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Trial registered on ANZCTR
Registration number
ACTRN12621001149853
Ethics application status
Approved
Date submitted
6/07/2021
Date registered
26/08/2021
Date last updated
31/08/2023
Date data sharing statement initially provided
26/08/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of increased fibre intake on HbA1c and peripheral immune cells in diabetes
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Scientific title
The effect of increased fibre intake on HbA1c and peripheral immune cells in diabetes
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Secondary ID [1]
298412
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None
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Universal Trial Number (UTN)
U1111-1267-4663
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Trial acronym
None
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes
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Condition category
Condition code
Metabolic and Endocrine
320262
320262
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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
This is an intervention study of a fibre supplement (Metamucil, psyllium husk) 6.8g twice daily (total dose 13.6g) for 12 weeks. This is given as a powder and dissolved in 200ml cold water. Packaging will be returned to determine compliance.
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Intervention code [1]
314660
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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HbA1c from blood sample
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Assessment method [1]
320303
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Timepoint [1]
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Baseline, 12 weeks after the start of the intervention
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Secondary outcome [1]
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fasting glucose from blood sample
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Assessment method [1]
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Timepoint [1]
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Baseline, 12 weeks after the start of the intervention
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Secondary outcome [2]
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fasting blood lipids from blood sample
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Assessment method [2]
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Timepoint [2]
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Baseline, 12 weeks after the start of the intervention
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Secondary outcome [3]
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Baseline, Peripheral blood immune cell functional change - exploratory outcome, from blood sample.
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Assessment method [3]
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Timepoint [3]
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Baseline, 12 weeks after the start of the intervention and 14 weeks after the start of the intervention
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Eligibility
Key inclusion criteria
Males and females 18 years - 85 years
Pre-diabetes or type 2 diabetes with HbA1c between 45 mmol/mol and 70 mmol/mol inclusive from a test within the last 3 months. At least 75% of participants will have an HbA1c >50mmol/mol.
A low fibre intake of <18g/day for women or 22g/day for men using the Massey University DFiT fibre screening tool.
Willing to maintain stable diet and exercise patterns throughout the study
Stable medication for lipid lowering and hypertension for 3 months prior to study entry
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Minimum age
18
Years
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Maximum age
85
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
Previous bariatric surgery
Pregnancy or breast feeding
Immune altering medications – long-term antibiotics, steroids, immune suppressants
Insulin use
Swallowing difficulties (therefore unable to consume Metamucil)
Unable to consume psyllium soluble fibre for any reason – allergy, physical difficulties
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Analysis will be by a mixed linear model with random effects for participants and fixed effects for baseline HbA1c.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
13/09/2021
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Actual
17/02/2022
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Date of last participant enrolment
Anticipated
30/12/2022
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Actual
19/12/2022
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Date of last data collection
Anticipated
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Actual
12/04/2023
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
21570
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New Zealand
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State/province [1]
21570
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Wellington
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Science Challenge High Value Nutrition
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Address [1]
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Ministry of Business, Innovation and Employment
PO Box 1473,
Wellington 6140
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Country [1]
302959
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New Zealand
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Primary sponsor type
Hospital
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Name
Capital and Coast DHB
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Address
Clinical Trials Unit
Wellington Hospital
Private Bag 7902
Wellington 6021
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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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None
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Address [1]
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None
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Country [1]
302916
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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New Zealand Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
303514
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20/08/2021
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Approval date [1]
303514
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08/10/2021
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Ethics approval number [1]
303514
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21/STH/218
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Summary
Brief summary
Increased dietary fibre and the subsequent production of short chain fatty acids (SCFA) by gut microbiota is known to influence immune cell function and metabolic activity. High fibre diets correlate to decreased inflammatory markers in T2DM, and in animal experiments dietary fibre derived SCFA have been found to reduce inflammatory markers and protect against diabetic neuropathies. Furthermore modulation of immune cell metabolism by SCFA can lead to a rebalancing away from pro-inflammatory phenotypes. We hypothesise that in addition to improving clinical indicators such as HbA1c, fibre supplementation will lead to altered peripheral immune cell metabolic and phenotypic parameters. In this study, we will conduct analyses, to allow for functional immune profiling of trial participants, to provide insights on how enhanced fibre intake in T2DM impacts immunological metabolism and function. To do this we will isolate peripheral blood mononuclear cell (PBMCs) from trial participants before and during a dietary fibre intervention. We will use high dimensional spectral flow cytometry and extracellular flux analysis to profile functional phenotypes and metabolic characteristics of individual immune populations. We will compare these, to potential changes in blood plasma cytokine levels, faecal metabolite profiles and changes in clinical readouts (eg. HbA1c).
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Trial website
None
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Trial related presentations / publications
None
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Public notes
None
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Contacts
Principal investigator
Name
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Dr Rosemary Hall
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Address
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Level 5 Grace Neill Block
Wellington Hospital
Private Bag 7902
Wellington 6021
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Country
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New Zealand
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Phone
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+6448062458
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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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Amber Parry Strong
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Address
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Level 5 Grace Neill Block
Wellington Hospital
Private Bag 7902
Wellington 6021
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Country
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New Zealand
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Phone
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+6448062458
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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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Amber Parry Strong
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Address
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Level 5 Grace Neill Block
Wellington Hospital
Private Bag 7902
Wellington 6021
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Country
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New Zealand
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Phone
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+6448062458
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Fax
93928
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
At present this information is confidential due to possible commercial benefits.
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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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