Monitoring Postprandial Glycemia in Fruit Snacks

Blood Glucose Clinical Trial

Official title:

Evaluating the Postprandial Glucose Response After Fruit Snack Consumption

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05961475
• Other study ID #: BIO-2309
• Status: Completed
• Phase: N/A
• Start date: June 22, 2023
• Est. completion date: October 31, 2023

Study information

• Verified date: June 2024
• Source: Ocean Spray Cranberries, Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical trial is to compare the postprandial glucose and insulin responses after different fruit snack consumption in a healthy population.

Description:

Fruit snacks made from sweetened dried fruits is a source of polyphenols, fiber, and other nutrients. The addition of sugar could aid in the taste, texture, and shelf life of these types of products. Fruit snacks with different levels of sugar were developed to meet various consumer needs. The postprandial glucose response in a healthy population is of interest in this regard.

Mulberry leaf extract has been shown the benefit of blood glucose regulation in multiple studies. This is mainly due to the function of the most predominant iminosugar, 1-deoxynojirimycin (DNJ), in the mulberry leaf extract which acts as α-glucosidase inhibitor. Fruit snacks containing mulberry leaf extract were developed and the postprandial metabolic response against a reference (white bread matched for carbohydrate) will be observed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: October 31, 2023
• Est. primary completion date: October 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

1. =18 to =45 years of age at visit 1.

2. BMI =18.5 and <30.0 kg/m2 at visit 1.

3. Fasting capillary glucose <100 mg/dL at visit 1.

4. Willing to avoid consuming high-polyphenol containing foods (Appendix 2) for 48 h prior to each test visit.

5. Willing to abstain from alcohol consumption for 24 hours prior to each study visit.

6. Non-user of tobacco or nicotine products (e.g., cigarette smoking, vaping, chewing tobacco) within 12 months of visit 1, with no plans to begin use during the study period.

7. Willing to maintain habitual physical activity level throughout the duration of the study.

8. Willing to maintain habitual dietary pattern throughout the duration of the study, including stable intake of current vitamins, minerals, supplements and medications not interfering with study outcomes.

9. Score of 7 to 10 on the Vein Access Scale at visit 1 (Appendix provided for further checking).

10. No health conditions that would prevent him/her from fulfilling the study requirements as judged by the Clinical Investigator on the basis of medical history.

11. Understands the study procedures and signs forms providing informed consent to participate in the study and authorizes the release of relevant protected health information to the Clinical Investigator.

Exclusion Criteria:

1. History or presence of clinically important cardiac, renal, hepatic, endocrine, pulmonary, biliary, pancreatic, or neurological disorders that may affect the subject's ability to adhere to the study protocol and/or affect study outcomes, in the judgment of the Investigator.

2. Uncontrolled hypertension (systolic blood pressure =140 mm Hg or diastolic blood pressure =90 mm Hg) as defined by the blood pressure measured at visit 1 (3 repeated measurements will be taken after subjects sit quietly for at least 5 mins. Each measurement will be separated by at least 2 minutes. The average of the last two measurements will be used).

3. Unstable use (initiation or change in dose) within 30 days of visit 1 of antihypertensive medications.

4. Unstable use (initiation or change in dose) within 30 days of visit 1 of thyroid hormone replacement medications.

5. Use of medications or supplements that may influence carbohydrate metabolism within 30 days of visit 1.

6. Extreme dietary habits (e.g., ketogenic, very high protein, very high fiber, vegan, vegetarian) at the discretion of the Clinical Investigator.

7. Weight loss or gain >4.5 kg in the 2 months prior to visit 1.

8. Currently, or planning to be, on a weight loss regimen during the study.

9. Use of weight loss medication within 90 d of visit 1.

10. History of gastrointestinal surgery for weight reducing purposes.

11. History of an eating disorder (e.g., anorexia nervosa, bulimia nervosa, or binge eating) diagnosed by a health professional.

12. Known allergy or sensitivity to any ingredients or potential allergens contained in the study product.

13. History or presence of cancer in the prior 2 years, except for non-melanoma skin cancer.

14. History of any major trauma or major surgical event within 2 months of visit 1.

15. Blood donation >450 mL within 8 weeks of visit 2 or plans to donate blood or plasma during the study period.

16. Female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential with unstable use (initiation or change in dose) within 30 days of visit 1) of sex hormones for contraception.

17. Recent history of (within 12 months of screening; visit 1) or strong potential for alcohol or substance abuse. Alcohol abuse is defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits).

18. Exposed to any non-registered drug product within 30 days prior to visit 1.

19. Any condition the Investigator believes would interfere with the subject's ability to provide informed consent or comply with the study protocol, which might confound the interpretation of the study results or put the person at undue risk.

Related Conditions & MeSH terms

• Blood Glucose

Intervention

Dietary Supplement:
• Fruit snack 1
Fruit snacks with original level of sugar
• Fruit Snack 2
Fruit snacks with original level of sugar and mulberry leaf extract
• Fruit Snack 3
Fruit snacks with reduced level of sugar
• Fruit Snack 4
Fruit snacks with zero added sugar
• White Bread
White bread with matched carbohydrate as control

Locations

Country	Name	City	State
United States	Biofortis Innovation Services	Addison	Illinois

Sponsors (1)

Lead Sponsor	Collaborator
Ocean Spray Cranberries, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Glucose maximal concentration (Cmax) 2 hours after consumption	Glucose Cmax	2 hour after consumption
Secondary	Glucose incremental area under the curve (iAUC) from pre-product consumption to 120 min	Glucose iAUC	2 hours
Secondary	Glucose time to maximum concentration within 2 hours after consumption	Glucose Tmax	2 hours
Secondary	Insulin incremental area under the curve (iAUC) from pre-product consumption to 120 min	Insulin iAUC	2 hours
Secondary	Insulin maximal concentration (Cmax) 2 hours after consumption	Insulin Cmax	2 hours
Secondary	Insulin time to maximum concentration within 2 hours after consumption	Insulin Tmax	2 hours