- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04286555
Kosttiltag til at stoppe hypertension for diabetes (DASH4D)
Diætmetoder til at stoppe hypertension for diabetes forsøg
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Hos personer med og uden diabetes er forhøjet blodtryk (BP) den førende årsag til slagtilfælde og en væsentlig risikofaktor for andre hjerte-kar-sygdomme, herunder koronar hjertesygdom og hjertesvigt. Strategier, der effektivt sænker BP, omfatter lægemiddelbehandling og livsstilsændringer. Livsstilsændringer, især kosttiltag, har vist sig at sænke BP hos personer uden diabetes. Der er dog en slående mangel på beviser på BP-sænkende, livsstilsændringer, bortset fra vægttab, hos personer med diabetes. DASH4D-forsøget er designet til at give dette bevis.
DASH4D-forsøget bygger på efterforskernes erfaring i fire NIH-sponsorerede fodringsundersøgelser (DASH, DASH-Sodium, OmniHeart og OmniCarb). Forsøget vil inkludere cirka 100 voksne med type 2-diabetes, systolisk BP 120-159 mmHg og diastolisk BP
Kernedesignet er en fire-perioders single-site, crossover fodringsundersøgelse med 5-ugers perioder. Deltagerne fodres med hver af fire isokaloriske diæter, præsenteret i tilfældig rækkefølge:
- DASH4D diæt med lavere natrium
- DASH4D diæt med højere natrium
- sammenligning kost med lavere natrium
- sammenligning kost med højere natrium.
Den primære kontrast af interesse er DASH4D-diæten med lavere natrium vs. sammenligningsdiæten med højere natrium.
DASH4D-diæten ligner den originale DASH-diæt, men er lavere i kulhydrater og højere i umættet fedt end den originale DASH-diæt og er derfor mere i overensstemmelse med kostanbefalinger for personer med diabetes end den originale DASH-diæt. Sammenligningsdiæten afspejler, hvad mange personer med diabetes indtager i øjeblikket. Det lavere natriumindtag på ca. 1500 mg/dag (ved 2000 kcal) har vist sig at sænke BP hos personer uden diabetes og er blevet anbefalet i nogle kostråd. Det højere natriumindtag på ca. 3700 mg/dag (ved 2000 kcal) er baseret på et estimeret gennemsnitligt indtag i USA.
Resultaterne måles ved slutningen af hver fodringsperiode. Det primære resultat er slutningen af perioden, kontorbaseret systolisk BP. Andre resultater er diastolisk BP, mål for glykæmi, plasmalipidrisikofaktorer, patientsymptomer og estimeret risiko for hjertekarsygdomme.
I lighed med efterforskernes tidligere fodringsundersøgelser forventer efterforskerne, at resultaterne af DASH4D-studiet vil være umiddelbart anvendelige til folkesundhed og kliniske retningslinjer og vil påvirke ernæringspolitikken. Desuden vil forsøget give en streng platform til at vurdere indvirkningen af kost og natriumindtag på en bred vifte af andre resultater hos personer med type 2-diabetes.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Maryland
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Baltimore, Maryland, Forenede Stater, 21207
- Johns Hopkins ProHealth
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-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
INKLUSIONSKRITERIER:
- Alder 18 eller ældre
- Diabetes mellitus type 2 defineret ved HbA1c ≥6,5 % eller behandling af diabetes med diabetesmedicin(er)
- Baseline systolisk BP på 120-159 mmHg (baseret i gennemsnit på tværs af 3 screeningsbesøg)
- Baseline diastolisk BP
- Villig og i stand til at spise på stedet et måltid om dagen, 3 dage om ugen, og kun spise og al mad leveret som en del af undersøgelsesdiæterne i de kontrollerede fodringsperioder (indkøringsperioder og fire 5-ugers fodringsperioder). Bemærk, at den faktiske hyppighed af spisning på stedet kan være mindre end 3 dage om ugen på grund af COVID-relaterede restriktioner, men deltagere skal stadig være på stedet for at hente mad og blive vejet 3 dage om ugen, og vil stadig blive forventet at få overvåget måltider (personligt eller eksternt) for et måltid om dagen, 3 dage om ugen.
