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Effects of Fruit Extracts on Glycaemia: The GLU-FRU Study (GLU-FRU)

Primary Purpose

Postprandial Hyperglycemia

Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Polyphenols
Sponsored by
King's College London
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Postprandial Hyperglycemia focused on measuring Polyphenol, Fruit, Metabolic

Eligibility Criteria

20 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age: 20-60 y
  • Male and female (post-menopausal only)
  • Healthy (free of diagnosed diseases in the exclusion criteria)
  • BMI 18-35 kg/m2
  • Able to understand the information sheet and willing to comply with study protocol
  • Able to give informed written consent

Exclusion Criteria:

  • Those diagnosed with Phenylketonuria (PKU),
  • Those with known or suspected food intolerances, allergies or hypersensitivity
  • Women who are known to be pregnant or who are intending to become pregnant over the course of the study
  • Women who are breast feeding
  • Participation in another clinical trial
  • Those who have donated blood within 3 months of the screening visit and participants for whom participation in this study would result in having donated more than 1500 millilitres of blood in the previous 12 months.
  • Those with Full Blood Counts and Liver Function test results outside of the normal range (see table 1 below).
  • Pre-menopausal women due to the potential influence of cyclical changes in reproductive hormones on insulin sensitivity
  • Current smokers, or reported giving up smoking within the last 6 months
  • History of substance abuse or alcoholism
  • Reported history of CVD, diabetes (or fasting glucose ≥ 7.1 mmol/L), cancer, kidney, liver or bowel disease, gastrointestinal disorder or use of drug likely to alter gastrointestinal function
  • Unwilling to restrict consumption of specified high polyphenol foods for 24 h before the study
  • Weight loss >3kg in preceding 2 months and body mass index <18 or >35 kg/m2
  • Blood pressure ≥160/100 mmHg
  • Total cholesterol ≥ 7.5 mmol/L; fasting triacylglycerol concentrations ≥ 5.0 mmol/L
  • Medications that may interfere with the study such as alpha-glucosidase inhibitors (acarbose: Glucobay), insulin-sensitising drugs (metformin: Glucophage, Glucophage SR, Eucreas, Janumet; thiazolidinediones: Actos, Competact), sulfonylureas (Daonil, Diamicron MR, Glibenese, Minodiab, Amaryl Tolbutamide), and lipid-lowering drugs (statins, nicotinic acid, colestyramine anhydrous, ezetimibe, fibrates). Other medications should be reviewed by medical representative from KCL on a case by case basis.
  • Nutritional supplements that may interfere with the study such as higher dose vitamins/minerals (>200% RNI), B vitamins, Vitamin C, calcium, copper, chromium, iodine, iron, magnesium, manganese, phosphorus, potassium and zinc. Subjects already taking vitamin or minerals at a dose around 100% or less up to 200% of the RNI, or evening primrose/algal/fish oil supplements will be asked to maintain habitual intake patterns, ensuring that they take them every day and not sporadically. They will be advised not to stop taking supplements or start taking new supplements during the course of the study.

Sites / Locations

  • Metabolic Research Unit at King's College London. Franklin-Wilkins Buiding. Waterloo Campus

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Blackcurrant &Apple

Apple

Control drink

Arm Description

600 mg blackcurrant anthocyanins + 600 mg apple polyphenols delivered in a low sugar fruit drink

1200 mg apple polyphenols delivered in a low sugar fruit drink

No polyphenols delivered in a low sugar fruit drink

Outcomes

Primary Outcome Measures

Postprandial glycaemia
Peak postprandial plasma glucose concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min

Secondary Outcome Measures

Postprandial insulinaemia
Peak postprandial insulin concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Postprandial glucose-dependent insulinotropic polypeptide (GIP) concentrations
Peak postprandial GIP concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Postprandial glucagon-like peptide-1 (GLP-1) concentrations
Peak postprandial GLP-1 concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Blood pressure
Change in the blood pressure after consumption of test drink
Vascular function (Digital Volume Pulse; DVP)
Change in the tone of larger arteries (stiffness index) and small to medium-sized arteries (reflection index).
Plasma non-esterified fatty acids (NEFA)
Peak postprandial NEFA concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Plasma triglycerides (TAG)
Peak postprandial TAG concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min

