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Completed

NCT Number: NCT00607945

Dietary Fatty Acids As Complementary Therapy in Type 2 Diabetes Mellitus

The purpose of the study is to see how a dietary oil called conjugated linoleic acid, or CLA, might be useful in combination with diabetes medication. Some studies show that CLA can modestly reduce body weight and body fat. Our research idea is that taking CLA will reduce body weight and body fat without interfering with the diabetes medications' effects on blood sugar.

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Key information

Age range

30 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

The Ohio State University Clinical Research Center (Davis Medical Research Center)

Columbus, Ohio, 43210, United States

About this study

The long term goal of this research is to develop effective complementary strategies to aid in the management of type 2 diabetes (T2DM). Our central hypothesis is that CLA reduces body weight and body fat mass when administered concomitantly with oral diabetes medication, The rationale of this study is that using CLA to reduce body weight and body fat in people with T2DM may improve efficacy and longevity of the oral diabetes medications in the management of T2DM. We plan to test our central hypothesis and accomplish the overall objective of this research by pursuing the following three specific aims.

Specific Aim 1: Determine the ability of CLA to reduce body weight and body fat mass in people using oral diabetes medication for management of T2DM.

Specific Aim 2: Determine the ability of CLA to modulate insulin sensitivity when combined with oral diabetes medication.

Specific Aim 3: Determine the safety and tolerability of CLA in combination with oral diabetes medication.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of type 2 diabetes mellitus
  • HbA1c ≤ 9%
  • Overweight or obese (BMI ≥ 25 kg/m2 and ≤ 45 kg/m2)
  • Age ≥ 30 and ≤ 70 years (postmenopausal if female)
  • Stable medical therapy for past 3 months
  • Stable body weight (within ± 2 kg) for past 3 months
  • Plans to remain in the Columbus, OH metropolitan area for at least 1 year

Exclusion criteria

  • Substance abuse
  • Current use of prescription or over-the-counter medications or supplements known to affect body composition
  • Current use of prescription or over-the-counter medications or supplements known to interact with thiazolidinediones(TZDs)
  • Current or previous diagnosis of congestive heart failure
  • Self-report of claustrophobia
  • Abnormal liver function
  • Impaired cognitive function
  • Current or previous diagnosis of renal disease
  • Gastrointestinal diseases or disorders
  • Current use of hormone therapies, or use within the past 3 months
  • Discontinuation of diabetes medication

Treatment and study plan

Rosiglitazone (Avandia) OR other diabetes medication currently prescribed to participant

Drug

Rosiglitazone 4-8mg/day, pill, from week -4 to week 32 OR other diabetes medication taken as prescribed from week -4 to week 32

Other names: Avandia

conjugated linoleic acid (CLA)

Dietary Supplement

3.2 g/day, capsule, week 0 to week 32

Other names: Tonalin, Clarinol

Primary outcomes

  1. Difference in change in body weight of the intervention groups

    Time frame: Between baseline and week 32, or end of study

Secondary outcomes

  1. Change in fat mass

    Time frame: Between baseline and week 32

  2. Change in lean mass

    Time frame: Between baseline and week 32

  3. Change in insulin sensitivity

    Time frame: Between week 0 and week 32

  4. Change in lipid profile (TChol, LDL, HDL, C-reactive protein)

    Time frame: Weeks -4, -1, 0, 8, 16, 24, 31, 32

  5. Changes in adipocytokine profile (leptin, adiponectin, visfatin, and resistin)

    Time frame: Weeks -4, -1, 0, 8, 16, 24, 31, 32

  6. Changes in liver enzymes (ALT and AST)

    Time frame: Weeks -4, -1, 0, 8, 16, 24, 31, 32

  7. Edema

    Time frame: Weeks -4, -1, 0, 8, 16, 24, 31, 32

  8. Change in glucose control

    Time frame: Weeks -1, 16, 31

  9. Change in bone density, bone formation and resorption markers

    Time frame: Weeks -4, -1, 31

  10. Change in C-Peptide

    Time frame: Weeks - 4, -1, 0, 1, 8, 16, 24, 31, 32

  11. Diabetes coping behaviors and self-efficacy

    Time frame: Weeks -4, -1, 32

  12. Chronic stress (as measured by questionnaire)

    Time frame: Weeks -4 and 32

  13. Appetite (as measured by appetite rating scale)

    Time frame: Weeks -4, 0, 16, 32

  14. EKG

    Time frame: Weeks -4, 16, 32

  15. BNP (brain type natriuretic peptide)

    Time frame: Weeks -4 and 32

  16. Energy balance (physical activity recalls, food records, indirect calorimetry)

    Time frame: Weeks -1, 16, 31

  17. Compliance (fatty acid composition, pill counts)

    Time frame: Weeks -1, 0, 8, 16, 24, 31, 32

  18. Nutrition knowledge

    Time frame: Weeks -4, 0, 32

Sponsors and collaborators

Lead sponsor

Ohio State University

Other

Collaborators

  • Bunge Loders Croklaan
  • GlaxoSmithKline
  • LifeScan
  • National Center for Complementary and Integrative Health (NCCIH)

Registry information

Acronym: FACT

Important dates

Study start
2008
Primary completion
2012
Study completion
2012
First posted
Feb 6, 2008
Registry last updated
Oct 29, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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