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Bioavailability of Vitamin D Encapsulated in Casein Micelles, Compared to Its Bioavailability in a Synthetic Emulsifier Currently Used for Supplementation and Enrichment. (VD)

Primary Purpose

Vitamin D Deficiency

Status
Unknown status
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
enriched skimmilk with VD
Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80
Placebo: un-enriched skimmilk.
Sponsored by
Rambam Health Care Campus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Vitamin D Deficiency focused on measuring Casein micelles, vitamin D3 (cholecalciferol), Bioavailability, Nanoencapsulation, Nutrition

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Healthy volunteers . adults aged 18 - 65

Exclusion Criteria:

Intestinal malabsorption, lactose intolerance, medical illness (e.g. liver disease, kidney disease, or diabetes), hypercalcemia, excessive alcohol use, pregnancy, use of medications known to interfere with vitamin D metabolism e.g. anticonvulsants, barbiturates, or steroids), granulomatous disease, use of vitamin D supplements, potential for significant sun exposure (e.g., travel to a sunny vacation site or use of tanning beds) within the month prior to, or during, the study. -

Sites / Locations

  • Rambam-Health Care CampusRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Placebo Comparator

Active Comparator

Arm Label

Skimmilk VD will be emulsified using Tween 80

Placebo: un-enriched skimmilk.

enriched skimmilk with VD

Arm Description

Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80;

Placebo: un-enriched skimmilk.

enriched skimmilk with VD

Outcomes

Primary Outcome Measures

Serum 25(OH)D level

Secondary Outcome Measures

Full Information

First Posted
March 7, 2013
Last Updated
March 13, 2013
Sponsor
Rambam Health Care Campus
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1. Study Identification

Unique Protocol Identification Number
NCT01807845
Brief Title
Bioavailability of Vitamin D Encapsulated in Casein Micelles, Compared to Its Bioavailability in a Synthetic Emulsifier Currently Used for Supplementation and Enrichment.
Acronym
VD
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Unknown status
Study Start Date
January 2013 (undefined)
Primary Completion Date
May 2013 (Anticipated)
Study Completion Date
December 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rambam Health Care Campus

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Background: Vitamin D3 (VD) is an oil soluble vitamin formed in the skin during exposure to UV light. It is essential for bone and calcium metabolism, insulin reactivity, immune system etc. The dietary sources of VD are scarce, and insufficient. Epidemiological studies link proper VD status with lower risks of bone fracture, hypertension, diabetes, cancer and more. VD deficiency is widespread, mainly due to avoidance of sun exposure due to fear of melanoma. Therefore there is an urgent need to enrich staple foods & beverages with VD, to prevent deficiency. A novel technology was developed , for nanoencapsulating VD within casein micelles (CM) (natural milk protein nanoparticles). Previously we have found that the bioavailability of VD in CM in 1% fat milk was similar to that in an aqueous dietary supplement based on a synthetic emulsifier- Tween 80- which is sometimes used by the industry to add VD into milk. The main research question studied in the current project is: how will the bioavailability of VD be affected by its delivery in CM compared to its delivery using Tween 80 in a fat free milk product, like nonfat yogurt. Hypothesis: The open molecular structure of caseins, which evolved to be easily digestible, may facilitate the bioavailability of VD nanoencapsulated in CM, so that it will not be less than that in Tween 80, which is considered to be good. CM are particularly useful for oil-soluble micronutrient delivery in non-fat products. The most widely consumed nonfat milk product is 0% fat yoghurt, chosen it for this study. Methods: Yoghurts will be made from 3 milk formulations: Skim milk (0% fat) enriched with 50,000 international units (IU) VD in 150 gr product, in CM. Skim milk with same dosage of VD, emulsified with Tween 80. Placebo: skim milk without added VD. 90 healthy adults, aged 18-65, having passed a medical qualification examination, will be randomly assigned to 3 groups. Following over-night fasting they will each consume a 150 gr yoghurt sample as detailed above, and be requested to fast 2 more hours. Blood will be sampled before yoghurt consumption, and after 1, 7 and 14 days following consumption. Blood-serum level of 25(OH)D (the form of VD used as a status indicator in routine blood tests), by chemiluminescence immunoassay (CMIA). Expected findings: The bioavailability of VD in CM will not be lower than that in Tween 80, in 0% fat yoghurt. Significance of the study: With the widespread VD deficiency, decreased fat consumption and rising demand for using only natural ingredients there is great importance in delivery of VD and other fat-soluble micronutrients in protein-based delivery systems, like CM, instead of using synthetic emulsifiers, and it is imperative to assure the bioavailability is not compromised by this dramatic change. CM solubilize VD and help uniformly distribute it in aqueous products and protect it against heat, oxidation and UV.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vitamin D Deficiency
Keywords
Casein micelles, vitamin D3 (cholecalciferol), Bioavailability, Nanoencapsulation, Nutrition

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Skimmilk VD will be emulsified using Tween 80
Arm Type
Active Comparator
Arm Description
Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80;
Arm Title
Placebo: un-enriched skimmilk.
Arm Type
Placebo Comparator
Arm Description
Placebo: un-enriched skimmilk.
Arm Title
enriched skimmilk with VD
Arm Type
Active Comparator
Arm Description
enriched skimmilk with VD
Intervention Type
Dietary Supplement
Intervention Name(s)
enriched skimmilk with VD
Intervention Description
enriched skimmilk with VD
Intervention Type
Dietary Supplement
Intervention Name(s)
Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80
Intervention Description
Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo: un-enriched skimmilk.
Intervention Description
Placebo: un-enriched skimmilk
Primary Outcome Measure Information:
Title
Serum 25(OH)D level
Time Frame
0, 1 day, 7 days, 14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteers . adults aged 18 - 65 Exclusion Criteria: Intestinal malabsorption, lactose intolerance, medical illness (e.g. liver disease, kidney disease, or diabetes), hypercalcemia, excessive alcohol use, pregnancy, use of medications known to interfere with vitamin D metabolism e.g. anticonvulsants, barbiturates, or steroids), granulomatous disease, use of vitamin D supplements, potential for significant sun exposure (e.g., travel to a sunny vacation site or use of tanning beds) within the month prior to, or during, the study. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
SOFIA ISH-SHALOM, MD
Phone
972-4-8543033
Email
s_ish_shalom@rambam.health.gov.il
First Name & Middle Initial & Last Name or Official Title & Degree
YOAV LIVNEY, MD
Phone
972-0778874225
Email
LIVNEY@TECHNION.AC.IL
Facility Information:
Facility Name
Rambam-Health Care Campus
City
Haifa
ZIP/Postal Code
31096
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
YOAV LIVNEY, MD
Phone
972 778874225
Email
livney@technion.ac.il
First Name & Middle Initial & Last Name & Degree
SOFIA ISH-SHALOM, MD
First Name & Middle Initial & Last Name & Degree
YOAV LIVNEY, MD

12. IPD Sharing Statement

Learn more about this trial

Bioavailability of Vitamin D Encapsulated in Casein Micelles, Compared to Its Bioavailability in a Synthetic Emulsifier Currently Used for Supplementation and Enrichment.

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