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MicrobiotaNCT03978104

Impact of Okara and Bio-okara Food Product on Gut and Glycaemic Health in Middle-aged and Older Adults in Singapore

A study testing Okara biscuits and Bio-okara biscuits in people with Microbiota and Gastrointestinal Microbiome, run by National University of Singapore at 1 site in Singapore.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This research project aims to provide the scientific findings about the beneficial effects of okara (soybean pulp) consumption on gut and glycaemic health in middle-aged and older individuals in Singapore. In addition, it aims to examine the health promoting impact of bio-transformed okara in this population. Read more about this study

Who is it for?
Ages 50 to 75 yearsHealthy volunteers can take part
What is being tested?
Okara biscuits and Bio-okara biscuits
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteSingapore
Study dates
1 Nov 2019to Sep 2022
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 50 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Ability to give an informed consent
  • Age 50 to 75 years
  • Willing to follow the study procedures

Who cannot join

  • All subjects meeting any of the exclusion criteria at baseline will be excluded from participation
  • Significant change in weight (≥ 3 kg body weight) during the past 3 months
  • Allergy to soy-based products
  • Acute illness at the study baseline
  • Exercising vigorously over the past 3 months
  • Following any restricted diet (e.g. vegetarian)
Show all 13Show fewer
  • Smoking
  • Have a daily intake of more than 2 alcoholic drinks per day
  • Prescribed and taking antihypertensive/cholesterol-lowering/ type-2 diabetic medication which started less than 5 years prior to the intervention participation
  • Taking dietary supplements which may impact the outcome of interests (e.g. vitamin supplements, probiotic supplement etc.)
  • Pregnant, lactating, or planning pregnancy in the next 6 months
  • Insufficient venous access to allow the blood collection
  • Very high intake of fibre/ vegetables on a daily basis

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • Department of Food Science and Technology; National University of Singapore

    Singapore, 117546

Other trials in Singapore

About this study

This research project aims to provide the scientific findings about the beneficial effects of okara (soybean pulp) consumption on gut and glycaemic health in middle-aged and older individuals in Singapore. In addition, it aims to examine the health promoting impact of bio-transformed okara in this population. We hypothesise that consuming a habitual diet with an okara (untreated or bio-transformed) incorporated food product will improve the gut microbiome composition and will increase the production of short chain fatty acids when compared to a same diet with no okara. Okara-based food product can also improve the glycaemic response in individuals compared to a product without okara in meal tolerance test (acute).

Read the detailed description

For this double-blind, randomized, crossover experiment, the participants will complete a 16-week study period. Following a 1-wk pre-intervention baseline period, each participant will be randomly assigned to consume their habitual diet that either contains or do not contain okara food product (untreated and bio-transformed okara) for 3 weeks. The food product will be equivalent to a consumption of 20 g of okara (dried) per day. Following a 3-week dietary 'washout' period, the participants will be assigned to consume the other diets for another 3 weeks. This process will be repeated until each participant have completed all three interventions. Fecal and fasting-state blood samples will be obtained at study weeks 1, 4, 7, 10, 13, and 16, which correspond to before and end of the three 3-week intervention periods.

Additionally, during Weeks 1, 7 and 13, fasted participants will also be required to undergo a meal tolerance test. A cannula will first be inserted into the participant's forearm for blood sampling by a trained phlebotomist. One of three meals prepared by designated study personnel will then be randomly assigned during each visit, namely, control biscuit, untreated okara biscuit and bio-transformed okara biscuit. During each test, the participants will eat the prepared meal within 10 minutes and have blood samples drawn by intravenous cannulation at time = 0, 15, 30, 45, 60, 90, 120, 180 and 240 min, with time 0 being the time the participants first start eating the biscuits. The blood samples will analyzed for the postprandial blood glucose, insulin responses and lipid levels.

Being tested
Okara biscuits, Bio-okara biscuits, Control biscuits
Keywords
Okara, Soybean pulp, Soybean, Fibre, Gut microbiome, Microbiota, Gastrointestinal microbiome, Glycemic, Glycaemic, Middle-aged and older adults, Singapore

What participants receive

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

  • Okara biscuitsDietary supplement

    Consumption of okara-enriched biscuits together with habitual diet.

