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Cardiovascular Risk FactorOASISNCT03527277

Orange Juice And Sugar Intervention Study

A study testing Naturally-sweetened orange juice and Sugar-sweetened beverage in people with Cardiovascular Risk Factor and Type2 Diabetes Mellitus, run by University of California, Davis 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

The objectives of this proposal are to address the gaps in knowledge regarding the metabolic effects of consuming orange juice, the most frequently consumed fruit juice in this country, compared to sugar-sweetened beverage. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
What is being tested?
Naturally-sweetened orange juice and Sugar-sweetened beverage
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
1 siteUnited States
Study dates
1 Jun 2018to 28 May 2023
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

None listed.

Who cannot join

  • Fasting glucose >125 mg/dl Evidence of liver disorder (AST or ALT >200% upper limit of normal range) Evidence of kidney disorder (>2.0 mg/dl creatinine) Evidence of thyroid disorder (out of normal range) Systolic blood pressure consistently over 140 mmHg or diastolic blood pressure over 90 mmHg Triglycerides > 400 mg/dl LDL-C > 160 mg/dl in combination with Chol:HDL > 4 Hemoglobin < 10 g/dL Pregnant or lactating women Current, prior (within 12 months), or anticipated use of any hypolipidemic or anti-diabetic agents.
  • Use of thyroid, anti-hypertensive, anti-depressant, weight loss medications or any other medication which, in the opinion of the investigator, may confound study results Use of tobacco Strenuous exerciser (>3.5 hours/week at a level more vigorous than walking) Surgery for weight loss Diet exclusions: Food allergies, special dietary restrictions, routine consumption of less than 3 meals/day, routine ingestion of more than 2 sugar-sweetened beverages or 1 alcoholic beverage/day, unwillingness to consume any food on study menu Veins that are assessed by the R.N.s as being unsuitable for long-term infusions and multiple blood draws from a catheter.
  • Pre-existing claustrophobia or metal implants that preclude magnetic resonance imaging Any other condition that, in the opinion of the investigators, would put the subject at risk
  • -

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California, Davis

    Davis, California, 95616

Other trials in United States

About this study

Official title: The Effects of Orange Juice Compared With Sugar-sweetened Beverage on Risk Factors and Metabolic Processes Associated With the Development of Cardiovascular Disease and Type 2 Diabetes

The objectives of this proposal are to address the gaps in knowledge regarding the metabolic effects of consuming orange juice, the most frequently consumed fruit juice in this country, compared to sugar-sweetened beverage.

Read the detailed description

Specific Aims: There is considerable epidemiological evidence that demonstrates associations between added sugar/sugar-sweetened beverage consumption and increased risk for or prevalence of chronic diseases such as cardiovascular disease (CVD), type 2 diabetes (T2D), metabolic syndrome, and gout. Especially concerning is recent evidence from National Health and Nutrition Examination Survey III that demonstrates that there is increased risk of CVD mortality with increased intake of added sugar across quintiles (Yang, 2014). Even the US mean added sugar intake, 15% of daily calories, was associated with an 18% increase in risk of CVD mortality over 15 years. The results from the investigator's recently completed study (1R01 HL09133) corroborate these findings (Stanhope, 2015). They demonstrate that supplementing the ad libitum diets of young adults with beverages containing 0, 10, 17.5 or 25% of daily energy requirement (Ereq) as high fructose corn syrup (HFCS) affects lipid/lipoprotein risk factors for CVD in a dose response manner. Specifically, levels of nonHDL-cholesterol(C), LDL-C, apolipoprotein B (apoB), and postprandial triglycerides (TG) increased linearly over a 2-week period with increasing doses of HFCS. Furthermore, even the participants consuming the 10% Ereq dose exhibited increased levels of these risk factors compared to baseline.

These and similar results have helped to lead to reductions in soda consumption in this country, and new dietary guidelines and FDA food labeling requirements to promote reductions in added sugar consumption. However, there are gaps in knowledge about other sugar-containing foods that lead to public confusion concerning healthier options for soda, and impede further progress in implementing public health policies that will promote further reductions in soda consumption. One such food is naturally-sweetened fruit juice. The amount of sugar in fruit juice is comparable to the amount in soda. Because of this, a consumer seeking answers on the internet will find many articles in which experts state or suggest that the effects of consuming fruit juice are as detrimental as or even worse than those of soda. However, in contrast to soda, fruit juice contains micronutrients and bioactives that may promote health. Therefore the consumer can also find numerous articles on the internet where the health benefits of fruit juice and these bioactives are extolled. There are a limited number of clinical dietary intervention studies that have directly compared the metabolic effects of consuming fruit juice and sugar-sweetened beverage, and their results are not conclusive. Thus we will pursue the following Specific Aims:

