Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05313594
Other study ID # NL79685.091.21
Secondary ID
Status Completed
Phase
First received
Last updated
Start date March 28, 2022
Est. completion date June 29, 2022

Study information

Verified date July 2022
Source Wageningen University and Research
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Giving personalised dietary advice will help mitigate the postprandial increases in TG and glucose levels, and will assist in the battle against the increase in nutrition-related diseases, such as cardiovascular diseases. Being able to predict postprandial responses, will be a first step to personalised dietary advice. The primary objective of this study is to validate the prediction model on the effect of a standardized mixed meal challenge on postprandial TG levels in a heterogenous group of middle-aged, overweight to obese individuals. The secondary objectives are 1) to improve the accuracy of the predicted postprandial TG responses by increasing the number of postprandial TG measurements, 2) to determine which parameters can improve the accuracy of the predicted postprandial TG responses, 3) to determine if we can predict the effect of a standardized mixed meal challenge on postprandial glucose levels in a heterogenous group of middle-aged, overweight to obese individuals, and 4) to determine which parameters can improve the accuracy of the predicted postprandial glucose responses. Another objective is to validate dried blood spots postprandial triglyceride concentrations against venous blood concentrations. There are minor risks for the research subjects of this study. Research subjects will invest approximately 13.5 hours in the study. They will visit the Wageningen University research facility three times and Hospital Gelderse Vallei once.


Description:

Elevated triglyceride (TG) and glucose levels are major risk factors for cardiovascular diseases. Therefore, mitigating the postprandial increase in TG and glucose levels may help curb a person's risk of developing cardiovascular diseases. Current strategies to stimulate people to adopt a healthy lifestyle, however, are still insufficient. This is partly due to the fact that nutritional advice is nowadays still given at the population level via general nutrition guidelines, while nutritionist have long been aware that what works for one person may not work for another. Giving personalised dietary advice will help mitigate the postprandial increases in TG and glucose levels, and will assist in the battle against the increase in nutrition-related diseases, such as cardiovascular diseases. Being able to predict postprandial responses, will be a first step to personalised dietary advice. The primary objective of this study is to validate the prediction model on the effect of a standardized mixed meal challenge on postprandial TG levels in a heterogenous group of middle-aged, overweight to obese individuals. The secondary objectives are 1) to improve the accuracy of the predicted postprandial TG responses by increasing the number of postprandial TG measurements, 2) to determine which parameters can improve the accuracy of the predicted postprandial TG responses, 3) to determine if we can predict the effect of a standardized mixed meal challenge on postprandial glucose levels in a heterogenous group of middle-aged, overweight to obese individuals, and 4) to determine which parameters can improve the accuracy of the predicted postprandial glucose responses. Another objective is to validate dried blood spots postprandial triglyceride concentrations against venous blood concentrations. Digital twin is an observational study with three visits, including one mixed meal challenge test day. Study population consists of 38 volunteers, 45-75 year old, BMI between 25-35 kg/m2. The primary study parameter is the postprandial triglyceride responses in blood upon a mixed meal challenge. The secondary study parameters are: postprandial responses in the blood upon a mixed meal challenge, and extensive phenotyping of the subjects by collecting data on fasting blood profiles of micronutrients, metabolites, and proteins, continuous blood glucose levels (Freestyle Libre), body fat composition (DEXA), liver fat percentage (MRI), habitual dietary intake (FFQ), and physical activity (ActivPAL3). This study is related to a broad general population. There are minor risks for the research subjects of this study. Consumption of the liquid mixed meal may cause some gastro-intestinal discomfort. Blood sampling will be performed via a cannula and the insertion can be a bit painful and may cause a bruise. The amount of blood that is drawn from subjects is within acceptable limits (total amount collected = 186mL). The radiation dose received during the DEXA scan for measuring body composition, is negligible compared to the average dose each person in the Netherlands receives per year. Research subjects will invest approximately 13.5 hours in the study. They will visit the Wageningen University research facility three times: once for a short screening, once to collect phenotyping data, and once for a mixed-meal challenge test day. In addition, they will visit Hospital Gelderse Vallei once for an MRI measurement.


Recruitment information / eligibility

Status Completed
Enrollment 38
Est. completion date June 29, 2022
Est. primary completion date June 14, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 45 Years to 75 Years
Eligibility Inclusion Criteria: - Male or female - Age 45-75 y - BMI 25-35 kg/m2 - Suitable veins for insertion of cannula Exclusion Criteria: - Having a gastro-intestinal disease, such as celiac disease, Crohn's disease, or Ulcerative colitis - Having a history of intestinal surgery that might interfere with study outcomes, as determined by the medical supervisor. This does not include an appendectomy or cholecystectomy - Presence of significant systemic diseases, such as diabetes mellitus, cancer, cardiovascular disease or respiratory disease, as determined by the medical supervisor - Use of medications known to interfere with glucose or lipid homeostasis (e.g. corticosteroids, cholesterol-lowering medication, insulin, metformin), as determined by medical supervisor - Blood clotting disorders - Unstable body weight (weight gain or loss >3 kg in the past three months) - Reported slimming, medically prescribed or other extreme diets - Alcohol consumption >21 glasses a week - Anaemia (Hb values <7.5 mmol/L for women and <8.5 mmol/L for men; checked at screening) - Pregnant, lactating or wishing to become pregnant in the period of the study (self-reported) - Having a pacemaker, implantable cardioverter-defibrillator, hearing implant, internal insulin pump, neurostimulator, aneurysm clips placed before 1990, or metal splinter in the eye - Having claustrophobia - Not willing to give up blood donation during the study - Food allergies or intolerances for products that we use in the study - Unwilling to consume non-vegan test meal - Recent use of antibiotics (<3 months prior to study start) - Current smokers - Abuse of soft and/or hard drugs - Participation in another clinical trial at the same time - Being an employee of the Food, Health & Consumer Research group of Wageningen Food & Biobased Research or Human Nutrition and Health Department of Wageningen University

