- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02532101
Modulating Effects of Oil Palm Phenolics in Uncontrolled Insulin-treated Type 2 Diabetes Mellitus (UNIDOPP)
Study Overview
Status
Intervention / Treatment
Detailed Description
Recent studies suggest the potential of polyphenols as a supplementary treatment for diabetes mellitus owing to their biological properties. Polyphenols are natural phytochemical compounds found in fruits and vegetables. The most common group of phenolic compounds in our diet are phenolic acids and flavonoids. The two main classes are hydroxybenzoic acid derivatives and hydroxycinnamic acid derivatives.
The potential efficacy of polyphenols on glucose homeostasis and carbohydrate metabolism is being aggressively investigated in in vitro, animal models and clinical trials. The anti-hyperglycemic property of polyphenols is mainly contributed by the reduction of dietary carbohydrate absorption through intestines, improvement of β-cell function and insulin action, stimulation of insulin secretion, modulation of the enzymes involved in glucose metabolism, anti-oxidative and anti-inflammatory effects.
The key enzymes responsible for the digestion of dietary carbohydrates to glucose are α-glucosidase and α-amylase. One of the most well-known properties of polyphenols especially phenolic acids on carbohydrate metabolism is the inhibition of these enzymes. Some investigations have shown that polyphenols are also able to regulate postprandial glycemia and inhibit the development of glucose intolerance by a facilitated insulin response and increased secretion of glucose-dependent insulinotropic polypeptide (GIP) and glucagonlike polypeptide-1 (GLP-1).
The current study focuses on the glucose-controlling properties of phenolic compounds extracted from oil palm (Elaeis guineensis), a high oil-producing tropical plant that also rich in phytochemicals. The major phenolic components in OPP are identified as caffeoylshikimic acid, protocatechuic acid and p-hydroxybenzoic acid. OPP has been found to exert various positive health effects parallel to the well-established physiological benefits of polyphenols. It has been shown that OPP protects against early type 2 diabetes and encouraging results suggest its role in modulating the development of diabetes. The current study aims to investigate and determine the effects of oil palm phenolics (OPP) on the blood glucose control in patients with uncontrolled insulin treated type 2 diabetes mellitus.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Penang
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Seberang Jaya, Penang, Malaysia, 13700
- Seberang Jaya Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is currently injecting an insulin dosage of >= 1.0 unit/kilogram/day.
- Subject has a serum glycosylated haemoglobin (HbA1c) >= 9.
- Subject has fasting plasma glucose level of more than 7.0 mmol/L and less than 12.0 mmol/L.
- Subjects or his/her legally acceptable representative is willing to provide written informed consent.
Exclusion Criteria:
- Subject with diabetic ketoacidosis or in coma.
- Subject with terminal cancer.
- Subject with renal failure (serum creatinine more than 200 umol/L).
- Subject with significant liver impairment (liver function test of 5 times more than the upper limit level).
- Subject with severe dementia and psychosis.
- Subject requires of long term corticosteroid treatment for the underlying disease such as connective tissue disorder.
- Subject with hemoglobinopathy or anemia.
- Subject underwent splenectomy or suffered from splenomegaly.
- Subject with chronic substance abuse such as chronic alcoholism or chronic opiate usage.
- Female subject of childbearing potential unless subject underwent bilateral tubal ligation, bilateral oophorectomy or hysterectomy previously.
- Subject or care giver is unable to perform self-monitoring of capillary blood glucose at home.
- Subject who have been included in any other clinical trial within the previous 3 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Oil Palm Phenolics
500 mg gallic acid equivalent (GAE), twice daily, 3 months
|
Palm fruit derived phenolics compound
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Blood glucose level
Time Frame: 3 months
|
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lipid Profile
Time Frame: 3 months
|
Total cholesterol, Low-density lipoprotein, High-density lipoprotein, Triglycerides
|
3 months
|
Insulin Sensitivity
Time Frame: 3 months
|
Model-derived Oral Glucose Insulin Sensitivity (OGIS) Index will be calculated using weight (kg), height (cm), glucose (mmol/L) and insulin (pmol/L).
|
3 months
|
Global Assessment of Efficacy
Time Frame: 3 months
|
Very good, Good, No change, Unsatisfactory, Very unsatisfactory
|
3 months
|
Beta Cell Function
Time Frame: 3 months
|
Homeostatic Model Assessment (HOMA2-B) to determine beta cell function
|
3 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UNIDOPP-21102
- NMRR-14-565-21102 (Registry Identifier: MREC, Ministry of Health, Malaysia)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
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Linda SiminerioSanofiTerminatedDiabetes Mellitus Type 2 - Insulin-TreatedUnited States
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DiabeloopUniversity Hospital, Grenoble; AGIR à Dom; Icadom; Centre Hospitalier Annecy Genevois and other collaboratorsCompletedDiabetes Mellitus Type 2 - Insulin-TreatedFrance
-
Shanghai Zhongshan HospitalCompleted
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Abbott Diabetes CareRecruitingType 2 Diabetes Treated With InsulinFinland
-
Steno Diabetes Center CopenhagenCompletedType 2 Diabetes Treated With InsulinDenmark
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Hospital Universitario San IgnacioCompletedType 2 Diabetes Treated With InsulinColombia
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DiabeloopAGIR à Dom; Icadom; CHU Grenoble AlpesCompletedType 2 Diabetes Treated With InsulinFrance
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Clinical Trials on Oil Palm Phenolics
-
Universiti Sains MalaysiaClinical Research Centre, Malaysia; Malaysia Palm Oil BoardWithdrawnPrediabetesMalaysia
-
National University of MalaysiaMalaysia Palm Oil BoardUnknownCardiovascular Diseases | Hypercholesterolemia | HyperlipidemiasMalaysia
-
Penn State UniversityCalifornia Healthcare InstituteCompleted
-
USDA Beltsville Human Nutrition Research CenterCompletedCardiovascular Disease | Diabetes | Metabolic SyndromeUnited States
-
Academia Sinica, TaiwanCompletedColorectal Neoplasms
-
Clinical Nutrition Research Centre, SingaporeUniversity of GuelphCompleted
-
Malaysia Palm Oil BoardInternational Medical University (IMU), Kuala Lumpur,MalaysiaCompleted
-
Malaysia Palm Oil BoardNational University of Malaysia; Taylor's UniversityRecruitingGastric Emptying | Postprandial Lipemia | Postprandial GlycemiaMalaysia
-
Imperial College LondonMalaysia Palm Oil BoardCompletedHealthy VolunteersUnited Kingdom
-
Imperial College LondonMalaysia Palm Oil BoardCompletedLipidaemiaUnited Kingdom