[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100609341":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":34,"locations":43,"responsibleParty":59,"collaborators":26,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":67,"eligibilityCriteria":68,"healthyVolunteers":63,"sex":69,"minAge":70,"maxAge":71,"enrollmentInfo":72,"targetDuration":26,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":82,"overallStatus":85,"whyStopped":26,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"Hospices Civils de Lyon","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Probiotics","EXPERIMENTAL","Obese subjects who are going to start a GLP-1 R-agonist (semaglutide or tirzepatide) as part of their weight management in routine clinical practice will received during 26 weeks 1 capsule a day every morning of probiotics that will begin 2 weeks before the initiation of semaglutide or tirzepatide treatment.",[13],"Dietary Supplement: Probiotics (Natural product)",{"label":15,"type":16,"description":17,"interventionNames":18},"Placebo","PLACEBO_COMPARATOR","Obese subjects who are going to start a GLP-1 R-agonist (semaglutide or tirzepatide) as part of their weight management in routine clinical practice will received during 26 weeks 1 capsule a day every morning of PLACEBO that will begin 2 weeks before the initiation of semaglutide or tirzepatide treatment.",[19],"Other: Placebo",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DIETARY_SUPPLEMENT","Probiotics (Natural product)","Participants will be instructed to daily take, during 26 weeks (that will begin 2 weeks before the initiation of semaglutide or tirzepatide treatment) one capsule of a probiotic with water at room temperature with the first meal.\n\nDosage levels: 1 capsule Digestive Quality of life during the study will be assessed.",[9],null,{"type":6,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"Participants will be instructed to daily take, during 26 weeks (that will begin 2 weeks before the initiation of semaglutide or tirzepatide treatment) one capsule of PLACEBO with water at room temperature with the first meal.\n\nDigestive Quality of life during the study will be assessed.",[15],[31],{"name":32,"affiliation":5,"role":33},"Emmanuel DISSE, PUPH","PRINCIPAL_INVESTIGATOR",[35,39],{"name":32,"role":36,"phone":37,"phoneExt":26,"email":38},"CONTACT","+33478861484","Emmanuel.disse@chu-lyon.fr",{"name":40,"role":36,"phone":41,"phoneExt":26,"email":42},"Dominique DELAUNAY, PhD","+33472110064","Dominique.delaunay@chu-lyon.Fr",[44],{"facility":45,"status":26,"city":46,"state":26,"zip":47,"country":48,"countryCode":49,"cosmosGeoPoint":50,"geoPoint":55,"contacts":56},"Hôpital Lyon Sud","Pierre-Bénite","69495","France","FR",{"type":51,"coordinates":52},"Point",[53,54],4.82424,45.70359,{"lat":54,"lon":53},[57],{"name":58,"role":36,"phone":37,"phoneExt":26,"email":38},"Emmanuel DISSE, MD PhD",{"type":60,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR","100609341","probiotic-intervention-for-digestive-health-in-obese-patients-initiating-glp-ra-treatment-100609341",false,"NCT07213323","Probiotic Intervention for Digestive Health in Obese Patients Initiating GLP-RA Treatment","Evaluation of the Efficacy of Probiotics on Digestive Quality of Life in Patients Initiating GLP-1 Receptor Agonists for the Treatment of Obesity. A Randomized, Double-blind Trial","PROBIO-GLP1","Inclusion Criteria:\n\n* Patient who is going to start a GLP-1 RA (semaglutide or tirzepatide) for weight management\n* Men or Women\n* BMI ≥ 30 kg\u002Fm2 or BMI ≥ 27 kg\u002Fm2 associated with one or more co-morbidities (arterial hypertension, sleep apnea, dyslipidemia, arthritis)\n* Between 18 and 75 years old\n* In the opinion of the investigator, the patient must have adequate support to comply with the entire study requirements as described in the protocol (e.g. transportation to and from trial site, ability to understand and fill the self-rating scales, drug compliance, availability to attend to the scheduled visits, etc…).