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A Trial to Assess Diets Containing Beef vs. Poultry on Pancreatic Beta-Cell Function

Primary Purpose

PreDiabetes

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Beef
Poultry
Sponsored by
Midwest Center for Metabolic and Cardiovascular Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for PreDiabetes

Eligibility Criteria

18 Years - 74 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female 18 to 74 y of age, inclusive.
  2. Subject has a BMI of 25.0-39.9 kg/m2, inclusive.
  3. Subject has a Vein Access Scale score of 7-10.
  4. Subject has prediabetes as indicated by a fasting plasma glucose of 100-125 mg/dL and/or HbA1c of 5.7%-6.4% at screening.
  5. Subject is normally active and judged by the Investigator to be in general good health on the basis of medical history and screening measurements.
  6. Subject is willing to consume study-related foods and follow the dietary instructions during each 4-week treatment period.
  7. Subject is willing to come to the clinic for study food pick-up if needed.
  8. Subject is willing to follow his/her usual physical activity pattern throughout the study period.
  9. Subject agrees to avoid meat, poultry, seafood, and eggs, other than the study entrées, for the duration of the treatment periods.
  10. Subject has no plans to change smoking habits during the study period.
  11. Subject is willing to refrain from consumption of recreational marijuana and alcoholic beverages for 24 h prior to each clinic visit.
  12. Subject is willing to refrain from vigorous physical activity for 24 h prior to each clinic visit.
  13. Subject is willing to abstain from tobacco/nicotine products and caffeine use for at least 1 h prior to and during each clinic visit.
  14. Subject understands the study procedures and signs forms documenting informed consent to participate in the study and authorization for release of relevant protected health information to the study Investigator and is willing to complete study procedures.

Exclusion Criteria:

  1. Subject has a laboratory test result of clinical significance based on the judgment of the Principal Investigator or qualified designee.
  2. Subject has fasting blood glucose ≥ 126 mg/dL and/or HbA1c ≥ 6.5% at screening and/or known type 1 or type 2 diabetes mellitus.
  3. Subject has atherosclerotic cardiovascular disease including any of the following: clinical signs of atherosclerosis including peripheral arterial disease, abdominal aortic aneurysm, carotid artery disease (symptomatic [e.g., myocardial infarction, angina, transient ischemic attack, or stroke of carotid origin] or > 50% stenosis on angiography or ultrasound) or other forms of clinical atherosclerotic disease (e.g., renal artery disease).
  4. Subject has history or presence of a clinically significant health condition that, in the opinion of the Investigator, could interfere with the interpretation of the study results.
  5. Subject has a history of cancer in the prior 2 years, other than non-melanoma skin cancer or carcinoma in situ of the cervix.
  6. Subject has uncontrolled hypertension (systolic blood pressure ≥ 160 mm Hg and/or diastolic blood pressure ≥ 100 mm Hg) at screening.
  7. Subject has unstable use (defined as initiation or change in dose) of anti-hypertensive medication or thyroid hormone replacement within 4 weeks of screening (Appendix 1).
  8. Subject has used alpha- or beta-adrenergic blockers and/or high-dose (> 25 mg/d) thiazide diuretics within 4 weeks of screening (Appendix 1).
  9. Subject has used diabetes medications including any alpha-glucosidase inhibitor, biguanide (metformin), thiazolidinedione, dipeptidyl peptidase-4 inhibitor, meglitinide, sulfonylurea, Sodium-glucose Cotransporter-2 inhibitor, or GLP-1 receptor agonist within 4 weeks of screening (Appendix 1).
  10. Subject has used systemic corticosteroids within 4 weeks of screening (Appendix 1).
  11. Subject has used weight-loss drugs (including over-the-counter medications and/or supplements) or programs within 4 weeks prior to screening (Appendix 1).
  12. Subject has used dietary supplements that may affect carbohydrate metabolism, including chromium picolinate, ginseng, cinnamon (as a supplement) and starch blockers within 2 weeks of screening (Appendix 1).
  13. Subject has used any lipid altering drug therapy except stable use statin therapy (stable use is defined as no change in agent, dose, or regimen in the 4 weeks prior to screening).
  14. Subject has had a weight change of ± 4.5 kg (10 lbs) in the previous 3 months.
  15. Subject has an active infection and/or is on antibiotic therapy. Subject can be rescheduled for screening at least 7 days after completion of antibiotic therapy.
  16. Subject has restrictive dietary habits (e.g., vegan, vegetarian, or very low carbohydrate diet).
  17. Subject has a history of a diagnosed eating disorder (e.g., anorexia or bulimia nervosa).
  18. Subject is a female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period.
  19. Subject has a known allergy, sensitivity, or intolerance to any of the study foods.
  20. Subject has been exposed to any non-registered drug product within 30 days of screening.
  21. Subject has a current or recent history (past 12 months of screening) or strong potential for illicit drug or alcohol abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1.5 oz hard liquor).
  22. Subject has a condition the Investigator believes would interfere with his or her ability to provide informed consent or comply with the study protocol, or which might confound the interpretation of the study results or put the person at undue risk.

