Diabetes MellitusPhase 4NCT01677936
Study of Raisins Versus Alternative Snacks in Patients With Type 2 Diabetes Mellitus
A Phase 4 study testing Raisins and Snacks in people with Diabetes Mellitus, run by Louisville Metabolic and Atherosclerosis Research Center at 1 site in United States.
Trial summary
The objective of this study is to compare the effects of Raisins three times per day versus alternative snacks three times per day on blood sugar control and cardiovascular risk factors (weight, waist circumference, blood pressure, cholesterol levels) in patients with Type 2 Diabetes Mellitus. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus
- What is being tested?
- Raisins and Snacks
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 51 participants
- Where
- 1 siteUnited States
- Study dates
- Jun 2012to Jan 2014
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Are generally healthy men and women older than 18 years of age
- Are willing and able to undergo an informed consent process
- Have medical history of Type 2 Diabetes Mellitus
- Have hemoglobin A1c 67.5 - 10%
- Have body mass index (BMI) 25.0 to 39.9 kg/m2
- Have blood pressure > 100 mmHg systolic or > 70 mmHg diastolic
Show all 14Show fewer
- Are willing and able to perform self-glucose monitoring throughout the study
- Are willing to fast before study visits
- Are willing and able to bring in their morning anti-diabetes mellitus drugs to study visits
- Women must be of non-childbearing potential defined as postmenopausal for at least 2 years or surgically sterile (i.e. bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).
- If not menopausal or surgically sterile, then women of child-bearing potential must be willing to use:
- oral contraceptives and another acceptable form of birth control, or
- double barrier birth control methods such as condom or occlusive cap (e.g. diaphragm or cervical/vault caps) plus spermicidal agent (e.g. foam, gel, film, cream, suppository).
- Are willing to notify the research staff of any change in their medical health \& concomitant medications/supplements during the course of the clinical trial
Who cannot join
- Intolerance, dislike, or unwillingness to consume raisins or any of the comparator snacks and affiliated ingredients
- History of greater than one drug allergy
- History of greater than one "food allergy"
- Change in anti-diabetes mellitus medication within 3 months prior to screening visit
- Change in blood pressure and/or lipid-altering medications within 1 month of screening visit
- Plans to change current anti-diabetes mellitus, blood pressure, or lipid-altering medications during course of the study
Show all 51Show fewer
- Unwilling to maintain current anti-diabetes mellitus, blood pressure, or lipid-altering medications and their doses during the course of the study
- History of clinically significant diabetes mellitus complications, that in the opinion of the investigator, may interfere with the successful completion of the trial
- History of clinically significant diabetes mellitus kidney disease (e.g. clinically significant proteinuria)
- History of severe high or low blood sugars within the past year, as per Investigator discretion
- History of severe high or low blood sugars requiring hospitalization at any time in the past
- Subjects are excluded if within the past 6 months, they have history of myocardial infarction, acute coronary syndrome, stroke, or any cardiac / vascular surgical procedure (e.g. atherosclerotic coronary heart disease by-pass, carotid surgery, peripheral vascular by-pass, stent placement, pacemaker placement, etc.), unstable angina, or alterations in treatment of stable angina
- Subjects are excluded if at any time in the past, they have history of clinically significant ventricular or atrial dysrhythmias
- Subjects are excluded if at any time in the past, they have history of New York Heart Association (NYHA) functional heart failure of Class III or greater, defined as: CLASS III: Marked limitation of physical activity, comfortable at rest, but less than ordinary activity causes fatigue, palpitations or dyspnea, CLASS IV: Unable to carry out any physical activity without discomfort, symptoms of cardiac insufficiency at rest, if any physical activity is undertaken, discomfort is increased
- Subjects are excluded if at any time in the past, they have history of or known increases in QTc
- History of seizures in the past year
- Is pregnant, breastfeeding or plans to become pregnant during the course of the clinical trial
- Major surgical procedure within 30 days prior to visit #1 (i.e. day of signing of the informed consent document), or current plans to have a major surgical procedure during study participation or 30 days following completion of all study related procedures
- History of gastrointestinal malabsorption (e.g. uncontrolled crohn's disease, etc.) or history of a gastric bypass or other diversional bariatric surgery. Gastric banding procedure is also exclusionary if adjusted within 30 days prior to visit #1 (i.e. day of signing the informed consent document), or a reasonable chance of having a gastric banding adjustment during the course of the study
- History of ongoing malignancy. History of malignancy is acceptable for eligibility if successfully treated, with no evidence of persistence or recurrence of the malignancy within 5 years of visit #1 (i.e. day of signing the informed consent document) or basal carcinoma of the skin and "in situ" cancer of the cervix successfully treated 30 days prior to visit #1
- History of organ transplant.
