Type 2 Diabetes MellitusACMYCONCT03949582
Acute Mycoprotein Effect on Glycaemic Control in South Asians
A study testing Test food containing different types of dietary protein in people with Type 2 Diabetes Mellitus, run by Imperial College London at 1 site in United Kingdom.
Trial summary
Diet is the cornerstone treatment to manage blood sugar in people with Type 2 Diabetes (T2D). Fibres like guar gum and protein are macronutrients that have an effect in blood sugar levels. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Test food containing different types of dietary protein
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 1 May 2019to 30 Jun 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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosed with Type 2 Diabetes Mellitus without insulin treatment.
- South Asian (Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, India, Pakistan and Sri Lanka) or Caucasian Ancestry.
- Age 18-70
- 5.5% ≤ HbA1c ≤ 9.0%
- BMI ≤ 35.0
- If anti-diabetic regime or lipid lowering drugs are used, they have to be stable and controlled for at least 2 months; regimes are expected to remain stable throughout the duration of the study or not being on anti-diabetic medication.
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- If on oral hypoglycaemic agent, participant should have the last dose at 8pm of the day before each study visit.
- Willingness to comply with the study protocol, including:
- Use of standard evening meal the day prior to the assessments
- Refrain from alcohol consumption (24 h prior the visit) and extraneous physical exercise (72 h prior to and during the assessments).
- Not changing physical activity routine or dietary habits for the duration of the study (except from the standard evening meal).
Who cannot join
- Not diagnosed with Type 2 Diabetes Mellitus
- Mixed ancestors
- Taking any of the following medications:
- Insulin
- Diabetic medication (except from Metformin or oral hypoglycaemic which are allowed).
- Orlistat
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- Any gastrointestinal disease that interferes with bowel function and nutritional intake (i.e. Diabetes related constipation or diarrhoea secondary to neuropathy or chronic inflammatory bowel disease, gastrectomy, etc.)
- Significant heart (New York Heart Association class IV), hepatic (transaminase levels greater than 3 times normal) or renal disease (requiring dialysis)
- Cancer
- Pancreatitis
- Major infections (requiring antibiotics) within 3 weeks before study entry
- Concomitant therapy with acarbose, meglitinides, insulin, systemic glucocorticoids or within 2 weeks prior to study entry
- History of alcohol and/or drug abuse
- Investigator's uncertainty about the willingness or ability of patient to comply with the protocol requirements
- Participation in other nutrition trials within 3 months of study entry or drug trials within 5 months of study end
- Current smokers
- Allergic to test food or traces contained in the test food, breathing mould, penicillin, egg, soy
- Asthmatics.
- Any condition involving the imbalance of hormones
- Hypothyroidism.
- Weight change of ≥ 5% in the preceding 3 months
- Shift workers
- Vegetarian
- Medical implants that require batteries such as heart pace makers
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site, 1 recruiting
- Recruiting
NIHR Imperial Clinical Research Facility
London, W12 0HS
Karen Mosley, PhD, 020 3313 8073, K.mosley@nhs.net
Susanne Fagerbrink, 020 3313 8077, Susanne.Fagerbrink@nhs.net
About this study
Official title: A Double-Blind Randomised Controlled Trial Investigating the Acute Effects of Mycoprotein on Glycaemic Control and Appetite in South Asian and Caucasian Adults With Type 2 Diabetes Mellitus
Diet is the cornerstone treatment to manage blood sugar in people with Type 2 Diabetes (T2D). Fibres like guar gum and protein are macronutrients that have an effect in blood sugar levels. Mycoprotein is a fungi-based food high in both dietary fibre and protein shown to have a role in regulating blood sugar levels in healthy. However, little is known about the effects of mycoprotein on blood sugar levels in people with T2D. We are interested in South Asian because they have a different blood sugar response to the same food than a Caucasian.
The main aims of the study is to assess:
- The effect of mycoprotein in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with Type 2 Diabetes.
- The effect of the combination of mycoprotein with guar gum in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with T2D.