Full Information

First Posted
January 13, 2015
Last Updated
September 12, 2019
Sponsor
King's College London
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1. Study Identification

Unique Protocol Identification Number
NCT02340039
Brief Title
Effects of Fruit Extracts on Glycaemia: The GLU-FRU Study
Acronym
GLU-FRU
Official Title
The Acute Effects of Blackcurrant and Apple Extracts on Postprandial Glycaemia: a Randomised Controlled Trial. The GLU-FRU Study
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
January 2015 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
July 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
King's College London

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Raised blood glucose levels can lead to adverse modifications to functional proteins within the body and eventually lead to the development of type 2 diabetes. Fruit polyphenols may help to control glycaemia following a carbohydrate meal or beverage. The aim of this study is to investigate the effects of blackcurrant (BC) and apple (A) extracts on postprandial glycaemia, insulinaemia and plasma gastric inhibitory polypeptide concentrations following a mixed carbohydrate test meal.
Detailed Description
Introduction: Diets with a high glycaemic load (a measure of the overall blood glucose-raising effect of a serving of a food) and containing high amounts of non-milk extrinsic sugars may contribute towards increased risk of developing type 2 diabetes (T2D). Raised blood glucose levels can lead to adverse modifications to functional proteins within the body and eventually lead to the development of T2D. Large peaks in blood glucose after a meal are a risk factor for T2D, and therefore it is desirable to consume a diet that will allow more gradual rises in blood glucose levels after meals. Fruit polyphenols may help to control glycaemia following a carbohydrate meal or beverage. Possible mechanisms include inhibition of intestinal enzymes and inhibition of intestinal glucose absorption by decreasing SGLT1/GLUT2 transport activity. The scientific literature also suggests that foods rich in polyphenols exert beneficial effects on risk factors of cardiovascular disease such as hypertension, lipid metabolism and vascular function. Study Design: A randomised, controlled, double-blind, cross-over study will be conducted. Subjects will receive combined blackcurrant and apple polyphenols, apple polyphenols only or placebo in random order at 3 separate study visits immediately before a high-carbohydrate meal. Seven days wash-out period will be required between study days.Standardised diet and exercise advice will be given prior to the visit. Subjects will arrive on each study visit between 09.00 and 10.00 h, after a 12 h overnight fast. They will then be cannulated in a forearm vein and baseline fasting blood samples will be taken in duplicate. All test drinks will be blended to be equal in volume, macronutrient and energy content. Fruit extracts instead of whole fruits will be administered to avoid the confounding effect of fruit fibre/viscosity on gastric emptying rate. Following consumption of the test drink, the high carbohydrate meal (starch and sucrose) will be served (white bread with apricot jam). Outcome variables will be measured postprandially until 120 min post-meal.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postprandial Hyperglycemia
Keywords
Polyphenol, Fruit, Metabolic