  • Bio-okara biscuitsDietary supplement

    Also called Fermented okara biscuits

    Consumption of bio-okara-enriched biscuits together with habitual diet. Bio-okara is a form of fermented okara.

  • Control biscuitsDietary supplement

    Consumption of control biscuits together with habitual diet.

Study groups in NCT03978104
Study groupRoleWhat they receive
Okara biscuitsExperimentalSubjects will consume their habitual diet with daily okara biscuit consumption accounting to 20 grams/ day of dry okara powder for 21 days.
Receives: Dietary Supplement: Okara biscuits
Bio-okara biscuitsExperimentalSubjects will consume their habitual diet with daily bio-okara biscuit consumption accounting to 20 grams/ day of dry bio-okara powder for 21 days.
Receives: Dietary Supplement: Bio-okara biscuits
Control biscuitsExperimentalSubjects will consume their habitual diet with daily control biscuit consumption for 21 days.
Receives: Dietary Supplement: Control biscuits

What is being measured

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

  1. Change in gut microbiome composition before and after a 3 week intervention.

    Gut microbiome composition will be determined via fecal samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  2. Change in fecal short chain fatty acids (SCFA) before and after a 3 week intervention.

    SCFA will be determined via fecal samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  3. Change in serum short chain fatty acids (SCFA) before and after a 3 week intervention.

    SCFA will be determined via serum samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  4. Change in fecal bile acids before and after a 3 week intervention.

    Bile acids will be determined via serum samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  5. Change in serum zonulin before and after a 3 week intervention.

    Serum zonulin will be determined via serum samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  6. Change in blood glucose levels before and after a 3 week intervention.

    Glucose levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  7. Change in blood insulin levels before and after a 3 week intervention.

    Insulin levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  8. Change in blood triglyceride levels before and after a 3 week intervention.

    Total triglyceride levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  9. Change in blood cholesterol levels before and after a 3 week intervention.

    Total cholesterol levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  10. Change in blood low-density lipoprotein-cholesterol levels before and after a 3 week intervention.

    Low-density lipoprotein-cholesterol levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  11. Change in blood high-density lipoprotein-cholesterol levels before and after a 3 week intervention.

    High-density lipoprotein-cholesterol levels will be determined via fasted blood samples of subjects at baseline and after each intervention period.

    Measured: Baseline and post-intervention (at 3 weeks)

  12. Change in blood glucose levels over acute trial period

    Glucose levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  13. Change in blood insulin levels over acute trial period

    Insulin levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  14. Change in blood short-chain fatty acids levels over acute trial period

    Short-chain fatty acids levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  15. Change in blood amino acid levels over acute trial period

    Amino acid levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

Secondary outcomes (16)
  1. Change in blood pressure

    Blood pressure

    Measured: Baseline and post-intervention (at 3 weeks)

  2. Change in anthropometric measurements

    Waist circumference

    Measured: Baseline and post-intervention (at 3 weeks)

  3. Change in anthropometric measurements

    Weight

    Measured: Baseline and post-intervention (at 3 weeks)

  4. Change in anthropometric measurements

    Height

    Measured: Baseline

  5. Dietary assessment

    Dietary questionnaires (3-day food record)

    Measured: Baseline and post-intervention (at 3 weeks)

  6. Stool assessment

    Stool sampling questionnaire will be completed by subjects, which notes down food or alcohol consumed over the past 24 hours prior to collection, any discomfort, pain or bloating, flatulence, noticable changes in stool frequency or consistency, any blood in stool and any type of medication consumed over the past 3 months.

    Measured: Baseline and post-intervention (at 3 weeks)

  7. Stool assessment

    Bristol stool chart (Ranging from Type 1 to Type 7, with Type 3 or 4 being ideal.

    Measured: Baseline and post-intervention (at 3 weeks)

  8. Sleep quality assessment

    Pittsburgh sleep quality index questionnaire, with 7 different components assessing sleep and each component making up a minimum or 0 and maximum of 3 points. The full scale ranges from 0 to 21, with a lower score indicative of a better quality of sleep.

