HypercholesterolemiaPhase 2BluebirdNCT00981981
Effect of the Molecular Weight of Oat β-glucan on Its Ability to Lower Serum Cholesterol
A Phase 2 study testing Wheat bran, 3g high MW and 4g medium MW in people with Hypercholesterolemia, run by Glycemic Index Laboratories, Inc at 5 sites in 3 countries.
Trial summary
The purposes of this study were: 1. To determine if a breakfast cereal containing 3g of high molecular weight oat beta-glucan fiber would lower low-density lipoprotein (LDL) - cholesterol (the "bad" cholesterol) compared to a control cereal containing wheat fiber. 2. Read more about this study
- Who is it for?
- Ages 35 to 70 yearsHealthy volunteers can take part
- Conditions the study is for
- Hypercholesterolemia
- What is being tested?
- Wheat bran, 3g high MW and 4g medium MW
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 367 participants
- Where
- 5 sitesin 3 countries
- Study dates
- Nov 2008to Aug 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 35 to 70 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- body mass index 18.5 to 40.0 kg/m^2
- no intention to lose or gain weight
- fasting total cholesterol 5.0 to 8.0 mmol/L
- fasting LDL cholesterol 3.0 to 5.0 mmol/L
- consuming diet containing <15% energy from saturated fat
Who cannot join
- use of any cholesterol-lowering drug, herbal or nutritional supplement
- regular consumption of oatmeal, oat bran or psyllium - containing cereals
- fasting serum triglycerides >4.0mmol/L
- serum aspartate transaminase >1.5 times upper limit of normal
- serum urea or creatinine >1.8 times upper limit of normal
- presence of diabetes or fasting glucose >6.9mmol/L
Show all 9Show fewer
- presence or recent major surgical or medical event
- allergy to wheat or oats
- presence of condition or drug which alters digestion or absorption of foods
Trial locations and contacts
5 sites in 3 countries.
5 sites in 3 countries
Canada3 sites
Human Nutraceutical Research Unit, Department of Human Health and Nutritional Sciences, University of Guelph
Guelph, Ontario, N1G 2W1
Nutraceuticals and Functional Foods Institute, Faculte des science de l'agriculture et de l'alimentation, Universite Laval
Laval, Quebec
Glycemic Index Laboratories, Inc.
Toronto, Ontario, M5C 2X3
Australia1 site
SUGiRS Human Nutrition Unit, School of Molecular & Microbial Biosciences, Unviersity of Sydney
Sydney, New South Wales, 2006
United Kingdom1 site
Reading Scientific Services, Ltd (RSSL)
Reading, Berkshire, RG6 6LA
About this study
Official title: Effect of Varying Dose and Molecular Weight on the Serum LDL-cholesterol-lowering Properties of Oat β-glucan
The purposes of this study were:
- To determine if a breakfast cereal containing 3g of high molecular weight oat beta-glucan fiber would lower low-density lipoprotein (LDL) - cholesterol (the "bad" cholesterol) compared to a control cereal containing wheat fiber.
- To determine if the LDL-cholesterol-lowering effect of oat beta-glucan fiber was reduced when the molecular weight of the fiber was reduced.
Read the detailed description
The FDA allows a health claim that oat products may reduce the risk of heart disease, based on meta-analyses showing a cholesterol-lowering effect of oat beta-glucan, if the product delivers at least a 3g daily dose of oat beta-glucan. However, not all studies have demonstrated a lowering of oat products. This may be due to variable bioactivity of the beta-glucan in the oat products. The bioactivity of oat beta-glucan is believed to depend upon its viscosity in the gut. Factors influencing viscosity include the molecular weight (MW) of the beta-glucan molecule and the amount of soluble beta-glucan in the product, which, in turn determines its concentration (C) in solution. In finished food products both MW and C can be modified by beta-glucanase enzymes present in other ingredients in the food (eg. wheat flour), processing (eg. extrusion) and storage (eg. freezing of moist products such as muffins). The effect of altering the MW and solubility of beta-glucan in foods on glycemic responses has been shown, but a role for MW and C in cholesterol lowering has not been established.
To address this issue, this study was designed with 2 primary objectives:
- An extruded oat cereal containing 3g high-molecular weight oat β-glucan daily will reduce LDL cholesterol compared to a control wheat bran cereal.
