Medium Chain Triglycerides (MCT) and Whey Protein Isolate (WPI) for Type 2 Diabetes Patients (Combine)
Primary Purpose
Type 2 Diabetes
Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
BetaQuik™
WheyBasics
Iso-voluminous water
Sponsored by

About this trial
This is an interventional other trial for Type 2 Diabetes
Eligibility Criteria
Inclusion Criteria:
- Male or female subjects, 25 to 65 years of age, inclusive.
- Subjects with a BMI of ≤ 40kg/m2.
- Established diagnosis of Type 2 diabetes mellitus (T2DM), documented by either HbA1c 6.5 -10.0% or active therapy with metformin at a daily dose of up to 3000 mg at screening.
- Willing and able to sign written informed consent prior to study entry.
- Subjects with laboratory parameters within normal range, or showing no clinically relevant deviations, as judged by the investigator.
- Willing and able to comply with the requirements of the study protocol.
Exclusion Criteria:
- Fasting blood glucose >11mmol/L at screening.
- Elevated liver transaminases > 3 Upper limit of normal at screening.
- Ongoing or recent (i.e. < 3month) insulin therapy.
- Ongoing or recent (i.e. < 3month) GLP-1 therapy.
- Ongoing or recent (i.e. < 3month) treatment with any oral or injectable glucose-lowering drug other than metformin.
- Ongoing or recent weight loss interventions (e.g. dietary weight loss programmes) or any history of bariatric surgery.
- Ongoing treatment with anorectic drugs, steroids, medications known to affect gastric motility, or any condition known to affect gastro-intestinal integrity and food absorption.
- Major medical/surgical event requiring hospitalization in the last 3 months.
- Known allergy and intolerance to product components.
- Alcohol intake higher than 4 units per day in line with National Health Service guidelines.
- History of regular smoking (daily or most days in a week) or use of nicotine products (3 or more nicotine containing products).
- Have a hierarchical link with the research team members.
- Subjects who have been dosed in another clinical trial with any investigational drug/new chemical entity within 3 months or 5 half-lives (whichever is longer) prior to screening, or subjects currently participating in any investigational trial.
- Positive pregnancy test at screening for women of child-bearing potential.
- Subject who, in the judgment of the investigator, is likely to be noncompliant or uncooperative during the study due to language barrier, poor mental development or any other reason.
- Subjects with fasting blood glucose that is not within 20% of the value at the previous study visit. Note: In such cases, subjects can come in on another day within the visit window at the discretion of the investigator, however, subjects will be discontinued if the same observation is made at the new visit.
- Evidence of eating disorders and regularly skipping breakfast and dinner.
- Current or recent history (in last 3 months) of clinically significant gastrointestinal, liver, cardiovascular, clotting, metabolic or endocrine disorders, apart from T2DM, that in the opinion of the investigator might put the subject at risk by entering the study or interfere with the aims of the study.
- Total score of ≥ 20 on the Eating Attitude Test (EAT-26) at the screening visit.
