ClinicalTrials.gg
RecruitingNCT06869941POINSETTIAUpdated Mar 31, 2026

Adipose Tissue Gene Expression and Metabolomics Links to the Gut Microbiome-brain Axis

An observational study in Obesity, sponsored by Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta. Recruiting at 1 site in Spain. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-03-31.

Sponsored by Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta · Observational

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
20 Years and older
Sex
All
01

Study summary

This study aims to understand how adipose tissue (fat) and the gut microbiota (the bacteria in the gut) may influence brain function and cognition. It has been observed that changes in adipose tissue in animals such as mice and Drosophila (a type of insect) affect memory and other brain functions. Additionally, it is believed that the gut microbiota also plays an important role in cognition.

This study will explore how gene expression in adipose tissue, blood metabolites, and the gut microbiota are related to cognitive function, such as memory and thinking, in individuals with and without obesity. The investigation will also assess whether these factors can predict changes in the brain over time and how they influence sleep, physical activity, and blood sugar regulation.

Advanced technologies will be used to analyze samples of tissue, blood, and microbiota, with the goal of identifying new mechanisms through which obesity affects the brain. This research may contribute to the development of new diagnostic and therapeutic strategies for cognitive problems in individuals with obesity.

02

Conditions studied

  • Obesity

Browse trials for

Keywords

  • Continous Glucose Monitoring
  • Cognition
  • Gut-microbiota-brain axis
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 100 is below the median of 114 across 2,154 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta is the lead sponsor of 31 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

We will make use of the existing samples from the FATBANK cohort (a platform driven by CIBEROBN, managed by the IDIBGI Biobank, and part of the Spanish National Biobank Network). Participants in this cohort had previously signed informed consent to be contacted again. Therefore, the selected participants will be reappointed at the Endocrinology, Diabetes, and Nutrition Service (UDENTG) of the Dr. Josep Trueta Hospital.

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

  • Men and women >20 years old.
  • Scheduled for surgical intervention to extract adipose tissue.
  • Signed for study participation.

Exclusion criteria

Exclusion Criteria:

  • Not meeting inclusion criteria.
  • Non-obesity-related systemic diseases (cancer, severe kidney/liver disease).
  • Systemic diseases with intrinsic inflammation (rheumatoid arthritis, Crohn's disease, asthma, chronic infections (/tuberculosis)) or any type of infectious disease.
  • Pregnant/breastfeeding women.
  • Persons under legal/administrative restrictions.
  • Those with infection symptoms in the past month.
  • Use of antibiotics/antifungals/antivirals (previous 3 months).
  • Chronic steroidal/anti-inflammatory drug use.
  • Major psychiatric history.
  • Excessive alcohol intake, acute or chronic (>40g/day (women), >80g/day (men)) or drug abuse.
  • treatment.
  • Participants with severe eating disorders.
  • Serum liver enzymes (GOT, GPT) above twice the . Obvious signs or symptoms of liver disease, acute or chronic hepatitis.
  • History of iron balance disorders (e.g., genetic hemochromatosis, hemosiderosis from any cause, atransferrinemia, paroxysmal nocturnal hemoglobinuria).
  • Creatinine greater than 1.2 and below 40.
  • Current treatment for malignant neoplasia, other than basal cell or squamous cell skin cancer.
  • Heart disease classified as class III or IV, known ischemic cardiovascular disease.
  • Renal failure, history of kidney transplant, or current dialysis treatment.
  • Chronic constipation (bowel movement frequency ≥ 7 days) .
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
1 Month
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • OBESITY

    With 2 subgroups * Man with obesity * Women with obesity

  • WITHOUT OBESITY

    With 2 subgroups: * Man without obesity * Women without obesity

06

What researchers measure

Primary outcomes

  1. Glycemic variability

    Mean and standard deviation of glucose measures in mg/dL using a CGM 10 days.

    Time frame: 36 month

  2. The percentage of time in glucose target range (glucose level 100mg/dl-125mg/dl)

    Time frame: 36 months

  3. The glycaemic risk measured with the low blood glucose index (LBGI)

    Low blood glucose index (LBGI) is a parameter that quantifies the risk of glycaemic.

    Time frame: 36 months

  4. The glycaemic variability measured with mean amplitude of glycaemic excursions (MAGE)

    measured in mg/dl

    Time frame: 36 months

  5. Minutes light sleep

    Mean and standard deviation of minutes' light sleep measures by activity and sleep tracker device.

    Time frame: 36 months

  6. Minutes deep sleep

    Mean and standard deviation of minutes' deep sleep measures by activity and sleep tracker device.

