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Cardiovascular DiseasesNCT03948295

Lipid Challenge in Adults

A study testing Lipid Challenge in people with Cardiovascular Diseases, run by Emory 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

Participants in this study will have one visit to the Emory University Hospital Clinical Research Unit. Participants will consume, over 5 minutes, a single standardized fat challenge (100 grams), using a commercially available liquid high-energy long chain triglyceride fat emulsion (Calogen), which provides 50 grams… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Cardiovascular Diseases
What is being tested?
Lipid Challenge
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 siteUnited States
Study dates
29 Aug 2019to 9 Sep 2021
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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • functionally ambulatory
  • BMI between >20 to 40 kg/m^2
  • available for an 8 hour visit to the Emory University Hospital Clinical Research Center

Who cannot join

  • has taken any diabetic or lipid lowering prescription medications within the past 12 months
  • history of chronic diseases
  • hospitalized within the last year
  • currently pregnant
  • current active malignant neoplasm or history of malignancy (other than localized basal cell cancer of the skin) during the previous 5 years
  • current chronic autoimmune or pro-inflammatory disease
Show all 13Show fewer
  • history of tuberculosis, HIV, or other chronic infection
  • previous diagnosis of type 1 or type 2 diabetes with active treatment with insulin or other glucose lowering medication
  • advanced (>= stage 3) renal disease
  • recreational or prescription drug or alcohol abuse
  • any history of gastrointestinal diseases, including malabsorption
  • any history of intolerance to dietary fat
  • inability to provide informed consent

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Emory University Hospital

    Atlanta, Georgia, 30322

Other trials in United States

About this study

Official title: Measurements of Lipoproteins, Apolipoproteins and Lipids - Determination of Pre-analytical Variables for Analysis of Blood Collected From Fasting and Post-prandial Subjects

Participants in this study will have one visit to the Emory University Hospital Clinical Research Unit. Participants will consume, over 5 minutes, a single standardized fat challenge (100 grams), using a commercially available liquid high-energy long chain triglyceride fat emulsion (Calogen), which provides 50 grams of long chain triglycerides per 100 mL. Participants will have 20 mL blood withdrawn at six successive time points over an 8-hour period, where the first time point after fasting (baseline) is followed by 5 time-points after fat consumption. Blood will be analyzed for a wide panel of blood lipids.

Read the detailed description

Cardiovascular disease (CVD) is the leading killer of Americans, accounting more than 800,000 deaths each year. A vital step in reducing the number of heart disease-related deaths in the U.S. is to identify those at probable risk. The Clinical Chemistry Branch (CCB) in the Division of Laboratory Sciences (DLS) at the Centers for Disease Control and Prevention (CDC) has developed advanced analytical methods for assessing the risk for lipid metabolism related diseases, including CVD. CCB of the CDC has developed a comprehensive analytical method to measure levels of protein and lipid constituents of lipoprotein size/density classes (e.g. high-density lipoprotein (HDL), low-density lipoprotein (LDL) and very low-density lipoprotein (VLDL) in blood. CCB plans to eventually apply this method in future investigations of cohorts with different CVD states. The measurement of this wide array of CVD-linked biomarkers has the potential to improve the assessment of CVD risk over current clinical methods based on lipoprotein classes.

However, limited information is available about how the advanced tests developed by CCB are affected by blood collection conditions, such as fasting/non-fasting state of the subjects. The purpose of this study is to determine the relative significance of these pre-analytical variables and determine optimal conditions for future cohort studies.

This study will recruit up to 32 healthy individuals, with and without obesity, to participate. The study involves one visit to the Emory University Hospital Clinical Research Unit where participants will consume, over 5 minutes, a single standardized fat challenge (100 grams), using a commercially available liquid high-energy long chain triglyceride fat emulsion (Calogen; http://www.nutricia.ie/calogen#), which provides 50 grams of long chain triglycerides per 100 mL. Participants will have 20 mL blood withdrawn at six successive time points over an 8-hour period, where the first time point after fasting is followed by 5 time-points after fat (Calogen) consumption. Blood will be analyzed at the CCB for a wide panel of blood lipids and potential biomarkers for CVD.

Specific expected outcomes of the study include the following: 1) Determination of typical intra-individual differences between fasting and post-prandial states; and 2) Changes in the levels of the various analytes after fat consumption will be indicative of inter-individual differences in the rate of triglyceride depletion, and the rate of accumulation/depletion of HDL or LDL of different particle size range and composition. The results will allow the assessment of significant differences in lipid metabolism between individuals with a normal BMI (20 to 25 kg/m^2) versus those with a BMI in the obese range (30-35 kg/m^2).

