- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07711288
A Two-part Study of Lembas Edge Evaluating Tolerability and Postprandial Glycemic Control
The goal of part 1 of this clinical trial is to investigate the tolerability of Lembas Edge in healthy adults. The objective of Part 2 of this study is to investigate the efficacy of Lembas Edge on postprandial glycemic control in prediabetic overweight and obese adults. The main questions it aims to answer are:
- What is the tolerability of Lembas Edge?
- What is the efficacy of Lembas Edge on postprandial glycemic control?
Researchers will compare Lembas Edge to placebo to see its effects. Participants will be asked to:
- Provide blood samples.
- Record their food and beverage intake in Part 2.
- Complete a satiety questionnaire in Part 2.
- Consume Lembas Edge or placebo as instructed.
Study Overview
Status
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Erin Lewis
- Phone Number: +248 1-226-242-4551
- Email: elewis@kgkscience.com
Study Locations
-
-
Ontario
-
London, Ontario, Canada
- KGK Science Inc.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria Part 1:
- Males & females 18 years and older
Females not of child-bearing potential, defined as those who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal for at least 1 year prior to screening Or, Individuals of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include:
- Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo-Provera, Lunelle), or hormone implant (Norplant System)
- Double-barrier method
- Intrauterine devices
- Non-heterosexual lifestyle and agrees to use contraception if planning on changing to heterosexual partner(s)
- Vasectomy of partner at least 6 months prior to screening
- Abstinence and agrees to use contraception if planning on becoming sexually active during the study
- Agrees to maintain current lifestyle habits (diet, physical activity, medications, supplements, and sleep) as much as possible throughout the study
- Provided voluntary, written, informed consent to participate in the study
- Healthy as determined by medical history as assessed by the Qualified Investigator (QI)
Inclusion Criteria Part 2:
- Males & females 18 years and older
- Body Mass Index (BMI) between 25.0 and 34.9 kg/m2
Females not of child-bearing potential, defined as those who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal for at least 1 year prior to screening Or, Individuals of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include:
- Hormonal contraceptives including oral contraceptives, hormone birth control patch (Ortho Evra), vaginal contraceptive ring (NuvaRing), injectable contraceptives (Depo-Provera, Lunelle), or hormone implant (Norplant System)
- Double-barrier method
- Intrauterine devices
- Non-heterosexual lifestyle and agrees to use contraception if planning on changing to heterosexual partner(s)
- Vasectomy of partner at least 6 months prior to screening
- Abstinence and agrees to use contraception if planning on becoming sexually active during the study
- Hemoglobin A1c (HbA1c) of 5.7-6.4% at screening
- Willingness to complete questionnaires, records and diaries associated with the study and to complete clinic visits
- Agrees to maintain current lifestyle habits (diet, physical activity, medications, supplements, and sleep) as much as possible throughout the study
- Provided voluntary, written, informed consent to participate in the study
- Healthy as determined by medical history as assessed by the Qualified Investigator (QI)
Exclusion Criteria Part 1:
- Individuals who are pregnant, breast feeding, or planning to become pregnant during the study
- Allergy (including alpha-gal syndrome), sensitivity, intolerance, or dietary restriction preventing consumption of investigational product
- Unstable metabolic disease or chronic diseases as assessed by the QI
- Current or history of any significant diseases of the gastrointestinal tract as assessed by the QI
- Unstable hypertension. Treatment on a stable dose of medication for at least 3 months will be considered by the QI (See Section 7.3)
- Type I or Type II diabetes
- Significant cardiovascular event in the past 6 months. Participants with no significant cardiovascular event on stable medication may be included after assessment by the QI on a case-by-case basis
- History of or current diagnosis with kidney and/or liver diseases as assessed by the QI on a case-by-case basis, with the exception of history of kidney stones in participants who are symptom free for 6 months
- Self-reported confirmation of current or pre-existing thyroid condition. Treatment on a stable dose of medication for at least 3 months will be considered by the QI
- Major surgery in the past 3 months or individuals who have planned surgery during the course of the study. Participants with minor surgery will be considered on a case-by-case basis by the QI
- Cancer, except skin basal cell carcinoma completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than five years after diagnosis are acceptable
- Individuals with an autoimmune disease or are immune compromised as assessed by the QI
- Self-reported confirmation of a Human Immunodeficiency Virus (HIV)-, Hepatitis B- and/or C-positive diagnosis as assessed by the QI
