Life sciences · Phase 3 Trial
ClinicalTrials.gov · October 23, 2026
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Phase 3 Trial.
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Registry record from ClinicalTrials.gov (NCT04578652). This is a study registration, not published results. Lead sponsor: University of Alberta. Recruitment status: RECRUITING. Phase: PHASE3. Study type: INTERVENTIONAL. Enrollment: 90 participants (ESTIMATED). Conditions: Obesity, Childhood, Insulin Resistance. Interventions: DRUG: Metformin 850 mg oral tablet bid; DIETARY_SUPPLEMENT: Supplemental fiber mixture (35 g total) composed of 6g of Oligofructose + 12g of resistant maltodextrin + 12g of acacia gum + 5g of PGX.. Primary outcome measures: Changes in HOMA-IR , Baseline, 6, and 12 months. Brief summary: This is a 12-month, single center, three-arm parallel design, double-blind, randomized clinical trial, to compare the effects of supplemental dietary fiber and metformin (MET) alone and in combination over 12 months on glucose metabolism (insulin resistance \[IR\]), inflammation and BMI in adolescents with obesity and IR, and to assess the relationship between therapeutic intervention(s) and changes in gut microbiome composition and function. Since MET and FIBER have been shown to reduce weight and increase insulin sensitivity through distinct but overlapping mechanisms of action, our central hypothesis is that the combination of FIBER + MET will have a synergistic effect and be more effective than FIBER or MET alone in improving metabolic function (IR) and reducing BMI and inflammation in adolescents with obesity, IR and family history (FM) of T2DM. .