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Trial registered on ANZCTR
Registration number
ACTRN12618000145202
Ethics application status
Approved
Date submitted
16/01/2018
Date registered
31/01/2018
Date last updated
31/01/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of macronutrient interventions on diabetes- and appetite-related biomarkers in prediabetes, a randomised control trial.
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Scientific title
Postprandial response of diabetes- and appetite-related biomarkers: macronutrient interventions in participants with prediabetes
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Secondary ID [1]
293787
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None
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Universal Trial Number (UTN)
U1111-1198-6950
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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:
Prediabetes
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Condition category
Condition code
Diet and Nutrition
305297
305297
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a cross-over trial with a 7 day washout period where participants were given either a High dose protein drink 380mL with whey protein 50g, Low dose protein drink 380mL with whey protein 12.5g, or 380mL water on each of the 3 visits as their breakfast meal. Ad Lib lunch of pasta and tomato mince sauce were given to participants 4 hours after the breakfast treatment and were asked to eat as much as they can until comfortably full.
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Intervention code [1]
300040
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Treatment: Other
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Comparator / control treatment
Water 380mL
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Control group
Placebo
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Outcomes
Primary outcome [1]
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blood samples for diabetes related biomarkers. Glucose, Insulin, C-peptide.
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Assessment method [1]
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Timepoint [1]
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Time 0, 15, 30, 60, 90, 120, 180, 240, 270, 300, 360
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Primary outcome [2]
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blood samples for appetite related biomarkers. PYY, CCK, GLP-1.
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Assessment method [2]
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Timepoint [2]
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Time 0, 15, 30, 60, 90, 120, 180, 240, 270, 300, 360
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Secondary outcome [1]
342018
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Visual analogue scale (VAS) measuring appetite sensations
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Assessment method [1]
342018
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Timepoint [1]
342018
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Time 0, 15, 30, 60, 90, 120, 180, 240, 270, 300, 360
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Secondary outcome [2]
342019
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Energy intake at ad lib lunch meal
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Assessment method [2]
342019
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Timepoint [2]
342019
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Time = 240min. lunch is 4 hours after the protein drink
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Eligibility
Key inclusion criteria
• Asian (Ethnic Chinese, incl. mainland China, Singapore, Malaysian, Hong Kong, Taiwan)
• Caucasian (Ethnic European)
• Female
• Aged 18-65 years
• BMI 23-40kg/m2
• Increased T2D risk; assessed by (i) glycaemic status as ‘Prediabetic’ with fasting plasma glucose (FPG) in the range of 5.6 – 6.9 mmol/L;
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• Recent body weight loss/gain >10%, within previous 3 months or taking part in an active diet program.
• Low iron status, hence unsuitable for cannulation studies
• Current medications for weight loss or other conditions known to affect appetite
• Bariatric surgery
• Type 2 diabetes, or other significant current disease such as cardiovascular disease or cancer; or digestive disease including inflammatory bowel syndrome/disease (IBS/D), ulcerative colitis (UC), Crohn's disease
• Depression or any other anxiety disorder known to affect appetite
• Dislike or unwilling to consume food items included in the study or hypersensitivities or allergies to these foods (based on Food Preference Questionnaire)
• Smokers or ex-smokers who have given up smoking for less than 6 months
• Pregnant or breastfeeding women
• Unwilling/unable to comply with study protocol
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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)
Randomisation will be based upon a Latin square design
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Crossover
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Other design features
This is a cross over study because all participants will take part in all 3 treatments.
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
A power analysis was performed to provide estimates of variance components using data from a previous test meal experiment performed at the Human Nutrition Unit which investigated the effect of a test breakfast on satiety and energy intake (EI) at an ad libitum lunch meal in a similar group of single gender of 18 women.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
22/09/2017
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Date of last participant enrolment
Anticipated
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Actual
30/11/2017
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Date of last data collection
Anticipated
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Actual
22/12/2017
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Sample size
Target
20
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Accrual to date
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Final
24
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Recruitment outside Australia
Country [1]
9493
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New Zealand
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State/province [1]
9493
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Auckland
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Funding & Sponsors
Funding source category [1]
298404
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Government body
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Name [1]
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NZ government National Science Challenge
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Address [1]
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Building 505
85 Park Road, Grafton
Auckland, New Zealand
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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 Auckland Research Office
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Address
Level 10, Building 620
49 Symonds St
Auckland 1010
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
297537
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None
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Name [1]
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None
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Address [1]
297537
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None
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Country [1]
297537
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299399
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
299399
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Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
299399
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New Zealand
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Date submitted for ethics approval [1]
299399
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23/08/2017
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Approval date [1]
299399
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15/09/2017
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Ethics approval number [1]
299399
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17/NTA/172
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Summary
Brief summary
People of Asian descent may be at much greater risk of poor metabolic health and diabetes at a younger age and a lower body weight than Europeans, Maori or Pacific people. The reason why some individuals may be more susceptible than others and what controls their diabetes risk may lie in the storage of body fat. Gaining even small amounts of body weight can lead to the fat ‘spilling over’ from adipose tissue and into important organs such as the pancreas, which in turn may significantly increase risk of disease. T2D is a nutritional disease and is able to be both prevented and treated through better nutrition. Macronutrients such as carbohydrates, lipids and protein can affect T2D biomarkers such as glucose and insulin, as well as the control of body weight. Considering overweight and obesity as the major risk factor for T2D, understanding mechanism that influence appetite control may play a significant role in preventing the onset of T2D. As part of the National Science Challenge, our research team is conducting acute clinical studies to assess if type and dose of macronutrients will affect biomarkers related to diabetes risk as well as those that are related to appetite control. The aim of this study is to assess the effect of dietary macronutrients given in different doses as part of a standardised breakfast drink on markers in your blood that relate to risk of diabetes; Appetite and food intake.
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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 Sally Poppitt
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Address
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University of Auckland Human Nutrition Unit,
18 Carrick Place,
Mt Eden,
Auckland 1024
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Country
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New Zealand
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Phone
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+6496305160
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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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Wilson Yip
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Address
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University of Auckland Human Nutrition Unit,
18 Carrick Place,
Mt Eden,
Auckland 1024
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Country
80275
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New Zealand
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Phone
80275
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+6496301162
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Wilson Yip
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Address
80276
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University of Auckland Human Nutrition Unit,
18 Carrick Place,
Mt Eden,
Auckland 1024
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Country
80276
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New Zealand
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Phone
80276
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+6496301162
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Fax
80276
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Email
80276
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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
Source
Title
Year of Publication
DOI
Embase
Postprandial glycine as a biomarker of satiety: A dose-rising randomised control trial of whey protein in overweight women.
2022
https://dx.doi.org/10.1016/j.appet.2021.105871
Embase
Intra-pancreatic fat is associated with high circulating glucagon and GLP-1 concentrations following whey protein ingestion in overweight women with impaired fasting glucose: A randomised controlled trial.
2024
https://dx.doi.org/10.1016/j.diabres.2023.111084
N.B. These documents automatically identified may not have been verified by the study sponsor.
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