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ObesityNCT01714102

Resveratrol and the Metabolic Syndrome

A study testing Resveratrol in people with Obesity and Insulin Resistance, run by Rockefeller University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Metabolic syndrome is a serious health condition that affects about 35 percent of adults and places them at higher risk of cardiovascular disease, diabetes, stroke and diseases related to fatty buildups in artery walls. Read more about this study

Who is it for?
Ages 30 to 60 years, men onlyHealthy volunteers can take part
Conditions the study is for
Obesity, Insulin Resistance, Metabolic Syndrome
What is being tested?
Resveratrol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
1 siteUnited States
Study dates
Oct 2012to Jul 2018
Phase
Interventional
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 30 to 60 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Age 30 - 60 year old men
  • Willingness to be randomized to resveratrol or placebo.
  • BMI 30-40
  • Evidence of insulin resistance with one of the following:
  • 2 hr oral glucose tolerance result =/>120mg/dl at 2hrs acanthosis nigricans, or HgA1C 5.7 - 7.9%, or FBS >/= 100 mg/dl AND at least 2 of the following: waist circumference > 102 cm triglycerides > 150 but < 500 mg/dL HDL < 40 mg/dL Pre- hypertension or hypertension: BP>120/80 mmHg but <150/90 mmHg
  • Willingness to consume only study food and drink during the in-pt phases
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  • Willingness to avoid the use of over-the-counter medications, herbs, or supplements within the last 30 days.
  • Willingness to avoid NSAIDS (advil, aleve, motrin, etc.) and aspirin for the entire study
  • Willingness to avoid ingestion of any foods containing peanuts, bilberries, blueberries, cranberries, strawberries, raspberries, grapes, grape juice, cocoa powder, dark chocolate, and red wine throughout the entire study, including run-in period.
  • Willingness to maintain weight for the duration of the study.
  • Willingness not to start an exercise regime during study participation

Who cannot join

  • Tobacco smoker any time within the last 3 months
  • Bleeding disorder by history or by Bleeding Questionnaire results
  • History, physical or EKG findings suggestive of CV disease including angina, MI, hx of med/surg tx of atherosclerotic heart disease, or congestive heart disease
  • BP > 145/90 after 10 minutes of rest on 2 or more screening visits
  • Fasting glucose > 165 mg/dL at screening
  • HbA1C > 8.0 at screening
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  • Current use of oral hypoglycemic agents
  • Chronic glucocorticosteroid use or use of oral glucocorticosteroids for 5 days within the last year (inhaled glucocorticosteroid use may be acceptable; this will be determined by the PI)
  • Current use of over the counter or prescription weight loss medication
  • Current use or within the last 30 days, any cholesterol lowering medications (statins, fibrates, red yeast rice, niacin).
  • Hyperthyroidism or untreated hypothyroidism
  • Obstructive sleep apnea, or significant symptoms suggestive of this condition.
  • Current use of anticoagulants
  • Known history of chronic hepatitis or liver enzymes (ALT or AST > 2.5 times the normal upper limit)
  • Known HIV infection or confirmed positive test for HIV antibodies at screening
  • Inflammatory bowel disease
  • Active cancer (currently under treatment)
  • Other medical condition that may cause significant weight loss or gain
  • Chronic or acute renal disease
  • Seizure disorder
  • History of any psychiatric hospital admission within the last 2 years
  • History of schizophrenia, psychosis, or bipolar disease
  • History, physical, social or lab findings suggestive of any medical or psychological condition that would, in the opinion of the PI, impact the subject's ability to successfully participate in the study.
  • Alcohol or drug abuse within the last 2 years
  • Any medications metabolized by cytochrome p450 3A4 (CYPA3A4) (see attachment of these medications as an appendix)
  • Any autoimmune disease (ie rheumatoid arthritis, systemic lupus erythematosis, psoriasis)
  • Physical condition requiring special diet (ie celiac disease)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Rockefeller University

    New York, New York, 10065

Other trials in United States

About this study

Official title: The Effects of Trans-Resveratrol (RSV) on Insulin Resistance, Inflammation, and the Metabolic Syndrome: A Placebo Controlled, Double-Blind Study.

Metabolic syndrome is a serious health condition that affects about 35 percent of adults and places them at higher risk of cardiovascular disease, diabetes, stroke and diseases related to fatty buildups in artery walls. The underlying causes of metabolic syndrome are obesity, being overweight, physical inactivity and genetic factors. In recent decades, the prevalence has increased dramatically in the United States. Lifestyle interventions including dietary modification, physical activity and weight loss form the basis of treatment for these patients. However, research has shown that even when people are able to incorporate these changes, they often revert back to their usual lifestyle resulting in weight gain and continued risk for diabetes and heart disease.