Sites / Locations

  • Illinois Institute of Technology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Beef

Poultry

Arm Description

Subject will consume beef entrees each day of the study period, and will not consume any additional meat, poultry, seafood, and eggs, other than the study entrees.

Subject will consume poultry entrees each day of the study period, and will not consume any additional meat, poultry, seafood, and eggs, other than the study entrees.

Outcomes

Primary Outcome Measures

Ratio of incremental area under the curve (iAUC) for C-peptide to iAUC for glucose

Secondary Outcome Measures

Insulin sensitivity
The percent change during each treatment period in the Matsuda index where insulin resistance is defined as a value on the matsuda index of less than 3.
Fasting C-peptide
Change or percent change from baseline to the end of treatment of fasting C-peptide.
Insulin
Change or percent change from baseline to the end of treatment of insulin.
Mixed meal tolerance test (MTT) Disposition index
Change or percent change from baseline to the end of treatment of mixed meal tolerance test (MTT) disposition index.
Homeostasis model assessments of pancreatic beta-cell function (HOMA2%B)
Change or percent change from baseline to the end of treatment of homeostasis model assessment of pancreatic beta-cell function (HOMA2%B).
Homeostasis model assessments of insulin sensitivity (HOMA2%S)
Change or percent change from baseline to the end of treatment of homeostasis model assessment of insulin sensitivity (HOMA2%S).
Glucagon
Total AUC and iAUC for glucagon.
Glucagon-like petide-1 (GLP-1)
Total AUC and iAUC for glucagon-like peptide-1.
Glucose-dependent inhibitory polypeptide (GIP)
Total AUC and iAUC for glucose-dependent inhibitory polypeptide.
High-sensitivity C-reactive protein
Changes or percent changes from baseline to the end of treatment
Fibrinogen
Changes or percent changes from baseline to the end of treatment
Tumor necrosis factor alpha
Changes or percent changes from baseline to the end of treatment
Interleukin-6
Changes or percent changes from baseline to the end of treatment

Full Information

First Posted
July 7, 2022
Last Updated
October 17, 2023
Sponsor
Midwest Center for Metabolic and Cardiovascular Research
Collaborators
National Cattlemen's Beef Association
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1. Study Identification

Unique Protocol Identification Number
NCT05456477
Brief Title
A Trial to Assess Diets Containing Beef vs. Poultry on Pancreatic Beta-Cell Function
Official Title
A Randomized, Crossover Trial to Assess the Effects of Diets Containing Lean Beef vs. White Meat on Pancreatic Beta-cell Function in Men and Women With Prediabetes
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
October 7, 2022 (Actual)
Primary Completion Date
September 22, 2023 (Actual)
Study Completion Date
September 22, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Midwest Center for Metabolic and Cardiovascular Research
Collaborators
National Cattlemen's Beef Association

