ClinicalTrials.gg
Enrolling by invitationNCT07806383SUGAR-SYN BC3OUpdated Sep 8, 2026

Effects of a Sugar-Based Synbiotic Product on Cardiometabolic and Intestinal Health (SUGAR-SYN BC3O)

An interventional study of Sugar-Based Synbiotic Product and Inulin-Containing Sugar Product in Overweight Adults, sponsored by Federico II University. Enrolling by invitation at 1 site in Italy. Open to participants aged 20 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Federico II University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2026, registered Sep 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
20 Years to 70 Years
Sex
All
01

Study summary

This randomized, double-blind, controlled, crossover study investigates the effects of a sugar-based synbiotic product containing inulin and Bacillus coagulans BC30™ spores in healthy overweight individuals. Twenty participants complete a 2-week run-in period and two 4-week intervention periods separated by a 4-week washout. During each intervention period, participants consume two sachets per day of either the synbiotic sugar product, providing 1 × 10⁹ CFU/day of Bacillus coagulans BC30™, or a matched control sugar product containing inulin without probiotic spores. The primary outcome is the change in fasting markers of subclinical inflammation, including high-sensitivity C-reactive protein, interleukin-6, interleukin-10 and tumor necrosis factor-alpha. Secondary outcomes include fasting glucose and insulin, fasting lipids, intestinal permeability, short-chain fatty acids, body composition, gastrointestinal symptoms, stool frequency and consistency, and gut microbiota composition. Participants maintain their usual diet and lifestyle throughout the study.

02

Conditions studied

  • Overweight Adults

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Keywords

  • Spore-forming probiotic
  • Overweight
  • Functional sugar
  • Subclinical inflammation
  • Bacillus coagulans BC30™
  • Cardiometabolic risk
  • Gut microbiota
03

In context

Overweight

3,599 studies on the registry are indexed under Overweight; 852 are open to participants now.

This study's planned enrollment of 20 is below the median of 78 across 3,120 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

Federico II University is the lead sponsor of 366 studies on the registry; 61 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 70 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

  • (BMI): 25-29.9 kg/m2

Exclusion criteria

Exclusion Criteria:

  • Diabetes
  • Cardiovascular events (myocardial infarction and/or stroke) within the previous 6 months
  • Renal impairment (serum creatinine >1.5 mg/dL) or hepatic impairment ( and/or AST levels more than twice the )
  • Anemia ( \<12 g/dL)
  • Treatment with lipid-lowering or anti-inflammatory medications
  • Use of antibiotics, probiotics, or prebiotics within the previous 3 months
  • Regular use of dietary supplements
  • Any other acute or chronic clinical condition that could significantly affect the study results and/or make study participation a health risk
Terms in these criteria, in plain language(4)

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Functional synbiotic sugar containing Bacillus coagulans BC30™

    Participants consume two 5-g sachets of functional synbiotic sugar per day for 4 weeks. Each sachet contains 1.4 g of inulin, 3 g of sucrose, and 0.6 g of Bacillus coagulans BC30™ spores (GBI-30, 6086), providing 5 × 10⁸ CFU per sachet. The total daily dose is 10 g of functional sugar and 1 × 10⁹ CFU of Bacillus coagulans BC30™.

    Dietary Supplement: Sugar-Based Synbiotic Product

  • Active comparator
    Matched sugar product without Bacillus coagulans BC30™ spores

    Participants consume two 4.4-g sachets of the active comparator sugar per day for 4 weeks. Each sachet contains 1.4 g of inulin and 3 g of sucrose but no Bacillus coagulans BC30™ spores.

    Dietary Supplement: Inulin-Containing Sugar Product

Interventions

  • Dietary supplementSugar-Based Synbiotic Product

    Participants consume two 5-g sachets of the sugar-based synbiotic product daily for 4 weeks, either before or after the comparator intervention according to the randomized treatment sequence. The two intervention periods are separated by a 4-week washout. Each sachet contains 1.4 g of inulin, 3 g of sucrose, and 0.6 g of Bacillus coagulans BC30™ spores (GBI-30, 6086), providing 5 × 10⁸ CFU per sachet and a total daily dose of 1 × 10⁹ CFU.

  • Dietary supplementInulin-Containing Sugar Product

    Participants consume two 4.4-g sachets of the comparator sugar product daily for 4 weeks, either before or after the synbiotic intervention according to the randomized treatment sequence. The two intervention periods are separated by a 4-week washout. Each sachet contains 1.4 g of inulin and 3 g of sucrose but no Bacillus coagulans BC30™ spores.

