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Trial registered on ANZCTR
Registration number
ACTRN12615000157572
Ethics application status
Approved
Date submitted
2/02/2015
Date registered
18/02/2015
Date last updated
12/05/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Zinc and Exercise for the Treatment of Insulin Resistance
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Scientific title
The effect of zinc supplementation and exercise on insulin sensitivity in type 2 diabetes mellitus
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Secondary ID [1]
286078
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Nil
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Universal Trial Number (UTN)
U111111638678
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes Mellitus
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Condition category
Condition code
Metabolic and Endocrine
294379
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
30 mg/d elemental zinc supplementation for 8 weeks delivered orally in capsule form. Compliance will be checked by the count of capsule return
Aerobic exercise training supervised by an exercise scientist for 60 min/day at 60% of maximal fitness capacity on treadmill for 7 consecutive days in the last week of study.
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Intervention code [1]
291069
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Treatment: Other
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Intervention code [2]
291070
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Lifestyle
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Comparator / control treatment
Placebo (rice flour) for 8 weeks delivered as oral capsule. Compliance will be checked by the count of capsule return
Aerobic exercise training supervised by an exercise scientist for 60 min/day at 60% of maximal fitness capacity on treadmill for 7 consecutive days in the last week of study.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Insulin sensitivity by hyperinsulinemic, euglycaemic clamp
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Assessment method [1]
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Timepoint [1]
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Week 0, Week 6, Week 8
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Primary outcome [2]
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Glycaemic control (fasting serum glucose, insulin)
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Assessment method [2]
294171
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Timepoint [2]
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Week 0, Week 6, Week 8
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Secondary outcome [1]
312666
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Lipidemia (fasting serum total cholesterol, LDL, HDL, triglycerides)
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Assessment method [1]
312666
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Timepoint [1]
312666
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Week 0, Week 6, Week 8
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Secondary outcome [2]
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Gene expression of zinc transporters and metallothionein in peripheral blood mononuclear cells and skeletal muscles by real time PCR
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Assessment method [2]
312667
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Timepoint [2]
312667
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Week 0, Week 6, Week 8
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Secondary outcome [3]
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Expression of mediators of insulin signaling pathways in skeletal muscles by Western blot or similar
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Assessment method [3]
312668
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Timepoint [3]
312668
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Week 0, Week 6, Week 8
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Eligibility
Key inclusion criteria
Patients diagnosed with type 2 DM who are physically inactive (n=30)
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria include: habitual smokers, women who are pregnant or breastfeeding, those with diagnosis of any other major illness, the use of vitamins or mineral supplements in the last 6 weeks and medical contraindication to maximal exercise testing or exercise training.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/04/2015
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
6621
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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Department of Human Nutrition
PO Box 56 Dunedin 9054
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Department of Human Nutrition
PO Box 56 Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
289356
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Ethics Department Reception - Ground Floor 20 Aitken Street Thorndon WELLINGTON 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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04/12/2014
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Approval date [1]
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17/02/2015
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Ethics approval number [1]
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14/CEN/218
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Summary
Brief summary
In an 8 week randomised controlled trial, patients with type 2 DM (n=30) will be randomised into one of two treatment groups to receive either exercise and 30 mg/d elemental zinc (‘Zn + exercise group’) or exercise and placebo (‘Exercise group’). Supplementation will occur over the 8 week intervention, with exercise training conducted in the last week of the study period. All participants will undergo supervised daily exercise training for 60 min/day at 60% of maximal fitness capacity for 7 consecutive days. During the study, participants will be asked to provide three fasting blood samples in total (baseline, week 6 and week 8). Blood samples will be analysed for glucose, insulin, lipids and zinc. Peripheral blood mononuclear cells (PBMC) will be isolated for the assessment of cellular zinc status which includes the expression of zinc transporter, metallothionein, and mediators of insulin sensitivity will be measured. Insulin sensitivity will be measured by hyperinsulinemic, euglycaemic clamps on three occasions (baseline, week 6 and week 8) during the intervention period. A skeletal muscle biopsy may be obtained during the clamp, with participant's additional consent.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Samir Samman
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Address
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Department of Human Nutrition
University of Otago
PO Box 56 Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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+64 3 479 7945
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Anna Chu
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Address
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Department of Human Nutrition
University of Otago
PO Box 56 Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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+64 3 479 7948
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Fax
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Email
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zinc&
[email protected]
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Contact person for scientific queries
Name
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Samir Samman
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Address
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Department of Human Nutrition
University of Otago
PO Box 56 Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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+64 3 479 7945
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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