- History of drug (licit or illicit) or alcohol abuse/addiction within 5 years of visit #1 (i.e. day of signing the informed consent document)
- Routinely consumes more than 2 units of alcohol per day. A unit of alcohol is defined as a 12 ounce (350 ml) beer, 5 ounce (150 ml) wine, or 1.5 ounce (45 ml) of 80-proof alcohol for mixed drinks.
- History of clinically significant heart, vascular, hematologic, orthopedic, rheumatologic, muscle, brain, neurologic (e.g. dementia, uncontrolled seizure disorder, etc.) , gastrointestinal (such as chronic hepatitis B or C, malabsorptive intestinal diseases such as uncontrolled crohn's disease, ulcerative colitis, severe irritable bowel syndrome, other significant gastrointestinal diseases that may interfere with study participation and/or results), endocrine (uncontrolled hyper or hypothyroidism), ophthalmologic, infectious (e.g. human immunodeficiency virus, tuberculosis, etc.) immunologic, nephrologic, pulmonary (e.g. poorly controlled asthma, poorly controlled chronic obstructive pulmonary disease, dyspnea, etc.), dermatologic, reproductive, psychiatric (e.g. bipolar disorder, schizophrenia, borderline personality disorder, etc.) disorders, or any other conditions that would present unacceptable risk to study subjects, compromise the acquisition or interpretation of study data, or otherwise interfere with the study subject's participation in the study.
- History of severe or uncontrolled depression based upon the opinion of the Principal Investigator.
- Blood pressure >160 mmHg systolic or >100 mmHg diastolic.
- Weight change (increase or decrease) of > 5 pounds in 2 months (by history) prior to visit 1
- Bradycardia defined as pulse less than 50 beats/minute
- History of clinically significant anemia
- Fasting serum lipoprotein values of: LDL-cholesterol, >160 mg/dl or triglycerides, >500 mg/dl (exclusionary during screening only)
- Creatinine level on screening > 1.5 times the upper range of normal.
- Liver enzymes on screening > 2 times the upper limits of normal
- Potassium level above the upper range of normal upon screening (one repeat lab would be permitted if the initial elevated potassium level is thought possibly due to laboratory error)
- Known laboratory abnormalities prior to randomization which Principal Investigator deems may pose an unacceptable risk, compromise acquisition or interpretation of study data, or otherwise interfere with the study subject's participation in the study
- Known positive testing for hepatitis B surface antigen, hepatitis C antibody, active hepatitis A immunoglobulin M, or human immunodeficiency virus (HIV)
- Current or past use of insulin
- Use of systemic corticosteroids (intravenous, subcutaneous, intra-articular). Inhaled and intranasal corticosteroids are permitted.
- Use of antiobesity/weight maintenance drug therapies at initial study visit, or within 2 months of the initial study visit.
- Use of digoxin or other cardiac antidysrhythmic drugs
- Use of anticoagulants (such as warfarin, Coumadin)
- Use of dietary supplements are acceptable, as long as the supplement intake was constant for one month prior to visit 1, and the study participant plans to continue the same supplement at the same dose throughout the study
- Known medical history of clinical significance, or any other conditions that would present unacceptable risk to study subject, compromise the acquisition or interpretation of study data, or otherwise interfere with the study subject's participation in the study as per discretion of the Principal Investigator.