06

What researchers measure

Primary outcomes

  1. Difference Between Interventions in the Change in Serum High-Sensitivity C-Reactive Protein (hs-CRP)

    Fasting serum hs-CRP is measured at baseline and after 4 weeks of each intervention. Serum hs-CRP concentrations are determined using an immunoturbidimetric method and expressed in mg/dL.

    Time frame: baseline and after 4 week of each intervention

Secondary outcomes

  1. Difference Between Interventions in the Change in interleukin 6 (IL-6)

    Fasting serum IL-6 is measured at baseline and after 4 weeks of each intervention. Serum IL-6 concentrations are determined using an ELISA method and expressed as pg/ml

    Time frame: baseline and after 4 weeks of each itervention

  2. Difference Between Interventions in the Change in interleukin 10 (IL-10)

    Fasting serum IL-10 is measured at baseline and after 4 weeks of each intervention. Serum IL-6 concentrations are determined using an ELISA method and expressed as pg/ml

    Time frame: baseline and after 4 weeks of each itervention

  3. Difference Between Interventions in the Change in TNF-alfa

    Fasting serum TNF-alfa is measured at baseline and after 4 weeks of each intervention. Serum TNF-alfa concentrations are determined using an ELISA method and expressed as pg/ml

    Time frame: baseline and after 4 weeks of each itervention

  4. Difference Between Interventions in the Change in plasma glucose

    Fasting plasma glucose is measured at baseline and after 4 weeks of each intervention. Plasma glucose concentrations are determined using an immunoenzymatic method and expressed as mg/dl

    Time frame: baseline and after 4 weeks of each itervention

  5. Difference Between Interventions in the Change in plasma insulin

    Fasting plasma insulin is measured at baseline and after 4 weeks of each intervention. Plasma insulin concentrations are determined using an ELISA method and expressed as μU/ml

    Time frame: baseline and after 4 weeks of each itervention

  6. Difference Between Interventions in the Change in HOMA-IR index

    HOMA-IR is calculated at baseline and after 4 weeks of each intervention using the following formula: fasting plasma glucose (mg/dL) × fasting serum insulin (µU/mL) / 405. Higher HOMA-IR values indicate greater insulin resistance.

    Time frame: baseline and after 4 weeks of each itervention

  7. Difference Between Interventions in the fasting serum lipids

    Fasting serum triglycerides, totol cholesterol, and HDL cholesterol are measured at baseline and after 4 weeks of each intervention using an immunoenzymatic methods

    Time frame: baseline and after 4 weeks of each itervention

  8. Difference Between Interventions in the fasting serum short chain fatty acids (SCFA)

    Fasting serum SCFA (acetate, propionate, butyrate) are measured at baseline and after 4 weeks of each intervention by gas-cromatography with flame ionization detetctio (GC-FID)

    Time frame: baseline and after 4 weeks of each itervention

  9. Difference Between Interventions in the fasting serum short chain fatty acids (SCFA)

    Fasting serum SCFA (acetate, propionate, butyrate) are measured at baseline and after 4 weeks of each intervention by gas-cromatography with flame ionization detection (GC-FID)

    Time frame: baseline and after 4 weeks of each itervention

  10. Difference Between Interventions in the fasting serum zonulin

    Fasting serum zonulin is measured at baseline and after 4 weeks of each intervention by ELISA method and expressed in ng/ml

    Time frame: baseline and after 4 weeks of each itervention

  11. Difference Between Interventions in the fasting lipopolysaccharide (LPS)

    Fasting serum LPS is measured at baseline and after 4 weeks of each intervention by ELISA method and expressed in pg/ml

    Time frame: baseline and after 4 weeks of each itervention

  12. Difference Between Interventions in the gut microbiota composition

    Fecal samples are collected at baseline and after 4 weeks of each intervention. Gut microbial community structure is analyzed using 16S rRNA gene sequencing and shotgun metagenomic sequencing to assess changes in taxonomic composition and functional profiles.

    Time frame: baseline and after 4 weeks of each itervention

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07806383
Responsible party
Giuseppina Costabile (Researcher, Federico II University) — Principal investigator
First posted
Sep 8, 2026
Start date
May 4, 2026
Primary completion
Dec 1, 2026 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Sep 8, 2026

Oversight

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

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