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Encapsulated Nutrients' Acute Effects on Appetite; ENcapSulated, nUtRiEnts (ENSURE) (ENSURE)

Primary Purpose

Appetite; Lack or Loss, Nonorganic Origin

Status
Completed
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Encapsulated nutrients
Non-encapsulated nutrients
Placebo
Sponsored by
Arne Astrup
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Appetite; Lack or Loss, Nonorganic Origin focused on measuring Satiety, Nutrients, Appetite, Encapsulation, Lipid, Amino acid, Probiotic bacteria

Eligibility Criteria

18 Years - 60 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants who have provided written informed consent
  • Healthy men
  • Age between 18 and 60 years
  • BMI between 18.5-32 kg/m2
  • Regular breakfast eaters (eating breakfast ≥ 4 times a week)

Exclusion Criteria:

  • Participants unable to consume or known to get nausea from consuming 20 medium sized capsules (placebo capsules will be provided at screening for test of ability to consume the relevant amount of capsules)
  • Participants not able to comply with the study protocol, including consumption of the specific study foods (pictures of study foods shown at screening)
  • Any known food allergies or food intolerance likely to affect the present study
  • Significant health problems as judged by the principal investigator
  • Taking any medication or supplements known to affect appetite or body weight within the past month and/or during the study as judged by the study professional
  • Intake of probiotic supplements (any kind of supplements but not including foods containing probiotic) < 4 weeks before study start
  • Intake of probiotic supplements (any kind of supplements but not including foods containing probiotic) during the study
  • Use of systemic medical treatment likely to interfere with evaluation of the study parameters as judged by the principal investigator
  • Smoking, smoking cessation within the past 3 months or nicotine use (electronic cigarettes, gum etc.). Irregular smokers accepted
  • Self-reporting currently dieting or having lost/gained significant amount of weight (±3 kg) in the previous 3 months
  • Significant weight changes (±3 kg) over the course of the study (from screening to completion of last test day)
  • Significant changes in physical activity patterns in the past 4 weeks or significant changes over the course of the study (from screening to completion of last test day) as judged by the sub-investigator
  • Significant changes in diet in the past 4 weeks or significant changes over the course of the study (from screening to completion of last test day) as judged by the sub-investigator
  • Participants who work in appetite related areas
  • Simultaneous or within the past month participating in other clinical trials that can interfere with the study

Sites / Locations

  • Department of Nutrition, Exercise and Sports

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Sham Comparator

Placebo Comparator

Arm Label

Encapsulated nutients

Non-encapsulated nutrients

Placebo

Arm Description

Encapsulated nutrients known to be able to stimulate GLP-1 and PYY release. Encapsulated with coating providing release at pH≈7.0 (in the distal part of the ileum). The encapsulated nutrients will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.

Nutrients known to be able to stimulate GLP-1 and PYY release if they are encapsulated to provide release at pH ≈7.0 (in the distal part of the ileum). The same capsules in a non-coated form will be provided in order to study the effect of the coating. The non-encapsulated nutrients will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.

Nutrients known to have limited stimulation on GLP-1 and PYY release. Encapsulated with coating providing release at pH≈7.0 (in the distal part of the ileum). The placebo capsules will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.

Outcomes

Primary Outcome Measures

Reduced energy intake
Assessments of total ad libitum test meal energy intake when exposed to one or more of the encapsulated nutrients compared to the non-encapsulated nutrients and placebo

Secondary Outcome Measures

Subjective appetite sensations
Evaluations of each of the subjective appetite sensations assessed by visual analogue scale (VAS) (satiety, fullness, hunger, prospective food consumption, desire to eat)
Subjective appetite sensations in relation to energy consumed
Assessing the satiety quotient (SQ)

Full Information

First Posted
September 13, 2017
Last Updated
February 15, 2018
Sponsor
Arne Astrup
Collaborators
Biocare Copenhagen A/S
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1. Study Identification

Unique Protocol Identification Number
NCT03284554
Brief Title
Encapsulated Nutrients' Acute Effects on Appetite; ENcapSulated, nUtRiEnts (ENSURE)
Acronym
ENSURE
Official Title
Encapsulated Nutrients' Acute Effects on Appetite
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
November 13, 2017 (Actual)
Primary Completion Date
February 15, 2018 (Actual)
Study Completion Date
February 15, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Arne Astrup
Collaborators
Biocare Copenhagen A/S

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A double-blind, randomized crossover design with four arms including three experimental conditions and placebo will be applied. After having successfully completed screening procedures, eligible participants will be invited to four separate test days. The test days cannot be within the same week, however there is no upper limit for days in between, as long as the participants remain weight stable and do not change diet or physical activity level. Significant changes in diet, physical activity level (evaluated by the sub-investigator) or weight change ±3 kg over the course of the study (from screening to completion of the last test day) results in exclusion of that subject.
Detailed Description
For standardization, 48 hours before the test days, the participants will be asked to consume a regular diet compliant to what they usually eat and no excessive alcohol consumption (not above 5 units and no alcohol at all from 8 pm the night before the test days) or intense physical activity compared to what they normally do is allowed. Additionally, the participants must arrive at the study facilities in the morning after an overnight fast (from 10 pm) using non strenuous means of transportation. Furthermore, over the course of the study (from screening (visit 1) to completion of the last test day (visit 5)), the participants are not allowed to change body weight (±3 kg), diet or physical activity level (as judged by the sub-investigator). The participants will be weighed and asked about compliance with additional standardization in a room away from the other participants before initiating each test day. Possible in-compliance with the standardization will be judged by the sub-investigator whether to result in re-scheduling of the visit or to be recorded as a protocol deviation. Participants arrive at the study facility at 07:30 in the morning. Compliance with standardization is controlled along with registration of possible adverse events and use of concomitant medications. During the test days, participants are settled together in an open office, where they are separated at individual tables. During the meals, participants are settled into individual feeding cubicles, where they cannot see each other and are instructed not to talk to each other. Visual analogue scales (VAS') will be completed for measurement of fasting subjective appetite levels. The test products (capsules) will be provided 30 minutes prior to an ad libitum test breakfast and 3 hour prior to an ad libitum test lunch. Immediately before and after each episode of capsules and food consumption and at 30 minutes intervals, VAS' will be completed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Appetite; Lack or Loss, Nonorganic Origin
Keywords
Satiety, Nutrients, Appetite, Encapsulation, Lipid, Amino acid, Probiotic bacteria

