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PrediabetesNCT02482675

Regulation of Postprandial Nitric Oxide Bioavailability and Vascular Function By Dairy Milk

A study testing Glucose, Glucose with Non-fat Milk and Glucose with Whey Protein Isolate in people with Prediabetes, run by Ohio State 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

Cardiovascular disease (CVD) is the leading cause of death in the United States. Short-term increases in blood sugar, or postprandial hyperglycemia (PPH), affect blood vessel function and increase the risk of CVD. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Prediabetes
What is being tested?
Glucose, Glucose with Non-fat Milk and Glucose with Whey Protein Isolate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
1 siteUnited States
Study dates
Jun 2015to Feb 2018
Phase
Interventional
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 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • hemoglobin A1c 5.7-6.4%
  • non-dietary supplement user
  • no medications affecting vasodilation, inflammation, or energy metabolism
  • no CVD
  • nonsmokers
  • individuals having blood pressure <140/90 mmHg and total cholesterol <240 mg/dL

Who cannot join

  • unstable weight (±2 kg)
  • vegetarian or dairy allergy
  • alcohol intake >3 drinks/day or >10 drinks/week
  • ≥7 hours/week of aerobic activity

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Ohio State University

    Columbus, Ohio, 43210

Other trials in United States

About this study

Cardiovascular disease (CVD) is the leading cause of death in the United States. Short-term increases in blood sugar, or postprandial hyperglycemia (PPH), affect blood vessel function and increase the risk of CVD. Greater intakes of dairy foods have been associated with a lower risk of CVD, but whether these effects occur directly or indirectly by displacing foods in the diet that might increase CVD risk is unclear. The health benefits of dairy on heart health are at least partly attributed to its ability to limit PPH and resulting PPH-mediated responses leading to vascular dysfunction. This provides rationale to further investigate dairy as a dietary strategy to reduce PPH and risk for CVD. The objective of this study is to define the extent to which dairy milk, and its whey and casein protein fractions, protect against postprandial vascular dysfunction by reducing oxidative stress responses that limit nitric oxide bioavailability to the vascular endothelium in adults with prediabetes.

Read the detailed description

This study consists of four, 3-hour postprandial trials in response to consuming the following dietary treatments: 1. oral glucose challenge, 2. oral glucose challenge in combination with non-fat milk, 3. oral glucose challenge in combination with whey protein isolate, and 4. oral glucose challenge in combination with sodium caseinate. For three days preceding each trial, participants will be provided all meals to standardize physiologic responses to test meals. On each trial day, vascular function will be assessed and blood samples collected prior to and at 30 minute intervals for 3 hours following test meal ingestion.

Conditions
Prediabetes
Being tested
Glucose, Glucose with Non-fat Milk, Glucose with Whey Protein Isolate, Glucose with Sodium Caseinate
Keywords
Dairy, Milk, Glucose, Postprandial, Hyperglycemia, Prediabetes, Blood glucose, Oxidative stress, Vascular health, Vascular function
Medical subject headings
Prediabetic State, Hyperglycemia

What participants receive

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

  • GlucoseOther

    Following baseline measurements, participants will consume a 75 g glucose solution within five minutes.

  • Glucose with Non-fat MilkOther

    Following baseline measurements, participants will consume 75 g glucose dissolved in two cups of non-fat milk within five minutes.

  • Glucose with Whey Protein IsolateOther

    Following baseline measurements, participants will consume 75 g glucose and whey protein isolate dissolved in 2 cups water within five minutes.

  • Glucose with Sodium CaseinateOther

    Following baseline measurements, participants will consume 75 g glucose and sodium caseinate dissolved in 2 cups water within five minutes.

Study groups in NCT02482675
Study groupRoleWhat they receive
GlucoseActive comparatorThis study day will last approximately three hours and will be separated from the other arms by four days for men and one month for women.
Receives: Other: Glucose
Glucose with Non-fat MilkExperimentalThis study day will last approximately three hours and will be separated from the other arms by four days for men and one month for women.
Receives: Other: Glucose with Non-fat Milk
Glucose with Whey Protein IsolateExperimentalThis study day will last approximately three hours and will be separated from the other arms by four days for men and one month for women.
Receives: Other: Glucose with Whey Protein Isolate
Glucose with Sodium CaseinateExperimentalThis study day will last approximately three hours and will be separated from the other arms by four days for men and one month for women.
Receives: Other: Glucose with Sodium Caseinate

What is being measured

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

  1. Vascular Endothelial Function

    Flow mediated dilation (FMD) of the brachial artery, calculated as FMD AUC for 0-180 minutes (change from baseline)

    Measured: Area under curve for FMD for three hours (0, 30, 60, 90, 120, 180 minutes)

Secondary outcomes (12)
  1. Nitrite/Nitrate (NOx)

    NOx AUC for 0-180 minutes

    Measured: Area under curve for nitrite/nitrate for three hours (0, 30, 60, 90, 120, 180 min) (change from baseline)

  2. Plasma Glucose

    Plasma glucose concentration from 0-180 minutes

    Measured: Area under the curve for glucose for three hours (0, 30, 60, 90, 120, 180 minutes) (change from baseline)