  1. Specific Aim 1: To compare the weight-independent effects of consuming 25%Ereq as orange juice or sugar-sweetened beverages for 4 weeks on risk factors for CVD and other chronic disease in normal weight and overweight men and women.
  2. Specific Aim 2: To mechanistically compare the weight-independent effects of consuming 25%Ereq as orange juice or sugar-sweetened beverages on metabolic processes associated with the development of CVD and T2D in normal weight and overweight men and women.
  3. Specific Aim 3: To relate the changes assessed under Specific Aims 1 and 2 to the changes in the urinary levels of metabolites and catabolites of the main flavanones in orange juice, hesperetin and naringenin.
Being tested
Naturally-sweetened orange juice, Sugar-sweetened beverage
Keywords
orange juice, sugar-sweetened beverage, triglyceride, low density lipoprotein cholesterol, apolipoprotein B, uric acid, de novo lipogenesis, hepatic triglyceride, hepatic glucose production, whole body insulin sensitivity
Medical subject headings
Insulin Resistance, Metabolic Syndrome

What participants receive

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

  • Naturally-sweetened orange juiceOther

    Commercially-available ready-to-serve refrigerated orange juice

  • Sugar-sweetened beverageOther

    Sugar-sweetened water flavored with Kool-Aid (TM)

Study groups in NCT03527277
Study groupRoleWhat they receive
Naturally-sweetened orange juiceExperimentalNaturally-sweetened orange juice Form: Beverage Daily dosage: 25% of daily energy requirement Frequency: Divided into 3 servings/day Duration: 4 weeks
Receives: Other: Naturally-sweetened orange juice
Sugar-sweetened beverageActive comparatorSugar-sweetened beverage Form: Beverage Daily dosage: 25% of daily energy requirement Frequency: Divided into 3 servings/day Duration: 4 weeks
Receives: Other: Sugar-sweetened beverage

What is being measured

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

  1. Fasting Low Density Lipoprotein Cholesterol (LDL-C)

    Absolute change of plasma LDL-C concentration (4 week value - 0 week value)

    Measured: 4 weeks

  2. Postprandial Low Density Lipoprotein Cholesterol (LDL-C)

    Absolute change of plasma postprandial LDL-C concentration (4 week value - 0 week value)

    Measured: 4 weeks

  3. Fasting Apolipoprotein B (apoB)

    Absolute change of plasma apoB concentration (4 week value - 0 week value)

    Measured: 4 weeks

  4. Postprandial Apolipoprotein B (apoB)

    Absolute change of plasma postprandial apoB concentration (4 week value - 0 week value)

    Measured: 4 weeks

  5. Fasting Uric Acid

    Absolute change of plasma uric acid concentration (4 week value - 0 week value)

    Measured: 4 weeks

  6. Postprandial Uric Acid

    Absolute change of post-dinner 4-hour AUC plasma uric acid concentration (4 week value - 0 week value)

    Measured: 4 weeks

  7. Fasting Apolipoprotein CIII (apoCIII)

    Absolute change of fasting plasma apoCIII concentration (4 week value - 0 week value)

    Measured: 4 weeks

  8. Postprandial Apolipoprotein CIII (apoCIII)

    Absolute change of plasma postprandial apoCIII concentration (4 week value - 0 week value)

    Measured: 4 weeks

  9. Postprandial Triglyceride

    Absolute change of 4-h post-dinner AUC plasma triglyceride concentration (4 week value - 0 week value)

    Measured: 4 weeks

  10. Hepatic Triglyceride

    Absolute change of % hepatic triglyceride (4 week value - 0 week value)

    Measured: 4 weeks

  11. Matsuda Insulin Sensitivity Index (ISI)

    Absolute change of Matsuda ISI (4 week value - 0 week value). The Matsuda Index is a ratio of glucose and insulin levels during oral glucose tolerance test. It is calculated using fasting and mean glucose and insulin measurements, but the units of these measurements cancel out in the formula. A Matsuda value less than 2.5 may indicate insulin resistance, thus a lowering of the Matsuda index is a detrimental outcome.

    At baseline the Matsuda index in the participants for which it was assessed ranged from 1.4 to 7.8 (mean = 3.7, standard deviation = 1.6).