- Is an employee or immediate family member of the research staff.
- Donated blood within 2 months prior to study entry, or plans to donate blood during the course of this study.
- Anticipation of a significant change in job, job duties, or job work hours, which might impair their ability and willingness to undergo study-related procedures under the timelines specified by protocol, and otherwise impede their completion of the study.
- Anticipation of or a reasonable likelihood of moving away from the research site, wherein such a move might impair their ability and willingness to undergo study-related procedures within the timelines specified by protocol, or otherwise impede their completion of the study.
- Anticipation of or a reasonable likelihood of vacations or other times away from home which might impair their ability and willingness to undergo study-related procedures within the timelines specified by the study protocol, or otherwise impede their completion of the study.
- Planned or anticipated major changes in lifestyle health practices, except as allowed by study protocol.
- Treatment with an investigational product or an investigational device within 30 days prior to visit #1 (i.e. day of signing the informed consent document) and have no plans to potentially start any investigational product or use an investigational device during or 30 days after the study subject completes all study related procedures.
- Reasonable life-expectancy of less than 2 years.
- Any other reason, if in the opinion of the Investigator, the individual study subject is not appropriate, or suitable for participation in the clinical trial.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized, Unblinded, Single Research Site, Comparator Study of Raisins Versus Alternative Snacks on Glycemic Control and Other Cardiovascular Risk Factors in Patients With Type 2 Diabetes Mellitus
The objective of this study is to compare the effects of Raisins three times per day versus alternative snacks three times per day on blood sugar control and cardiovascular risk factors (weight, waist circumference, blood pressure, cholesterol levels) in patients with Type 2 Diabetes Mellitus. These effects will be studied over a 12 week period.
Read the detailed description
Raisins are often considered a good food choice because they provide dietary fiber and many health-promoting nutrients, antioxidants and phytochemicals. Like most other fruits, raisins are devoid of fat, saturated fat and cholesterol, and low in sodium; these features, combined with their high potassium content, high fiber, and low glycemic index make them potentially preferable to other foods in their effects upon glycemic control and cardiovascular risk factors.
- Conditions
- Diabetes Mellitus
- Being tested
- Raisins, Snacks
- Keywords
- diabetes, blood pressure, lipid, waist circumference, BMI
- Medical subject headings
- Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RaisinsOther
1 oz, 90 calorie packages of raisins will be administered to subjects in the raisin treatment arm
SnacksOther
Also called 100 calorie snack packs
100 calorie snack packs will be administered to the subjects in the snack group
| Study group | Role | What they receive |
|---|---|---|
| Raisin | Experimental | Subjects randomized to the raisin treatment arm will consume raisins three times a day, prior to meals, and with a glass of water or non-caloric beverages (i.e. tea). Subjects will consume the raisins over a 12 week period. Receives: Other: Raisins |
| Snack Group | Active comparator | Subjects randomized to the snack group will consume 100 calorie snack packs three times a day, before meals, and with water or other non-caloric beverages (i.e. tea). Subjects will consume the snack packs over a 12 week period. Receives: Other: Snacks |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postprandial Glucose Levels
Raisins versus snacks: percent change in postprandial glucose levels at week 12
Measured: 12 weeks
Secondary outcomes (1)
Systolic Blood Pressure
Raisins versus snacks: mmHg change in systolic blood pressure at week 12
Measured: 12 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Sep 2012 (estimated)
- Study startJun 2012
- Primary completionDec 2013
- Study completionJan 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Diabetes MellitusStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- Louisville Metabolic and Atherosclerosis Research Center
- Sponsor type
- University, hospital or other
- Collaborators
- California Raisin Marketing Board
- Responsible party
- Sponsor
- Investigators
- Harold E Bays, MD, Principal investigator, L-MARC Research Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01677936
- Sponsor's protocol ID