    Time frame: 36 months

  7. Minutes rapid eye movement (REM)

    Mean and standard deviation of minutes REM measures by activity and sleep tracker device.

    Time frame: 36 months

Secondary outcomes

  1. Audioverbal memory

    It will be measured by California Verbal Learning Test (CVLT). Minimum/maximum scale values (0-16), where 16 is a better audioverbal memory.

    Time frame: 36 months

  2. Effect on gut microbiota

    Gut microbiota will be analysed by metagenomics and metabolomics.

    Time frame: 36 months

  3. Visual memory

    It will be measured by Rey-Osterrieth Complex Figure. Minimum/maximum scale values (0-36), where 36 is a better visual memory.

    Time frame: 36 months

  4. Depressive symptomatology

    It will be measured by Patient Health Questionnaire-9 (PHQ-9). Minimum/maximum scale values (0-27), where ≥ 20 is severe depression.

    Time frame: 36 months

  5. Impulsivity

    It will be measured by Impulsive Behaviour Scale (UPPS-P). The test evaluates: Negative urgency (tendency to act rashly under extreme negative emotions), Lack of Premeditation (tendency to act without thinking), Lack of Perseverance (inability to remain focused on a task) and Sensation Seeking (tendency to seek out novel and thrilling experiences). All items are rated on a four point scale from 1 (strongly agree) to 4 (strongly disagree).

    Time frame: 36 months

  6. Food Addiction

    It will be measured by Yale Food Addiction Scale. It is a symptom score from 0-11, based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria, for substance dependence. Food addiction is diagnosed if ≥3 symptoms are reported.

    Time frame: 36 months

  7. Behavioural inhibition

    It will be measured by Sensitivity to Punishment and Sensitivity to Reward (SPSRQ). The scale of Sensitivity to Punishment is related to the behavioural inhibition system. It is made up of two subscales of 24 items each. For each subscale, the minimum score is 0 and the maximum score is 24, with higher scores indicating greater sensitivity to punishment or reward, respectively.

    Time frame: 36 months

  8. Behavioural activation

    It will be measured by Sensitivity to Punishment and Sensitivity to Reward (SPSRQ). The reward sensitivity scale is related to the behavioural activation system. The questionnaire consists of two subscales of 24 items each. Each subscale ranges from 0 (minimum) to 24 (maximum), where a higher score indicates greater sensitivity to reward or punishment, respectively.

    Time frame: 36 months

  9. Visoconstructive function

    It will be measured by Rey-Osterrieth Complex Figure. Minimum/maximum scale values (0-36), where 36 is a better visoconstructive function.

    Time frame: 36 months

  10. Selective and alternating attention

    It will be measured by Trail making test (Part A and B).

    Time frame: 36 months

  11. Attention and working memory

    It will be measured by the Digits subtest of the Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV). This subtest includes two parts: Digits Forward (measuring attention) and Digits Backward (measuring working memory). The total raw score ranges from 0 (minimum) to 30 (maximum), with higher scores indicating better attention and working memory capacity.

    Time frame: 36 months

  12. Inhibition

    It will be measured by Stroop Color-Word Test.

    Time frame: 36 months

  13. Phonemic verbal fluency

    It will be measured by PMR.

    Time frame: 36 months

  14. Semantic verbal fluency

    It will be measured by Animals test. The person must name as many animals as possible in 1 minute. The result is corrected by standard scores, according to age and level of education.

    Time frame: 36 months

  15. Facial recognition

    It will be measured by Picture of Facial Recognition Test (POFA).

    Time frame: 36 months

  16. Emotion recognition

    It will be measured by Benton Facial Recognition Test (BFRT). This test evaluates the recognition of the five basic emotions: happiness, sadness, surprise, disgust, and anger.

    Time frame: 36 months

  17. Binge eating disorder

    It will be measured by Binge Eating Scale (BES). The BES is one of the most widely used measures to assess binge eating disorder symptomatology. The BES score ranges from 0 to 46 and its cut-off point is greater than or equal to 27. Subjects with scores higher than 27 are more likely to suffer from binge eating disorder.

    Time frame: 36 months

  18. Anxiety state

    It will be measured by State-Trate Anxiety Inventory (STAI). This questionnaire evaluates state anxiety (S) and trait anxiety (R) through 20 items each, with a likert-type response scale of four alternatives. In the case of state anxiety, the scale goes from 0 (not at all) to 3 (a lot), while for trait anxiety it goes from 0 (almost never) to 3 (almost always). The higher the score, the greater the anxiety in both concepts.

