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Trial registered on ANZCTR
Registration number
ACTRN12619001571167
Ethics application status
Approved
Date submitted
31/10/2019
Date registered
14/11/2019
Date last updated
14/11/2019
Date data sharing statement initially provided
14/11/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
A placebo-controlled, single-blind, crossover study to assess the effects of New Zealand pine bark extract (Enzogenol®) on glycaemic responses in healthy participants
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Scientific title
A placebo-controlled, single-blind, crossover study to assess the effects of New Zealand pine bark extract (Enzogenol®) on glycaemic responses in healthy participants
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Secondary ID [1]
299685
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None
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Universal Trial Number (UTN)
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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:
Dysglycaemia
315037
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Glycaemic control
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Diabetes
315120
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Condition category
Condition code
Diet and Nutrition
313367
313367
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
313368
313368
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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
The study was an acute, placebo-controlled, single-blind, crossover study consisting of 50mg and 400mg of New Zealand pine bark extract (Enzogenol®) on glycaemic responses in healthy participants.
Briefly, at each visit, participants arrived at the facility after at least a 10 h overnight fast (water was allowed). The first study visit was a control visit whereby participants consumed a single placebo capsule containing only microcrystalline cellulose. The second and third visits were treatment visits where patients consumed a single opaque capsule of 50 and 400mg of Enzogenol®, respectively. Each capsule was identical in appearance (size, form and colour). As this is a single-blind study, the participants did not know what dosage they were given at each visit. An OGTT was commenced at all three visits twenty minutes after consuming the capsule. Participants were given a bottle of 300 mL of glucose drink Carbotest (Fronine, Thermo Fisher Scientific, Australia) containing 75 g of carbohydrates to consume within five minutes.
Capillary blood samples were obtained via finger prick with a single use disposable lancet (Accu-Chek Safe T-Pro Plus) twenty minutes before the commencement of oral glucose tolerance test (OGTT), and again at 0, 15, 30, 45, 60, 90, and 120 min after consuming the glucose drink. Blood glucose levels were immediately measured using a glucose meter (MediSense, Optium, Abbott, 2.7-4.0% CV). There was at least a washout period of 48 hour between each visit.
Participants were instructed to maintain a consistent diet without any dietary alterations throughout the duration of the study. They were also asked to abstain from alcohol and beverages such as teas, coffees and energy drinks (both caffeinated and decaffeinated), all health supplements that might influence glucose metabolism, and strenuous activity during the 24h period before each visit. The participants were checked for compliance by the researcher with a checklist at each visit prior to commencing the OGTT.
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Intervention code [1]
315951
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Prevention
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Intervention code [2]
315952
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Treatment: Other
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Comparator / control treatment
Control treatment was a single placebo capsule containing only microcrystalline cellulose. The placebo capsule was of identical appearance (size, form and colour) to the capsules containing either 50 or 400mg of Enzogenol®.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Capillary blood samples were obtained via finger prick with a single use disposable lancet (Accu-Chek Safe T-Pro Plus) twenty minutes before the commencement of OGTT, and again at 0, 15, 30, 45, 60, 90, and 120 min during the OGTT. Blood glucose levels were immediately measured using a glucose meter (MediSense, Optium, Abbott, 2.7-4.0% CV). Incremental area under the curve of postprandial glucose was then calculated.
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Assessment method [1]
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Timepoint [1]
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-20, 0, 15, 30, 45, 60, 90 and 120 min during the OGTT.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
• 18-40 years of age
• BMI 18.5-25.0 kg/ m2
• HbA1c < 40 mmol/ mol
• Fasting glucose < 5.5 mmol/ L
• Not taking any medications that include blood glucose/ sugar lowering prescriptions
• Not pregnant or breastfeeding
• Not allergic to pine bark extract
• Non-smoker
• Generally healthy and not suffering from chronic diseases or diabetes
• Able to communicate well in English
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Participants were excluded from the study if they had any form of cardiovascular, metabolic diseases, digestive ailments, if they smoked, were pregnant or lactating, and if they had any known allergies to pine bark extract or were taking medications or health supplements that would influence glycaemia.
