- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05312450
TCM and Nutrition for Diabetes Care Cohort (TCM-Nut-DC)
November 14, 2023 updated by: Westlake University
Integrated Traditional Chinese Medicine and Nutrition Treatments for Diabetes Care Cohort
This is a prospective cohort study that takes place in a clinic of Hangzhou, China.
The aim of this study is to explore the molecular mechanism of special Chinese medicine formula combined with personalized nutrition to assist the treatment of diabetes from the aspect of multi-omics view.
This study also aims to explore the relationship between gut microbiome and blood glucose in the process of personalized diet intervention.
Study Overview
Status
Recruiting
Conditions
Detailed Description
Traditional Chinese medicine has a history of more than two thousand years in China for treating diabetes based on the theory of "medicine and food homology".
Modern pharmacological research and clinical research have shown that proprietary Chinese medicines and Chinese herbal decoctions have the advantages of overall regulation and fewer side effects for the treatment of type 2 diabetes and its complications.
Meanwhile, dietary intervention is essential for the treatment of diabetes.
In a clinic of Hangzhou, China, Chinese medicine doctors use a special Chinese medicine formula combined with dietary intervention to treat diabetes, and achieve good therapeutic effects without obvious adverse effects.
The diet treatment plan is based on the results of the patient's food tolerance test, and dietary recommendations are provided based on the food glycemic index.
In the first week of the treatment, patients are limit carbohydrate intake.
Patients are evaluated every one month, and are instructed to choose foods rich in fiber and low glycemic index to reduce blood sugar fluctuations.
Every patient is followed by one nutritionist, who provides dietary instructions for the patient.
Patients use fingertip blood glucose to detect postprandial blood glucose.
One course of treatment is three months, all patients will be treated for one course in this study.
During the treatment, the dosage of western medicine hypoglycemic drugs was adjusted according to the Chinese Diabetes Prevention and Control Guidelines.
Both Chinese medicine prescriptions and nutrition prescriptions were followed for the treatment to work towards the direction of drug injections-only oral drugs-drug reduction-drug discontinuation-drug discontinuation and stability-cure.
Baseline information of demography, lifestyle, diet, physical activity, comorbidity, medication history, and so on is collected when patients enter the clinic to receive treatments.
Meanwhile, the saliva, stool, fasting blood, fasting urine samples are collected.
During the treatment, the dietary information is collected through photos taken by patients themselves.
The saliva, stool, fasting blood, fasting urine samples are also collected when the patients re-enter the clinic for reexamination at the first week, and every one month.
Study Type
Observational
Enrollment (Estimated)
600
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310024
- Recruiting
- Westlake University
-
Contact:
- Ju-Sheng Zheng, PhD
- Phone Number: 86-0571-86915303
- Email: zhengjusheng@westlake.edu.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Diabetes who are volunteer to participate and sign the informed consent form, and without special diseases, such as mental system diseases or other cognitive impairment, cancer and other malignant wasting diseases.
Description
Inclusion Criteria:
- Comply with the diagnosis of diabetes in western medicine and the diagnostic criteria of type 2 diabetes in the "Guiding Principles for Clinical Research of New Chinese Medicines"; volunteer to participate and sign the informed consent form.
Exclusion Criteria:
- Major special diseases, such as mental system diseases or other cognitive impairment, cancer and other malignant wasting diseases.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
gut microbiome
Time Frame: Baseline
|
Fecal microbiome will be analyzed by metagenome sequencing
|
Baseline
|
gut microbiome
Time Frame: The first week
|
Fecal microbiome will be analyzed by metagenome sequencing
|
The first week
|
gut microbiome
Time Frame: The first month
|
Fecal microbiome will be analyzed by metagenome sequencing
|
The first month
|
gut microbiome
Time Frame: The second month
|
Fecal microbiome will be analyzed by metagenome sequencing
|
The second month
|
gut microbiome
Time Frame: The third month
|
Fecal microbiome will be analyzed by metagenome sequencing
|
The third month
|
The change of postprandial blood glucose
Time Frame: Up to three months
|
Fingertip blood glucose was used to detect postprandial blood glucose.
The change of postprandial blood glucose among the three months will be measured
|
Up to three months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Saliva microbiota
Time Frame: Baseline
|
Saliva microbiota will be analyzed by metagenome sequencing
|
Baseline
|
Saliva microbiota
Time Frame: The first week
|
Saliva microbiota will be analyzed by metagenome sequencing
|
The first week
|
Saliva microbiota
Time Frame: The first month
|
Saliva microbiota will be analyzed by metagenome sequencing
|
The first month
|
Saliva microbiota
Time Frame: The second month
|
Saliva microbiota will be analyzed by metagenome sequencing
|
The second month
|
Saliva microbiota
Time Frame: The third month
|
Saliva microbiota will be analyzed by metagenome sequencing
|
The third month
|
Fecal metabolomics
Time Frame: Baseline
|
Targeted or untargeted fecal metabolomics are performed
|
Baseline
|
Fecal metabolomics
Time Frame: The first week
|
Targeted or untargeted fecal metabolomics are performed
|
The first week
|
Fecal metabolomics
Time Frame: The first month
|
Targeted or untargeted fecal metabolomics are performed
|
The first month
|
Fecal metabolomics
Time Frame: The second month
|
Targeted or untargeted fecal metabolomics are performed
|
The second month
|
Fecal metabolomics
Time Frame: The third month
|
Targeted or untargeted fecal metabolomics are performed
|
The third month
|
Serum metabolomics
Time Frame: Baseline
|
Targeted or untargeted serum metabolomics are performed
|
Baseline
|
Serum metabolomics
Time Frame: The first week
|
Targeted or untargeted serum metabolomics are performed
|
The first week
|
Serum metabolomics
Time Frame: The first month
|
Targeted or untargeted serum metabolomics are performed
|
The first month
|
Serum metabolomics
Time Frame: The second month
|
Targeted or untargeted serum metabolomics are performed
|
The second month
|
Serum metabolomics
Time Frame: The third month
|
Targeted or untargeted serum metabolomics are performed
|
The third month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 10, 2022
Primary Completion (Estimated)
November 1, 2024
Study Completion (Estimated)
November 1, 2024
Study Registration Dates
First Submitted
December 2, 2021
First Submitted That Met QC Criteria
April 1, 2022
First Posted (Actual)
April 5, 2022
Study Record Updates
Last Update Posted (Estimated)
November 17, 2023
Last Update Submitted That Met QC Criteria
November 14, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20211117ZJS001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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