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
The objective of this study is to assess and compare the effects of usual diets containing lean beef vs. lean poultry on pancreatic beta-cell responses in men and women with prediabetes.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Beef
Arm Type
Experimental
Arm Description
Subject will consume beef entrees each day of the study period, and will not consume any additional meat, poultry, seafood, and eggs, other than the study entrees.
Arm Title
Poultry
Arm Type
Active Comparator
Arm Description
Subject will consume poultry entrees each day of the study period, and will not consume any additional meat, poultry, seafood, and eggs, other than the study entrees.
Intervention Type
Other
Intervention Name(s)
Beef
Intervention Description
Beef entrees
Intervention Type
Other
Intervention Name(s)
Poultry
Intervention Description
Poultry entrees
Primary Outcome Measure Information:
Title
Ratio of incremental area under the curve (iAUC) for C-peptide to iAUC for glucose
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Insulin sensitivity
Description
The percent change during each treatment period in the Matsuda index where insulin resistance is defined as a value on the matsuda index of less than 3.
Time Frame
4 weeks
Title
Fasting C-peptide
Description
Change or percent change from baseline to the end of treatment of fasting C-peptide.
Time Frame
4 weeks
Title
Insulin
Description
Change or percent change from baseline to the end of treatment of insulin.
Time Frame
4 weeks
Title
Mixed meal tolerance test (MTT) Disposition index
Description
Change or percent change from baseline to the end of treatment of mixed meal tolerance test (MTT) disposition index.
Time Frame
4 weeks
Title
Homeostasis model assessments of pancreatic beta-cell function (HOMA2%B)
Description
Change or percent change from baseline to the end of treatment of homeostasis model assessment of pancreatic beta-cell function (HOMA2%B).
Time Frame
4 weeks
Title
Homeostasis model assessments of insulin sensitivity (HOMA2%S)
Description
Change or percent change from baseline to the end of treatment of homeostasis model assessment of insulin sensitivity (HOMA2%S).
Time Frame
4 weeks
Title
Glucagon
Description
Total AUC and iAUC for glucagon.
Time Frame
4 weeks
Title
Glucagon-like petide-1 (GLP-1)
Description
Total AUC and iAUC for glucagon-like peptide-1.
Time Frame
4 weeks
Title
Glucose-dependent inhibitory polypeptide (GIP)
Description
Total AUC and iAUC for glucose-dependent inhibitory polypeptide.
Time Frame
4 weeks
Title
High-sensitivity C-reactive protein
Description
Changes or percent changes from baseline to the end of treatment
Time Frame
4 weeks
Title
Fibrinogen
Description
Changes or percent changes from baseline to the end of treatment
Time Frame
4 weeks
Title
Tumor necrosis factor alpha
Description
Changes or percent changes from baseline to the end of treatment
Time Frame
4 weeks
Title
Interleukin-6
Description
Changes or percent changes from baseline to the end of treatment
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female 18 to 74 y of age, inclusive. Subject has a BMI of 25.0-39.9 kg/m2, inclusive. Subject has a Vein Access Scale score of 7-10. Subject has prediabetes as indicated by a fasting plasma glucose of 100-125 mg/dL and/or HbA1c of 5.7%-6.4% at screening. Subject is normally active and judged by the Investigator to be in general good health on the basis of medical history and screening measurements. Subject is willing to consume study-related foods and follow the dietary instructions during each 4-week treatment period. Subject is willing to come to the clinic for study food pick-up if needed. Subject is willing to follow his/her usual physical activity pattern throughout the study period. Subject agrees to avoid meat, poultry, seafood, and eggs, other than the study entrées, for the duration of the treatment periods. Subject has no plans to change smoking habits during the study period. Subject is willing to refrain from consumption of recreational marijuana and alcoholic beverages for 24 h prior to each clinic visit. Subject is willing to refrain from vigorous physical activity for 24 h prior to each clinic visit. Subject is willing to abstain from tobacco/nicotine products and caffeine use for at least 1 h