Being tested
Lipid Challenge
Medical subject headings
Cardiovascular Diseases

What participants receive

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

  • Lipid ChallengeDietary supplement

    Also called Calogen

    After fasting for 10 hours, all participants will undergo a lipid challenge with Calogen. Calogen is a commercially available liquid high-energy long chain triglyceride fat emulsion used to fortify foods. Calogen provides 50 grams of long chain triglycerides per 100 mL. Participants must avoid physical activity during the 6 hour study period to avoid changes in metabolism that could affect the results of the study.

Study groups in NCT03948295
Study groupRoleWhat they receive
Lipid Challenge InterventionExperimentalParticipants of all weights will receive the lipid challenge intervention.
Receives: Dietary Supplement: Lipid Challenge

What is being measured

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

  1. Change in high-density lipoprotein (HDL) Size

    HDL concentration size profiles for each time-point will be compared between participants with normal BMI and participants with obese range BMI. HDL is considered to be anti-atherogenic because of its ability deplete excess cholesterol accumulating necrotic cores and repair arterial lesions.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  2. Change in low-density lipoprotein (LDL) Size

    LDL concentration size profiles for each time-point will be compared between participants with normal BMI and participants with obese range BMI. LDL is considered to be atherogenic because it is likely to be trapped inside the intima of blood vessels and arteries and initiate inflammatory response, foam-cell formation, and smooth muscle cell proliferation, leading to development necrotic cores, lesions, plaques and their eventual rupture. Elevated LDL has been thought to contribute to atherosclerotic events, however, research has also observed coronary events occurring in individuals with LDL levels in the acceptable range.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  3. Change in Total Cholesterol

    Total cholesterol profiles for each time-point will be compared between participants with normal BMI and participants with obese range BMI. Elevated total cholesterol has been thought to contribute to atherosclerotic events, however, research has also observed coronary events occurring in individuals with total cholesterol levels in the acceptable range.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  4. Change in Free Cholesterol

    Free cholesterol concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI. Free cholesterol is unesterified cholesterol that is circulating in the blood stream.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  5. Change in Cholesterol Ester

    Cholesterol ester concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI. Lipoproteins contain cholesterol ester, and cholesterol ester is associated with atherosclerosis.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  6. Change in Triglycerides

    Triglyceride concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI. Triglycerides peak in serum 2 to 4 hours after a meal and return to a pre-meal state in 6 to 8 hours.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  7. Change in Phosphatidylinositol

    Phosphatidylinositol concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  8. Change in Phosphatidylethanolamine

    Phosphatidylethanolamine concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  9. Change in Phosphatidylcholine

    Phosphatidylcholine concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  10. Change in Sphingomyelin

    Sphingomyelin concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  11. Change in Lysophosphatidylcholine

    Lysophosphatidylcholine concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  12. Change in Apolipoprotein AI

    Apolipoprotein AI concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  13. Change in Apolipoprotein AII

    Apolipoprotein AII concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  14. Change in Apolipoprotein AIV

    Apolipoprotein AIV concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  15. Change in Apolipoprotein B

    Apolipoprotein B concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  16. Change in Apolipoprotein CI

    Apolipoprotein CI concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  17. Change in Apolipoprotein CII

    Apolipoprotein CII concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  18. Change in Apolipoprotein CIII

    Apolipoprotein CIII concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  19. Change in Apolipoprotein E

    Apolipoprotein E concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  20. Change in Lecithin-Cholesterol Acyltransferase

    Lecithin-cholesterol acyltransferase concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  21. Change in Cholesterol Ester Transfer Protein

    Cholesterol ester transfer protein concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  22. Change in Lipoprotein (a)

    Lipoprotein (a) concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  23. Change in Phospholipid Transfer Protein

    Phospholipid transfer protein concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  24. Change in Serum Paraoxonase/arylesterase 1

    Serum paraoxonase/arylesterase 1 concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  25. Change in Serum Amyloid A1

    Serum amyloid A1 concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

  26. Change in Serum Amyloid A4

    Serum amyloid A4 concentration for each time-point will be compared between participants with normal BMI and participants with obese range BMI.

    Measured: Hours 0, 0.5, 1, 2, 4, and 6

Timeline

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

  1. First posted13 May 2019
  2. Study start29 Aug 2019
  3. Primary completion9 Sep 2021
  4. Study completion9 Sep 2021

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03948295
Sponsor's protocol ID
IRB00107183
Status last verified
Apr 2023
First submitted
10 May 2019
Last updated
1 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Lipid Challenge in people with Cardiovascular Diseases, run by Emory 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 3 inclusion and 13 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 1 May 2023. 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?

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?

Change in high-density lipoprotein (HDL) Size (time frame: Hours 0, 0.5, 1, 2, 4, and 6). The study lists 26 primary outcomes in all. 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 1 May 2023.

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