[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100639892":3},{"organization":4,"armGroups":7,"interventions":17,"overallOfficials":23,"centralContacts":37,"locations":43,"responsibleParty":57,"collaborators":23,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":67,"eligibilityCriteria":68,"healthyVolunteers":63,"sex":69,"minAge":70,"maxAge":23,"enrollmentInfo":71,"targetDuration":23,"studyType":74,"phases":75,"briefSummary":77,"conditions":78,"keywords":82,"overallStatus":93,"whyStopped":23,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"Snouda Health Coaching Ltd","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Phenotype-Matched Lifestyle Intervention","EXPERIMENTAL","Participants undergo SMS phenotyping at baseline and receive a 24-week personalized protocol matched to their Confirmed Phenotype code. The protocol includes a phenotype-specific dietary plan, structured progressive exercise, targeted nutritional supplementation, and optional structured intermittent fasting with full safety protocols.",[13,14,15,16],"Behavioral: Phenotype-Matched Dietary Protocol","Behavioral: Structured Progressive Exercise Protocol","Dietary Supplement: Targeted Nutritional Supplementation","Behavioral: Structured Intermittent Fasting Protocol",[18,24,28,33],{"type":19,"name":20,"description":21,"armGroupLabels":22,"otherNames":23},"BEHAVIORAL","Phenotype-Matched Dietary Protocol","A structured dietary plan tailored to the participant's SMS Confirmed Phenotype. Options include low-carbohydrate diet (Pillar A dominant), anti-inflammatory diet (Pillar B dominant), cortisol-regulating diet (Pillar C dominant), prebiotic\u002Fprobiotic-rich diet (Pillar D dominant), or mitochondrial support diet (Pillar E dominant).",[9],null,{"type":19,"name":25,"description":26,"armGroupLabels":27,"otherNames":23},"Structured Progressive Exercise Protocol","A progressive exercise program combining resistance training and aerobic activity, delivered through the diabetesreversal.io platform with instructional videos and weekly progression targets.",[9],{"type":29,"name":30,"description":31,"armGroupLabels":32,"otherNames":23},"DIETARY_SUPPLEMENT","Targeted Nutritional Supplementation","Nutritional supplements selected based on the participant's SMS phenotype and identified deficiencies. May include magnesium, berberine, omega-3 fatty acids, vitamin D, CoQ10, or probiotic formulations depending on the Confirmed Phenotype.",[9],{"type":19,"name":34,"description":35,"armGroupLabels":36,"otherNames":23},"Structured Intermittent Fasting Protocol","Optional structured intermittent fasting periods with a mandatory 24-hour fasting safety protocol including pre-fast physician consultation, 4-hourly glucose monitoring, defined stop criteria, and carbohydrate availability requirements.",[9],[38],{"name":39,"role":40,"phone":41,"phoneExt":23,"email":42},"Salah Snouda, Medical Degree","CONTACT","+44 7846 032836","dr.snouda@hotmail.com",[44],{"facility":5,"status":23,"city":45,"state":46,"zip":23,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Manchester","England","United Kingdom","UK",{"type":50,"coordinates":51},"Point",[52,53],-2.23743,53.48095,{"lat":53,"lon":52},[56],{"name":39,"role":40,"phone":41,"phoneExt":23,"email":42},{"type":58,"investigatorFullName":59,"investigatorTitle":60,"investigatorAffiliation":5,"oldNameTitle":23,"oldOrganization":23},"SPONSOR_INVESTIGATOR","Salah Snouda","Principal Investigator","100639892","validation-of-the-snouda-metabolic-score-for-phenotyping-and-guiding-reversal-in-type-2-diabetes-100639892",false,"NCT07606872","Validation of the Snouda Metabolic Score for Phenotyping and Guiding Reversal in Type 2 Diabetes","A Prospective Interventional Clinical Validation Study of the Snouda Metabolic Score (SMS) as a Phenotyping and Protocol-Targeting Instrument in Adults With Type 2 Diabetes Mellitus","SMS-VAL","Inclusion Criteria:\n\n* Confirmed diagnosis of Type 2 Diabetes Mellitus (T2DM) by a licensed healthcare provider\n* Age 18 years or older\n* HbA1c between 6.5% and 11.0% at baseline\n* Currently managed with lifestyle measures alone, or with oral glucose-lowering medications (metformin, SGLT2 inhibitors, DPP-4 inhibitors, or sulfonylureas)\n* Ability to access and use the diabetesreversal.io digital platform\n* Willingness to perform daily self-monitoring of blood glucose\n* Willingness to complete laboratory blood tests (Genesis Biomarker Panel) at baseline and Week 24 at own expense\n* Able to provide written informed consent\n\nExclusion Criteria:\n\n* Type 1 Diabetes Mellitus or Latent Autoimmune Diabetes in Adults (LADA)\n* Currently pregnant or breastfeeding\n* Currently using insulin therapy\n* Currently using GLP-1 receptor agonists (e.g., semaglutide, liraglutide)\n* HbA1c greater than 11.0% at baseline\n* History of severe hypoglycemia requiring third-party assistance in the past 12 months\n* Active malignancy or receiving chemotherapy or radiation therapy\n* Severe renal impairment (eGFR less than 30 mL\u002Fmin\u002F1.73m²)\n* Severe hepatic impairment\n* Active eating disorder\n* Any condition that in the opinion of the investigator would make participation unsafe or interfere with study completion","ALL","18 Years",{"count":72,"type":73},150,"ESTIMATED","INTERVENTIONAL",[76],"NA","This study tests a new tool called the Snouda Metabolic Score (SMS) that helps doctors identify the specific metabolic problems driving Type 2 Diabetes in each individual patient. Instead of treating all diabetic patients the same way, the SMS classifies patients into one of several metabolic phenotypes - patterns of dysfunction across five body systems: insulin resistance, chronic inflammation, hormonal disruption, gut microbiome imbalance, and mitochondrial dysfunction.\n\nOnce classified, each participant follows a personalized 24-week lifestyle and nutritional protocol targeting their specific phenotype. The protocol includes dietary changes, structured exercise, targeted nutritional supplements, and optional intermittent fasting. Participants track their blood glucose daily and complete biomarker blood tests at the start and end of the study.\n\nThe main goal is to determine whether the SMS tool accurately identifies metabolic phenotypes and whether phenotype-matched protocols produce better outcomes than standard approaches. The study measures changes in HbA1c, fasting insulin, C-peptide, inflammation markers, and whether participants achieve Type 2 Diabetes remission - defined as HbA1c below 6.5% without glucose-lowering medication.\n\nThe study is conducted entirely online through the diabetesreversal.io platform. There are no clinic visits required. Participants must be adults aged 18 or older with a confirmed Type 2 Diabetes diagnosis and must not be pregnant or breastfeeding.",[79,80,81],"Type 2 Diabetes Mellitus (T2DM)","Insulin Resistance","Metabolic Syndrome",[83,84,85,86,87,88,89,90,91,92],"Diabetes reversal","Metabolic phenotyping","Snouda Metabolic Score","Lifestyle intervention","HbA1c reduction","Intermittent fasting","Low-carbohydrate diet","Chronic inflammation","Mitochondrial dysfunction","Gut microbiome","NOT_YET_RECRUITING","2026-05-19",{"date":96,"type":97},"2026-05-26","ACTUAL",{"date":99,"type":73},"2026-06",{"date":101,"type":73},"2027-03",{"name":59,"class":6},1]