A Study to Evaluate the Effects of Pre-Meal Whey Protein Microgels Administration on Post-Prandial Glycemic Response.
A Randomized, Placebo-Controlled, Single-Center, Crossover Study to Evaluate the Effects of Pre-Meal Whey Protein Microgels Administration on Post-Prandial Glycemic Response in Patients with Type 2 Diabetes.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Tustin, California, United States, 92780
- Orange County Research Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Willing and able to sign written informed consent prior to study entry.
- Male or female, >18 years of age.
- Established diagnosis of type 2 diabetes (documented by either HbA1c 6.5 - 10.0% or a history of type 2 diabetes diagnosis).
- Treatment naïve or on active therapy with metformin at a daily dose of 1000-3000mg at screening. Dose of metformin must have been stable for at least 3 months prior to screening.
- Patients must have a hematocrit value greater than or equal to 34.0% for females and 40% for males.
- Patients must have a hemoglobin value greater than or equal to 11.0 g/dL for females and 13.5 g/dL for males.
Exclusion Criteria:
- Fasting plasma glucose >220mg/dl at screening.
- Impaired kidney function, epidermal growth factor receptor of <60mL/min/1.73m2 at screening.
- BMI >40kg/m2.
- Elevated liver transaminase > 3 upper limit of normal at screening.
- Ongoing or recent (i.e. < 3month) treatment with any oral or injectable glucose-lowering drug other than metformin.
- Ongoing or recent (i.e. < 3month) injectable insulin therapy.
- Ongoing or recent (i.e. < 3 month) weight loss interventions (e.g. dietary weight loss programs) or any history of bariatric surgery or any documented weight loss >5% within previous 6 months.
- Ongoing or recent (i.e. < 3 month) treatment with anorectic drugs, systemic steroids, medications known to affect gastric motility, or any condition known to affect gastro-intestinal integrity and food absorption.
- Major medical/surgical event requiring hospitalization in the last 3 months.
- Known allergy and intolerance to product components or acetaminophen.
- Alcohol intake higher than 2 servings per day. A serving is 0.4dl of strong alcohols, 1dl of red or white wine, or 3dl of beer.
- Are unable to comply with protocol procedures in the opinion of the investigator.
- Have a hierarchical link with the research team members.
- Positive pregnancy test at screening.
- Patients who have been dosed in another clinical trial with any investigational drug/new chemical entity within 30 days or 5 half-lives (whichever is longer) prior to screening, or patients currently participating in any investigational trial.
- Donation of blood or significant amount of blood loss within 8 weeks prior to screening. Patients must also agree to not donate blood within 8 weeks after their last visit.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
A matching placebo (125ml of water without whey protein) will be used as control.
|
|
Active Comparator: Whey Protein
|
The test product is whey protein microgels 10g, reconstituted in 125ml water.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Post-prandial glycemic excursion.
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Incremental area under the curve post-prandial glycemic excursion (iAUC 0-3 hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
2h post-prandial glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Incremental area under the curve 2hours post-prandial glucose levels
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Total glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Total glucose AUC (tAUC 0-3hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucose iCmax
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucose Tmax
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucose AUC (iAUC 0-4hours, tAUC 0-4hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Serum insulin
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Serum insulin (iAUC 0-3hours, iCmax, Tmax, tAUC 0-3hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma glucagon
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucagon (iAUC 0-3hours, iCmax, Tmax, tAUC 0-3hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma Glucagon-like Peptide-1
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma GLP-1 (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma Gastric Inhibitory Polypeptide
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Plasma GIP (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Plasma ghrelin
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Plasma ghrelin (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Plasma cholecystokinin
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Plasma cholecystokinin (CCK) (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Plasma peptide
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Plasma peptide-YY (PYY) (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Serum triglycerides
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Serum triglycerides (iAUC 0-2hours, iCmax, Tmax, tAUC 0-2hours)
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Gastric emptying
Time Frame: -15, 0, 15, 30, 45, 60, 90, 120, 180, and 240 minutes.
|
Gastric emptying (AUC 0-4hours, Cmax and Tmax for acetaminophen)
|
-15, 0, 15, 30, 45, 60, 90, 120, 180, and 240 minutes.
|
|
Beta-cell function I
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Beta-cell function I: AUC insulin 0-3hours: AUC glucose 0-3hours ratio
|
-15, 0, 30, 60, 90, and 120 minutes.
|
|
Beta-cell function II
Time Frame: -15, 0, 30, 60, 90, and 120 minutes.
|
Beta-cell function II: Insulinogenic index (IGI): [insulin (30-0 minutes) (μU/mL)/glucose (30-0 minutes) (mg/dL)]
|
-15, 0, 30, 60, 90, and 120 minutes.
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Plasma glucose
Time Frame: 0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes
|
Plasma glucose at individual timepoints
|
0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes
|
|
Serum insulin
Time Frame: 0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes
|
Serum insulin at individual timepoints
|
0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes
|
|
Plasma glucagon
Time Frame: 0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes)
|
Plasma glucagon at individual timepoints
|
0, 15, 30, 45, 60, 90, 120, 150, 180, and 240 minutes)
|
|
Plasma glucose
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucose (iAUC 0-2hours, iAUC 0-1hour, tAUC 0-2hours, tAUC 0-1hour)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Serum insulin
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Serum insulin (iAUC 0-4hours, tAUC 0-4hours, iAUC 0-2hours, tAUC 0-2hours, iAUC 0-1hour, tAUC 0-1hour)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma glucagon
Time Frame: -30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
Plasma glucagon (iAUC 0-4hours, tAUC 0-4hours, iAUC 0-2hours, tAUC 0-2hours, iAUC 0-1hour, tAUC 0-1hour)
|
-30, -15, 0, 15, 30, 45, 60, 120,150, 180, and 240 minutes.
|
|
Plasma GLP-1
Time Frame: -15, 0, 30, 60, 90, 120 minutes.
|
Plasma GLP-1 (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes.
|
|
Plasma GIP
Time Frame: -15, 0, 30, 60, 90, 120 minutes.
|
Plasma GIP (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes.
|
|
Serum triglycerides
Time Frame: -15, 0, 30, 60, 90, 120 minutes
|
Serum triglycerides (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes
|
|
Plasma ghrelin
Time Frame: -15, 0, 30, 60, 90, 120 minutes
|
Plasma ghrelin (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes
|
|
Plasma cholecystokinin
Time Frame: -15, 0, 30, 60, 90, 120 minutes
|
Plasma cholecystokinin (CCK) (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes
|
|
Plasma peptide
Time Frame: -15, 0, 30, 60, 90, 120 minutes.
|
Plasma peptide-YY (PYY) (iAUC 0-1hour, tAUC 0-1hour)
|
-15, 0, 30, 60, 90, 120 minutes.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Joel M Neutel, MD, Orange County Research Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 19.14.CLI
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.