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Completed

NCT Number: NCT03932695

Investigation of Milk Peptides on Postprandial Blood Glucose Profile

Aim of the study is to investigate the effect of two different dosages of milk peptides on postprandial blood glucose profile in prediabetic subjects compared to placebo. This will be investigated in a cross-over double blind randomized placebo controlled study design. Additionally, long term effects on glucose status, insulin sensitivity and postprandial blood glucose profile will be investigated in a follow up 6-week open label phase with the low dose only.

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Key information

Age range

30 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Biotesys

Esslingen am Neckar, Germany

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male and female subjects with prediabetic HbA1c values between 5.7% - 6.4% and/or Fasting blood glucose ≥ 5.6 mmol/l (≥ 100 mg/dl) und < 7.0 mmol/l (< 125 mg/dl) (in venous plasma)
  • Age: 30-70 years
  • Body mass index 19-35 kg/m2
  • Non-smoker
  • Caucasian
  • Availability and presence in the study unit for approx. 3.5 hours/ week for 3 times in a row with approx. 1 week of washout in between.
  • Signed informed consent form
  • No changes in food habits or physical activity 3 months prior to screening and during the study

Exclusion criteria

  • Presence of disease or drug(s) influencing digestion and absorption of nutrients or bowel habits
  • Intake of medications known to affect glucose tolerance, e.g., diabetic medication, steroids, protease inhibitors or antipsychotics
  • Diagnosed Typ 2-Diabetics with medical treatment
  • Chronic intake of substances affecting blood coagulation (e.g. acetylic acid (100 mg as standard prophylactic treatment allowed when dose is stable 1 month prior to screening), anticoagulants, diuretics, thiazides (diuretics and thiazides allowed e.g. for hypertension treatment when dose is stable 1 month prior to screening)), which in the investigator's opinion would impact patient safety
  • Severe liver, renal or cardiac disease
  • Acute gastrointestinal diseases including diarrhea and/or vomiting within the last 2 weeks
  • Known inflammatory and malignant gastrointestinal diseases (i.e. colitis ulcerosa, Morbus Crohn, celiac disease, malignant diseases e.g. colon-cancer, rectum cancer, pancreatitis)
  • Clinically relevant findings as established by medical history, physical examination, clinical laboratory and/or vital signs
  • Major medical or surgical event requiring hospitalization within the previous 3 months
  • Intake of antibiotics within 4 weeks before the test days
  • Known alcohol abuse or drug abuse
  • Pregnant or breast feeding women
  • Known or suspected allergy to any component of the investigational product(s) (e.g. milk protein)
  • Known HIV-infection
  • Known acute or chronic hepatitis B and C infection
  • Blood donation within 4 weeks prior to visit 1 or during the study
  • Subject unable to co-operate adequately
  • Participation in a clinical study with an investigational product within one month before start of study

Treatment and study plan

Low dose milk peptide

Dietary Supplement

what is the effect of milk peptides 1400mg on postprandial glycemia after a meal rich in carbohydrates (75g)

High Dose milk peptide

Dietary Supplement

what is the effect of milk peptides 2800mg on postprandial glycemia after a meal rich in carbohydrates (75g)

Placebo

Dietary Supplement

what is the effect of placebo on postprandial glycemia after a meal rich in carbohydrates (75g)

Primary outcomes

  1. Glucose-iAUC(0-180min)

    Time frame: day 1, day 8, day 15, day 57

    Area under the curve calculated as the incremental area under the blood glucose response curve, ignoring the area beneath the fasting concentration

Secondary outcomes

  1. Cmax

    Time frame: day 1, day 8, day 15, day 57

    Maximum blood glucose concentration

  2. Max-Increase

    Time frame: day 1, day 8, day 15, day 57

    Cmax minus baseline value

  3. Tmax

    Time frame: day 1, day 8, day 15, day 57

    Time to reach maximum blood glucose concentration

  4. Tbaseline

    Time frame: day 1, day 8, day 15, day 57

    First time to reach baseline again after increase or decrease in blood glucose

  5. AUC(0-180min):

    Time frame: day 1, day 8, day 15, day 57

    Total area under curve from 0 to 180 min for blood glucose concentration

  6. Insulin-iAUC(0-180min)

    Time frame: day 1, day 8, day 15, day 57

    Area under the curve calculated as the incremental area under the Insulin response curve, ignoring the area beneath the fasting concentration

  7. Cmax Baseline Insulin Max_increase Insulin

    Time frame: day 1, day 8, day 15, day 57

    Max_increase Insulin Cmax minus baseline insulin value

  8. Tmax insulin

    Time frame: day 1, day 8, day 15, day 57

    time to reach maximum Insulin concentration

  9. Fasting glucose, fasting insulin

    Time frame: Baseline and Day 57

  10. HOMA index

    Time frame: Baseline and Day 57

    Parameters of insulin sensitivity:

  11. HbA1c level

    Time frame: Baseline (V5) and Day 57 (after 6 weeks)

    HbA1c level after 6 weeks of supplementation

  12. Matsuda index

    Time frame: Baseline and Day 57

    Insulin sensitivity

  13. Quicki Index

    Time frame: Baseline and Day 57

    Insulin sensitivity

Sponsors and collaborators

Lead sponsor

Ingredia S.A.

Industry

Registry information

Official study title

Investigation of Milk Peptides on Postprandial Blood Glucose Profile: Randomized, Double-blind, Placebo-controlled, Cross-over Study With Different Dosages Followed by an Open-label Single Arm Phase to Estimate Long Term Effects

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
May 1, 2019
Registry last updated
May 14, 2019

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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