- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03949582
Acute Mycoprotein Effect on Glycaemic Control in South Asians (ACMYCO)
A Double-Blind Randomised Controlled Trial Investigating the Acute Effects of Mycoprotein on Glycaemic Control and Appetite in South Asian and Caucasian Adults With Type 2 Diabetes Mellitus
Diet is the cornerstone treatment to manage blood sugar in people with Type 2 Diabetes (T2D). Fibres like guar gum and protein are macronutrients that have an effect in blood sugar levels. Mycoprotein is a fungi-based food high in both dietary fibre and protein shown to have a role in regulating blood sugar levels in healthy. However, little is known about the effects of mycoprotein on blood sugar levels in people with T2D. We are interested in South Asian because they have a different blood sugar response to the same food than a Caucasian.
The main aims of the study is to assess:
- The effect of mycoprotein in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with Type 2 Diabetes.
- The effect of the combination of mycoprotein with guar gum in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with T2D.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a double-blind crossover RCT. A total of 48 participants (24 Caucasian and 24 South Asian) with T2D and non insulin treated will be recruited. Participant will be randomly allocated to one of these two groups:
Group 1: Test food in form of soup and Group 2: Test food in form of mince. Once allocated in one of the groups, participant will consume in a random order 6 different test foods (soy, chicken, mycoprotein with and without guar gum) in a determined format (either as in soup or mince).
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gary Frost, PhD, RD
- Phone Number: 020 7594 0959
- Email: g.frost@imperial.ac.uk
Study Contact Backup
- Name: Anna Cherta Murillo, MRs
- Phone Number: 07803076929
- Email: ac6717@ic.ac.uk
Study Locations
-
-
-
London, United Kingdom, W12 0HS
- Recruiting
- NIHR Imperial Clinical Research Facility
-
Contact:
- Karen Mosley, PhD
- Phone Number: 020 3313 8073
- Email: k.mosley@nhs.net
-
Contact:
- Susanne Fagerbrink
- Phone Number: 020 3313 8077
- Email: Susanne.Fagerbrink@nhs.net
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosed with Type 2 Diabetes Mellitus without insulin treatment.
- South Asian (Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, India, Pakistan and Sri Lanka) or Caucasian Ancestry.
- Age 18-70
- 5.5% ≤ HbA1c ≤ 9.0%
- BMI ≤ 35.0
- If anti-diabetic regime or lipid lowering drugs are used, they have to be stable and controlled for at least 2 months; regimes are expected to remain stable throughout the duration of the study or not being on anti-diabetic medication.
- If on oral hypoglycaemic agent, participant should have the last dose at 8pm of the day before each study visit.
- Willingness to comply with the study protocol, including:
- Use of standard evening meal the day prior to the assessments
- Refrain from alcohol consumption (24 h prior the visit) and extraneous physical exercise (72 h prior to and during the assessments).
- Not changing physical activity routine or dietary habits for the duration of the study (except from the standard evening meal).
Exclusion Criteria:
- Not diagnosed with Type 2 Diabetes Mellitus
- Mixed ancestors
- Taking any of the following medications:
- Insulin
- Diabetic medication (except from Metformin or oral hypoglycaemic which are allowed).
- Orlistat
- Any gastrointestinal disease that interferes with bowel function and nutritional intake (i.e. Diabetes related constipation or diarrhoea secondary to neuropathy or chronic inflammatory bowel disease, gastrectomy, etc.)
- Significant heart (New York Heart Association class IV), hepatic (transaminase levels greater than 3 times normal) or renal disease (requiring dialysis)
- Cancer
- Pancreatitis
- Major infections (requiring antibiotics) within 3 weeks before study entry
- Concomitant therapy with acarbose, meglitinides, insulin, systemic glucocorticoids or within 2 weeks prior to study entry
- History of alcohol and/or drug abuse
- Investigator's uncertainty about the willingness or ability of patient to comply with the protocol requirements
- Participation in other nutrition trials within 3 months of study entry or drug trials within 5 months of study end
- Current smokers
- Allergic to test food or traces contained in the test food, breathing mould, penicillin, egg, soy
- Asthmatics.
- Any condition involving the imbalance of hormones
- Hypothyroidism.
- Weight change of ≥ 5% in the preceding 3 months
- Shift workers
- Vegetarian
- Medical implants that require batteries such as heart pace makers
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mycoprotein as in Soup
24 will be randomised to soup (12 caucasian and 12 south asian) in order to test raw mycoprotein.
Test food will be administrated orally and allowed 15 minutes for consumption at an even pace.
|
The test foods will be (in six study visits): Soy mince/soup Chicken mince/soup Quorn mince/soup Soy mince/soup with guar gum Chicken mince/soup with guar gum Quorn mince/soup with guar gum |
Experimental: Mycoprotein as in Mince
24 will be randomised to mince (12 caucasian and 12 south asian) in order to test processed mycoprotein (Quorn).
Test food will be administrated orally and allowed 15 minutes for consumption at an even pace.
|
The test foods will be (in six study visits): Soy mince/soup Chicken mince/soup Quorn mince/soup Soy mince/soup with guar gum Chicken mince/soup with guar gum Quorn mince/soup with guar gum |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Blood glucose
Time Frame: 180 minutes
|
Fasting and Postprandial blood glucose
|
180 minutes
|
Blood insulin
Time Frame: 180 minutes
|
Fasting and Postprandial blood insulin
|
180 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Subjective appetite feelings
Time Frame: 180 minutes
|
Measured using Visual Analogue Scale from 0 to 100 milimetres, being 100 milimetres the higher score. Questions assessed are:
For questions 1 to 4 the desirable outcome considered as "good result" for the test food mycoprotein are values less than 30 milimetres, and for questions 5 and 6, values above 60 milimetres. |
180 minutes
|
Ad libitum energy intake
Time Frame: At timepoint 180 minutes
|
Measured using a buffet meal composed of wihte pasta with tomato sauce and weighting the serving bowl before and after to measure consumed grams of food.
|
At timepoint 180 minutes
|
Energy intake 72 hours post study visit
Time Frame: For 3 days after study visit
|
Energy intake of free-living subjects will be measured using self reported food diaries
|
For 3 days after study visit
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gary Frost, Imperial College London
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- 18HH4870
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
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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