- Self-reported confirmation of blood/bleeding disorders as assessed by the QI
- Use of prescribed medical cannabinoid products
- Chronic use of cannabinoid products (>2 times/week). Occasional users will be required to washout and abstain for the duration of the study period
- Regular use of tobacco or nicotine products in the past six months, as assessed by the QI. Occasional users will be required to washout and abstain for the duration of the study period
- Alcohol intake average of >2 standard drinks per day as assessed by the QI
- Alcohol or drug abuse within the last 12 months
- Current use of prescribed and/or over-the-counter (OTC) medications, supplements, and/or consumption of food/drinks that may impact the safety of the investigational product (Sections 7.3.1 and 7.3.2)
- Blood donation 30 days prior to baseline, during the study, or a planned donation within 30 days of the last study visit
- Participation in other clinical research studies 30 days prior to baseline, as assessed by the QI
- Individuals who are unable to give informed consent
- Any other condition or lifestyle factor, that, in the opinion of the QI, may adversely affect the participant's ability to complete the study or its measures or pose significant risk to the participant
Exclusion Criteria Part 2:
- Individuals who are pregnant, breast feeding, or planning to become pregnant during the study
- Allergy (including alpha-gal syndrome), sensitivity, intolerance, or dietary restriction preventing consumption of investigational product or placebo ingredients or the standardized meal
- Poor venous access as assessed by the QI
- Change in body weight greater than 5 kg within 3 months prior to starting study
- Currently on or planning to initiate a body weight reduction diet during the study
- Self reported vigorous exercise >120 minutes/week
- Obesity induced by endocrinologic or genetic disorders or monogenetic or syndromic forms of obesity
- Family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
- Unstable metabolic disease or chronic diseases, including pancreatitis, as assessed by the QI
- Current diagnosis with gastroesophageal reflux disease (GERD) or hiatal hernia
- Current or history of any significant diseases of the gastrointestinal tract as assessed by the QI
- Unstable hypertension. Treatment on a stable dose of medication for at least 3 months will be considered by the QI (See Section 7.3)
- Type I or Type II diabetes
- Significant cardiovascular event in the past 6 months. Participants with no significant cardiovascular event on stable medication may be included after assessment by the QI on a case-by-case basis
- History of or current diagnosis with kidney and/or liver diseases as assessed by the QI on a case-by-case basis, with the exception of history of kidney stones in participants who are symptom free for 6 months
- Self-reported confirmation of current or pre-existing thyroid condition. Treatment on a stable dose of medication for at least 3 months will be considered by the QI
- Major surgery in the past 3 months or individuals who have planned surgery during the course of the study. Participants with minor surgery will be considered on a case-by-case basis by the QI
- Cancer, except skin basal cell carcinoma completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than five years after diagnosis are acceptable
- Individuals with an autoimmune disease or are immune compromised as assessed by the QI
- Self-reported confirmation of a HIV-, Hepatitis B- and/or C-positive diagnosis as assessed by the QI
- Self-reported confirmation of blood/bleeding disorders as assessed by the QI
- Use of prescribed medical cannabinoid products
- Chronic use of cannabinoid products (>2 times/week). Occasional users will be required to washout and abstain for the duration of the study period
- Regular use of tobacco or nicotine products in the past six months, as assessed by the QI. Occasional users will be required to washout and abstain for the duration of the study period
- Alcohol intake average of >2 standard drinks per day as assessed by the QI
- Alcohol or drug abuse within the last 12 months
- Current use of prescribed and/or over-the-counter (OTC) medications, supplements, and/or consumption of food/drinks that may impact the glucose metabolism or efficacy of the investigational product (Sections 7.3.1 and 7.3.2)
- Blood donation 30 days prior to baseline, during the study, or a planned donation within 30 days of the last study visit
- Participation in other clinical research studies 30 days prior to baseline, as assessed by the QI
- Individuals who are unable to give informed consent
- Any other condition or lifestyle factor, that, in the opinion of the QI, may adversely affect the participant's ability to complete the study or its measures or pose significant risk to the participant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Low Dose Lembas Edge
Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
|
Experimental: Medium Dose Lembas Edge
Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
|
Experimental: High Dose Lembas Edge
In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13).