Sites / Locations
- University of Nottingham
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Active Comparator
Active Comparator
Arm Label
ARM A
ARM B
ARM C
Arm Description
Subsequent order of intake : Iso-voluminous water, breakfast, iso-voluminous water, lunch, iso-voluminous water, dinner
Subsequent order of intake : MCT in liquid form (75 ml of BetaQuik™), breakfast, iso-voluminous water, lunch, iso-voluminous water, dinner
Subsequent order of intake: MCT in liquid form (75 ml of BetaQuik™), breakfast, WPI in liquid from (12.5g of WheyBasics in 200ml water), lunch, WPI in liquid from (12.5g of WheyBasics in 200ml water)), dinner
Outcomes
Primary Outcome Measures
Diurnal glucose Incremental area under curve (iAUC) concentrations
Constant glucose monitoring (CGM) comparing treatment regimen A-B-C
Secondary Outcome Measures
Glucose concentrations
Mean, standard deviation and coefficient of variation of 24h glucose concentration as 24h 24h assessed by CGM
Area under curve (AUC) glucose
24h assessed by CGM
Incremental area under curve (iAUC) glucose
24h assessed by CGM
Visual Analogue Scale (VAS) questionnaire
100-point VAS on satiety
Glucose mean
Arterialised blood concentration
Glucose Incremental area under curve (iAUC)
Arterialised blood concentration
Leptin mean
Arterialised blood concentration
Leptin Incremental area under curve (iAUC)
Arterialised blood concentration
Gastric inhibitory polypeptide (GIP) - GLP-1 mean
Arterialised blood concentration
Glucagon-like peptide-1 (GLP-1) mean
Arterialised blood concentration
Gastric inhibitory polypeptide (GIP) - Incremental area under curve (iAUC)
Arterialised blood concentration
Glucagon-like peptide-1 (GLP-1) Incremental area under curve (iAUC)
Arterialised blood concentration
Peptide tyrosine tyrosine (PYY) mean
Arterialised blood concentration
Peptide tyrosine tyrosine (PYY) Incremental area under curve (iAUC)
Arterialised blood concentration
Full Information
NCT ID
NCT04905589
First Posted
May 12, 2021
Last Updated
August 15, 2022
Sponsor
Société des Produits Nestlé (SPN)
1. Study Identification
Unique Protocol Identification Number
NCT04905589
Brief Title
Medium Chain Triglycerides (MCT) and Whey Protein Isolate (WPI) for Type 2 Diabetes Patients (Combine)
Official Title
Effect of Combined Intake of Medium Chain Triglycerides (MCT) at Breakfast and Whey Protein Isolate (WPI) Preload at Lunch and Dinner on Diurnal Glucose and Satiety
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
April 30, 2021 (Actual)
Primary Completion Date
August 1, 2022 (Actual)
Study Completion Date
August 1, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Société des Produits Nestlé (SPN)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Evaluation of effect on diurnal glycaemia following consumption of MCT and whey protein in patients with type 2 diabetes
Detailed Description
The purpose of this study (Combine) is to evaluate the effects of Combined Intake of Medium chain triglycerides (MCT) at breakfast and whey protein isolate (WPI) preload at lunch and dinner for patients with type 2 diabetes
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
Open-label - randomization-concealed trial randomized in a 1:1:1 ratio
Masking
None (Open Label)
Allocation
Randomized
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ARM A
Arm Type
Placebo Comparator
Arm Description
Subsequent order of intake :
Iso-voluminous water, breakfast, iso-voluminous water, lunch, iso-voluminous water, dinner
Arm Title
ARM B
Arm Type
Active Comparator
Arm Description
Subsequent order of intake :
MCT in liquid form (75 ml of BetaQuik™), breakfast, iso-voluminous water, lunch, iso-voluminous water, dinner
Arm Title
ARM C
Arm Type
Active Comparator
Arm Description
Subsequent order of intake:
MCT in liquid form (75 ml of BetaQuik™), breakfast, WPI in liquid from (12.5g of WheyBasics in 200ml water), lunch, WPI in liquid from (12.5g of WheyBasics in 200ml water)), dinner
Intervention Type
Dietary Supplement
Intervention Name(s)
BetaQuik™
Intervention Description
MCT (Medium chain triglycerides)
Intervention Type
Dietary Supplement
Intervention Name(s)
WheyBasics
Intervention Description
Whey Protein Isolate
Intervention Type
Other
Intervention Name(s)
Iso-voluminous water
Intervention Description
Iso-voluminous Water as comparitor to Betaquik or WheyBasics
Primary Outcome Measure Information:
Title
Diurnal glucose Incremental area under curve (iAUC) concentrations
Description
Constant glucose monitoring (CGM) comparing treatment regimen A-B-C
Time Frame
115 days
Secondary Outcome Measure Information:
Title
Glucose concentrations
Description
Mean, standard deviation and coefficient of variation of 24h glucose concentration as 24h 24h assessed by CGM
Time Frame
115 days
Title