Resveratrol, a natural plant derived compound found in grapes, peanuts and red wine, has been found to reverse some of the features of the metabolic syndrome (insulin resistance, high triglycerides, high blood pressure) in rodents. These improvements occurred without weight loss, and were proven to be a direct result of resveratrol ingestion. Other studies reveal improvement in cardiovascular health, tumor suppression, and longevity. However, there are few studies investigating these beneficial effects in humans. Investigators propose to prove that resveratrol, administered to subjects with the metabolic syndrome, under controlled conditions of weight stability, common diet, and strict compliance with the study drug, will improve the symptoms of the metabolic syndrome, thereby decreasing the chance of developing diabetes or heart disease.

Read the detailed description

The metabolic syndrome is a serious health condition that affects about 35 percent of adults and places them at higher risk of cardiovascular disease, diabetes, stroke and diseases related to fatty buildups in artery walls. The underlying causes of metabolic syndrome are obesity, being overweight, physical inactivity and genetic factors. In recent decades, the prevalence has increased dramatically in the United States. Lifestyle interventions including dietary modification, physical activity and weight loss form the basis of treatment for these patients. However, research has shown that even when people are able to incorporate these changes, they often revert back to their usual lifestyle resulting in weight gain and continued risk for diabetes and heart disease.

Resveratrol, a natural plant derived compound found in grapes, peanuts and red wine, has been found to reverse some of the features of the metabolic syndrome (insulin resistance, high triglycerides, high blood pressure) in rodents. These improvements occurred without weight loss, and were proven to be a direct result of resveratrol ingestion. Other studies reveal improvement in cardiovascular health, tumor suppression, and longevity. However, there are few studies investigating these beneficial effects in humans. In a systematic review of resveratrol research, the authors conclude that "in contrast to the lacking data of resveratrol in humans, the animal data are promising and indicate the need for further human clinical trials." Of the small clinical studies that have been done, the results are encouraging. Improvement in triglycerides, blood pressure and insulin resistance were noted. Resveratrol was well tolerated without serious side effects. These studies, however, did not recruit subjects with the metabolic syndrome, nor were they tightly controlled.

The investigators propose to prove that resveratrol, administered to subjects with the metabolic syndrome, under controlled conditions of weight stability, common diet, and strict compliance with the study drug, will improve the symptoms of the metabolic syndrome, thereby decreasing the chance of developing diabetes or heart disease.

Being tested
Placebo, Resveratrol
Keywords
Obesity, Insulin resistance, Metabolic syndrome, Pre-diabetes
Medical subject headings
Obesity, Insulin Resistance, Metabolic Syndrome, Glucose Intolerance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDietary supplement

    Placebo manufactured to mimic resveratrol tablet

  • ResveratrolDietary supplement

    Resveratrol PO BID for 30 days

Study groups in NCT01714102
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo for 30 days
Receives: Dietary Supplement: Resveratrol
ResveratrolActive comparator1000 mg PO BID for 30 days
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Reduction in Insulin resistance

    Investigators anticipate resveratrol will have positive effect (ie reduction) on Insulin resistance as determined by Euglycemic hyperinsulinemic clamp

    Measured: Days 4-8 and Days 31-35

Secondary outcomes (7)
  1. Reduction in serum cytokines/chemokines

    Investigators anticipate resveratrol will have positive effect (ie reduction) on Serum cytokines/chemokines: IL6, IL10, TNFalpha, hsCRP, leukocytes, PAI-1, fibrinogen, adiponectin, MCP-1,GLP-1, leptin, insulin, serum endotoxins

    Measured: Days 4-8 and Days 31-35

  2. Reduction in blood pressure measurements

    24 hour systolic blood pressure measurements

    Measured: Days 4-8 and Days 31-35

  3. Reduction lipid values

    Lipid values to be reviewed: cholesterol, LDL, HDL, TG

    Measured: Days 4-8 and Days 31-35

  4. Reduction in crown like structures and adipose tissue mass

    Crown like structures in adipose tissue, and adipose tissue mass

    Measured: Days 4-8 and Days 31-35

  5. Changes in HOMA-IR

    Changes in 2 hr oral glucose tolerance test HOMA-IR

    Measured: Days 4-8 and Days 31-35

  6. Changes in gene expression in adipose tissue

    Changes in RNA sequencing of adipose tissue

    Measured: Days 4-8 and Days 31-35

  7. Changes in gene expression in stool

    Changes in microbiome and RNA gene expression in stool samples

    Measured: Days 4-8 and Days 31-35

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2012 (estimated)
  2. Study startOct 2012
  3. Primary completionAug 2015
  4. Study completionJul 2018

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01714102
Sponsor's protocol ID
JWA-0786
Status last verified
Oct 2018
First submitted
16 Oct 2012
Last updated
24 Oct 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Resveratrol in people with Obesity and Insulin Resistance, run by Rockefeller University 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 11 inclusion and 27 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 24 Oct 2018. 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. 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.

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?

Reduction in Insulin resistance (time frame: Days 4-8 and Days 31-35). 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 24 Oct 2018.

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