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临床试验/NCT05394155
NCT05394155已完成不适用

Determination of Leucine Requirement in Young Men and Women Using the Indicator Amino Acid Oxidation (IAAO) Method

The Hospital for Sick Children2 个研究点 分布在 1 个国家目标入组 32 人开始时间: 2022年4月29日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
32
试验地点
2
主要终点
F13CO2

研究概览

简要总结

The purpose of the study is to determine the body's nutritional need for the essential amino acid, leucine, in adult men and women 18 to 39 years of age.

详细描述

The experimental design will be based on the minimally invasive IAAO model (12). Each participant will be studied at a minimum of 4 and up to 7, randomly assigned, intake levels of leucine.

Subjects will be weighed at the pre-study assessment and at the start of each IAAO study day to ensure accurate prescription of diets and isotopes, and to confirm weight maintenance throughout the study.

Each study will consist of a 2-day adaptation period to a prescribed diet in accordance with the energy requirement of the subject and 1-study day. The diet will provide an adequate amount of protein, of 1 g protein∙kg-1∙d-1. The 2-day adaptation period is to allow the body to adapt to an adequate amount of protein as it has been shown that protein kinetics is altered without it. Following the 2 days of adaptation is the study day where leucine intake will be randomly assigned and phenylalanine (Phe) kinetics will be measured with the use of L-[1-13C]phenylalanine. On this day, VCO2 will be measured by calorimetry immediately after the 5th meal for a period of 20 minutes, and a 15ml blood sample will be collected at the end of each study visit to measure plasma amino acid levels, insulin, and glucose in males and females and progesterone, and estrogen in females.

For female participants, each level of intake will be studied both in the luteal and follicular phase of their menstrual cycle (up to 14 studies in total). For the follicular phase, the study will be conducted 3-7 days immediately after the 1st day of menstrual bleeding. For the luteal phase, the study will be conducted 4-7 days before the onset of next menstrual bleeding. The IAAO study day of the luteal phase will be set on the basis of each subject's length of their menstrual cycle, and the length and regularity of their cycle will be determined during the pre-study assessment.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 39 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy adult males, 18 to 39 years of age.
  • Healthy adult females, 18 to 39 years of age with regular menstrual cycles within in the last 12 months.
  • Willingness to participate in the study and completed the screening procedures (height, weight, fasting blood sample and medical history questionnaire).
  • No recent history of weight loss
  • BMI between 18.5 - 27 kg/m 2
  • Absence of chronic disease or acute illness that could affect protein and AA metabolism (diabetes, cancer, liver or kidney disease, HIV, acute cold or flu, COVID-19, hypo or hyperthyroidism, rheumatoid arthritis treated with anti-inflammatory medications).
  • Non-smoking
  • Willingness to consume the diet provided.

排除标准

  • Presence of disease known to affect protein and AA metabolism (diabetes, cancer, liver or kidney disease, HIV, acute cold or flu, Covid-19, hypo or hyperthyroidism, rheumatoid arthritis treated with anti-inflammatory medications).
  • On medications known to affect protein and amino acid metabolism (steroids) or taking oral contraceptive pills or other birth control devices that would affect sex hormone profiles over the last 2 years.
  • Pregnant or lactating women.
  • Recent significant weight loss; ≥ 5% of body with in the last 3 months.
  • Individuals on weight reducing diets.
  • Inability to tolerate the diet
  • Unwilling to have blood drawn from a venous access, or using a ventilated hood indirect calorimeter for the purposes of the study.
  • Significant coffee consumption of more than 2 cups/day
  • Significant alcohol consumption of more than one drink/day
  • Failure to disclose any of the information needed to assess eligibility.

结局指标

主要结局

F13CO2

时间窗: 4.5 hours during study visits

Rate of appearance of labelled carbon dioxide (13CO2) in breath from the oxidation of 13C-Phenylalanine

次要结局

  • Plasma amino acid concentrations(at end of each study visit)
  • 13C-phenylalanine enrichment(4.5 hours during study visits)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Glenda Courtney-Martin

Associate Scientist

The Hospital for Sick Children

研究点 (2)

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