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
A double-blind, randomized crossover design with four arms including three experimental conditions and placebo
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind
Allocation
Randomized
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Encapsulated nutients
Arm Type
Active Comparator
Arm Description
Encapsulated nutrients known to be able to stimulate GLP-1 and PYY release. Encapsulated with coating providing release at pH≈7.0 (in the distal part of the ileum). The encapsulated nutrients will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.
Arm Title
Non-encapsulated nutrients
Arm Type
Sham Comparator
Arm Description
Nutrients known to be able to stimulate GLP-1 and PYY release if they are encapsulated to provide release at pH ≈7.0 (in the distal part of the ileum). The same capsules in a non-coated form will be provided in order to study the effect of the coating. The non-encapsulated nutrients will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Nutrients known to have limited stimulation on GLP-1 and PYY release. Encapsulated with coating providing release at pH≈7.0 (in the distal part of the ileum). The placebo capsules will be provided 30 minutes prior to the ad libitum test breakfast and 3 hour prior to the ad libitum test lunch, respectively.
Intervention Type
Dietary Supplement
Intervention Name(s)
Encapsulated nutrients
Intervention Description
Amino acid + Lipid; Probiotic bacteria
Intervention Type
Dietary Supplement
Intervention Name(s)
Non-encapsulated nutrients
Intervention Description
Amino acid + Lipid; Probiotic bacteria
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Nutrient not expected to stimulate release of GLP-1 and PYY
Primary Outcome Measure Information:
Title
Reduced energy intake
Description
Assessments of total ad libitum test meal energy intake when exposed to one or more of the encapsulated nutrients compared to the non-encapsulated nutrients and placebo
Time Frame
up to day 4
Secondary Outcome Measure Information:
Title
Subjective appetite sensations
Description
Evaluations of each of the subjective appetite sensations assessed by visual analogue scale (VAS) (satiety, fullness, hunger, prospective food consumption, desire to eat)
Time Frame
Three hours during each test day between test day 1, 2, 3 and 4 (acute effect)
Title
Subjective appetite sensations in relation to energy consumed
Description
Assessing the satiety quotient (SQ)
Time Frame
up to day 4
Other Pre-specified Outcome Measures:
Title
Subjective nausea assessments
Description
VAS assessments for nausea throughout the study test day
Time Frame
Three hours during each test day between test day 1, 2, 3 and 4 (acute effect)
Title
Subjective nausea assessments
Description
End of day questionnaire assessing feeling of nausea after leaving the study facility
Time Frame
up to day 4

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Selfreporting
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants who have provided written informed consent Healthy men Age between 18 and 60 years BMI between 18.5-32 kg/m2 Regular breakfast eaters (eating breakfast ≥ 4 times a week) Exclusion Criteria: Participants unable to consume or known to get nausea from consuming 20 medium sized capsules (placebo capsules will be provided at screening for test of ability to consume the relevant amount of capsules) Participants not able to comply with the study protocol, including consumption of the specific study foods (pictures of study foods shown at screening) Any known food allergies or food intolerance likely to affect the present study Significant health problems as judged by the principal investigator Taking any medication or supplements known to affect appetite or body weight within the past month and/or during the study as judged by the study professional Intake of probiotic supplements (any kind of supplements but not including foods containing probiotic) < 4 weeks before study start Intake of probiotic supplements (any kind of supplements but not including foods containing probiotic) during the study Use of systemic medical treatment likely to interfere with evaluation of the study parameters as judged by the principal investigator Smoking, smoking cessation within the past 3 months or nicotine use (electronic cigarettes, gum etc.). Irregular smokers accepted Self-reporting currently dieting or having lost/gained significant amount of weight (±3 kg) in the previous 3 months Significant weight changes (±3 kg) over the course of the study (from screening to completion of last test day) Significant changes in physical activity patterns in the past 4 weeks or significant changes over the course of the study (from screening to completion of last test day) as judged by the sub-investigator Significant changes in diet in the past 4 weeks or significant changes over the course of the study (from screening to completion of last test day) as judged by the sub-investigator Participants who work in appetite related areas Simultaneous or within the past month participating in other clinical trials that can interfere with the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anders Sjödin, MD, PhD
Organizational Affiliation
University of Copenhagen, Department of Nutrition, Exercise and Sports
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Nutrition, Exercise and Sports
City
Copenhagen
State/Province
Frederiksberg
ZIP/Postal Code
1958
Country
Denmark

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
No IPD will be shared

Learn more about this trial

Encapsulated Nutrients' Acute Effects on Appetite; ENcapSulated, nUtRiEnts (ENSURE)

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