- Villig og i stand til at gennemføre de nødvendige måleprocedurer
- Har adgang til en mobilenhed eller computer med videokonferencefunktioner, eller vær villig til at bruge en enhed til videokonferencer leveret af undersøgelsen
EXKLUSIONSKRITERIER:
Laboratorieudelukkelser
- Serumkalium ≥5,2 mmol/L eller
- Estimeret glomerulær filtrationshastighed (eGFR)
- HbA1c>9,0 %
Udelukkelser af medicin
Ustabil dosis (dvs. ændring i de 2 måneder før screening eller før randomisering) af en af følgende:
- Antihypertensiv medicin
- Natrium-glucose co-transporter 2 (SGLT2) hæmmere eller glucagon-lignende peptid-1 (GLP-1) receptor agonister
- Stimulerende midler, herunder oral medicin mod astma eller kronisk obstruktiv lungesygdom (KOL)
- Hormonerstatningsterapi eller skjoldbruskkirtelhormon
- Vægtforøgende psykotrope midler, herunder antipsykotiske midler, lithium og mirtazapin
Brug af nogen af følgende lægemidler:
- Kaliumtilskud, undtagen hvis en del af et multivitamin
- Prandial eller korttidsvirkende insulin
- GLP-1-receptoragonist ved vægttabsdosis
- Warfarin (Coumadin)
- Kronisk oralt kortikosteroid (intermitterende brug er okay)
- Vægttabsmedicin
- Uvilje til at beholde samme dosis af vitamin-, mineral- og botaniske kosttilskud
- Enhver medicin, der ikke er forenelig med deltagelse som bestemt af efterforskerne
Sygehistorie udelukkelser
- Type 1 diabetes
- Hypoglykæmi, der kræver hospitalsindlæggelse eller hjælp fra en anden person inden for de sidste 12 måneder
- Aktiv kardiovaskulær sygdom eller enhver hændelse inden for de foregående 6 måneder, inklusive koronararterie bypasstransplantation (CABG), perkutan transluminal koronar angioplastik (PTCA), myokardieinfarkt (MI), cerebrovaskulær ulykke (CVA) eller kongestiv hjertesvigt (CHF) eksacerbation, der kræver hospitalsindlæggelse
- Kræftdiagnose eller behandling inden for de sidste 2 år (ikke-melanom hudkræft eller lokaliseret bryst- eller prostatacancer, der ikke kræver systemisk terapi er acceptabelt)
- Aktiv inflammatorisk tarmsygdom, tarmresektion, malabsorptivt syndrom, pancreatitis (episode inden for det seneste år) eller historie med fedmekirurgi
- Graviditet eller amning eller planlagt graviditet
- Ethvert skadestuebesøg (ED) for astma eller kronisk obstruktiv lungesygdom (KOL) inden for de sidste 6 måneder
- Enhver anden alvorlig sygdom eller tilstand, der ikke er forenelig med deltagelse som bestemt af efterforskerne
Fysiske udelukkelser
- Kropsvægt >420 pund
- Armomkreds ≥50 cm
- Vægttab eller -øgning på >5,0 % af kropsvægten i løbet af de foregående 2 måneder
Livsstil og andre udelukkelser
- Betydelige fødevareallergier, præferencer, intolerancer eller diætbehov, der ville forstyrre diætoverholdelse
- Ikke i stand til selv at overvåge glukose, hvis det er nødvendigt
- Indtagelse af mere end 14 alkoholholdige drikkevarer om ugen eller indtagelse af mere end 6 drikkevarer ved en eller flere lejligheder om ugen
- Forstyrrelse i brugen af aktive stoffer, der ville forstyrre deltagelse
- Deltagelse i eller planlægning af påbegyndelse af et vægttabsprogram
- Aktuel deltagelse i et andet klinisk forsøg
- Planlægger at forlade området inden afslutningen af studiet
- Efterforskerens skøn
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: DASH4D diæt med lavere natrium
DASH-stil kostmønster, modificeret til personer med diabetes, med natriumniveau på 1500 mg/dag
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DASH står for "Dietary Approaches to Stop Hypertension".
DASH diæten er en sund diæt, der sænker blodtrykket.
DASH-diæten lægger vægt på frugt, grøntsager og fedtfattige mejeriprodukter; omfatter fuldkorn, fjerkræ, fisk og nødder; og er reduceret i rødt kød, slik og sukkerholdige drikkevarer.
DASH4D-kostmønsteret er en version af DASH-diæten, der er lavere i kulhydrat.
1500 mg/dag natrium (ved 2000 kilokalorieniveau)
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Aktiv komparator: DASH4D diæt med højere natrium
DASH-stil kostmønster, modificeret til personer med diabetes, med natriumniveau på 3700 mg/dag
|
DASH står for "Dietary Approaches to Stop Hypertension".
