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Study to Investigate the Effect of Dietary Fibre Supplementation on Long-term Glucose Control in Prediabetic Subjects

14 de diciembre de 2021 actualizado por: Tate & Lyle

A Randomized, Double-blind, Placebo-controlled, Parallel Study to Investigate the Effect of 16 Weeks of Twice Daily Supplementation With Soluble Corn Fibre on Long Term Glucose Control in Prediabetic Subjects

The purpose of the study is to explore the potential metabolic health benefits of a dietary fibre intervention by using Soluble Fibre in a human intervention study in Healthy Obese Pre-diabetic participants over a period of 16 weeks with a focus on long term glucose control.

The hypothesis is that twice daily supplementation with Soluble Fibre over a period of 16 weeks will significantly improve long term glucose control in pre-diabetic participants.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

46

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

      • Cork, Irlanda
        • Reclutamiento
        • Atlantia Food Clinical Trials
        • Investigador principal:
          • Noel Caplice, PhD
        • Sub-Investigador:
          • Florence Herrison, PhD

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 70 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Sí

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. Be able to give written informed consent.
  2. Males & females aged 18 to 70 years (inclusive).
  3. Has a BMI between ≥30 and ≤40 kg/m2.
  4. HbA1c between ≥38.8 and ≤47 mmol/mol (5.7-6.4 %)
  5. Has a stable body weight (≤5 % change) over the past 3-months.
  6. Is in general good health, as determined by the investigator.
  7. Willing to consume the investigational product daily for the duration of the trial.
  8. Willing to wear a continuous glucose monitoring sensor for two 14-day periods.
  9. Be willing to maintain stable dietary habits and physical activity levels throughout the trial period.

Exclusion Criteria:

  • 1. Are aged less than 18 or greater than 70 years. 2. Participants who are pregnant, breastfeeding, or wish to become pregnant during the trial.

    3. Participants currently of childbearing potential, but not using an effective method of contraception, as outlined below:

    1. Complete abstinence from intercourse two weeks prior to administration of the investigational product, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the investigational product in cases where participant discontinues the trial prematurely. (Participants utilising this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit).
    2. Has a male sexual partner who is surgically sterilised prior to the Screening Visit and is the only male sexual partner for that participant.
    3. Sexual partner(s) is/are exclusively female.
    4. Use of acceptable method of contraception, such as a spermicide, mechanical barrier (e.g., male condom, female diaphragm) or contraceptive pill. The participant must be using this method for at least 1 week following the end of the trial.
    5. Use of any non-hormonal intrauterine device (IUD) or contraceptive implant with published data showing that the highest expected failure rate is less than 1 % per year. The participant must have the device inserted at least 2 weeks prior to the first Screening Visit, throughout the trial, and 2 weeks following the end of the trial.

      4. Are hypersensitive to any of the components of the investigational product or common food allergens.

      5. Has taken antibiotics within the previous 12-weeks prior to randomisation 6. Participant regularly takes probiotics, prebiotics, or fibre supplements (daily use in the 4 weeks prior to screening and up to baseline) 7. Has an intake of more than 19 g of fibre per day. 8. Has taken anti-obesity medication/supplement within the previous 12-weeks prior to randomisation.

      9. Participant is actively or has recently (3 months prior to randomisation) participated in a weight loss program or weight change of 5 % during the past 3 months.

      10. Participant has Type 1 or Type 2 Diabetes Mellitus. 11. Has a history of bariatric surgery. 12. Participant who is severely immuno-compromised (HIV positive, transplant patient, on antirejection medications, or has undergone chemotherapy or radiotherapy within the last year).

      13. Participant has significant comorbidities or an uncontrolled disease, as determined by the PI/Sub-Investigator on the basis of medical history and routine laboratory test results that may adversely affect the participant's ability to complete the trial or it's assessments or which may pose significant risk to the participant.

      14. Participant has a history of co-existing gastrointestinal, and/or gynaecological, and/or urologic pathology (e.g., colon cancer, colitis, Crohn's Disease, Celiac, Endometriosis, prostate cancer) or lactose intolerance.

      15. Has a gastrointestinal or chronic infective disease (i.e., diarrhoea, Crohn's disease, ulcerative colitis, irritable bowel syndrome, diverticulosis, stomach or duodenal ulcers, hepatitis, HIV, cancer, etc.), or with a history of such diseases.

      16. Has a history of drug and/or alcohol abuse at the time of enrolment.

    1. Consumes greater than nationally recommended units of alcohol per week (>11 units for women & >17 units for men).
    2. Is currently in treatment (or has been in the last 6 months) for alcohol/substance abuse
    3. Has been diagnosed with alcohol/substance abuse disorder. 17. Has used oral/injectable steroids within the previous 30 days prior to Screening (or between Screening/Baseline Visit).