prior to and during each clinic visit. Subject understands the study procedures and signs forms documenting informed consent to participate in the study and authorization for release of relevant protected health information to the study Investigator and is willing to complete study procedures. Exclusion Criteria: Subject has a laboratory test result of clinical significance based on the judgment of the Principal Investigator or qualified designee. Subject has fasting blood glucose ≥ 126 mg/dL and/or HbA1c ≥ 6.5% at screening and/or known type 1 or type 2 diabetes mellitus. Subject has atherosclerotic cardiovascular disease including any of the following: clinical signs of atherosclerosis including peripheral arterial disease, abdominal aortic aneurysm, carotid artery disease (symptomatic [e.g., myocardial infarction, angina, transient ischemic attack, or stroke of carotid origin] or > 50% stenosis on angiography or ultrasound) or other forms of clinical atherosclerotic disease (e.g., renal artery disease). Subject has history or presence of a clinically significant health condition that, in the opinion of the Investigator, could interfere with the interpretation of the study results. Subject has a history of cancer in the prior 2 years, other than non-melanoma skin cancer or carcinoma in situ of the cervix. Subject has uncontrolled hypertension (systolic blood pressure ≥ 160 mm Hg and/or diastolic blood pressure ≥ 100 mm Hg) at screening. Subject has unstable use (defined as initiation or change in dose) of anti-hypertensive medication or thyroid hormone replacement within 4 weeks of screening (Appendix 1). Subject has used alpha- or beta-adrenergic blockers and/or high-dose (> 25 mg/d) thiazide diuretics within 4 weeks of screening (Appendix 1). Subject has used diabetes medications including any alpha-glucosidase inhibitor, biguanide (metformin), thiazolidinedione, dipeptidyl peptidase-4 inhibitor, meglitinide, sulfonylurea, Sodium-glucose Cotransporter-2 inhibitor, or GLP-1 receptor agonist within 4 weeks of screening (Appendix 1). Subject has used systemic corticosteroids within 4 weeks of screening (Appendix 1). Subject has used weight-loss drugs (including over-the-counter medications and/or supplements) or programs within 4 weeks prior to screening (Appendix 1). Subject has used dietary supplements that may affect carbohydrate metabolism, including chromium picolinate, ginseng, cinnamon (as a supplement) and starch blockers within 2 weeks of screening (Appendix 1). Subject has used any lipid altering drug therapy except stable use statin therapy (stable use is defined as no change in agent, dose, or regimen in the 4 weeks prior to screening). Subject has had a weight change of ± 4.5 kg (10 lbs) in the previous 3 months. Subject has an active infection and/or is on antibiotic therapy. Subject can be rescheduled for screening at least 7 days after completion of antibiotic therapy. Subject has restrictive dietary habits (e.g., vegan, vegetarian, or very low carbohydrate diet). Subject has a history of a diagnosed eating disorder (e.g., anorexia or bulimia nervosa). Subject is a female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period. Subject has a known allergy, sensitivity, or intolerance to any of the study foods. Subject has been exposed to any non-registered drug product within 30 days of screening. Subject has a current or recent history (past 12 months of screening) or strong potential for illicit drug or alcohol abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1.5 oz hard liquor). Subject has a condition the Investigator believes would interfere with his or her ability to provide informed consent or comply with the study protocol, or which might confound the interpretation of the study results or put the person at undue risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kevin Maki, PhD
Organizational Affiliation
MB Clinical Research & Consulting, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Illinois Institute of Technology
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60616
Country
United States

12. IPD Sharing Statement

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A Trial to Assess Diets Containing Beef vs. Poultry on Pancreatic Beta-Cell Function

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