DASH diæten er en sund diæt, der sænker blodtrykket.
DASH-diæten lægger vægt på frugt, grøntsager og fedtfattige mejeriprodukter; omfatter fuldkorn, fjerkræ, fisk og nødder; og er reduceret i rødt kød, slik og sukkerholdige drikkevarer.
DASH4D-kostmønsteret er en version af DASH-diæten, der er lavere i kulhydrat.
3700 mg/dag natrium (ved 2000 kilokalorie niveau)
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Aktiv komparator: Sammenligning af kost med lavere natrium
Kostmønster, der er typisk for, hvad mange amerikanere med diabetes spiser, med natriumniveau på 1500 mg/dag
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Det sammenlignelige kostmønster er baseret på en typisk amerikansk kost, med makronæringsstoffordelinger generelt på gennemsnittet af typisk amerikansk indtag, og mikronæringsmål generelt tæt på den 25. percentil af sædvanligt amerikansk indtag (med undtagelse af natrium).
1500 mg/dag natrium (ved 2000 kilokalorieniveau)
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Andet: Sammenlign kost med højere natrium
Kostmønster, der er typisk for, hvad mange amerikanere med diabetes spiser, med natriumniveau på 3700 mg/dag
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Det sammenlignelige kostmønster er baseret på en typisk amerikansk kost, med makronæringsstoffordelinger generelt på gennemsnittet af typisk amerikansk indtag, og mikronæringsmål generelt tæt på den 25. percentil af sædvanligt amerikansk indtag (med undtagelse af natrium).
3700 mg/dag natrium (ved 2000 kilokalorie niveau)
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Systolic Blood Pressure (SBP)
Tidsramme: At the end of 5-week feeding period
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After the participant has rested quietly in the seated position for at least 5 minutes, blood pressure will be measured in triplicate, using an Omron device, with each reading separated by 30 seconds, and the average of the three readings (in mmHg) will also be recorded.
Blood pressure will be measured on five separate occasions during the last 2 weeks of the feeding period, and the mean systolic blood pressure from these five blood pressures (15 total readings) will be used as the primary outcome.
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At the end of 5-week feeding period
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Diastolic Blood Pressure (DBP)
Tidsramme: At the end of 5-week feeding period
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After the participant has rested quietly in the seated position for at least 5 minutes, blood pressure will be measured in triplicate, using an Omron device, with each reading separated by 30 seconds, and the average of the three readings (in mmHg) will also be recorded.
Blood pressure will be measured on five separate occasions during the last 2 weeks of the feeding period, and the mean diastolic blood pressure from these five blood pressures (15 total readings) will be used as a secondary outcome.
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At the end of 5-week feeding period
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Glycated Albumin Level
Tidsramme: At the end of 5-week feeding period
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Glycated albumin percentage (%).
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At the end of 5-week feeding period
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Fructosamine Level
Tidsramme: At the end of 5-week feeding period
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Fructosamine level in mmol/L.
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At the end of 5-week feeding period
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Fasting Glucose Level
Tidsramme: At the end of 5-week feeding period
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Fasting glucose level in mg/dL.
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At the end of 5-week feeding period
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Hemoglobin A1c (HbA1c) Level
Tidsramme: At the end of 5-week feeding period
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HbA1c percentage (%).
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At the end of 5-week feeding period
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Cardiovascular Disease (CVD) Risk Percentage
Tidsramme: At the end of 5-week feeding period
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Current 10-year atherosclerotic cardiovascular disease (ASCVD) risk will be reported as a percent, using the American College of Cardiology (ACC)/American Heart Association (AHA) ASCVD risk equation.
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At the end of 5-week feeding period
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Total Cholesterol Level
Tidsramme: At the end of 5-week feeding period
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Total cholesterol level in mg/dL.
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At the end of 5-week feeding period
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Low-density Lipoprotein (LDL) Cholesterol Level
Tidsramme: At the end of 5-week feeding period
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LDL cholesterol level in mg/dL.
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At the end of 5-week feeding period
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High-density Lipoprotein (HDL) Cholesterol Level
Tidsramme: At the end of 5-week feeding period
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HDL cholesterol level in mg/dL.
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At the end of 5-week feeding period
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Triglyceride Level
Tidsramme: At the end of 5-week feeding period
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Triglyceride level in mg/dL.
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At the end of 5-week feeding period
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Presence of Orthostatic Hypotension
Tidsramme: At the end of 5-week feeding period
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Participants will lie in the supine position for 5 minutes and undergo three blood pressure measurements, separated by 30 seconds.
