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Clinical Study to Assess the Long-term Effect of Pep2Dia® on Glucose Homeostasis in Prediabetic Subjects

Primary Purpose

Prediabetic State

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Pep2dia
Placebo
Sponsored by
Ingredia S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Prediabetic State

Eligibility Criteria

25 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female subjects (minimum one third of each gender) with prediabetic HbA1c values between 5.7% and 6.4% and/or fasting glucose ≥ 5.6 mmol/L (≥ 100 mg/dL) and < 7.0 mmol/L (< 125 mg/dL) (in venous plasma) (twice confirmed at two independent days if HbA1c is < 5.7%)
  • Age: 25-70 years
  • Body mass index 19-35 kg/m2
  • Current Non-smoker
  • Availability and presence in the study units for approx. 3.5 hours/ week for 2 times.
  • Signed informed consent form
  • No changes in food habits or physical activity 3 months prior to screening and during the study
  • If applicable, stable intake of chronic medication of at least 4 weeks

Exclusion Criteria:

  • Subjects with diagnosed Type 2-Diabetes with medical treatment
  • Presence of disease or drug(s) influencing digestion and absorption of nutrients
  • Intake of medications known to affect glucose tolerance, e.g., diabetic medication SGLT-2 inhibitors, GLP-1 receptor agonists, steroids, protease inhibitors or antipsychotics
  • Chronic intake of substances affecting blood coagulation (e.g. acetylic acid (100 mg as standard prophylactic treatment allowed when dose is stable 1 month prior to screening), anticoagulants, diuretics, thiazides (diuretics and thiazides allowed e.g. for hypertension treatment when dose is stable 1 month prior to screening)), which in the Investigator's opinion would impact patient safety
  • Severe liver or renal disease or laboratory evidence of hepatic dysfunction (i.e. alkaline phosphatase, ALT, AST >3 x ULN)
  • Acute gastrointestinal diseases including diarrhea and/or vomiting within the last 2 weeks
  • Known inflammatory or malignant gastrointestinal diseases (i.e. colitis ulcerosa, Morbus Crohn, celiac disease, malignant diseases e.g. colon-cancer, rectum cancer, pancreatitis)
  • Clinically relevant findings as established by medical history, physical examination, clinical laboratory and/or vital signs
  • Major medical or surgical event requiring hospitalization within the previous 3 months
  • Intake of food supplements known to affect glucose tolerance, e.g., cinnamon capsules, conjugated linoleic acids, omega-3 fatty acids
  • Intake of antibiotics within 4 weeks before the test days
  • Known alcohol abuse or drug abuse
  • Pregnant or breast-feeding women
  • Weight loss intervention or recent body weight change >5 kg during last 3 months
  • Known or suspected allergy to any component of the investigational product(s) (e.g. milk protein)
  • Blood donation within 4 weeks prior to Visit 1 or during the study
  • Anticipating any planned changes in lifestyle for the duration of the study
  • Participation in another clinical intervention study within the last 4 weeks and concurrent participation in another intervention clinical study
  • Subject unable to co-operate adequately

Sites / Locations

  • Biotesys

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Pep2dia

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Glycated haemoglobin (HbA1c)
Change from baseline Glycated haemoglobin (HbA1c) at 3 months

Secondary Outcome Measures

Glucose-iAUC(0-180min)
Area under the curve calculated as the incremental area under the blood glucose response curve, ignoring the area beneath the fasting concentration
Cmax
Maximum blood glucose concentration
Delta Cmax
Maximum increase of glucose (Cmax minus baseline value)
Tmax
Time to reach maximum blood glucose concentration
Tbaseline
First time to reach baseline again after increase or decrease in blood glucose
ISI 0-120min
hsCRP
GLP-1
Body composition measurement
Evaluation of the fat mass/lean mass ratio by bioelectrical impedance analysis
SF-12 (Short-fom 12)
Score from 12 to 60. Higher score mean a better outcome.

Full Information

First Posted
May 6, 2022
Last Updated
June 26, 2023
Sponsor
Ingredia S.A.
Collaborators
BioTeSys GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT05391854
Brief Title
Clinical Study to Assess the Long-term Effect of Pep2Dia® on Glucose Homeostasis in Prediabetic Subjects
Official Title
Clinical Study to Assess the Long-term Effect of Pep2Dia® on Glucose Homeostasis in Prediabetic Subjects: a 12-week Randomized, Multicenter, Double-blind, Placebo-controlled, Parallel Study
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
June 21, 2022 (Actual)
Primary Completion Date
May 5, 2023 (Actual)
Study Completion Date
June 20, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ingredia S.A.
Collaborators
BioTeSys GmbH

