIUpdated Sep 25, 2025

Synergistic Innovative Functional Food Concepts to Neutralize Inflammation for Cardiometabolic Risk Prevention

An interventional study of bioactive components fortified food products intake (biscuits and cookies) and control food products intake (biscuits and cookies) in Cardiometabolic Risk and Abdominal Obesity, sponsored by Hospices Civils de Lyon. Completed at 1 site in France. Open to participants aged 30 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-25.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
30 Years to 65 Years
Sex
All
01

Study summary

The aim of the study is to evaluate the synergistic effects of daily consumption of food products fortified with bioactive components (fibres, polyphenols, omega-3, Slow Digestible Starch) for 9 weeks, compared to the daily intake of standard food products on low-grade inflammation in cardiometabolic risk subject.

The inflammatory parameters will be assessed in fasting and in postprandial period after the consumption of a hyper-carbohydrate and hyper-lipidic test meal called Flexmeal. A metabolic stress will be induced by a fructose ingestion challenge during the last 6 days of interventional period.

02

Conditions studied

  • Cardiometabolic Risk
  • Abdominal Obesity

Keywords

  • inflammation
  • cardiometabolic risk
  • endotoxemia
  • polyphenols
  • oxidative stress
  • slow digestible starch
  • fibers
  • gut microbiota
  • nutritional challenge test
03

In context

Obesity, Abdominal

294 studies on the registry are indexed under Obesity, Abdominal; 45 are open to participants now.

This study's enrollment of 62 is close to the median of 58 across 234 interventional studies indexed under Obesity, Abdominal.

Browse Obesity, Abdominal studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,866 studies on the registry; 448 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy men and women
  • of 25 to 35 kg/m2
  • Waist circumference greater than 80 cm for women and than 96 cm for men
  • Daily biscuits consumption
  • Fibers intake \<25g/day

Exclusion criteria

Exclusion Criteria:

  • Medical history of digestive surgery or disease
  • Large polyphenols food products consumer (cranberries, red berries, coffee, tea, red wine, fruits and vegetables…)
  • Current or recent (\<12 weeks) intake of antibiotics or gastro-intestinal medicinal product
  • Current probiotics, prebiotics, fibers complement, and/or any products modulation gut transit
  • Feeding particular diet such as vegetarian diet or hyperprotein diet
  • Current weight loss diet
  • Pregnant or lactating woman or woman who did not use effective
  • Drinking more than 3 glasses of alcohol per day (>30g/day)
  • Smoking more than 5 cigarettes per day
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    bioactive components fortified food products

    Other: bioactive components fortified food products intake (biscuits and cookies)

  • Placebo comparator
    control food products

    Other: control food products intake (biscuits and cookies)

Interventions

  • Otherbioactive components fortified food products intake (biscuits and cookies)

    Volunteers will have to consume daily 100 g of fortified biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass)

  • Othercontrol food products intake (biscuits and cookies)

    Volunteers will have to consume daily 100 g of standard biscuits and cookies instead of those usually consumed during nine weeks. The last week, volunteers will have to consume daily a fructose solution (3g/kg fat free mass)

06

What researchers measure

Primary outcomes

  1. Change from baseline postprandial plasma endotoxemia binding protein kinetics: LBP (lipopolysaccharide-binding protein) and CD14 (Cluster of differentiation 14)

    LBP and CD14 proteins will be measured at time 0, 120 and 300 after test meal intake

    Time frame: baseline, 8 and 9 weeks

Secondary outcomes

  1. Change from baseline fasting and postprandial plasma inflammatory markers: MCP-1, RANTES, IFNγ, IL-6, TNF-α, IL-1β, CRPus, adiponectin

    MCP-1 ( monocyte chemotactic protein-1), RANTES (Regulated on activation, normal T expressed and secreted), IFNγ (Interferon γ) , IL-6 (Interleukin 6), TNF-α (Tumor Necrosis Factor α), IL-1β (Interleukin 1β), CRPus, adiponectin will be measured at time 0 and 300 minutes after test meal intake

    Time frame: baseline, 8 and 9 weeks

  2. Change of fasting and postprandial plasma inflammatory endotoxemia LPS (lipopolysaccharide)

    LPS will be measured at time 0, 60, 120, 180, 240, 300 after test meal intake

    Time frame: baseline, 8 and 9 weeks

  3. Change from baseline fasting and postprandial plasma endothelial function markers: Human CVD Panel 2, Lipocalin-2/NGAL, Myeloperoxidase, sICAM-1, sVCAM-1, ADAMTS13, D-dimer, GDF-15, Myoglobin, sP-Selectin, Serum Amyloid A