The average of these three readings will be used as the supine blood pressure.
Participants will stand with their arm rested on an adjacent Mayo table at 70-80 degrees from their torso, and participants will then undergo another set of triplicate blood pressure measurements, separated by 30 seconds each.
The average of these three readings will be used as the standing blood pressure.
Presence of orthostatic hypotension will be defined as ≥ 20 mmHg drop in systolic blood pressure or a ≥ 10 mmHg drop in diastolic blood pressure upon standing.
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At the end of 5-week feeding period
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Postural Change in Systolic Blood Pressure
Tidsramme: At the end of 5-week feeding period
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Participants will lie in the supine position for 5 minutes and undergo three blood pressure measurements, separated by 30 seconds.
The average of these three readings will be used as the supine blood pressure.
Participants will stand with their arm rested on an adjacent Mayo table at 70-80 degrees from their torso, and participants will then undergo another set of triplicate blood pressure measurements, separated by 30 seconds each.
The average of these three readings will be used as the standing blood pressure.
Change in systolic blood pressure (mmHg) upon standing will be calculated.
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At the end of 5-week feeding period
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Postural Change in Diastolic Blood Pressure
Tidsramme: At the end of 5-week feeding period
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Participants will lie in the supine position for 5 minutes and undergo three blood pressure measurements, separated by 30 seconds.
The average of these three readings will be used as the supine blood pressure.
Participants will stand with their arm rested on an adjacent Mayo table at 70-80 degrees from their torso, and participants will then undergo another set of triplicate blood pressure measurements, separated by 30 seconds each.
The average of these three readings will be used as the standing blood pressure.
Change in diastolic blood pressure (mmHg) upon standing will be calculated.
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At the end of 5-week feeding period
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Symptoms Experienced by Participants as Assessed by a Questionnaire
Tidsramme: At the end of 5-week feeding period
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Participants will complete a questionnaire about symptoms experienced while on each diet, including symptoms related to fall risk (e.g., feeling faint), food intake and output (e.g., bloating, constipation), fluid intake and output (e.g., excessive thirst), and general symptoms (e.g., fatigue or low energy).
Participants will be asked to rate each listed symptom as: did not occur, mild, moderate, or severe.
Score range 0-69, higher score worse symptoms.
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At the end of 5-week feeding period
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Mean Continuous Glucose Monitoring Sensor Glucose
Tidsramme: 14-day wear period during weeks 3-5
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CGM Ancillary Study Primary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The mean of these glucose measurements (in mg/dL) during the 14-day wear period will be used as a primary outcome of the corresponding feeding period.
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14-day wear period during weeks 3-5
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Percentage of Time Glucose Between 70 and 180 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Primary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was between 70 and 180 mg/dL (time-in-range) during 14-day wear period will be used as a primary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Glucose Coefficient of Variation (%)
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Primary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The glucose coefficient of variation (standard deviation divided by mean glucose, multiplied by 100 and expressed as a percent) during the 14-day wear period will be used as a primary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Glucose Standard Deviation
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Secondary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The standard deviation of glucose measurements (in mg/dL) will be used as a secondary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Above 180 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Secondary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was above 180 mg/dL during the 14-day wear period will be used as a secondary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Above 250 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Secondary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was above 250 mg/dL during the 14-day wear period will be used as a secondary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Below 70 mg/dL
Tidsramme: At the end of 5-week feeding period
|
CGM Ancillary Study Secondary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was below 70 mg/dL during the 14-day wear period will be used as a secondary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Below 54 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Secondary Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was below 54 mg/dL during the 14-day wear period will be used as a secondary outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Between 70 to 140 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was between 70 and 140 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Percentage of Time Glucose Above 140 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The percentage of time glucose was above 140 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With >70% Time Glucose Between 70 to 180 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants that spent >70% of time with glucose between 70 and 180 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With Glucose Coefficient of Variation <36%
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants with a glucose coefficient of variation <36% during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With <25% Time Glucose Above 180 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants that spent <25% of time with glucose above 180 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With <5% Time Glucose Above 250 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants that spent <5% of time with glucose above 250 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With <4% Time Glucose Below 70 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants that spent <4% of time with glucose below 70 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Proportion of Participants With <1% Time Glucose Below 54 mg/dL
Tidsramme: At the end of 5-week feeding period
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CGM Ancillary Study Other Outcome: Continuous glucose monitoring sensors will be worn up to 14 days during each 5-week feeding period in participants included in the DASH4D-CGM ancillary study.
