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临床试验/NCT05188430
NCT05188430Unknown不适用

A Double-blind, Randomized, Placebo-controlled Clinical Trial on the Metabolic Effect of an Innovative Chitosan Formulation

University of Bologna1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2022年3月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
60
试验地点
1
主要终点
Absolute change in LDL-C from baseline and between groups

研究概览

简要总结

Chitosan is a natural polysaccharide of β-1,4-linked glucosamine residues deriving from chitin, a dietary fiber primarily obtained from fungal cell walls and the exoskeletons of various crustaceans (e.g. crab, lobster, and shrimp) and whose cholesterol-lowering properties are due to the hydrophobic bonds it forms with cholesterol and other sterols, interfering with the emulsification process in the intestine.

In addition to reducing low-density lipoprotein cholesterol (LDL-C) levels, several studies showed that chitosan administration may help reduce body weight. For this reason, its use might be particularly useful as a strategy to simultaneously control two different risk factors for the development of CVDs.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects agree to participate in the study and having dated and signed the informed consent form;
  • Subjects who have the capability to communicate, to make themselves understood, and to comply with the study's requirements;
  • Male or female aged ≥ 18 years and ≤ 70 years old;
  • Subjects free from cardiovascular diseases (CVDs) (primary prevention for CVDs);
  • Subjects with sub-optimal serum levels of cholesterol (total cholesterol (TC) of 200-240 mg/dl OR LDL-C of 130-190 mg/dl);
  • Subjects with body mass index (BMI) 25 -34.9 Kg/m2

排除标准

  • Subjects already affected by CVDs (secondary prevention for CVDs);
  • Subjects with serum levels of triglycerides (TG)> 400 mg/dl;
  • Type 1 or type 2 diabetes;
  • Lipid-lowering treatment not stabilized since at least 2 months;
  • Known current gastrointestinal diseases and use of medications for their treatment;
  • Known clinically relevant decline in renal function;
  • Women in fertile age not using consolidated contraceptive methods
  • Pregnancy and Breastfeeding;
  • History or clinical evidence of any significant concomitant disease that could compromise the safety of the subject or the possibility of completing the study;
  • Any medical or surgical condition that would limit the patient adhesion to the study protocol

结局指标

主要结局

Absolute change in LDL-C from baseline and between groups

时间窗: 12 weeks

Absolute change in LDL-C after 12 weeks of treatment with MD compared to placebo

次要结局

  • Absolute change in HOMA-IR index from baseline and between groups(12 weeks)
  • Absolute change in lipids ratios from baseline and between groups(12 weeks)
  • Absolute change in fasting plasma glucose (FPG) from baseline and between groups(6 weeks)
  • Absolute change in homeostatic model assessment for insuline resistance (HOMA-IR) index from baseline and between groups(6 weeks)
  • Absolute change in LDL-C from baseline and between groups(6 weeks)
  • Absolute change in lipid accumulation product (LAP) from baseline and between groups(6 weeks)
  • Absolute change in index of visceral adiposity index (VAI) from baseline and between groups(12 weeks)
  • Absolute change in body mass index (BMI) from baseline and between groups(6 weeks)
  • Absolute change in serum lipids other than LDL-C (TC, TG, HDL-C, non-HDL-C) and apolipoproteins from baseline and between groups(6 weeks)
  • Absolute change in LAP from baseline and between groups(12 weeks)
  • Absolute change in fasting plasma insulin from baseline and between groups(12 weeks)
  • Absolute change in waist circumference from baseline and between groups(12 weeks)
  • Absolute change in index of central obesity (ICO) from baseline and between groups(12 weeks)
  • Absolute change in fasting insulin from baseline and between groups(6 weeks)
  • Absolute change in weight from baseline and between groups(6 weeks)

研究者

发起方
University of Bologna
申办方类型
Other
责任方
Principal Investigator
主要研究者

Arrigo F.G. Cicero

Professor

University of Bologna

研究点 (1)

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