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Postprandial PeriodGlu-FXNCT03184064

Acute Effects of Blackcurrant and Citrus Polyphenol Extracts on Postprandial Glycaemia

A study testing Blackcurrant extract (low dose), Citrus extract (low dose) and Blackcurrant extract (high dose) in people with Postprandial Period, run by Lucozade Ribena Suntory at 1 site in United Kingdom.

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

Large postprandial glucose responses are associated with increased risk of chronic diseases, including diabetes and cardiovascular disease. Our group have previously shown that fruit polyphenol extracts, when consumed immediately before a mixed carbohydrate meal, reduce postprandial glycaemia. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Postprandial Period
What is being tested?
Blackcurrant extract (low dose), Citrus extract (low dose) and Blackcurrant extract (high dose)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteUnited Kingdom
Study dates
30 May 2017to 1 Jun 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 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age: 18-70 years
  • Men and women
  • Healthy (free of diagnosed diseases listed in the exclusion criteria)
  • Body Mass Index 18-35 kg/m2
  • Able to understand the information sheet and willing to comply with study protocol
  • Able to give informed written consent

Who cannot join

  • Those diagnosed with Phenylketonuria (PKU)
  • Those with known or suspected food intolerances, allergies or hypersensitivity
  • Women who are known to be pregnant or who are intending to become pregnant over the course of the study
  • Women who are breast feeding
  • Participation in another clinical trial
  • Those who have donated blood within 3 months of the screening visit and participants for whom participation in this study would result in having donated more than 1500 millilitres of blood in the previous 12 months.
Show all 16Show fewer
  • Full Blood Counts and Liver Function test results outside of the normal range.
  • Current smokers, or reported giving up smoking within the last 6 months
  • History of substance abuse or alcoholism
  • Reported history of Cardiovascular disease, diabetes (or fasting glucose ≥ 7.1 mmol/L), cancer, kidney, liver or bowel disease, gastrointestinal disorder or use of drug likely to alter gastrointestinal function
  • Unwilling to restrict consumption of specified high polyphenol foods for 48 h before the study
  • Weight change >3kg in preceding 2 months
  • Blood pressure ≥160/100 mmHg
  • Total cholesterol ≥ 7.5 mmol/L; fasting triacylglycerol concentrations ≥ 5.0 mmol/L
  • Medications that may interfere with the study: alpha-glucosidase inhibitors (acarbose: Glucobay), insulin sensitizing drugs (metformin: Glucophage, Glucophage SR, Eucreas, Janumet; thiazolidinediones: Actos, Competact), sulfonylureas (Daonil, Diamicron, Diamicron MR, Glibenese, Minodiab, Amaryl Tolbutamide), and lipid lowering drugs (statins, nicotinic acid, colestyramine anhydrous, ezetimibe, fibrates). Other medications should be reviewed by medical representative from KCL on a case by case basis.
  • Nutritional supplements that may interfere with the study: higher dose vitamins/minerals (>200% Recommend Nutrient Intake), B vitamins, Vitamin C, calcium, copper, chromium, iodine, iron, magnesium, manganese, phosphorus, potassium and zinc. Subjects already taking vitamin or minerals at a dose around 100% or less up to 200% of the RNI, or evening primrose/algal/fish oil supplements will be asked to maintain habitual intake patterns, ensuring that they take them every day and not sporadically. They will be advised not to stop taking supplements or start taking new supplements during the course of the study.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Metabolic Research Unit

    London, England, SE1 9NH

Other trials in United Kingdom

About this study

Official title: Acute Effects of Blackcurrant and Citrus Polyphenol Extracts on Postprandial Glycaemia: The Glu-FX Study

Large postprandial glucose responses are associated with increased risk of chronic diseases, including diabetes and cardiovascular disease. Our group have previously shown that fruit polyphenol extracts, when consumed immediately before a mixed carbohydrate meal, reduce postprandial glycaemia. The aim of this study is to investigate the effects of a blackcurrant polyphenol extract and citrus polyphenol extract (and their combination), on postprandial glycaemia, insulinaemia and gastrointestinal hormone concentrations following a mixed carbohydrate test meal. It is hypothesised that blackcurrant and citrus extracts alone will inhibit glycaemia compared to placebo, and a combination of the two will have a greater effect.

