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

2021年12月14日 更新者: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.

調査の概要

研究の種類

介入

入学 (予想される)

46

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究場所

      • Cork、アイルランド
        • 募集
        • Atlantia Food Clinical Trials
        • 主任研究者:
          • Noel Caplice, PhD
        • 副調査官:
          • Florence Herrison, PhD

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~70年 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

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.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:基礎科学
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:トリプル

武器と介入

参加者グループ / アーム
介入・治療
実験的:Soluble Corn Fibre
12g compound per Sachet (providing 10g fibre) consumed twice per day
10g soluble corn fibre to be consumed twice per day
プラセボコンパレーター: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

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Change in plasma HbA1c concentration
時間枠:16 weeks
Change from baseline to week 16 in the treatment group compared to placebo on plasma HbA1c (mmol/mol) concentration
16 weeks

二次結果の測定

結果測定
時間枠
Change in post-prandial Blood Glucose (mmol/L) measured by incremental Area Under the Curve (iAUC) derived from an Oral Glucose Tolerance Test (OGTT)
時間枠:16 weeks
16 weeks
Change in post-prandial Blood Glucose maximal concentration, derived from an Oral Glucose Tolerance Test (OGTT)
時間枠:16 weeks
16 weeks
Change in post-prandial Blood Glucose time to peak, derived from an Oral Glucose Tolerance Test (OGTT)
時間枠: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)
時間枠:16 weeks
16 weeks
Change in post-prandial insulin maximal concentration (Cmax) derived from an Oral Glucose Tolerance Test (OGTT)
時間枠:16 weeks
16 weeks
Change in post-prandial Blood Insulin time to peak (Tmax), derived from an Oral Glucose Tolerance Test (OGTT)
時間枠:16 weeks
16 weeks
Change in insulin resistance (mIU/L)
時間枠:16 weeks
16 weeks
Change in lipids (mmol/L): Triglycerides (TG), Total Cholesterol (TC), High-Density Lipoprotein Cholesterol (HDL), Low-Density Lipoprotein Cholesterol (LDL)
時間枠:16 weeks
16 weeks
Change in waist-to-hip ratio
時間枠:16 weeks
16 weeks
Change in BMI (kg/m2)
時間枠: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.
時間枠:16 weeks
16 weeks
Change in Fasting Blood Glucose (FBG) (mmol/L)
時間枠:16 weeks
16 weeks
Change in Fasting Insulin (mIU/L).
時間枠:16 weeks
16 weeks

その他の成果指標

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

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2021年10月4日

一次修了 (予想される)

2023年3月30日

研究の完了 (予想される)

2023年7月30日

試験登録日

最初に提出

2021年11月16日

QC基準を満たした最初の提出物

2021年12月14日

最初の投稿 (実際)

2021年12月15日

学習記録の更新

投稿された最後の更新 (実際)

2021年12月15日

QC基準を満たした最後の更新が送信されました

2021年12月14日

最終確認日

2021年11月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • AFCRO-129

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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