\n* Patient who agrees to be included in the study and who signs the informed consent form\n* Female participants of childbearing potential must agree to use effective contraception\n* Patient affiliated to a healthcare insurance plan\n\nExclusion Criteria:\n\nCriteria relating to the study population:\n\n* Patients under 18 years old\n* Patient with contraindication to semaglutide or tirzepatide according to the Summary of Product Characteristics (SPC).\n* Patients scheduled for bariatric surgery during the study period\n* Patients who have had bariatric surgery in the last 12 months\n* Patient with a current diagnosis of diabetes.\n* Patients with a current diagnosis of liver cirrhosis, short bowel syndrome or inflammatory bowel disease (IBD).\n* Patients with severely weakened immune system.\n* Clinically unstable medical disease, including cardiovascular, hepatic, renal, gastrointestinal, pulmonary, metabolic, endocrine, or other systemic disease.\n\nProduct criteria:\n\nPatient with known allergy to the product of the study\n\nProhibited treatments :\n\nCurrent associated treatments or used in the last 30 days: GLP-1 RA, Anti-obesity drugs (AOD), Corticosteroids, Atypical neuroleptics, Antibiotics, Probiotics, Prebiotics\n\nRegulatory criteria :\n\n* Persons deprived of their liberty by a judicial or administrative decision\n* Persons under psychiatric care\n* Persons admitted to a health or social institution for purposes other than research\n* Adults subject to a legal protection measure (guardianship, curatorship)\n* Persons not affiliated to a social security scheme or beneficiaries of a similar scheme\n* Subjects participating in other interventional research with an exclusion period still in progress at pre-inclusion","ALL","18 Years","75 Years",{"count":73,"type":74},50,"ESTIMATED","INTERVENTIONAL",[77],"NA","Obesity is a prevalent chronic disease affecting 17% of the French population. Treatment involves multiple factors, with pharmacotherapy playing an increasingly important role. GLP-1 receptor agonists (GLP1 RAs) are considered revolutionary in obesity treatment, with three approved molecules available in France: liraglutide, semaglutide, and tirzepatide. These treatments, combined with a healthy lifestyle, induce significant weight loss: 9% with liraglutide, 15% with semaglutide, and 20% with tirzepatide.\n\nThe most common adverse events (AEs) associated with GLP-1 RAs are gastrointestinal (GI) disorders, including nausea, vomiting, diarrhea, and abdominal pain. These AEs are dose-dependent and often decline over time. In phase 3 trials, semaglutide 2.4 mg showed higher rates of GI AEs compared to placebo, but most were mild to moderate and transient. GI AEs led to dose reduction or temporary treatment interruption in 12.5% of participants, with few permanent discontinuations.\n\nProbiotics, are live microorganisms that benefit the host by improving gut microflora. Probiotics has been clinically proven to benefit gastrointestinal health. Probiotics may reduces symptoms of irritable bowel syndrome (IBS), improves gut barrier function, reduces inflammation, and decreases the incidence of C. difficile infection (CDI) in patients taking antibiotics.\n\nProbiotics is therefore theorized to potentially reduce GI side effects associated with GLP-1 RA treatment for obesity.\n\nHypothesis Probiotics will prevent and limit the digestive disorders induced by GLP-1 R agonists, particularly during the dose escalation period. This would allow better digestive tolerance of the treatments, limiting the number of definitive treatment interruptions, facilitating compliance and dose escalation with a larger number of subjects at full dose and therefore with better systemic exposure to the compounds, a key factor in their effects on weight loss.",[80,81],"Obesity &Amp; Overweight","Digestive Disorders",[83,9,84],"GLP1 R-agonist","Quality of life","NOT_YET_RECRUITING","2025-10-01",{"date":88,"type":89},"2025-10-08","ACTUAL",{"date":91,"type":74},"2025-12-15",{"date":93,"type":74},"2027-12-15",{"name":5,"class":6},1]