In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13). In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
|
Placebo Comparator: Placebo
In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13).
In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13).
In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of post-emergent adverse events (AE)
Time Frame: Day 0 to 14
|
Part 1. Incidence of post-emergent adverse events (AE)
|
Day 0 to 14
|
|
Clinically relevant changes in blood pressure after supplementation
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in blood pressure (mmHg) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in heart rate after supplementation
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in heart rate (beats per minute) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in aspartate aminotransferase
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in aspartate aminotransferase (U/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in alanine aminotransferase
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in alanine aminotransferase (U/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in alkaline phosphatase
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in alkaline phosphatase (U/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in total bilirubin
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in total bilirubin (micromole/litre) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in creatinine
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in creatinine (micromole/litre) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in sodium
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in sodium (mmol/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in potassium
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in potassium (mmol/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in chloride
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in chloride (mmol/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in estimated glomerular filtration rate
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in estimated glomerular filltration rate (mL/min/1.73
m^2) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in glucose
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in glucose (mmol/L) after supplementation.
|
Day 0 to 14
|
|
Clinically relevant changes in red blood cell count
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in red blood cell count (x 10^12/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in white blood cell count
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in white blood cell count (x 10^9/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in platelet count
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in platelet count (x 10^9/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in hemoglobin
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in hemoglobin (g/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in hematocrit
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in hematocrit (L/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in red blood cell indices (MCV - Mean Corpuscular Volume)
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in MCV (fL) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in red blood cell indices (MCH - Mean Corpuscular Hemoglobin)
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in MCH (pg) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in red blood cell indices (MCHC - Mean Corpuscular Hemoglobin Concentration)
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in MCHC (g/L) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in RDW - Red Cell Distribution Width
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in RDW (%) after supplementation
|
Day 0 to 14
|
|
Clinically relevant changes in red blood cell indices (MPV - Mean Platelet Volume)
Time Frame: Day 0 to 14
|
Part 1. Clinically relevant changes in MPV (fL) after supplementation
|
Day 0 to 14
|
|
The difference in postprandial glucose between Lembas Edge and placebo
Time Frame: Visit 2 (day 1) to Visit 5 (day 22)
|
Part 2. The difference in postprandial glucose, as assessed by incremental area under the curve (iAUC) (0-120 min), between Lembas Edge (high dose, medium dose, low dose) and placebo.
|
Visit 2 (day 1) to Visit 5 (day 22)
|
|
The height of the postprandial glucose peak and nadir post meal between Lembas Edge and placebo
Time Frame: Visit 2 (day 1) to Visit 5 (day 22)
|
Part 2. The height of the postprandial glucose peak and nadir post meal between Lembas Edge (high dose, medium dose, low dose) and placebo.
|
Visit 2 (day 1) to Visit 5 (day 22)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The difference in postprandial glucose iAUC (0-240 min) between Lembas Edge and placebo
Time Frame: Visit 2 (day 1) to Visit 5 (day 22)
|
Part 2. The difference in postprandial glucose, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Visit 2 (day 1) to Visit 5 (day 22)
|
|
The difference in postprandial insulin between Lembas Edge and placebo
Time Frame: Visit 2 (day 1) to Visit 5 (day 22)
|
Part 2. The difference in postprandial insulin, as assessed by iAUC (0-120 min) and iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Visit 2 (day 1) to Visit 5 (day 22)
|
|
The difference in self-reported satiety scores between Lembas Edge and placebo
Time Frame: Visit 2 (day 1) to Visit 5 (day 22)
|
Part 2. The difference in self-reported satiety scores, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Visit 2 (day 1) to Visit 5 (day 22)
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in fasting glucose from baseline to day 14 after supplementation
Time Frame: Day 0 to 14
|
Part 1.