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
Mixed meal challenge test
Mixed meal consumption followed by postprandial blood sampling
MRI
MRI imaging
DEXA
DEXA scan
Device:
Freestyle Libre
Continuous blood glucose measurement
ActivPAL3
Continuous physical activity measurement

Locations

Country Name City State
Netherlands Stichting Wageningen Research Wageningen Gelderland

Sponsors (1)

Lead Sponsor Collaborator
Wageningen University and Research

Country where clinical trial is conducted

Netherlands, 

Outcome

Type Measure Description Time frame Safety issue
Other Blood glucose profile Continuous blood glucose levels Continuous for 5 days
Other Physical activity Continuous physical activity levels Continuous for 5 days
Other Anthropometrics Waist-to-hip ratio Baseline
Other Body composition Body composition measurement with Dexa scan Baseline
Other Habitual dietary intake Habitual dietary intake assessment with FFQ Baseline
Other Liver fat Liver fat percentage assessment with MRI Baseline
Other Micronutrient levels in blood Micronutrient levels Baseline
Other Metabolite levels in blood (full profile) Metabolomics Baseline
Other Protein levels in blood (full profile) Proteomics Baseline
Other Triglyceride blood levels Triglyceride measurement in dried blood spots in fingerprick blood upon a mixed meal challenge Baseline
Other Triglyceride blood levels Triglyceride measurement in dried blood spots in fingerprick blood upon a mixed meal challenge 120 minutes post-ingestion
Other Triglyceride blood levels Triglyceride measurement in dried blood spots in fingerprick blood upon a mixed meal challenge 240 minutes post-ingestion
Other Triglyceride blood levels Triglyceride measurement in dried blood spots in fingerprick blood upon a mixed meal challenge 480 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge Baseline
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 15 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 30 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 45 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 60 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 90 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 120 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 150 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 180 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 210 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 240 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 270 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 300 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 330 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 360 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 390 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 420 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 450 minutes post-ingestion
Primary Postprandial triglycerides blood levels Postprandial triglyceride responses in blood upon a mixed meal challenge 480 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge Baseline
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 15 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 30 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 45 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 60 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 90 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 120 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 150 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 180 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 210 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 240 minutes post-ingestion
Secondary Postprandial glucose blood levels Postprandial glucose responses in blood upon a mixed meal challenge 480 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge Baseline
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 15 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 30 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 60 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 90 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 120 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 150 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 180 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 210 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 240 minutes post-ingestion
Secondary Postprandial insulin blood levels Postprandial insulin responses in blood upon a mixed meal challenge 480 minutes post-ingestion
See also
  Status Clinical Trial Phase
Recruiting NCT04120051 - The SIMBA Project - The Effect of a Prebiotic Supplement on Glucose Metabolism and Gut Microbiota in Obese Adults N/A
Completed NCT01686815 - Cross-Sectional Iloperidone IVGTT
Completed NCT01034293 - Effect of Feeding Frequency on Glucose and Insulin Metabolism and Substrate Partitioning N/A
Completed NCT05642052 - Feasibility Study of a Community Pilot Project for the Prevention of Alzheimer's Disease: the KetoHome Study. N/A
Completed NCT03851744 - High Altitude and Exogenous Carbohydrate Oxidation N/A
Completed NCT05801731 - A Decentralized Study on Dietary Influences on Cognitive Functions N/A
Completed NCT04611945 - Westlake Sailing Cohort
Active, not recruiting NCT04737694 - Ketone Supplements and Substrate Oxidation and Physical Performance N/A
Completed NCT05282641 - Effects of 10-gram Collagen Protein Hydrolysate on Cardiometabolic Health N/A
Completed NCT03648112 - Effects of Beta-glucan From Barley and Oats on Glucose and Lipid Metabolism, and Satiety N/A
Recruiting NCT04851041 - Effects of a Potato-based Food Pattern vs a Rice / Pasta-based Food Pattern on Cardiometabolic Health N/A
Active, not recruiting NCT01390688 - Brain-derived Neurotrophic Factor and Cogntive Function N/A
Recruiting NCT00953966 - Metabolic Changes Induced by Genetically Modified Potatoes N/A
Completed NCT04928872 - Macronutrient Distribution and Plasma Metabolites to Model Meals Composition
Completed NCT02854709 - Effects of Sleep Extension on Glucose Metabolism in Chronically Sleep Deprived Individuals N/A
Completed NCT00227500 - Pravastatin for Hyperlipidaemia in HIV. Phase 4
Recruiting NCT04894526 - Alternating Energy Intake and Blood Fat Content After a Meal N/A
Recruiting NCT04971408 - Impact of Passive Heat on Metabolic, Inflammatory and Vascular Health in Persons With Spinal Cord Injury N/A
Terminated NCT04234009 - Lifestyle and Brain Vascular Function N/A
Completed NCT01877460 - Sodium Alginate in Chocolate Milk, Satiety and Glycemic Control N/A