Clinical trial Recruiting at 1 site Interventional Ages 21 and up

Akkermansia muciniphila plus berberine to improve insulin sensitivity in night-shift workers

Official title: Effects of Akkermansia Muciniphila and Berberine Supplementation on Insulin Sensitivity in Night-shift Workers: a Double-blind, Randomised, Placebo-controlled, Crossover Study Within the Shift2Health Project

Run by FH Joanneum Gesellschaft mbH · NCT07440147 · Data updated 2026-11-12

This trial tests whether taking Akkermansia muciniphila together with berberine can improve insulin sensitivity in people who work regular night shifts and have overweight or prediabetes.

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Quick facts

Study typeInterventional
Ages21 Years and up
SexAll
Enrollment200 (estimated)
SponsorFH Joanneum Gesellschaft mbH
Industry-sponsored
Locations1 site (Graz, Styria)
StatusRecruiting
StartedJanuary 20, 2026
Main results expectedOctober 2027
Study endsFebruary 2028
Registry record updatedFebruary 27, 2026
Trial IDNCT07440147 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adult healthcare or industrial workers who do at least 24 hours/week of current night-shift work (including ≥3 hours between 00:00–05:00), have worked night shifts for more than 3 years with at least 4 night shifts per month, and have overweight or prediabetes but not diagnosed diabetes.

Probably not a fit

People with diagnosed type 1 or type 2 diabetes, BMI ≥ 40 kg/m², recent or planned major surgery, uncontrolled thyroid disease, major chronic illnesses (e.g., renal failure, active hepatitis, cirrhosis, recent MI or stroke), or who are pregnant or breastfeeding are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Night-shift workers with overweight or impaired glucose regulation are given either a combination of A. muciniphila supplementation plus berberine or a matching placebo, and metabolic and gut-microbiome measures are compared before and after the intervention. The protocol focuses on participants who have done night shifts for several years and perform multiple night shifts per month. Outcomes include measures of insulin sensitivity, other metabolic markers, and changes in gut microbiota composition. The trial is conducted at FH JOANNEUM in Graz with collaborators from Medical University of Vienna, Københavns Universitet, and Erasmus Medical Center.

Why it matters

Potential benefit: If successful, this approach could improve insulin sensitivity and other metabolic measures in night-shift workers, potentially lowering their risk of diabetes and cardiometabolic disease.

How similar studies have gone: Animal studies and some small human trials have shown metabolic benefits from A. muciniphila or berberine separately, but combined supplementation in night-shift workers is a novel approach with limited prior clinical data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Health care or industrial shift worker
* Employed or self-employed working ≥ 24 h/week
* Current night shift work (night shift defined as a work schedule that includes at least 3 hours of work between 00:00 and 5:00) with at least 2 consecutive nights/month
* Night shift work duration \> 3 years
* 4 or more night shifts/month

Exclusion Criteria:

* BMI of 40 kg/m² or higher
* Pregnancy or planned pregnancy within 6 months of enrolment or breastfeeding women
* Bariatric surgery
* Surgery in the 3 months prior to the study or planned surgery in the next 6 months that, in the opinion of the investigators, could potentially affect the outcome of the study
* Diagnosed diabetes type 1 or type 2
* Uncontrolled thyroid disease (confirmed by clinically significant abnormal TSH/T4 levels without stable medication for more than 3 months)
* Chronic diseases (renal failure, active hepatitis, liver cirrhosis, myocardial infarction within the last 2 years, stroke, chronic obstructive pulmonary disease or cancer)
* Immunodeficiency syndrome, active autoimmune or autoinflammatory disease (e.g. multiple sclerosis, lupus, rheumatoid arthritis), inflammatory bowel disease (e.g. IBS or ulcerative colitis) and acute episodes of atopic diseases (atopic dermatitis, asthma, type 1 allergies such as hay fever). Grave's disease, Hashimoto thyroiditis, Celiac disease, sarcoidosis, Lichen planus, are allowed, if well treated and stable
* Regular intake of anticoagulants
* Known allergy to any inactive or active ingredients in the study products
* Participation in other clinical intervention trials during the study
* Current or planned participation in a weight loss program (including intermittent fasting), extreme diet, or vigorous exercise (e.g., running, fast cycling, swimming laps, or playing intense sports that quickly raise your heart rate)

Where it's running

  • FH JOANNEUM University of Applied Sciences
    Graz, Styria, Austria
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.