    Measured: Baseline and post-intervention (at 3 weeks)

  9. Sleep quality assessment

    Sleep evaluation questionnaire (survey) to assess eligibility for studies with sleep involved

    Measured: Baseline and post-intervention (at 3 weeks)

  10. Cognitive assessment

    Montreal cognitive assessment

    Measured: Baseline and post-intervention (at 3 weeks)

  11. Appetite assessment

    Visual analogue scale, with unit of measure being units on a scale

    Measured: Baseline and post-intervention (at 3 weeks)

  12. Change in blood amino acids levels over acute trial period

    Amino acid levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  13. Change in blood triglyceride levels over acute trial period

    Total triglyceride levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  14. Change in blood cholesterol levels over acute trial period

    Total cholesterol levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  15. Change in blood low-density lipoprotein-cholesterol levels over acute trial period

    Low-density lipoprotein-cholesterol levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

  16. Change in blood high-density lipoprotein-cholesterol levels over acute trial period

    High-density lipoprotein-cholesterol levels will be determined via fasted blood samples of subjects and after consumption of intervention

    Measured: Time 0, 15, 30, 45, 60, 90, 120, 180, 240 minutes held on pre- intervention arm visit (Every 6 weeks, up to 12 weeks).

Timeline

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

  1. First posted6 Jun 2019
  2. Study start1 Nov 2019
  3. Primary completion28 Sep 2020
  4. Study completionSep 2022 (estimated)

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
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03978104
Sponsor's protocol ID
S4
Status last verified
Mar 2022
First submitted
24 May 2019
Last updated
24 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Electronic data with any identifiable participant information will be de-identified prior to statistical analysis.

Publications

  • Vong, W.C., X.Y. Hua, and S.-Q. Liu, Solid-state fermentation with Rhizopus oligosporus and Yarrowia lipolytica improved nutritional and flavour properties of okara. Lwt, 2018. 90: p. 316-322.

  • Yogo, T., et al., Influence of Dried Okara-Tempeh on the Composition and Metabolites of Fecal Microbiota in Dogs. International Journal of Applied Research in Veterinary Medicine, 2011. 9(2): p. 176-183.

  • Jimenez-Escrig A, Tenorio MD, Espinosa-Martos I, Ruperez P. Health-promoting effects of a dietary fiber concentrate from the soybean byproduct okara in rats. J Agric Food Chem. 2008 Aug 27;56(16):7495-501. doi: 10.1021/jf800792y. Epub 2008 Jul 18.

    PubMed 18636739
  • Lu, F., Y. Liu, and B. Li, Okara dietary fiber and hypoglycemic effect of okara foods. Bioactive Carbohydrates and Dietary Fibre, 2013. 2(2): p. 126-132.

  • Lee DPS, Mak IEK, Leong GXY, Liu X, Kim JE. Effect of okara and biovalorised okara consumption on postprandial amino acid response: a crossover randomised controlled trial. Eur J Clin Nutr. 2026 Jun 2. doi: 10.1038/s41430-026-01769-4. Online ahead of print.

    PubMed 42230764
  • Lee DPS, Gan AX, Sutanto CN, Toh KQX, Khoo CM, Kim JE. Postprandial glycemic and circulating SCFA concentrations following okara- and biovalorized okara-containing biscuit consumption in middle-aged and older adults: a crossover randomized controlled trial. Food Funct. 2022 Sep 22;13(18):9687-9699. doi: 10.1039/d2fo00526c.

    PubMed 36040444

Questions about this trial

What is this clinical trial studying?

A study testing Okara biscuits and Bio-okara biscuits in people with Microbiota and Gastrointestinal Microbiome, run by National University of Singapore at 1 site in Singapore.

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: status not confirmed, as of the sponsor's last update on 24 Mar 2022. 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 Singapore. 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?

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 gut microbiome composition before and after a 3 week intervention. (time frame: Baseline and post-intervention (at 3 weeks)). The study lists 15 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 NCT03978104, which also lists 6 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 24 Mar 2022.

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