  3. Malondialdehyde (MDA)

    Plasma MDA measured as MDA AUC from 0-180 minutes

    Measured: Area under curve for MDA for three hours (0, 30, 60, 90, 120, 150, 180 min.) (change from baseline)

  4. Arginine (ARG)

    Plasma arginine concentration, calculated as ARG AUC from 0-180 minutes

    Measured: ARG area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  5. Asymmetric Dimethylarginine/Arginine (ADMA/ARG)

    Plasma ADMA/arginine concentration, calculated as ADMA/ARG AUC from 0-180 minutes

    Measured: ADMA/ARG area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  6. Symmetric Dimethylarginine/Arginine (SDMA/ARG)

    Plasma SDMA/arginine concentration, calculated as SDMA/ARG AUC from 0-180 minutes

    Measured: SDMA/ARG area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  7. Tetrahydrobiopterin/Dihydrobiopterin (BH4/BH2)

    Plasma BH4/BH2 concentration, calculated as BH4/BH2 AUC from 0-180 minutes

    Measured: Plasma BH4/BH2 concentration area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  8. Insulin

    Plasma insulin concentration, calculated as insulin AUC from 0-180 minutes

    Measured: Insulin area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  9. Cholecystokinin (CCK)

    Plasma CCK concentration, calculated as CCK AUC from 0-180 minutes

    Measured: CCK area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  10. 8-isoprostaglandin-F2a

    Plasma 8-isoprostaglandin-F2a concentration, calculated as 8-isoprostaglandin-F2a AUC from 0-180 minutes

    Measured: 8-isoprostaglandin-F2a area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  11. 8-isoprostaglandin-F2a/Arachidonic Acid

    Plasma 8-isoprostaglandin-F2a/Arachidonic acid concentration, calculated as 8-isoprostaglandin-F2a/Arachidonic acid AUC from 0-180 minutes

    Measured: 8-isoprostaglandin-F2a/Arachidonic acid area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

  12. Arachidonic Acid

    Arachidonic acid concentration, calculated as Arachidonic acid AUC from 0-180 minutes

    Measured: Arachidonic acid area under the curve for 3 hours (0, 30, 60, 90, 120, 150, 180 minutes) (change from baseline)

Timeline

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

  1. First posted26 Jun 2015 (estimated)
  2. Study startJun 2015
  3. Primary completionJul 2016
  4. Study completionFeb 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
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02482675
Sponsor's protocol ID
2015H0088
Status last verified
May 2019
First submitted
24 Jun 2015
Last updated
14 May 2019
Data monitoring committee
No

Publications

  • Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, de Ferranti S, Despres JP, Fullerton HJ, Howard VJ, Huffman MD, Judd SE, Kissela BM, Lackland DT, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Matchar DB, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Willey JZ, Woo D, Yeh RW, Turner MB; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2015 update: a report from the American Heart Association. Circulation. 2015 Jan 27;131(4):e29-322. doi: 10.1161/CIR.0000000000000152. Epub 2014 Dec 17. No abstract available.

    PubMed 25520374
  • DECODE Study Group, the European Diabetes Epidemiology Group.. Glucose tolerance and cardiovascular mortality: comparison of fasting and 2-hour diagnostic criteria. Arch Intern Med. 2001 Feb 12;161(3):397-405. doi: 10.1001/archinte.161.3.397.

    PubMed 11176766
  • Ballard KD, Bruno RS. Protective role of dairy and its constituents on vascular function independent of blood pressure-lowering activities. Nutr Rev. 2015 Jan;73(1):36-50. doi: 10.1093/nutrit/nuu013.

    PubMed 26024056
  • Ballard KD, Mah E, Guo Y, Pei R, Volek JS, Bruno RS. Low-fat milk ingestion prevents postprandial hyperglycemia-mediated impairments in vascular endothelial function in obese individuals with metabolic syndrome. J Nutr. 2013 Oct;143(10):1602-10. doi: 10.3945/jn.113.179465. Epub 2013 Aug 21.

    PubMed 23966328
  • McDonald JD, Mah E, Chitchumroonchokchai C, Dey P, Labyk AN, Villamena FA, Volek JS, Bruno RS. Dairy milk proteins attenuate hyperglycemia-induced impairments in vascular endothelial function in adults with prediabetes by limiting increases in glycemia and oxidative stress that reduce nitric oxide bioavailability. J Nutr Biochem. 2019 Jan;63:165-176. doi: 10.1016/j.jnutbio.2018.09.018. Epub 2018 Sep 25.

    PubMed 30412905

Questions about this trial

What is this clinical trial studying?

A study testing Glucose, Glucose with Non-fat Milk and Glucose with Whey Protein Isolate in people with Prediabetes, run by Ohio State 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 6 inclusion and 4 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 14 May 2019. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 May 2019). 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?

Vascular Endothelial Function (time frame: Area under curve for FMD for three hours (0, 30, 60, 90, 120, 180 minutes)). 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 NCT02482675, which also lists 5 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 14 May 2019.

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