The change in fasting glucose from baseline to day 14 after supplementation
|
Day 0 to 14
|
|
Change in fasting insulin from baseline to day 14 after supplementation
Time Frame: Day 0 to 14
|
Part 1.
The change in fasting insulin from baseline to day 14 after supplementation
|
Day 0 to 14
|
|
Change in fasting HOMA-IR from baseline to day 14 after supplementation
Time Frame: Day 0 to 14
|
Part 1.
The change in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) from baseline to day 14 after supplementation
|
Day 0 to 14
|
|
Part 2. Incidence of post-emergent adverse events (AE)
Time Frame: Visit 1 (day -45 to -1) to visit 5 (day 22)
|
Part 2. Incidence of post-emergent adverse events (AE)
|
Visit 1 (day -45 to -1) to visit 5 (day 22)
|
|
The difference in postprandial peptide YY (PYY) between Lembas Edge and placebo
Time Frame: Day 1 to 22
|
Part 2. The difference in postprandial PYY, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Day 1 to 22
|
|
The difference in postprandial GIP (Glucose-Dependent Insulinotropic Polypeptide) between Lembas Edge and placebo
Time Frame: Day 1 to 22
|
Part 2. The difference in postprandial GIP, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Day 1 to 22
|
|
The difference in postprandial Glucagon-Like Peptide-1 (GLP-1) between Lembas Edge and placebo
Time Frame: Day 1 to 22
|
Part 2. The difference in postprandial GLP-1, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo
|
Day 1 to 22
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Other Study ID Numbers
- 26LBKGR01
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.
Clinical Trials on Postprandial Glycemic Control
-
KU LeuvenCompletedPostprandial Glycemic ResponsesBelgium
-
KU LeuvenCompleted
-
CHA UniversitySamsung ElectronicsCompletedHealthy Adults | Postprandial Glycemic ResponseSouth Korea
-
Cambridge GlycoscienceCompletedPostprandial Glycemic ResponseCanada
-
San Diego State UniversityCompletedPostprandial Hyperglycemia | Postprandial Glycemic Response | Postprandial InsulinUnited States
-
San Diego State UniversityCompleted
-
Lund UniversityCompletedPoor Glycemic Control
-
University College DublinActive, not recruitingGlucose Intolerance | Healthy Subjects | Postprandial Hyperglycemia | Glycemic Control | Diabetes Mellitus RiskIreland
-
King Faisal UniversitySaudi Food and Drug AuthorityNot yet recruitingEffect of Circadian Timing of a Standardized Meal on Postprandial Glucose Response in Healthy AdultsMeal Timing | Glycemic Response to Feeding in Healthy Participants | Postprandial GlucoseSaudi Arabia
-
TCI Co., Ltd.RecruitingBlood Sugar (Glucose) Control | Postprandial GlucoseTaiwan
Clinical Trials on Low dose alpha-galactosidase-derived peptide
-
Rigshospitalet, DenmarkUniversity of Copenhagen; Copenhagen Muscle Research Centre, Rigshospitalet...CompletedDiabetes Type 2Denmark
-
Zhejiang Echon Biopharm LimitedActive, not recruiting
-
Anterogen Co., Ltd.TerminatedPerianal Fistula | Primary; ComplexKorea, Republic of
-
Anterogen Co., Ltd.TerminatedComplex Perianal FistulaKorea, Republic of
-
Ingredia S.A.CompletedPostprandial HyperglycemiaGermany
-
Ruijin HospitalECHO BiotechNot yet recruitingFrontotemporal Dementia
-
Mayo ClinicCompletedKidney TransplantUnited States
-
Ruijin HospitalCellular Biomedicine Group Ltd.CompletedAcute Respiratory Distress SyndromeChina
-
Cellular Biomedicine Group Ltd.RenJi HospitalCompletedKnee OsteoarthritisChina
-
Medipost Co Ltd.CompletedKnee OsteoarthritisKorea, Republic of