Area under curve (AUC) glucose
Description
24h assessed by CGM
Time Frame
115 days
Title
Incremental area under curve (iAUC) glucose
Description
24h assessed by CGM
Time Frame
115 days
Title
Visual Analogue Scale (VAS) questionnaire
Description
100-point VAS on satiety
Time Frame
115 days
Title
Glucose mean
Description
Arterialised blood concentration
Time Frame
115 days
Title
Glucose Incremental area under curve (iAUC)
Description
Arterialised blood concentration
Time Frame
115 days
Title
Leptin mean
Description
Arterialised blood concentration
Time Frame
115 days
Title
Leptin Incremental area under curve (iAUC)
Description
Arterialised blood concentration
Time Frame
115 days
Title
Gastric inhibitory polypeptide (GIP) - GLP-1 mean
Description
Arterialised blood concentration
Time Frame
115 days
Title
Glucagon-like peptide-1 (GLP-1) mean
Description
Arterialised blood concentration
Time Frame
115 days
Title
Gastric inhibitory polypeptide (GIP) - Incremental area under curve (iAUC)
Description
Arterialised blood concentration
Time Frame
115 days
Title
Glucagon-like peptide-1 (GLP-1) Incremental area under curve (iAUC)
Description
Arterialised blood concentration
Time Frame
115 days
Title
Peptide tyrosine tyrosine (PYY) mean
Description
Arterialised blood concentration
Time Frame
115 days
Title
Peptide tyrosine tyrosine (PYY) Incremental area under curve (iAUC)
Description
Arterialised blood concentration
Time Frame
115 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female subjects, 25 to 65 years of age, inclusive.
Subjects with a BMI of ≤ 40kg/m2.
Established diagnosis of Type 2 diabetes mellitus (T2DM), documented by either HbA1c 6.5 -10.0% or active therapy with metformin at a daily dose of up to 3000 mg at screening.
Willing and able to sign written informed consent prior to study entry.
Subjects with laboratory parameters within normal range, or showing no clinically relevant deviations, as judged by the investigator.
Willing and able to comply with the requirements of the study protocol.
Exclusion Criteria:
Fasting blood glucose >11mmol/L at screening.
Elevated liver transaminases > 3 Upper limit of normal at screening.
Ongoing or recent (i.e. < 3month) insulin therapy.
Ongoing or recent (i.e. < 3month) GLP-1 therapy.
Ongoing or recent (i.e. < 3month) treatment with any oral or injectable glucose-lowering drug other than metformin.
Ongoing or recent weight loss interventions (e.g. dietary weight loss programmes) or any history of bariatric surgery.
Ongoing treatment with anorectic drugs, steroids, medications known to affect gastric motility, or any condition known to affect gastro-intestinal integrity and food absorption.
Major medical/surgical event requiring hospitalization in the last 3 months.
Known allergy and intolerance to product components.
Alcohol intake higher than 4 units per day in line with National Health Service guidelines.
History of regular smoking (daily or most days in a week) or use of nicotine products (3 or more nicotine containing products).
Have a hierarchical link with the research team members.
Subjects who have been dosed in another clinical trial with any investigational drug/new chemical entity within 3 months or 5 half-lives (whichever is longer) prior to screening, or subjects currently participating in any investigational trial.
Positive pregnancy test at screening for women of child-bearing potential.
Subject who, in the judgment of the investigator, is likely to be noncompliant or uncooperative during the study due to language barrier, poor mental development or any other reason.
Subjects with fasting blood glucose that is not within 20% of the value at the previous study visit. Note: In such cases, subjects can come in on another day within the visit window at the discretion of the investigator, however, subjects will be discontinued if the same observation is made at the new visit.
Evidence of eating disorders and regularly skipping breakfast and dinner.
Current or recent history (in last 3 months) of clinically significant gastrointestinal, liver, cardiovascular, clotting, metabolic or endocrine disorders, apart from T2DM, that in the opinion of the investigator might put the subject at risk by entering the study or interfere with the aims of the study.
Total score of ≥ 20 on the Eating Attitude Test (EAT-26) at the screening visit.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Professor Kostas Tsintzas
Organizational Affiliation
University of Nottingham
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Nottingham
City
Nottingham
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
Medium Chain Triglycerides (MCT) and Whey Protein Isolate (WPI) for Type 2 Diabetes Patients (Combine)
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