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Clinical Trials/NCT04999462
NCT04999462
Completed
Not Applicable

A Randomized, Parallel Trial to Assess the Effects of Replacing Non-fermented, Non-dairy Foods With Full-fat or Low-fat Fermented Dairy Foods on Insulin Sensitivity, RBC FA's and Other Markers of Cardiometabolic Health

Midwest Center for Metabolic and Cardiovascular Research3 sites in 1 country110 target enrollmentSeptember 15, 2021

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Overweight and Obesity
Sponsor
Midwest Center for Metabolic and Cardiovascular Research
Enrollment
110
Locations
3
Primary Endpoint
Insulin Sensitivity
Status
Completed
Last Updated
last year

Overview

Brief Summary

The objectives of this trial are to assess the effects of adding 2 servings/d of either full-fat or low-fat fermented dairy products to the diet, as a replacement for non-dairy foods with macronutrient composition similar to the low-fat fermented dairy condition, on insulin sensitivity, erythrocyte fatty acid profile and other cardiometabolic health markers in metabolically at-risk adults.

Registry
clinicaltrials.gov
Start Date
September 15, 2021
End Date
January 13, 2025
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Midwest Center for Metabolic and Cardiovascular Research
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Subject is 18-74 years of age, inclusive.
  • Subject has a BMI of 25.00 kg/m2 to 39.99 kg/m2 at screening (visit 1b).
  • Subject has a fasting TG level ≥135 mg/dL at screening (visit 1a), or a fasting TG level 122-134 mg/dL (inclusive) and a fasting venous TG level of ≥135 mg/dL at screening (visits 1a and 1b, respectively).
  • Subject has a rating of 7 to 10 on the Vein Access Scale at screening (visit 1b; Appendix 2).
  • Subject is judged by the Investigator to be in general good health on the basis of medical history and screening laboratory tests.
  • Subject is willing to maintain usual physical activity pattern throughout the study and is willing to refrain from vigorous physical activity for 24 h prior to each clinic visit.
  • Subject has no plans to change smoking habits during the study and is willing to abstain from tobacco products and caffeine use 1 h prior to and during each clinic visit.
  • Subject is willing to refrain from using marijuana and consuming alcoholic beverages for 24 h prior to each clinic visit.
  • Subject is willing to consume study-related foods and follow the dietary instructions throughout the 12-week treatment period.
  • Subject is willing to come to the clinic for study food pick-up(s) if needed.

Exclusion Criteria

  • Subject has a laboratory test result of clinical significance at screening (visit 1b).
  • Subject has fasting blood glucose ≥126 mg/dL at screening (visit 1a) or known type 1 or type 2 diabetes mellitus.
  • Subject has atherosclerotic cardiovascular disease including any of the following: clinical signs of atherosclerosis including peripheral arterial disease, abdominal aortic aneurysm, carotid artery disease \[symptomatic (e.g., myocardial infarction, angina, transient ischemic attack or stroke of carotid origin) or \>50% stenosis on angiography or ultrasound\] or other forms of clinical atherosclerotic disease (e.g., renal artery disease).
  • Subject has a history or presence of a clinically important medical condition that, in the opinion of the investigator, could interfere with the interpretation of the study results.
  • Subject has uncontrolled hypertension (systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg) at screening (visit 1b).
  • Subject has a history of cancer in the prior 5 years, except for non-melanoma skin cancer or carcinoma in situ of the cervix.
  • Subject has experienced a change in body weight of ±4.5 kg (10 pounds) over the 3 months prior to screening (visit 1b).
  • Subject has unstable use (initiation or dose alteration) of any antihypertensive medication within 4 weeks prior to screening (visit 1b).
  • Subject has unstable use (initiation or dose alteration) of any of the following lipid-altering medications within 4 weeks prior to screening (visit 1b): statins, ezetimibe, bempedoic acid, bile acid sequestrants, fibrates, niacin (drug form), and/or omega-3 fatty acid drugs.
  • Subject has unstable use (initiation or dose alteration) of a proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitor within 3 months of screening (visit 1b).

Outcomes

Primary Outcomes

Insulin Sensitivity

Time Frame: 12 weeks

The percent change from baseline to the end of treatment at 12 weeks in the Matsuda index

Secondary Outcomes

  • High-sensitivity C-reactive proten (hs-CRP)(12 weeks)
  • Waist circumference(12 weeks)
  • Lipid variables(12 weeks)
  • Seated, resting systolic and diastolic blood pressures and heart rate(12 weeks)
  • Carbohydrate metabolism variables(12 weeks)
  • Erythrocyte(12 weeks)
  • Alternate Healthy Eating Index(12 weeks)

Study Sites (3)

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