The proportion of participants that spent <1% of time with glucose below 54 mg/dL during the 14-day wear period will be used as an exploratory outcome of the corresponding feeding period.
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At the end of 5-week feeding period
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Lawrence Appel, MD, MPH, Johns Hopkins University
- Ledende efterforsker: Hsin Chieh Yeh, PhD, Johns Hopkins University
- Ledende efterforsker: Scott Pilla, MD, MHS, Johns Hopkins University
- Ledende efterforsker: Elizabeth Selvin, PhD, Johns Hopkins University
Publikationer og nyttige links
Generelle publikationer
- Fang M, Wang D, Rebholz CM, Echouffo-Tcheugui JB, Tang O, Wang NY, Mitchell CM, Pilla SJ, Appel LJ, Selvin E. DASH4D diet for glycemic control and glucose variability in type 2 diabetes: a randomized crossover trial. Nat Med. 2025 Oct;31(10):3309-3316. doi: 10.1038/s41591-025-03823-3. Epub 2025 Aug 5.
- Pilla SJ, Yeh HC, Mitchell CM, Miller ER 3rd, Oh S, White K, Durkin N, Stein AA, Charleston JB, Lu M, Hu X, Wu B, Selvin E, Fang M, Maruthur NM, Juraschek SP, Mueller NT, Wang NY, Appel LJ; DASH4D Collaborative Research Group. Dietary Patterns, Sodium Reduction, and Blood Pressure in Type 2 Diabetes: The DASH4D Randomized Clinical Trial. JAMA Intern Med. 2025 Aug 1;185(8):937-946. doi: 10.1001/jamainternmed.2025.1580.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- IRB00232059
- R01DK128900 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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Kliniske forsøg med Forhøjet blodtryk
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VIVUS LLCIkke rekrutterer endnuPulmonal arteriel hypertension | Pulmonal arteriel hypertension (PAH) (WHO Group 1 PH) | Pulmonal arteriel hypertension (PAH) | Pulmonal arteriel hypertension WHO gruppe I | Pulmonal arteriel hypertension PAH
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Philipps University MarburgMSD Sharp & Dohme GmbH, GermanyIkke rekrutterer endnu
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BayerAfsluttet
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Franz Rischard, DOAcceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc...Ikke rekrutterer endnuPulmonal hypertension | Pulmonal arteriel hypertension (PAH)Forenede Stater
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National Taiwan University Hospital Hsin-Chu BranchRekrutteringHypertension, essentiel | Hypertension, maskeretTaiwan
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Stanford UniversityNational Heart, Lung, and Blood Institute (NHLBI); University of MichiganIkke rekrutterer endnuPulmonal arteriel hypertension (PAH)Forenede Stater
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University of Sao Paulo General HospitalRekrutteringPulmonal arteriel hypertension (PAH)Brasilien
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University Hospital, BrestIkke rekrutterer endnuPulmonal arteriel hypertension (PAH)Frankrig
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Shanghai Zhongshan HospitalIkke rekrutterer endnuPulmonal arteriel hypertension (PAH)
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Rutgers, The State University of New JerseyRekrutteringPulmonal arteriel hypertension | Pulmonal hypertension | Pulmonal arteriel hypertension (PAH) (WHO Group 1 PH) | Pulmonal arteriel hypertension af medfødt hjertesygdom | Pulmonal arteriel hypertension forbundet med skistosomiasis (lidelse) | Pulmonal arteriel og kronisk tromboembolisk pulmonal... og andre forholdForenede Stater
Kliniske forsøg med DASH4D diæt
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Mondelēz International, Inc.KGK Science Inc.Afsluttet
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Chinese University of Hong KongRekrutteringThoracale neoplasmerHong Kong
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University of Alabama at BirminghamNational Multiple Sclerosis SocietyAfsluttetMultipel scleroseForenede Stater
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Mondelēz International, Inc.KGK Science Inc.Afsluttet
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Vastra Gotaland RegionGöteborg UniversityTilmelding efter invitation
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Ondokuz Mayıs UniversityTilmelding efter invitationErnæringsvurdering | Ernæringsintervention | PCOS- Polycystisk ovariesyndromTyrkiet (Türkiye)
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Biruni UniversityAfsluttet
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Università degli Studi di BresciaAfsluttet
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University of MichiganIkke rekrutterer endnuIrritabelt tarmsyndromForenede Stater