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.
Investigators
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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