- A significant correlation exists between LDL cholesterol and log(C×MW), where C is the amount of soluble β-glucan in the daily dose of cereal and MW is the molecular weight of the β-glucan in the cereal.
- Conditions
- Hypercholesterolemia
- Being tested
- Wheat bran, 3g high MW, 4g medium MW, 3g medium MW, 4g low MW
- Keywords
- humans, randomized clinical trial, dietary fiber, nutrition, beta-glucan, oats, LDL cholesterol, coronary heart disease
- Medical subject headings
- Hypercholesterolemia, Coronary Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Wheat branDietary supplement
21g per day of ready to eat breakfast cereal containing wheat bran with 8g of total dietary fiber and 0.5g beta-glucan.
3g high MWDietary supplement
20.2 grams per day of ready to eat cereal containing 6g total dietary fiber and 3g oat beta glucan with high molecular weight
4g medium MWDietary supplement
28.5g ready to eat cereal containing 8g total dietary fiber and 4g oat beta glucan with medium molecular weight
3g medium MWDietary supplement
21.1g of ready to eat cereal containing 6g total fiber and 3g oat beta glucan with a medium molecular weight
4g low MWDietary supplement
28.7g ready to eat cereal containing 8g total dietary fiber and 4g oat beta glucan with low molecular weight
| Study group | Role | What they receive |
|---|---|---|
| Control | Placebo comparator | Wheat bran cereal Receives: Dietary Supplement: Wheat bran |
| 3g high MW | Active comparator | Cereal containing 3g high molecular weight oat beta glucan Receives: Dietary Supplement: 3g high MW |
| 4g medium MW | Active comparator | Cereal containing 4g oat beta glucan with medium molecular weight Receives: Dietary Supplement: 4g medium MW |
| 3g medium MW | Active comparator | Cereal containing 3g oat beta glucan with medium molecular weight Receives: Dietary Supplement: 3g medium MW |
| 4g low MW | Active comparator | Cereal containing 4g oat beta glucan with low molecular weight Receives: Dietary Supplement: 4g low MW |
What is being measured
The primary outcome is the main question the study is designed to answer.
Serum LDL-cholesterol lowering effect of 3g high MW beta-glucan
Measured: 4 weeks
Correlation between serum LDL-cholesterol lowering and log(MW*C)
Measured: 4 weeks
Secondary outcomes (14)
Total cholesterol
Measured: 4 weeks
Serum triglycerides
Measured: 4 weeks
Serum HDL cholesterol
Measured: 4 weeks
Fasting serum glucose
Measured: 4 weeks
Serum aspartate transaminase
Measured: 4 weeks
serum c-reactive protein
Measured: 4 weeks
Serum urea
Measured: 4 weeks
Serum creatinine
Measured: 4 weeks
Time course of changes in blood lipids
Measured: 4 weeks
Blood pressure
Measured: 4 weeks
Macronutrient composition of diet
Measured: 4 weeks
Symptoms questionnaire
Measured: 4 weeks
apolipoprotein B
Measured: 4 weeks
Serum markers of cholesterol absorption and synthesis
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2009 (estimated)
- Study startNov 2008
- Primary completionJul 2009
- Study completionAug 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for HypercholesterolemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 367 participants (actual)
Sponsor and investigators
- Lead sponsor
- Glycemic Index Laboratories, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- CreaNutrition, AG, University of Guelph, University of Sydney, Laval University, Reading Scientific Services Ltd., University of Toronto, Agriculture and Agri-Food Canada
- Investigators
- Thomas MS Wolever, MD, PhD, Principal investigator, Glycemic Index Laboratories, IncPeter J Wood, PhD, Study director, Agriculture and Agri-Food CanadaSusan M Tosh, PhD, Study director, Agriculture and Agri-Food CanadaAlison L Gibbs, PhD, Study director, Department of Statistics, University of Toronto
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00981981
- Sponsor's protocol ID
- GIL8034
- Acronym
- Bluebird
- Status last verified
- Jun 2011
- First submitted
- 18 Sep 2009
- Last updated
- 21 Jun 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Wolever TM, Tosh SM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Thomson BA, Duss R, Wood PJ. Physicochemical properties of oat beta-glucan influence its ability to reduce serum LDL cholesterol in humans: a randomized clinical trial. Am J Clin Nutr. 2010 Oct;92(4):723-32. doi: 10.3945/ajcn.2010.29174. Epub 2010 Jul 21.