      18. Taking a medication that the investigator believes would interfere with the objectives of the trial or pose a safety risk or confound the interpretation of the trial results. Prohibited medications include:

    1. Metformin
    2. Anti-psychotic drugs 19. If taking anti-hypertensive drugs, anti-depressive drugs, statins, or any other medication that the investigator determines could impact the results of the study, the participant must have been taking the product for at least 3 months prior to screening. (Changes to the dose during the trial will be assessed by the investigator for impact on trial results).

      20. Individual who work a shift work pattern that requires them to work >1 nightshift per week.

      21. Individuals living in the same residence as a previously or currently enrolled participants on the trial.

      22. Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial.

      23. Participant is currently, or planning, to participate in another interventional study during the study period.

      24. Participants may not be receiving treatment involving experimental drugs. If the participant has been in a recent experimental trial, these must have been completed not less than 30 days prior to this trial.

      25. Individuals who have a history of non-compliance or, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Ciencia básica
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Triple

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Soluble Corn Fibre
12g compound per Sachet (providing 10g fibre) consumed twice per day
10g soluble corn fibre to be consumed twice per day
Comparador de placebos: Maltodextrin
Calorie matched control of 2 g compound per sachet (0 g fibre), composed of: Maltodextrin, consumed twice per day
2g maltodextrin consumed twice per day

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change in plasma HbA1c concentration
Periodo de tiempo: 16 weeks
Change from baseline to week 16 in the treatment group compared to placebo on plasma HbA1c (mmol/mol) concentration
16 weeks

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Change in post-prandial Blood Glucose (mmol/L) measured by incremental Area Under the Curve (iAUC) derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in post-prandial Blood Glucose maximal concentration, derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in post-prandial Blood Glucose time to peak, derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in post-prandial insulin (mIU/L) as measured by incremental Area Under the Curve (iAUC) derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in post-prandial insulin maximal concentration (Cmax) derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in post-prandial Blood Insulin time to peak (Tmax), derived from an Oral Glucose Tolerance Test (OGTT)
Periodo de tiempo: 16 weeks
16 weeks
Change in insulin resistance (mIU/L)
Periodo de tiempo: 16 weeks
16 weeks
Change in lipids (mmol/L): Triglycerides (TG), Total Cholesterol (TC), High-Density Lipoprotein Cholesterol (HDL), Low-Density Lipoprotein Cholesterol (LDL)
Periodo de tiempo: 16 weeks
16 weeks
Change in waist-to-hip ratio
Periodo de tiempo: 16 weeks
16 weeks
Change in BMI (kg/m2)
Periodo de tiempo: 16 weeks
16 weeks
Continuous blood glucose monitoring (during run-in & 2-weeks before End of Study) as measured by Freestyle Libre Glucose Monitoring System, a continuous glucose monitoring (CGM) device.
Periodo de tiempo: 16 weeks
16 weeks
Change in Fasting Blood Glucose (FBG) (mmol/L)
Periodo de tiempo: 16 weeks
16 weeks
Change in Fasting Insulin (mIU/L).
Periodo de tiempo: 16 weeks
16 weeks

Otras medidas de resultado

Medida de resultado
Periodo de tiempo
Change in gut hormones (GLP-1 and PYY) measured by iAUC (T-15 to T120 minutes)
Periodo de tiempo: 16 weeks
16 weeks
Change in self-reported hunger and satiety measured by iAUC (T-15 to T120 minutes)
Periodo de tiempo: 16 weeks
16 weeks
Change in the composite score of gastrointestinal symptoms, (bloating score + abdominal cramping score + stomach noises score + flatulence score)
Periodo de tiempo: 16 weeks
16 weeks
Change in stool consistency (Bristol Stool Scale) and frequency
Periodo de tiempo: 16 weeks
16 weeks
Change in Faecal Short Chain Fatty Acids (fSCFA) microbiota
Periodo de tiempo: 16 weeks
16 weeks
Change in TNF alpha
Periodo de tiempo: 16 weeks
16 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

4 de octubre de 2021

Finalización primaria (Anticipado)

30 de marzo de 2023

Finalización del estudio (Anticipado)

30 de julio de 2023

Fechas de registro del estudio

Enviado por primera vez

16 de noviembre de 2021

Primero enviado que cumplió con los criterios de control de calidad

14 de diciembre de 2021

Publicado por primera vez (Actual)

15 de diciembre de 2021

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

15 de diciembre de 2021

Última actualización enviada que cumplió con los criterios de control de calidad

14 de diciembre de 2021

Última verificación

1 de noviembre de 2021

Más información

Términos relacionados con este estudio

Palabras clave

Otros números de identificación del estudio

  • AFCRO-129

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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