    Measured: 4 week

  12. Postprandial de Novo Lipogenesis

    Absolute change of 8-hour area under the curve (AUC) percentage fractional rate postprandial de novo lipogenesis DNL (4 week value - 0 week value)

    Measured: 4 weeks

  13. M Value During Hyperinsulinemic Euglycemic Clamp

    Absolute change of M value (glucose infusion rate during final 30 minute steady state)/ fat free body mass (kg) (4 week value - 0 week value)

    Measured: 4 weeks

Secondary outcomes (11)
  1. Fasting Triglyceride

    Absolute change of plasma fasting triglyceride concentration (4 week value - 0 week value)

    Measured: 4 weeks

  2. 3-(3'-Hydroxy-4'-Methoxyphenyl)Hydracrylic

    Absolute change of total 24-hour urinary 3-(3'-hydroxy-4'-methoxyphenyl)hydracrylic (4 week value - 0 week value)

    Measured: 4 weeks

  3. Hesperetin-3'-O-glucuronide

    Absolute change of total 24-hour urinary hesperetin-3'-O-glucuronide (4 week value - 0 week value)Urine concentration hesperetin-3'-O-glucuronide

    Measured: 4 weeks

  4. Hesperetin-3',7-0-diglucuronide

    Absolute change of total 24-hour urinary hesperetin-3',7-0-diglucuronide (4 week value - 0 week value)

    Measured: 4 weeks

  5. p-Hydroxyhippuric Acid

    Absolute change of total 24-hour urinary p-Hydroxyhippuric acid (4 week value - 0 week value)

    Measured: 4 weeks

  6. 3-(4'-Methoxyphenyl)Propionic Acid-3'-O-glucuronide

    Absolute change of total 24-hour urinary 3-(4'-methoxyphenyl)propionic acid-3'-O-glucuronide (4 week value - 0 week value)

    Measured: 4 weeks

  7. Hesperetin-7-O-glucuronide

    Absolute change of total 24-hour urinary hesperetin-7-O-glucuronide (4 week value - 0 week value)

    Measured: 4 weeks

  8. Naringin-7-O-glucuronide

    Absolute change of total 24-hour urinary naringen-7-O-glucuronide (4 week value - 0 week value)

    Measured: 4 weeks

  9. Oral Glucose Tolerance Test (OGTT) Glucose 3-hour Area Under the Curve (AUC)

    Absolute change in OGTT 3-hour AUC glucose concentration (4-week value - 0-week value)

    Measured: 4 week

  10. Oral Glucose Tolerance Test (OGTT) Insulin 3-hour Area Under the Curve

    Absolute change in OGTT 3-hour AUC insulin concentration (4-week value - 0-week value)

    Measured: 4 week

  11. Fasting de Novo Lipogenesis

    Absolute change of fasting percentage fractional rate fasting de novo lipogenesis DNL (4 week value - 0 week value)

    Measured: 4 weeks

Timeline

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

  1. First posted17 May 2018
  2. Study start1 Jun 2018
  3. Primary completion28 May 2023
  4. Study completion28 May 2023

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized controlled trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03527277
Sponsor's protocol ID
1167030
Other IDs
R01HL137716
Acronym
OASIS
Status last verified
Jun 2025
First submitted
10 Apr 2018
Last updated
10 Nov 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Final dataset will include data collected specifically for the study and data provided during screening in the medical history form. This includes some demographic information and data regarding family history of disease. We will make data and demographic information available to other investigators upon request. The dataset will be stripped of all unique identifiers and subject characteristics and prepared in accordance with all HIPAA regulations prior to release for sharing. Study outcome results will be submitted to ClinicalTrials.gov no later than one year after the trial's primary completion date.

Publications

  • Yang Q, Zhang Z, Gregg EW, Flanders WD, Merritt R, Hu FB. Added sugar intake and cardiovascular diseases mortality among US adults. JAMA Intern Med. 2014 Apr;174(4):516-24. doi: 10.1001/jamainternmed.2013.13563.

    PubMed 24493081
  • Stanhope KL, Medici V, Bremer AA, Lee V, Lam HD, Nunez MV, Chen GX, Keim NL, Havel PJ. A dose-response study of consuming high-fructose corn syrup-sweetened beverages on lipid/lipoprotein risk factors for cardiovascular disease in young adults. Am J Clin Nutr. 2015 Jun;101(6):1144-54. doi: 10.3945/ajcn.114.100461. Epub 2015 Apr 22.

    PubMed 25904601

Questions about this trial

What is this clinical trial studying?

A study testing Naturally-sweetened orange juice and Sugar-sweetened beverage in people with Cardiovascular Risk Factor and Type2 Diabetes Mellitus, run by University of California, Davis 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 0 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 10 Nov 2025. 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 18 Jul 2025). 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?

Fasting Low Density Lipoprotein Cholesterol (LDL-C) (time frame: 4 weeks). The study lists 13 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 NCT03527277, 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 10 Nov 2025.

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