PubMed 20660224Tosh SM, Brummer Y, Miller SS, Regand A, Defelice C, Duss R, Wolever TM, Wood PJ. Processing affects the physicochemical properties of beta-glucan in oat bran cereal. J Agric Food Chem. 2010 Jul 14;58(13):7723-30. doi: 10.1021/jf904553u.
PubMed 20527967Wolever TM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Tosh SM, Duss R. Bioactive oat beta-glucan reduces LDL cholesterol in Caucasians and non-Caucasians. Nutr J. 2011 Nov 25;10:130. doi: 10.1186/1475-2891-10-130.
PubMed 22118569
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Varying Dose and Molecular Weight on the Serum LDL-cholesterol-lowering Properties of Oat β-glucan
- ClinicalTrials.gov ID
- NCT00981981
- Acronym / sponsor ID
- Bluebird / GIL8034
- Conditions
- Hypercholesterolemia
- Keywords
- humans, randomized clinical trial, dietary fiber, nutrition, beta-glucan, oats, LDL cholesterol, coronary heart disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 367 participants (actual)
- Lead sponsor
- Glycemic Index Laboratories, IncIndustry (pharma, biotech, devices)
- Collaborators
- CreaNutrition, AG, University of Guelph, University of Sydney, Laval University, Reading Scientific Services Ltd., University of Toronto, Agriculture and Agri-Food Canada
- Study start
- Nov 2008
- Primary completion
- Jul 2009 (actual)
- Study completion
- Aug 2009 (actual)
- First posted
- 22 Sep 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purposes of this study were:
- To determine if a breakfast cereal containing 3g of high molecular weight oat beta-glucan fiber would lower low-density lipoprotein (LDL) - cholesterol (the "bad" cholesterol) compared to a control cereal containing wheat fiber.
- To determine if the LDL-cholesterol-lowering effect of oat beta-glucan fiber was reduced when the molecular weight of the fiber was reduced.
Detailed description
The FDA allows a health claim that oat products may reduce the risk of heart disease, based on meta-analyses showing a cholesterol-lowering effect of oat beta-glucan, if the product delivers at least a 3g daily dose of oat beta-glucan. However, not all studies have demonstrated a lowering of oat products. This may be due to variable bioactivity of the beta-glucan in the oat products. The bioactivity of oat beta-glucan is believed to depend upon its viscosity in the gut. Factors influencing viscosity include the molecular weight (MW) of the beta-glucan molecule and the amount of soluble beta-glucan in the product, which, in turn determines its concentration (C) in solution. In finished food products both MW and C can be modified by beta-glucanase enzymes present in other ingredients in the food (eg. wheat flour), processing (eg. extrusion) and storage (eg. freezing of moist products such as muffins). The effect of altering the MW and solubility of beta-glucan in foods on glycemic responses has been shown, but a role for MW and C in cholesterol lowering has not been established.
To address this issue, this study was designed with 2 primary objectives:
- An extruded oat cereal containing 3g high-molecular weight oat β-glucan daily will reduce LDL cholesterol compared to a control wheat bran cereal.