Read the detailed description

Intake of carbohydrate-rich foods transiently increases blood glucose levels (known as postprandial glycaemia). Repeated high postprandial glucose responses are evidenced to dysregulate functional proteins, oxidative stress and pancreatic beta cell function; thus increasing the risk of diabetes and cardiovascular disease. Accordingly, meals that elicit a reduced, or more gradual, rise in blood glucose levels are desirable. Fruit polyphenols may help to limit the glucose excursion following a high carbohydrate meal. Previous research by our group has demonstrated that blackcurrant polyphenols significantly inhibited the average incremental area under the curve (T+0 to +30 min) of plasma glucose. Possible mechanisms include inhibition of intestinal enzymes and inhibition of intestinal glucose absorption by decreasing Sodium-glucose linked transporter 1 (SGLT-1) / Glucose transporter 2 (GLUT-2) glucose transporter activity. In vitro data suggests that citrus polyphenols may impact on carbohydrate metabolism by binding to starch molecules, however, effects on postprandial glycaemia are not yet known. Blackcurrants and citrus fruits have distinct polyphenol profiles and may therefore act on glucose homeostasis via different mechanisms. Blackcurrants are rich in anthocyanins and flavanols, whereas citrus fruits are rich in flavanones, hesperetin and naringenin. Theoretically, combining blackcurrant with citrus extracts may have synergistic effects.

The aim of this study is to investigate the effects of blackcurrant polyphenol extracts and citrus polyphenol extracts (and their combination), on postprandial glycaemia, insulinaemia and gastrointestinal hormone concentrations following a mixed carbohydrate test meal. It is hypothesised that blackcurrant and citrus extracts alone will inhibit glycaemia compared to placebo, a combination of the two will have a greater effect.

Study design: A randomised, controlled, double-blind, cross-over study will be conducted. Subjects will consume different drinks at 4 separate study visits. Drinks will contain either: blackcurrant extract (low dose), blackcurrant extract (high dose), citrus extract (low dose), blackcurrant and citrus extract (low dose + low dose), or placebo (no polyphenols). The study will utilise an incomplete block design. Subjects will consume the placebo drink and 3 out of 4 of the polyphenol-containing drinks during the study. At least a 7-day wash-out period will be required between study days. Baseline (fasted) blood samples will be taken in duplicate at T-10 min and T-5 min before consuming the test drink (T+0 min). Immediately following consumption of the drink, a mixed carbohydrate test meal will be consumed. Further blood samples will be collected at 10 min intervals for the first 30 min and then every 15 min until T+90 min and at T+120 min. Blood samples will be analysed for plasma glucose, insulin, glucose-dependent insulinotropic peptide (GIP), glucagon-like peptide 1 (GLP-1), peptide YY (PYY), C-peptide and nonesterified fatty acids (NEFA).

Being tested
Blackcurrant extract (low dose), Placebo, Citrus extract (low dose), Blackcurrant extract (high dose), Blackcurrant and citrus extracts (low dose / low dose)
Keywords
Blackcurrant, Citrus, Polyphenols, Glucose, Postprandial, Metabolism

What participants receive

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

  • Blackcurrant extract (low dose)Dietary supplement

    Participants will consume a small beverage that contains blackcurrant extract (low dose) immediately before a high-carbohydrate meal.

  • PlaceboDietary supplement

    Participants will consume a small beverage that contains no fruit extracts immediately before a high-carbohydrate meal.

  • Citrus extract (low dose)Dietary supplement

    Participants will consume a small beverage that contains citrus extract (low dose) immediately before a high-carbohydrate meal.

  • Blackcurrant extract (high dose)Dietary supplement

    Participants will consume a small beverage that contains blackcurrant extract (high dose) immediately before a high-carbohydrate meal.

  • Blackcurrant and citrus extracts (low dose / low dose)Dietary supplement

    Participants will consume a small beverage that contains blackcurrant and citrus extracts (low dose / low dose)immediately before a high-carbohydrate meal.