    Time frame: 36 months

  19. Effect on brain structure

    Brain structure will be assessed using magnetic resonance imaging.

    Time frame: 36 months

  20. Diffusion Tensor Imaging brain sequences

    Diffusion Tensor Imaging was acquired at 1.5 T (Philips ingenia) using a single-shot spin echo sequence with echo-planar imaging (EPI), 50 contiguous slices, voxel size 2x2x2.5 mm3, TE/TR of 72/3581 ms/ms, a diffusion-weighting factor b = 800 s/mm2 and diffusion encoding along 32 directions.

    Time frame: 36 months

  21. Brain iron accumulation

    It will be assessed using magnetic resonance imaging using (R2\*)

    Time frame: 36 months

  22. Resting-state functional brain sequences

    It will be assessed using magnetic resonance imaging (T2\*-weighted echo-planar imaging). T2 \* relaxation data will be acquired with a multi-echo gradient sequence with 10 equidistant echoes (first echo = 4.6ms; echo spacing = 4.6ms; repetition time = 1300ms). The value of T2 \* will be calculated by adjusting the simple exponential terms for the signal decay of the respective echo time values.

    Time frame: 36 months

  23. Insulin resistance

    It will be measured by HOMA

    Time frame: 36 months

  24. Markers of chronic inflammation (C-reactive protein, IL-6, adiponectin and soluble, tumour necrosis factor-α receptor fractions)

    Enzyme-linked immunosorbent assay (ELISA) and quantitative polymerase chain reaction (qPCR)

    Time frame: 36 months

  25. Glycosylated haemoglobin (HbA1c) value

    Glycosylated haemoglobin (HbA1c) in % or mmol/mol

    Time frame: 36 months

  26. The percentage of time in hyperglycaemia (glucose level above 250 mg/dl)

    Time frame: 36 months

  27. The percentage of time in hypoglycaemia (glucose level below 70mg/dl)

    Time frame: 36 months

  28. The percentage of time in glucose range (glucose level below 100 mg/dl)

    Time frame: 36 months

  29. The percentage of time in glucose range (glucose level between 126-139 mg/dl)

    Time frame: 36 months

  30. The percentage of time in glucose range (glucose level between 140-199 mg/dl)

    Time frame: 36 months

  31. The percentage of time in glucose range (glucose level above 200 mg/dl)

    Time frame: 36 months

  32. Burned calories

    Mean and standard deviation of burned calories measures by activity and sleep tracker device.

    Time frame: 36 months

  33. Steps Mean and standard deviation of steps measures by activity and sleep tracker device.

    The mean and standard deviation of steps refer to the average number of steps taken by a participant and how much those steps vary from the average, as measured by an activity and sleep tracker device. The mean is the average, while the standard deviation shows the variation or consistency in step count.

    Time frame: 36 months

  34. Distance Mean and standard deviation of distance measures by activity and sleep tracker device.

    Time frame: 36 months

  35. Minutes null activity

    Mean and standard deviation of minutes' null activity measures by activity and sleep

    Time frame: 36 months

  36. Minutes slight activity

    Mean and standard deviation of minutes slight activity measures by activity and sleep

    Time frame: 36 months

  37. Minutes mean activity

    Mean and standard deviation of minutes mean activity measures by activity and sleep tracker device.

    Time frame: 36 months

  38. Minutes high activity

    Mean and standard deviation of minutes high activity measures by activity and sleep tracker device.

    Time frame: 36 months

  39. Calories

    Mean and standard deviation of calories measures by activity and sleep tracker device.

    Time frame: 36 months

  40. Minutes asleep

    Mean and standard deviation of minutes asleep measures by activity and sleep tracker.

    Time frame: 36 months

  41. Minutes awake

    Mean and standard deviation of minutes awake measures by activity and sleep tracker.

    Time frame: 36 months

  42. Bed time Mean and standard deviation of bed time measures by activity and sleep tracker device.

    Time frame: 36 months

  43. Number time awake Mean and standard deviation of number time awake measures by activity and sleep

    Time frame: 36 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06869941
Lead sponsor
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Responsible party
José Manuel Fernández-Real (Principal investigator, clinical professor, section chief of Endocrinology and Nutrition Department of Josep Trueta University Hospital, Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta) — Principal investigator
First posted
Mar 11, 2025
Start date
Aug 5, 2025
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Mar 31, 2026

Study contacts

José Manuel Fernández-Real, M.D., Ph.D.
Contact
jmfreal@idibgi.org
+34972940200
José Manuel Fernández-Real, M.D., Ph.D.
principal investigator · Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta

Oversight

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

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