Read the detailed description
This is a double-blind crossover RCT. A total of 48 participants (24 Caucasian and 24 South Asian) with T2D and non insulin treated will be recruited. Participant will be randomly allocated to one of these two groups:
Group 1: Test food in form of soup and Group 2: Test food in form of mince. Once allocated in one of the groups, participant will consume in a random order 6 different test foods (soy, chicken, mycoprotein with and without guar gum) in a determined format (either as in soup or mince).
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Test food containing different types of dietary protein
- Keywords
- Type 2 Diabetes, South Asian, Guar gum, Mycoprotein, Caucasian, Glycaemic control, Appetite
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Test food containing different types of dietary proteinOther
The test foods will be (in six study visits):
Soy mince/soup Chicken mince/soup Quorn mince/soup Soy mince/soup with guar gum Chicken mince/soup with guar gum Quorn mince/soup with guar gum
| Study group | Role | What they receive |
|---|---|---|
| Mycoprotein as in Soup | Experimental | 24 will be randomised to soup (12 caucasian and 12 south asian) in order to test raw mycoprotein. Test food will be administrated orally and allowed 15 minutes for consumption at an even pace. Receives: Other: Test food containing different types of dietary protein |
| Mycoprotein as in Mince | Experimental | 24 will be randomised to mince (12 caucasian and 12 south asian) in order to test processed mycoprotein (Quorn). Test food will be administrated orally and allowed 15 minutes for consumption at an even pace. Receives: Other: Test food containing different types of dietary protein |
What is being measured
The primary outcome is the main question the study is designed to answer.
Blood glucose
Fasting and Postprandial blood glucose
Measured: 180 minutes
Blood insulin
Fasting and Postprandial blood insulin
Measured: 180 minutes
Secondary outcomes (3)
Subjective appetite feelings
Measured using Visual Analogue Scale from 0 to 100 milimetres, being 100 milimetres the higher score.
Questions assessed are:
- "how hungry do you feel?"
- "how sick do you feel?"
- "how strong is your desire to eat?"
- "how much food do you think you could eat?"
- "how full do you feel?"
- "what is your level of satiety?"
For questions 1 to 4 the desirable outcome considered as "good result" for the test food mycoprotein are values less than 30 milimetres, and for questions 5 and 6, values above 60 milimetres.
Measured: 180 minutes
Ad libitum energy intake
Measured using a buffet meal composed of wihte pasta with tomato sauce and weighting the serving bowl before and after to measure consumed grams of food.
Measured: At timepoint 180 minutes
Energy intake 72 hours post study visit
Energy intake of free-living subjects will be measured using self reported food diaries
Measured: For 3 days after study visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2019
- Study start1 May 2019
- Primary completion30 Jun 2021 (estimated)
- Study completion30 Jun 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Imperial College LondonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Crossover
- Model description
- Double-Blind Crossover Randomised Controlled Trial
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 48 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Imperial College London
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Gary Frost, Principal investigator, Imperial College London
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03949582
- Sponsor's protocol ID
- 18HH4870
- Acronym
- ACMYCO
- Status last verified
- Sep 2019
- First submitted
- 8 May 2019
- Last updated
- 17 Sep 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Cherta-Murillo A, Zhou K, Tashkova M, Frampton J, Cepas de Oliveira AC, Ho C, Franco-Becker G, Chambers ES, Dornhorst A, Frost GS. Investigating the effects of mycoprotein and guar gum on postprandial glucose in type 2 diabetes: a double-blind randomised controlled trial. Nutr Diabetes. 2025 May 23;15(1):23. doi: 10.1038/s41387-025-00375-w.
PubMed 40410155
Study at a glance
From the registry record, last updated by the sponsor on 17 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind Randomised Controlled Trial Investigating the Acute Effects of Mycoprotein on Glycaemic Control and Appetite in South Asian and Caucasian Adults With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT03949582
- Acronym / sponsor ID
- ACMYCO / 18HH4870
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Type 2 Diabetes, South Asian, Guar gum, Mycoprotein, Caucasian, Glycaemic control, Appetite
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 48 participants (estimated)
- Lead sponsor
- Imperial College LondonUniversity, hospital or other
- Study start
- 1 May 2019 (actual)
- Primary completion
- 30 Jun 2021 (estimated)
- Study completion
- 30 Jun 2021 (estimated)
- First posted
- 14 May 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Diet is the cornerstone treatment to manage blood sugar in people with Type 2 Diabetes (T2D). Fibres like guar gum and protein are macronutrients that have an effect in blood sugar levels. Mycoprotein is a fungi-based food high in both dietary fibre and protein shown to have a role in regulating blood sugar levels in healthy. However, little is known about the effects of mycoprotein on blood sugar levels in people with T2D. We are interested in South Asian because they have a different blood sugar response to the same food than a Caucasian.
