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- Ensaio Clínico NCT07677995
Free Fatty Acid Effects In Type 2 Diabetes
Repositioning Omega-3 Fatty Acids For Treatment Of Glycaemia And Cardiometabolic Disease
Omega-3 fatty acids are natural fats found in foods such as oily fish and flaxseed. Omega-3 fatty acids have been found to have positive effects on cardiovascular health, but there is less evidence on if they can help manage blood glucose in individuals with both cardiovascular disease and type 2 diabetes.
This study will investigate whether the beneficial effects found in omega-3 fatty acids such as lowered blood glucose and reduced inflammation - both of which are important for managing type 2 diabetes and cardiovascular disease, can be beneficial for individuals with type 2 diabetes. As omega-3 fatty acids are already found naturally in food, and are already available as supplements, they could be a safe option to help manage these diseases.
The aim of this study is to investigate if omega-3 fatty acids can slow down the progression of type 2 diabetes and reduce the risk of cardiovascular disease in individuals with type 2 diabetes.
Visão geral do estudo
Status
Intervenção / Tratamento
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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County Londonderry
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Coleraine, County Londonderry, Reino Unido, BT52 1SA
- School of Biomedical Sciences
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- Individuals who are over 18 years of age with a BMI between 25-50 kg/m2, and who have been diagnosed with T2DM (>7.0 mmol/l fasting glucose) or pre-diabetes (impaired glucose tolerant 5.0-6.9mmol/l) and are either on no medication, are diet controlled or taking metformin. Participants may also have a history of cardiovascular disease.
Exclusion Criteria:
- Those who have severe or unstable cardiovascular disease
- Type 2 diabetics or prediabetics who are on an anti-diabetic medication (with the exception of metformin)
- Undergone recent major surgery or planned surgery during the study period
- Have implanted devices (such as pacemakers or defibrillators)
- Have an active infection
- Are involved in any other type of weight loss study/intervention
- Are pregnant/breastfeeding.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Comparador de Placebo: Placebo
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Receive placebo
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Experimental: Omega-3 Fatty Acid Supplementation (EPA/DHA)
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1500mg/day for 28 days
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Experimental: Omega-3 Fatty Acid Supplementation (ALA)
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1500mg/day for 28 days
|
|
Experimental: Omega-3 Fatty Acid Supplementation (EPA/DHA) and Semaglutide
Semaglutide is being used for comparison purposes only
|
1500mg/day for 28 days
0.25mg weekly for four weeks
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
|
To evaluate the change in fasting glucose from baseline after 28 days of treatment, compared to each treatment group and placebo.
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
The change in insulin compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
The change in HbA1c compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Glucose tolerance measurements during OGTT compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Area under the curve measurements during OGTT compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Plasma gut hormone concentrations (GLP-1, GIP, PYY, ghrelin, CCK and glucagon) compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Full lipid profile (cardiovascular risk markers) compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Inflammatory and cardiovascular markers compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
Biomarkers include inflammatory markers (C-reactive protein [CRP], pro- and anti-inflammatory cytokines) and cardiovascular risk markers
|
From baseline to 28 days of treatment
|
|
Liver function tests (ALT and AST) compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Body mass index (BMI) compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
Weight (kg) and height (m) will be combined to report BMI in kg/m^2
|
From baseline to 28 days of treatment
|
|
Waist-to-hip circumference compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
Waist circumference (in cm between the lower rib and iliac crest) and hip circumference (in cm at the widest part of the hips/buttocks) will be combined to calculate waist-to-hip circumference
|
From baseline to 28 days of treatment
|
|
Blood pressure compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
|
|
Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) index compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
Insulin resistance will be measured by calculating HOMA-IR using the formula: HOMA-IR = fasting plasma glucose (mg/dL) x fasting plasma insulin/405.
Higher values indicate greater insulin resistance.
This is a derived continuous index with no fixed minimum or maximum value.
|
From baseline to 28 days of treatment
|
|
Change in Omega-3 Index (EPA and DHA as a percentage of total fatty acids) compared to placebo administration
Prazo: From baseline to 28 days of treatment
|
From baseline to 28 days of treatment
|
Colaboradores e Investigadores
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças do Sistema Endócrino
- Doenças Metabólicas
- Distúrbios do Metabolismo da Glicose
- Diabetes Mellitus
- Doenças Nutricionais e Metabólicas
- Diabetes Mellitus, Tipo 2
- Doenças cardiovasculares
- Ácidos graxos
- Lipídios
- Ácidos graxos, insaturados
- Óleos
- Gorduras alimentares
- Gorduras
- Gorduras alimentares, insaturadas
- Óleos de peixe
- Semaglutide
- Ácidos graxos, ômega-3
Outros números de identificação do estudo
- 26/ES/0021
- TA/PPA/25/215037 (Número de outro subsídio/financiamento: British Heart Foundation)
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