Study groups in NCT03184064
Study groupRoleWhat they receive
Treatment arm 1ExperimentalParticipants will receive the placebo, blackcurrant extract (low dose), blackcurrant extract (high dose), citrus extract (low dose) at 4 separate study visits, in a random order. Visits will be separated by at least 7 days.
Receives: Dietary Supplement: Blackcurrant extract (low dose); Dietary Supplement: Placebo; Dietary Supplement: Citrus extract (low dose); Dietary Supplement: Blackcurrant extract (high dose)
Treatment arm 2ExperimentalParticipants will receive the placebo, citrus extract (low dose), blackcurrant extract (high dose), blackcurrant and citrus extracts (low dose / low dose) at 4 separate study visits, in a random order. Visits will be separated by at least 7 days.
Receives: Dietary Supplement: Placebo; Dietary Supplement: Citrus extract (low dose); Dietary Supplement: Blackcurrant extract (high dose); Dietary Supplement: Blackcurrant and citrus extracts (low dose / low dose)
Treatment arm 3ExperimentalParticipants will receive the placebo, blackcurrant extract (low dose), blackcurrant extract (high dose), blackcurrant and citrus extracts (low dose / low dose) at 4 separate study visits, in a random order. Visits will be separated by at least 7 days.
Receives: Dietary Supplement: Blackcurrant extract (low dose); Dietary Supplement: Placebo; Dietary Supplement: Blackcurrant extract (high dose); Dietary Supplement: Blackcurrant and citrus extracts (low dose / low dose)
Treatment arm 4ExperimentalParticipants will receive the placebo, blackcurrant extract (low dose), citrus extract (low dose), blackcurrant and citrus extracts (low dose / low dose) at 4 separate study visits, in a random order. Visits will be separated by at least 7 days.
Receives: Dietary Supplement: Blackcurrant extract (low dose); Dietary Supplement: Placebo; Dietary Supplement: Citrus extract (low dose); Dietary Supplement: Blackcurrant and citrus extracts (low dose / low dose)

What is being measured

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

  1. Postprandial glycaemia (iAUC 0-30 min)

    The primary endpoint is iAUC 0-30 min for plasma glucose concentrations

    Measured: 30 min

Secondary outcomes (34)
  1. Postprandial glycaemia: iAUC 0-120 min

    iAUC 0-120 min for plasma glucose concentrations

    Measured: 120 min

  2. Postprandial glycaemia: iCmax

    iCmax for plasma glucose concentrations

    Measured: 120 min

  3. Postprandial glycaemia: Tmax

    Tmax for plasma glucose concentrations

    Measured: 120 min

  4. Postprandial glycaemia: absolute concentrations at specific time points

    Absolute concentrations at specific time points, for plasma glucose concentrations

    Measured: 120 min

  5. Postprandial insulinemia: iAUC 0-30 min

    iAUC 0-30 min for serum insulin concentrations

    Measured: 30 min

  6. Postprandial insulinemia: iAUC 0-120 min

    iAUC 0-120 min for serum insulin concentrations

    Measured: 120 min

  7. Postprandial insulinemia: iCmax

    iCmax, for serum insulin concentrations

    Measured: 120 min

  8. Postprandial insulinemia: Tmax

    Tmax for serum insulin concentrations

    Measured: 120 min

  9. Postprandial insulinemia: absolute concentrations at specific time points

    Absolute concentrations at specific time points, for serum insulin concentrations

    Measured: 120 min

  10. Postprandial C-peptide: iAUC 0-30 min

    iAUC 0-30 min for plasma C-peptide concentrations

    Measured: 30 min

  11. Postprandial C-peptide: iAUC 0-120 min

    iAUC 0-120 min for plasma C-peptide concentrations

    Measured: 30 min

  12. Postprandial C-peptide: iCmax

    iCmax for plasma C-peptide concentrations

    Measured: 120 min

  13. Postprandial C-peptide: Tmax

    Tmax for plasma C-peptide concentrations

    Measured: 120 min

  14. Postprandial C-peptide: Absolute concentrations at specific time points

    Absolute concentrations at specific time points, for plasma C-peptide concentrations