The main aims of the study is to assess:
- The effect of mycoprotein in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with Type 2 Diabetes.
- The effect of the combination of mycoprotein with guar gum in different formats (soup or mince) in blood sugar levels and appetite in South Asian and Caucasian with T2D.
Detailed description
This is a double-blind crossover RCT. A total of 48 participants (24 Caucasian and 24 South Asian) with T2D and non insulin treated will be recruited. Participant will be randomly allocated to one of these two groups:
Group 1: Test food in form of soup and Group 2: Test food in form of mince. Once allocated in one of the groups, participant will consume in a random order 6 different test foods (soy, chicken, mycoprotein with and without guar gum) in a determined format (either as in soup or mince).
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Double-Blind Crossover Randomised Controlled Trial
| Arm | Type | Receives |
|---|---|---|
| Mycoprotein as in Soup | Experimental | Other: Test food containing different types of dietary protein24 will be randomised to soup (12 caucasian and 12 south asian) in order to test raw mycoprotein. Test food will be administrated orally and allowed 15 minutes for consumption at an even pace. |
| Mycoprotein as in Mince | Experimental | Other: Test food containing different types of dietary protein24 will be randomised to mince (12 caucasian and 12 south asian) in order to test processed mycoprotein (Quorn). Test food will be administrated orally and allowed 15 minutes for consumption at an even pace. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Diagnosed with Type 2 Diabetes Mellitus without insulin treatment.
- South Asian (Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, India, Pakistan and Sri Lanka) or Caucasian Ancestry.
- Age 18-70
- 5.5% ≤ HbA1c ≤ 9.0%
- BMI ≤ 35.0
Key exclusion criteria (24 listed)
- Not diagnosed with Type 2 Diabetes Mellitus
- Mixed ancestors
- Taking any of the following medications:
- Insulin
- Diabetic medication (except from Metformin or oral hypoglycaemic which are allowed).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Test food containing different types of dietary proteinThe test foods will be (in six study visits): Soy mince/soup Chicken mince/soup Quorn mince/soup Soy mince/soup with guar gum Chicken mince/soup with guar gum Quorn mince/soup with guar gum | Other | Mycoprotein as in Mince, Mycoprotein as in Soup |
Primary outcome
Blood glucose
Time frame: 180 minutes
Fasting and Postprandial blood glucose
Blood insulin
Time frame: 180 minutes
Fasting and Postprandial blood insulin
3 secondary outcomes
Subjective appetite feelings
Time frame: 180 minutes
Ad libitum energy intake
Time frame: At timepoint 180 minutes
Energy intake 72 hours post study visit
Time frame: For 3 days after study visit
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Sep 2019.
- Derived from this study: PubMed 40410155Cherta-Murillo A, Zhou K, Tashkova M, Frampton J, Cepas de Oliveira AC, Ho C, Franco-Becker G, Chambers ES, Dornhorst A, Frost GS. Investigating the effects of mycoprotein and guar gum on postprandial glucose in type 2 diabetes: a double-blind randomised controlled trial. Nutr Diabetes. 2025 May 23;15(1):23. doi: 10.1038/s41387-025-00375-w.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gary Frost principal investigator
Imperial College London
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Test food containing different types of dietary protein in people with Type 2 Diabetes Mellitus, run by Imperial College London 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 11 inclusion and 24 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: status not confirmed, as of the sponsor's last update on 17 Sep 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Gary Frost, PhD, RD (020 7594 0959, g.frost@imperial.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Blood glucose (time frame: 180 minutes). The study lists 2 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 NCT03949582, which also lists 1 linked publication.
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 17 Sep 2019.