- Raisin DM 002
- Status last verified
- Mar 2014
- First submitted
- 21 Aug 2012
- Last updated
- 23 Apr 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Unblinded, Single Research Site, Comparator Study of Raisins Versus Alternative Snacks on Glycemic Control and Other Cardiovascular Risk Factors in Patients With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT01677936
- Acronym / sponsor ID
- Raisin DM 002
- Conditions
- Diabetes Mellitus
- Keywords
- diabetes, blood pressure, lipid, waist circumference, BMI
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 51 participants (actual)
- Lead sponsor
- Louisville Metabolic and Atherosclerosis Research CenterUniversity, hospital or other
- Collaborators
- California Raisin Marketing Board
- Study start
- Jun 2012
- Primary completion
- Dec 2013 (actual)
- Study completion
- Jan 2014 (actual)
- First posted
- 3 Sep 2012 (estimated)
- Results
- Posted 23 Apr 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to compare the effects of Raisins three times per day versus alternative snacks three times per day on blood sugar control and cardiovascular risk factors (weight, waist circumference, blood pressure, cholesterol levels) in patients with Type 2 Diabetes Mellitus. These effects will be studied over a 12 week period.
Detailed description
Raisins are often considered a good food choice because they provide dietary fiber and many health-promoting nutrients, antioxidants and phytochemicals. Like most other fruits, raisins are devoid of fat, saturated fat and cholesterol, and low in sodium; these features, combined with their high potassium content, high fiber, and low glycemic index make them potentially preferable to other foods in their effects upon glycemic control and cardiovascular risk factors.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Raisin | Experimental | Other: RaisinsSubjects randomized to the raisin treatment arm will consume raisins three times a day, prior to meals, and with a glass of water or non-caloric beverages (i.e. tea). Subjects will consume the raisins over a 12 week period. |
| Snack Group | Active comparator | Other: SnacksSubjects randomized to the snack group will consume 100 calorie snack packs three times a day, before meals, and with water or other non-caloric beverages (i.e. tea). Subjects will consume the snack packs over a 12 week period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Are generally healthy men and women older than 18 years of age
- Are willing and able to undergo an informed consent process
- Have medical history of Type 2 Diabetes Mellitus
- Have hemoglobin A1c 67.5 - 10%
- Have body mass index (BMI) 25.0 to 39.9 kg/m2
Key exclusion criteria (51 listed)
- Intolerance, dislike, or unwillingness to consume raisins or any of the comparator snacks and affiliated ingredients
- History of greater than one drug allergy
- History of greater than one "food allergy"
- Change in anti-diabetes mellitus medication within 3 months prior to screening visit
- Change in blood pressure and/or lipid-altering medications within 1 month of screening visit
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 |
|---|---|---|
| Raisins1 oz, 90 calorie packages of raisins will be administered to subjects in the raisin treatment arm | Other | Raisin |
| SnacksAlso: 100 calorie snack packs100 calorie snack packs will be administered to the subjects in the snack group | Other | Snack Group |
Primary outcome
Postprandial Glucose Levels
Time frame: 12 weeks
Raisins versus snacks: percent change in postprandial glucose levels at week 12
1 secondary outcome
Systolic Blood Pressure
Time frame: 12 weeks.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Diabetes Mellitus
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Effects of Lean Pork Loin Intake on Protein Homeostasis and Glucose Regulation in Prediabetic Adults
Hyperglycaemia (Non Diabetic), Prediabetes
Recruiting
PAW-Hydrogel for Chronic Wound Healing
Diabetic Foot Ulcer (DFU), Pressure Ulcer (PU)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
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.
Harold E Bays, MD principal investigator
L-MARC Research Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Raisins and Snacks in people with Diabetes Mellitus, run by Louisville Metabolic and Atherosclerosis Research Center at 1 site in United States.
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 14 inclusion and 51 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 23 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Apr 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Postprandial Glucose Levels (time frame: 12 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Apr 2014.