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The Metabolic Effects of Cynara Supplementation in Overweight and Obese Class I Subjects With Newly Detected Impaired Fasting Glycaemia.

Primary Purpose

Insulin Sensitivity, Obesity, Overweight

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
500 mg of artichoke extract
Placebo
Sponsored by
Azienda di Servizi alla Persona di Pavia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Insulin Sensitivity focused on measuring impaired fasting glucose, Cynara cardunculus, Insulin Sensitivity, Obesity, Overweight

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • without history of cardiovascular disease (CVD),
  • not taking any medication likely to affect glucose or lipid metabolism (oral hypoglycemic agents and statins)
  • free of overt liver, renal and thyroid disease

Exclusion Criteria:

  • smoking
  • drinking more than two standard alcoholic beverages/day (20 g of alcohol/day)

Sites / Locations

  • Azienda di Servizi alla Persona ''Istituto Santa Margherita''

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Intervention Group

Control Group

Arm Description

Outcomes

Primary Outcome Measures

Changes on glycemia

Secondary Outcome Measures

Changes on total cholesterol (mg/dl), HDL (mg/dl), total cholesterol/HLD, LDL (mg/dl), LDL/HDL, triglycerides (mg/dl), ApoA (mg/dl), ApoB (mg/dl), ApoB/ApoA, creatinine (mg/dl)
Changes on AST (UI/l), ALT (UI/l), GGT (U/l)
Changes on insulin (mcU/ml) and HOMA index
Changes on glycated hemoglobin (%)
Changes on A1c-Derived Average Glucose (mmol/l)
Changes on maximum blood pressure (mmHg), minimum blood pressure (mmHg)
Changes on waist circumference (cm)
Changes on VAT (g), lean and fat mass (g)

Full Information

First Posted
October 13, 2020
Last Updated
October 29, 2020
Sponsor
Azienda di Servizi alla Persona di Pavia
Collaborators
Indena S.p.A
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1. Study Identification

Unique Protocol Identification Number
NCT04616404
Brief Title
The Metabolic Effects of Cynara Supplementation in Overweight and Obese Class I Subjects With Newly Detected Impaired Fasting Glycaemia.
Official Title
The Metabolic Effects of Cynara Supplementation in Overweight and Obese Class I Subjects With Newly Detected Impaired Fasting Glycaemia: a Double-blind, Placebo-controlled, Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
July 26, 2018 (Actual)
Primary Completion Date
August 5, 2019 (Actual)
Study Completion Date
August 5, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Azienda di Servizi alla Persona di Pavia
Collaborators
Indena S.p.A

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Impaired fasting glucose (IFG) is a condition that precedes diabetes and increases the risk of developing it. Studies support the hypoglycemic effect of Cynara cardunculus (Cs) extracts due to the content of chlorogenic acid, which is a potent inhibitor of glucose 6-phosphate translocase and of dicaffeoylquinic acid derivatives that modulate the activity of alpha-glucosidase. Given this background, we investigated whether a new highly standardized Cs extract could improve glycaemic control, insulin sensitivity and other metabolic parameters (total, HDL and LDL cholesterol, Triglycerides, ApoB, ApoA, waist circumference, Visceral adipose tissue by DXA) in overweight subjects with newly diagnosed IFG.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Insulin Sensitivity, Obesity, Overweight
Keywords
impaired fasting glucose, Cynara cardunculus, Insulin Sensitivity, Obesity, Overweight

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intervention Group
Arm Type
Active Comparator
Arm Title
Control Group
Arm Type
Placebo Comparator
Intervention Type
Dietary Supplement
Intervention Name(s)
500 mg of artichoke extract
Intervention Description
Tablets containing 500 mg of artichoke extract (triple standardized to contain caffeoylquinic acids ≥ 5.0%; flavonoids ≥ 1.5%; cynaropicrin ≥ 1.0%, by HPLC)
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Tablets with no active ingredient
Primary Outcome Measure Information:
Title
Changes on glycemia
Time Frame
Day 0, after 1 month and after 2 months
Secondary Outcome Measure Information:
Title
Changes on total cholesterol (mg/dl), HDL (mg/dl), total cholesterol/HLD, LDL (mg/dl), LDL/HDL, triglycerides (mg/dl), ApoA (mg/dl), ApoB (mg/dl), ApoB/ApoA, creatinine (mg/dl)
Time Frame
Day 0, after 1 month and after 2 months
Title
Changes on AST (UI/l), ALT (UI/l), GGT (U/l)
Time Frame
Day 0, after 1 month and after 2 months
Title
Changes on insulin (mcU/ml) and HOMA index
Time Frame
Day 0, after 1 month and after 2 months
Title
Changes on glycated hemoglobin (%)
Time Frame
Day 0, after 1 month and after 2 months
Title
Changes on A1c-Derived Average Glucose (mmol/l)
Time Frame
Day 0, after 1 month and after 2 months
Title
Changes on maximum blood pressure (mmHg), minimum blood pressure (mmHg)
Time Frame
Day 0, after 1 month
Title
Changes on waist circumference (cm)
Time Frame
Day 0, after 1 month
Title
Changes on VAT (g), lean and fat mass (g)
Time Frame
Day 0, after 1 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: without history of cardiovascular disease (CVD), not taking any medication likely to affect glucose or lipid metabolism (oral hypoglycemic agents and statins) free of overt liver, renal and thyroid disease Exclusion Criteria: smoking drinking more than two standard alcoholic beverages/day (20 g of alcohol/day)
Facility Information:
Facility Name
Azienda di Servizi alla Persona ''Istituto Santa Margherita''
City
Pavia
State/Province
PV
ZIP/Postal Code
27100
Country
Italy

12. IPD Sharing Statement

Learn more about this trial

The Metabolic Effects of Cynara Supplementation in Overweight and Obese Class I Subjects With Newly Detected Impaired Fasting Glycaemia.

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