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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
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
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Statistical analysis used will be one-way repeated measures ANOVA with Bonferrroni Post Hoc analyses
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
23/03/2018
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Date of last participant enrolment
Anticipated
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Actual
30/11/2018
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Date of last data collection
Anticipated
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Actual
14/12/2018
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Sample size
Target
20
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Accrual to date
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Final
25
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Recruitment outside Australia
Country [1]
21978
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New Zealand
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State/province [1]
21978
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Auckland
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Funding & Sponsors
Funding source category [1]
304163
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Commercial sector/Industry
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Name [1]
304163
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ENZO Nutraceutical Limited
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Address [1]
304163
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26 Lee Ave, Paeroa 3600, New Zealand
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Country [1]
304163
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New Zealand
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Primary sponsor type
University
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Name
Massey University
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Address
School of Health Sciences, Palmerston North 4442, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
304390
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None
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Name [1]
304390
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Nil
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Address [1]
304390
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Nil
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Country [1]
304390
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304639
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Health and Disability Ethnics Committee (HDEC)
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Ethics committee address [1]
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133 Molesworth Street Thorndon Wellington 6011
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Ethics committee country [1]
304639
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New Zealand
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Date submitted for ethics approval [1]
304639
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20/11/2017
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Approval date [1]
304639
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23/03/2018
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Ethics approval number [1]
304639
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SOA 17/73
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Summary
Brief summary
Obesity and diabetes are epidemic in New Zealand (and in other Western countries), and many individuals now have problems controlling their blood glucose levels within normal levels. More alarmingly, epidemiological studies have shown that approximately 40% of individuals with normal glucose tolerance (NGT) may still eventually develop type 2 diabetes. Research has also revealed that 20% of NGT individuals already have a certain degree of insulin resistance. Certain foods and extracts, including berries, teas and French pine bark extracts have been shown to reduce blood glucose levels. Data suggests that this may be due to the high levels of antioxidants that are present in these foods, though other substances may also be involved. The effects of New Zealand pine bark extract on blood glucose levels have not been studied, thus this study aimed to measure whether blood glucose levels could be reduced in healthy participants when taking a pine bark extract capsule at two different doses on two separate occasions with an oral glucose tolerance test (OGTT).
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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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Ms Wen Xin Janice Lim
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Address
97682
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School of Health Sciences, Massey University, Auckland 0632, New Zealand
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Country
97682
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New Zealand
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Phone
97682
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+64 0210 890 3957
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Fax
97682
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Email
97682
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[email protected]
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Contact person for public queries
Name
97683
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Rachel Page
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Address
97683
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School of Health Sciences, Massey University, Wellington 6021, New Zealand
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Country
97683
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New Zealand
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Phone
97683
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+64 4 801 5799
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Fax
97683
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Email
97683
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[email protected]
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Contact person for scientific queries
Name
97684
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Rachel Page
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Address
97684
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School of Health Sciences, Massey University, Wellington 6021, New Zealand
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Country
97684
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New Zealand
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Phone
97684
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+64 4 801 5799
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Fax
97684
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Email
97684
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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)?
Yes
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What data in particular will be shared?
Individual participant data underlying published results only
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When will data be available (start and end dates)?
Immediately following publication, no end date
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Available to whom?
Case-by-case basis at the discretion of Primary Sponsor
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Available for what types of analyses?
Only to achieve the aims in the approved proposal, for IPD meta-analyses
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How or where can data be obtained?
Access subject to approvals by Principal Investigator. The Principal Investigator can be contacted at
[email protected]
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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
Source
Title
Year of Publication
DOI
Embase
An acute, placebo-controlled, single-blind, crossover, dose-response, exploratory study to assess the effects of New Zealand pine bark extract (Enzogenol) on glycaemic responses in healthy participants.
2020
https://dx.doi.org/10.3390/nu12020497
N.B. These documents automatically identified may not have been verified by the study sponsor.
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