- A significant correlation exists between LDL cholesterol and log(C×MW), where C is the amount of soluble β-glucan in the daily dose of cereal and MW is the molecular weight of the β-glucan in the cereal.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Control | Placebo comparator | Dietary Supplement: Wheat branWheat bran cereal |
| 3g high MW | Active comparator | Dietary Supplement: 3g high MWCereal containing 3g high molecular weight oat beta glucan |
| 4g medium MW | Active comparator | Dietary Supplement: 4g medium MWCereal containing 4g oat beta glucan with medium molecular weight |
| 3g medium MW | Active comparator | Dietary Supplement: 3g medium MWCereal containing 3g oat beta glucan with medium molecular weight |
| 4g low MW | Active comparator | Dietary Supplement: 4g low MWCereal containing 4g oat beta glucan with low molecular weight |
Who may qualify
- Ages
- 35 to 70 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- body mass index 18.5 to 40.0 kg/m^2
- no intention to lose or gain weight
- fasting total cholesterol 5.0 to 8.0 mmol/L
- fasting LDL cholesterol 3.0 to 5.0 mmol/L
- consuming diet containing <15% energy from saturated fat
Key exclusion criteria (9 listed)
- use of any cholesterol-lowering drug, herbal or nutritional supplement
- regular consumption of oatmeal, oat bran or psyllium - containing cereals
- fasting serum triglycerides >4.0mmol/L
- serum aspartate transaminase >1.5 times upper limit of normal
- serum urea or creatinine >1.8 times upper limit of normal
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Wheat bran21g per day of ready to eat breakfast cereal containing wheat bran with 8g of total dietary fiber and 0.5g beta-glucan. | Dietary supplement | Control |
| 3g high MW20.2 grams per day of ready to eat cereal containing 6g total dietary fiber and 3g oat beta glucan with high molecular weight | Dietary supplement | 3g high MW |
| 4g medium MW28.5g ready to eat cereal containing 8g total dietary fiber and 4g oat beta glucan with medium molecular weight | Dietary supplement | 4g medium MW |
| 3g medium MW21.1g of ready to eat cereal containing 6g total fiber and 3g oat beta glucan with a medium molecular weight | Dietary supplement | 3g medium MW |
| 4g low MW28.7g ready to eat cereal containing 8g total dietary fiber and 4g oat beta glucan with low molecular weight | Dietary supplement | 4g low MW |
Primary outcome
Serum LDL-cholesterol lowering effect of 3g high MW beta-glucan
Time frame: 4 weeks
Correlation between serum LDL-cholesterol lowering and log(MW*C)
Time frame: 4 weeks
14 secondary outcomes
Total cholesterol
Time frame: 4 weeks
Serum triglycerides
Time frame: 4 weeks
Serum HDL cholesterol
Time frame: 4 weeks
Fasting serum glucose
Time frame: 4 weeks
Serum aspartate transaminase
Time frame: 4 weeks
serum c-reactive protein
Time frame: 4 weeks
Serum urea
Time frame: 4 weeks
Serum creatinine
Time frame: 4 weeks
Time course of changes in blood lipids
Time frame: 4 weeks
Blood pressure
Time frame: 4 weeks
Macronutrient composition of diet
Time frame: 4 weeks
Symptoms questionnaire
Time frame: 4 weeks
apolipoprotein B
Time frame: 4 weeks
Serum markers of cholesterol absorption and synthesis
Time frame: 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2011.
- Results publication: PubMed 20660224Wolever TM, Tosh SM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Thomson BA, Duss R, Wood PJ. Physicochemical properties of oat beta-glucan influence its ability to reduce serum LDL cholesterol in humans: a randomized clinical trial. Am J Clin Nutr. 2010 Oct;92(4):723-32. doi: 10.3945/ajcn.2010.29174. Epub 2010 Jul 21.
- Results publication: PubMed 20527967Tosh SM, Brummer Y, Miller SS, Regand A, Defelice C, Duss R, Wolever TM, Wood PJ. Processing affects the physicochemical properties of beta-glucan in oat bran cereal. J Agric Food Chem. 2010 Jul 14;58(13):7723-30. doi: 10.1021/jf904553u.
- Derived from this study: PubMed 22118569Wolever TM, Gibbs AL, Brand-Miller J, Duncan AM, Hart V, Lamarche B, Tosh SM, Duss R. Bioactive oat beta-glucan reduces LDL cholesterol in Caucasians and non-Caucasians. Nutr J. 2011 Nov 25;10:130. doi: 10.1186/1475-2891-10-130.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Thomas MS Wolever, MD, PhD principal investigator
Glycemic Index Laboratories, Inc
Peter J Wood, PhD study director
Agriculture and Agri-Food Canada
Susan M Tosh, PhD study director
Agriculture and Agri-Food Canada
5 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Wheat bran, 3g high MW and 4g medium MW in people with Hypercholesterolemia, run by Glycemic Index Laboratories, Inc at 5 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Jun 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Canada, Australia, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Serum LDL-cholesterol lowering effect of 3g high MW beta-glucan (time frame: 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00981981, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2011.