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Blackcurrant &Apple
Arm Type
Experimental
Arm Description
600 mg blackcurrant anthocyanins + 600 mg apple polyphenols delivered in a low sugar fruit drink
Arm Title
Apple
Arm Type
Experimental
Arm Description
1200 mg apple polyphenols delivered in a low sugar fruit drink
Arm Title
Control drink
Arm Type
Placebo Comparator
Arm Description
No polyphenols delivered in a low sugar fruit drink
Intervention Type
Dietary Supplement
Intervention Name(s)
Polyphenols
Intervention Description
Drinks will be delivered in random order at 3 separate study visits immediately before a high-carbohydrate meal. Seven days wash-out period will be required between study days.
Primary Outcome Measure Information:
Title
Postprandial glycaemia
Description
Peak postprandial plasma glucose concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.
Secondary Outcome Measure Information:
Title
Postprandial insulinaemia
Description
Peak postprandial insulin concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.
Title
Postprandial glucose-dependent insulinotropic polypeptide (GIP) concentrations
Description
Peak postprandial GIP concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.
Title
Postprandial glucagon-like peptide-1 (GLP-1) concentrations
Description
Peak postprandial GLP-1 concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.
Title
Blood pressure
Description
Change in the blood pressure after consumption of test drink
Time Frame
baseline and 60, 90 and 120 min following the test drink.
Title
Vascular function (Digital Volume Pulse; DVP)
Description
Change in the tone of larger arteries (stiffness index) and small to medium-sized arteries (reflection index).
Time Frame
baseline and 60, 90 and 120 min following the test drink.
Title
Plasma non-esterified fatty acids (NEFA)
Description
Peak postprandial NEFA concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.
Title
Plasma triglycerides (TAG)
Description
Peak postprandial TAG concentrations (Cmax) t +0-30 min and change from baseline data and areas over baseline t+0-30 min and t+0-120 min
Time Frame
baseline and 10, 20, 30, 45, 60, 75, 90 and 120 min following the test drink.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age: 20-60 y Male and female (post-menopausal only) Healthy (free of diagnosed diseases in the exclusion criteria) BMI 18-35 kg/m2 Able to understand the information sheet and willing to comply with study protocol Able to give informed written consent Exclusion Criteria: Those diagnosed with Phenylketonuria (PKU), Those with known or suspected food intolerances, allergies or hypersensitivity Women who are known to be pregnant or who are intending to become pregnant over the course of the study Women who are breast feeding Participation in another clinical trial Those who have donated blood within 3 months of the screening visit and participants for whom participation in this study would result in having donated more than 1500 millilitres of blood in the previous 12 months. Those with Full Blood Counts and Liver Function test results outside of the normal range (see table 1 below). Pre-menopausal women due to the potential influence of cyclical changes in reproductive hormones on insulin sensitivity Current smokers, or reported giving up smoking within the last 6 months History of substance abuse or alcoholism Reported history of CVD, diabetes (or fasting glucose ≥ 7.1 mmol/L), cancer, kidney, liver or bowel disease, gastrointestinal disorder or use of drug likely to alter gastrointestinal function Unwilling to restrict consumption of specified high polyphenol foods for 24 h before the study Weight loss >3kg in preceding 2 months and body mass index <18 or >35 kg/m2 Blood pressure ≥160/100 mmHg Total cholesterol ≥ 7.5 mmol/L; fasting triacylglycerol concentrations ≥ 5.0 mmol/L Medications that may interfere with the study such as alpha-glucosidase inhibitors (acarbose: Glucobay), insulin-sensitising drugs (metformin: Glucophage, Glucophage SR, Eucreas, Janumet; thiazolidinediones: Actos, Competact), sulfonylureas (Daonil, Diamicron MR, Glibenese, Minodiab, Amaryl Tolbutamide), and lipid-lowering drugs (statins, nicotinic acid, colestyramine anhydrous, ezetimibe, fibrates). Other medications should be reviewed by medical representative from KCL on a case by case basis. Nutritional supplements that may interfere with the study such as higher dose vitamins/minerals (>200% RNI), B vitamins, Vitamin C, calcium, copper, chromium, iodine, iron, magnesium, manganese, phosphorus, potassium and zinc. Subjects already taking vitamin or minerals at a dose around 100% or less up to 200% of the RNI, or evening primrose/algal/fish oil supplements will be asked to maintain habitual intake patterns, ensuring that they take them every day and not sporadically. They will be advised not to stop taking supplements or start taking new supplements during the course of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wendy L Hall, Dr
Organizational Affiliation
King's College London
Official's Role
Principal Investigator
Facility Information:
Facility Name
Metabolic Research Unit at King's College London. Franklin-Wilkins Buiding. Waterloo Campus
City
London
State/Province
England
ZIP/Postal Code
W3 7LR
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://www.ncbi.nlm.nih.gov/pubmed/28886437
Description
Related Info

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Effects of Fruit Extracts on Glycaemia: The GLU-FRU Study

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