    Measured: 120 min

  15. Postprandial non-esterified fatty acids (NEFA): iAUC 0-30 min

    iAUC 0-30 min for serum NEFA concentrations

    Measured: 30 min

  16. Postprandial non-esterified fatty acids (NEFA): iAUC 0-120 min

    iAUC 0-120 min for serum NEFA concentrations

    Measured: 120 min

  17. Postprandial non-esterified fatty acids (NEFA): iCmax

    iCmax for serum NEFA concentrations

    Measured: 120 min

  18. Postprandial non-esterified fatty acids (NEFA): Tmax

    Tmax for serum NEFA concentrations

    Measured: 120 min

  19. Postprandial non-esterified fatty acids (NEFA): Absolute concentrations at specific time points

    Absolute concentrations at specific time points, for serum NEFA concentrations

    Measured: 120 min

  20. Postprandial blood glucose-dependent insulinotropic peptide (GIP): iAUC 0-30 min

    iAUC 0-30 min for plasma GIP concentrations

    Measured: 30 min

  21. Postprandial blood glucose-dependent insulinotropic peptide (GIP): iAUC 0-120 min

    iAUC 0-120 min for plasma GIP concentrations

    Measured: 120 min

  22. Postprandial blood glucose-dependent insulinotropic peptide (GIP): iCmax

    iCmax, for plasma GIP concentrations

    Measured: 120 min

  23. Postprandial blood glucose-dependent insulinotropic peptide (GIP): Tmax

    Tmax for plasma GIP concentrations

    Measured: 120 min

  24. Postprandial blood glucose-dependent insulinotropic peptide (GIP): Absolute concentrations at specific time points

    Absolute concentrations at specific time points, for plasma GIP concentrations

    Measured: 120 min

  25. Postprandial blood Glucagon-like peptide 1 (GLP-1): iAUC 0-30 min

    iAUC 0-30 min for plasma GLP-1 concentrations

    Measured: 30 min

  26. Postprandial blood Glucagon-like peptide 1 (GLP-1): iAUC 0-120 min

    iAUC 0-120 min, for plasma GLP-1 concentrations

    Measured: 120 min

  27. Postprandial blood Glucagon-like peptide 1 (GLP-1): iCmax

    iCmax for plasma GLP-1 concentrations

    Measured: 120 min

  28. Postprandial blood Glucagon-like peptide 1 (GLP-1): Tmax

    Tmax for plasma GLP-1 concentrations

    Measured: 30 min

  29. Postprandial blood Glucagon-like peptide 1 (GLP-1): Absolute concentrations at specific time points

    Absolute concentrations at specific time points, for plasma GLP-1 concentrations

    Measured: 120 min

  30. Postprandial blood peptide YY (PYY): iAUC 0-30 min

    iAUC 0-30 min for plasma PYY concentrations

    Measured: 30 min

  31. Postprandial blood peptide YY (PYY): iAUC 0-120 min

    iAUC 0-120 minfor plasma PYY concentrations

    Measured: 120 min

  32. Postprandial blood peptide YY (PYY): iCmax

    iCmax for plasma PYY concentrations

    Measured: 120 min

  33. Postprandial blood peptide YY (PYY): Tmax

    Tmax for plasma PYY concentrations

    Measured: 120 min

  34. Postprandial blood peptide YY (PYY): Absolute concentrations at specific time points

    Absolute concentrations at specific time points, for plasma PYY concentrations

    Measured: 120 min

Timeline

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

  1. First posted12 Jun 2017
  2. Study start30 May 2017
  3. Primary completion1 Feb 2018
  4. Study completion1 Jun 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
Model description
Incomplete block cross-over design. Each participant receives placebo plus 3 out of 4 active treatments.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03184064
Sponsor's protocol ID
HVS-007
Acronym
Glu-FX
Status last verified
Aug 2018
First submitted
23 May 2017
Last updated
22 Aug 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Castro-Acosta ML, Smith L, Miller RJ, McCarthy DI, Farrimond JA, Hall WL. Drinks containing anthocyanin-rich blackcurrant extract decrease postprandial blood glucose, insulin and incretin concentrations. J Nutr Biochem. 2016 Dec;38:154-161. doi: 10.1016/j.jnutbio.2016.09.002. Epub 2016 Sep 14.

    PubMed 27764725
  • Pinto AM, Hobden MR, Brown KD, Farrimond J, Targett D, Corpe CP, Ellis PR, Todorova Y, Socha K, Bahsoon S, Haworth C, Marcel M, Nie X, Hall WL. Acute effects of drinks containing blackcurrant and citrus (poly)phenols and dietary fibre on postprandial glycaemia, gut hormones, cognitive function and appetite in healthy adults: two randomised controlled trials. Food Funct. 2023 Nov 13;14(22):10163-10176. doi: 10.1039/d3fo03085g.

    PubMed 37902089

Questions about this trial

What is this clinical trial studying?

A study testing Blackcurrant extract (low dose), Citrus extract (low dose) and Blackcurrant extract (high dose) in people with Postprandial Period, run by Lucozade Ribena Suntory at 1 site in United Kingdom.

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 16 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 22 Aug 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 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. 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?

Postprandial glycaemia (iAUC 0-30 min) (time frame: 30 min). 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 NCT03184064, which also lists 2 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 22 Aug 2018.

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