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
The goal is to assess the long-term effect of Pep2Dia® compared to placebo intake on blood glucose homeostasis. Respective improvements will be assessed by changes in glycated haemoglobin (HbA1c) before and after the 12-weeks intervention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prediabetic State

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
128 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pep2dia
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Dietary Supplement
Intervention Name(s)
Pep2dia
Intervention Description
700 mg Pep2Dia® 15 min prior to breakfast and 700 mg Pep2Dia® 15 min prior to dinner
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
700 mg placebo 15 min prior to breakfast and 700 mg placebo 15 min prior to dinner
Primary Outcome Measure Information:
Title
Glycated haemoglobin (HbA1c)
Description
Change from baseline Glycated haemoglobin (HbA1c) at 3 months
Time Frame
Before treatment (baseline = day 0); at the end of the treatment (after 3 months = day 85)
Secondary Outcome Measure Information:
Title
Glucose-iAUC(0-180min)
Description
Area under the curve calculated as the incremental area under the blood glucose response curve, ignoring the area beneath the fasting concentration
Time Frame
Day 1; Day 85
Title
Cmax
Description
Maximum blood glucose concentration
Time Frame
Day 1; Day 85
Title
Delta Cmax
Description
Maximum increase of glucose (Cmax minus baseline value)
Time Frame
Day 1; Day 85
Title
Tmax
Description
Time to reach maximum blood glucose concentration
Time Frame
Day 1; Day 85
Title
Tbaseline
Description
First time to reach baseline again after increase or decrease in blood glucose
Time Frame
Day 1; Day 85
Title
ISI 0-120min
Time Frame
Day 1; Day 85
Title
hsCRP
Time Frame
Day 1; Day 85
Title
GLP-1
Time Frame
Day 1; Day 85
Title
Body composition measurement
Description
Evaluation of the fat mass/lean mass ratio by bioelectrical impedance analysis
Time Frame
Day 1; Day 85
Title
SF-12 (Short-fom 12)
Description
Score from 12 to 60. Higher score mean a better outcome.
Time Frame
Day 1; Day 85

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects (minimum one third of each gender) with prediabetic HbA1c values between 5.7% and 6.4% and/or fasting glucose ≥ 5.6 mmol/L (≥ 100 mg/dL) and < 7.0 mmol/L (< 125 mg/dL) (in venous plasma) (twice confirmed at two independent days if HbA1c is < 5.7%) Age: 25-70 years Body mass index 19-35 kg/m2 Current Non-smoker Availability and presence in the study units for approx. 3.5 hours/ week for 2 times. Signed informed consent form No changes in food habits or physical activity 3 months prior to screening and during the study If applicable, stable intake of chronic medication of at least 4 weeks Exclusion Criteria: Subjects with diagnosed Type 2-Diabetes with medical treatment Presence of disease or drug(s) influencing digestion and absorption of nutrients Intake of medications known to affect glucose tolerance, e.g., diabetic medication SGLT-2 inhibitors, GLP-1 receptor agonists, steroids, protease inhibitors or antipsychotics Chronic intake of substances affecting blood coagulation (e.g. acetylic acid (100 mg as standard prophylactic treatment allowed when dose is stable 1 month prior to screening), anticoagulants, diuretics, thiazides (diuretics and thiazides allowed e.g. for hypertension treatment when dose is stable 1 month prior to screening)), which in the Investigator's opinion would impact patient safety Severe liver or renal disease or laboratory evidence of hepatic dysfunction (i.e. alkaline phosphatase, ALT, AST >3 x ULN) Acute gastrointestinal diseases including diarrhea and/or vomiting within the last 2 weeks Known inflammatory or malignant gastrointestinal diseases (i.e. colitis ulcerosa, Morbus Crohn, celiac disease, malignant diseases e.g. colon-cancer, rectum cancer, pancreatitis) Clinically relevant findings as established by medical history, physical examination, clinical laboratory and/or vital signs Major medical or surgical event requiring hospitalization within the previous 3 months Intake of food supplements known to affect glucose tolerance, e.g., cinnamon capsules, conjugated linoleic acids, omega-3 fatty acids Intake of antibiotics within 4 weeks before the test days Known alcohol abuse or drug abuse Pregnant or breast-feeding women Weight loss intervention or recent body weight change >5 kg during last 3 months Known or suspected allergy to any component of the investigational product(s) (e.g. milk protein) Blood donation within 4 weeks prior to Visit 1 or during the study Anticipating any planned changes in lifestyle for the duration of the study Participation in another clinical intervention study within the last 4 weeks and concurrent participation in another intervention clinical study Subject unable to co-operate adequately
Facility Information:
Facility Name
Biotesys
City
Esslingen
Country
Germany

12. IPD Sharing Statement

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Clinical Study to Assess the Long-term Effect of Pep2Dia® on Glucose Homeostasis in Prediabetic Subjects

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