    Human CVD Panel 2, Lipocalin-2/NGAL (neutrophil gelatinase-associated lipocalin), Myeloperoxidase, sICAM-1(Soluble Inter-cellular Adhesion Molecule-1), sVCAM-1(Soluble Form of Vascular Cell Adhesion Molecule 1), ADAMTS13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13), D-dimer, GDF-15 (Growth differentiation factor 15), Myoglobin, sP-Selectin, Serum Amyloid A will be measured at time 0 and 300 minutes after test meal intake

    Time frame: baseline, 8 and 9 weeks

  4. Change from baseline fasting plasma oxidative stress parameters: GSH, GSSG, Glutathion peroxidase/ reductase activity, MDA

    GSH (glutathione), GSSG (glutathione disulfide), Glutathion peroxidase/ reductase activity will be measured at time 0 and MDA (malondialdehyde) will be measured at 0 and 300 minutes after test meal intake

    Time frame: baseline, 8 and 9 weeks

  5. Change from baseline body composition

    Body composition will be measured by BodPod technique

    Time frame: baseline, 8 and 9 weeks

  6. Change from baseline plasma metabolites and hormone kinetics : glucose, insulin, triglycerides, non-esterified fatty acids

    Plasma metabolites and hormone will be measured at time -30, 0, 15, 30, 45, 60, 90, 120, 180, 240, 300 minutes after test meal intake

    Time frame: baseline, 8 and 9 weeks

  7. Change from baseline fasting plasma lipids : total cholesterol , HDL cholesterol, LDL cholesterol, triglycerides, non-esterified fatty acids

    fasting plasma lipids will be measured before test meal ingestion

    Time frame: baseline, 8 and 9 weeks

  8. Change from baseline resting energy expenditure

    resting metabolic rate will be measured by indirect calorimetry

    Time frame: baseline, 8 and 9 weeks

  9. Change from baseline substrates oxidation

    substrates oxidation will be measured by indirect calorimetry after test meal intake during five hours.

    Time frame: baseline, 8 and 9 weeks

  10. Change from baseline gut microbiota composition

    gut microbiota composition will be measured by 16S RNA (ribonucleic acid) analysis

    Time frame: baseline, 8 weeks

  11. Change from baseline stool consistency

    stool consistency will be measured by Bristol scale and every week during the interventional period

    Time frame: nine weeks

  12. Change from baseline stool frequency

    stool frequency will be measured by questionnaire at baseline and every week during the interventional period

    Time frame: nine weeks

  13. Change from baseline tolerance gastro-intestinal symptoms like bloating ,abdominal rumbling ,flatulence ,abdominal pain, nausea, vomiting

    Gastro intestinal symptoms will be collected by questionnaires and visual analogue scale (VAS) score (on a 90mm horizontal line; from no symptom (minimal) to serious symptom (maximum)) at baseline and every week during the interventional period

    Time frame: nine weeks

  14. Change from baseline diet intake

    diet intake will be evaluated by a three days diet survey

    Time frame: baseline, 8 and 9 weeks

  15. Change from baseline fasting plasma zonulin

    comparison of fasting plasma zonulin from baseline

    Time frame: baseline, 8 and 9 weeks

  16. Change from baseline polyphenols urinary concentrations

    Comparison of polyphenols urinary concentrations from baseline

    Time frame: baseline, 8 weeks

07

Study locations

1 site
  • Centre de Recherche en Nutrition Humaine Rhône-Alpes
    Pierre-Bénite, 69310, France
08

References and documents

Publications

  • Hornero-Ramirez H, Morisette A, Marcotte B, Penhoat A, Lecomte B, Panthu B, Lessard Lord J, Thirion F, Van-Den-Berghe L, Blond E, Simon C, Caussy C, Feugier N, Dore J, Sanoner P, Meynier A, Desjardins Y, Pilon G, Marette A, Cani PD, Laville M, Vinoy S, Michalski MC, Nazare JA. Multifunctional dietary approach reduces intestinal inflammation in relation with changes in gut microbiota composition in subjects at cardiometabolic risk: the SINFONI project. Gut Microbes. 2025 Dec;17(1):2438823. doi: 10.1080/19490976.2024.2438823. Epub 2024 Dec 22. PubMed 39710576 ↗
  • Demangeat A, Hornero-Ramirez H, Meynier A, Sanoner P, Atkinson FS, Nazare JA, Vinoy S. Complementary Nutritional Improvements of Cereal-Based Products to Reduce Postprandial Glycemic Response. Nutrients. 2023 Oct 17;15(20):4401. doi: 10.3390/nu15204401. PubMed 37892479 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04190706
Responsible party
Sponsor
First posted
Dec 9, 2019
Start date
Jan 21, 2020
Primary completion
May 17, 2022
Completion
May 17, 2022
Last update
Sep 25, 2025

Study contacts

Martine LAVILLE, Pr
principal investigator · Centre de Recherche en Nutrition Humaine Rhone-Alpe

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion