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GenomicsPOEMINCT04178681

Postprandial Effects of Milk Fats

A study testing 100% vegetable blend, 100% AMF and 100% cream in people with Genomics and Postprandial Metabolism, run by Wageningen University at 1 site in Netherlands.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Nowadays, mostly vegetable fat blends are used in infant formula, but the use of bovine milk fat is increasing. In terms of fat structure, bovine milk fat and vegetable fats differ. Read more about this study

Who is it for?
Ages 40 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Genomics, Postprandial Metabolism, Nutrition
What is being tested?
100% vegetable blend, 100% AMF and 100% cream
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteNetherlands
Study dates
2 Dec 2019to 28 Feb 2020
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 40 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Apparently healthy man or woman
  • Age 40-70y at the time of recruitment
  • BMI of 22-27 kg/m2
  • Having a Hb value above 8.4 (men) or 7.4 (women) mmol/L (will be checked at the screening visit)
  • Having veins suitable for blood sampling via a catheter cannula (judged by study nurse/ medical doctor)
  • Having a general practitioner
  • Signed informed consent

Who cannot join

  • Any chronic metabolic, gastrointestinal, inflammatory or chronic disease (such as diabetes, anaemia, hepatitis, cardiovascular disease)
  • History of gastro-intestinal surgery or having (serious) gastro-intestinal complaints
  • Renal or hepatic malfunctioning (pre-diagnosis or determined based on ALAT, ASAT and creatinine values)
  • Use of medication that may influence the study results, such as laxatives, stomach protectors and drugs that can affect intestinal motility.
  • Donated or intend to donate blood from 2 months before the study until the end of the study
  • Reported slimming, medically prescribed or vegan diet
Show all 16Show fewer
  • Unstable body weight (weight gain or loss >5 kg in the past three months)
  • Current smokers
  • Alcohol on average: more than 2 consumptions/day or more than 14 consumptions/week
  • Pregnant, lactating or wishing to become pregnant in the period of the study (self-reported)
  • Use of illicit drugs
  • Food allergies for products that the investigators use in the study
  • Participation in another clinical trial at the same time, or in the month preceding the start of this study
  • Inability to understand study information and/or communicate with staff
  • Members of the research team
  • Working, or doing an internship or thesis at the division "Human Nutrition and Health", Wageningen University

Trial locations and contacts

1 site in 1 country.

Charlotte Michielsen, MSc contact

+31 317 484 864

charlotte.michielsen@wur.nl

Lydia Afman, PhD contact

+31 317 485 789

lydia.afman@wur.nl

Netherlands1 site, 1 recruiting
  • Wageningen University, Division of Human Nutrition

    Wageningen, Gelderland, 6700 EV

    Lydia A Afman, PhD, 0031317485789, lydia.afman@wur.nl

    Recruiting

Other trials in Netherlands

About this study

Official title: The Effects of Different Fat Structures on Postprandial Responses in Healthy Subjects

Nowadays, mostly vegetable fat blends are used in infant formula, but the use of bovine milk fat is increasing. In terms of fat structure, bovine milk fat and vegetable fats differ. Bovine milk fat has a higher percentage of palmitic acid attached to the sn-2 position of the glycerol backbone compared to vegetable fat blend. Also bovine milk fat contains milk fat globular membranes, as opposed to vegetable fat. With this study the investigators want to examine the effects of a vegetable fat blend versus bovine milk fat without globular membranes and bovine milk fat with globular membranes on underlying mechanistic, immune and metabolic responses.

Read the detailed description

Rationale: Human milk is considered as the ideal food for full-term infants. The composition and function of human milk is unique and has provided the basis for the development of modern artificial milk formulas that mimic its complex biological positive effects on infants and can provide an appropriate substitute for non-breastfed infants. An important component in human milk are the lipids, as they deliver 50% of the total energy to infants. Nowadays, mostly vegetable fat blends are used in infant formula, but the use of bovine milk fat is increasing. In terms of fat structure, bovine milk fat and vegetable fats differ. Bovine milk fat has a higher percentage of palmitic acid attached to the sn-2 position of the glycerol backbone compared to vegetable fat blend. Also bovine milk fat contains milk fat globular membranes, as opposed to vegetable fat. Knowledge on how these differences influence underlying mechanistic, immune and metabolic responses is lacking.

Objectives: The primary objective of this study is to determine the effect of three different fat blends on underlying mechanistic and immune responses in the circulation. The secondary objectives of this study are: 1) to examine the effects of the three different fat blends on postprandial triglyceride concentration and other cardio-metabolic markers in the circulation, 2) to investigate the effect of the three different fat blends on postprandial feelings of hunger and satiety, and 3) to investigate how comparable cytokine measurements are in blood samples obtained via a catheter cannula compared to cytokine measurements in dried blood spots obtained via a finger prick.

Study design: The POEMI Study is a double-blind randomized cross-over acute intervention study in which each research subject will visit the university on three separate occasions with a wash-out period of at least one week. At each visit the research subject will undergo one of the three dietary lipid challenge tests (a shake) in a randomized order. On each study day research subjects will be asked to clock in 30 minutes prior to the first data collection points and a catheter cannula will be inserted in a antecubital vein. After the 30 minute rest, blood will be drawn from the catheter cannula and via a finger prick (baseline measurements, t0). After the baseline measurements, the research subjects will have to consume the shake within a time frame of 10 minutes. Blood is again drawn from the catheter cannula at t= 1, 2, 3, 4, 5, 6, 7, and 8 hours after consumption, with an additional finger prick at t=6. A questionnaire on hunger and satiety feelings will be taken after every blood draw.

Study population: The base population will consist of 40 healthy men and women with a BMI ranging from 22 to 27 kg/m2, aged 40 to 70 years old, selected from the surroundings of Wageningen through the mailing list for potential study research subjects of the division of Human Nutrition and health of Wageningen University. If needed, additional recruitment of research subjects will take place by flyers and posters, or advertisements in local newspapers.

Intervention: The dietary lipid challenge tests will be provided in the form of a liquid shake (0.6 L). Each shake will contain 95 gram of fat. The three types of fat that will be tested include: a) 100% vegetable fat blend, b) 100% Anhydrous milk fat (AMF), c) 100% cream (AMF + milk fat globular membranes).

Being tested
100% vegetable blend, 100% AMF, 100% cream
Keywords
Humans, Milk fat, Clinical Trial, Genomics, Metabolism, Nutrition

What participants receive

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

  • 100% vegetable blendOther

    Dietary lipid challenge test: 600 ml skimmed milk plus 95 gram of vegetable fat blend.

  • 100% AMFOther

    Dietary lipid challenge test: 600 ml skimmed milk plus 95 gram of anhydrous milk fat.

  • 100% creamOther

    Dietary lipid challenge test: 600 ml skimmed milk plus 95 gram of anhydrous milk fat plus milk fat globular membranes.

Study groups in NCT04178681
Study groupRoleWhat they receive
V-A-CExperimentalOrder of administration: 1. 100% vegetable fat blend 2. 100% Anhydrous Milk Fat (AMF) 3. 100% Cream (AMF + milk fat globular membranes)
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream
V-C-AExperimentalOrder of administration: 1. 100% vegetable fat blend 2. 100% Cream (AMF + milk fat globular membranes) 3. 100% Anhydrous Milk Fat (AMF)
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream
A-V-CExperimentalOrder of administration: 1. 100% Anhydrous Milk Fat (AMF) 2. 100% vegetable fat blend 3. 100% Cream (AMF + milk fat globular membranes)
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream
A-C-VExperimentalOrder of administration: 1. 100% Anhydrous Milk Fat (AMF) 2. 100% Cream (AMF + milk fat globular membranes) 3. 100% vegetable fat blend
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream
C-A-VExperimentalOrder of administration: 1. 100% Cream (AMF + milk fat globular membranes) 2. 100% Anhydrous Milk Fat (AMF) 3. 100% vegetable fat blend
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream
C-V-AExperimentalOrder of administration: 1. 100% Cream (AMF + milk fat globular membranes) 2. 100% vegetable fat blend 3. 100% Anhydrous Milk Fat (AMF)
Receives: Other: 100% vegetable blend; Other: 100% AMF; Other: 100% cream

What is being measured

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

  1. Change in transcriptomics from baseline to 6 hours after consumption of the three different fat blends, to elucidate underlying mechanistic responses in the circulation.

    By using untargeted whole genome Affymetrix microarray the investigators will measure gene expression in isolated monocytes.

    Measured: Baseline and 6 hours after consumption of the dietary lipid challenge.

  2. Change in cytokine concentration from baseline and every hour until 8 hours after consumption of the different fat blends, to elucidate the effect on immune responses in the circulation.

    Cytokine concentrations in the circulation will be measured via ELISA.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  3. Change in functional responses to LPS stimulation of isolated monocytes from the circulation from baseline to 6 hours after consumption of the different fat blends.

    Cell study with isolated monocytes from the circulation. The cells will be treated with LPS to evaluate functional responses. We will measure fold changes.

    Measured: Baseline and 6 hours after consumption of the dietary lipid challenge.

  4. Change in sensitivity of isolated monocytes from the circulation.

    Cell study with isolated monocytes from the circulation. The cells will be treated with different fat loads and inflammatory stimuli to evaluate the sensitivity of the collected monocytes. We will measure fold changes.

    Measured: Baseline and 6 hours after consumption of the dietary lipid challenge.

Secondary outcomes (10)
  1. Postprandial triacylglycerol changes

    TAG concentration in plasma will be measured in a clinical chemical lab.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  2. Postprandial glucose changes

    Cardio-metabolic markers such as glucose (mg/dl) will be measured in the circulation.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  3. Postprandial adiponectin changes

    Cardio-metabolic markers such as adiponectin (pg/ml) will be measured in the circulation.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  4. Postprandial insulin changes

    Cardio-metabolic markers such as insulin (mIU/L) will be measured in the circulation.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  5. Postprandial (untargeted) protein profile changes

    Using untargeted proteomic platforms, the changes in protein profiles in the circulation will be measured.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  6. Postprandial (targeted) protein profile changes

    Using targeted proteomic platforms, the changes in protein profiles in the circulation will be measured.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  7. Postprandial (untargeted) metabolite profile changes

    Using untargeted metabolomic platforms, the changes in protein profiles in the circulation will be measured.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  8. Postprandial (targeted) metabolite profile changes

    Using targeted metabolomic platforms, the changes in protein profiles in the circulation will be measured.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  9. Postprandial changes in feelings of hunger and satiety

    Feelings of hunger and satiety will be measured via a questionnaire using a Visual Analog Scale (VAS), a 100 mm line anchored at each end by descriptors. Research subjects will place a mark on the scale that corresponds to their feelings of hunger and satiety. The distance from the lower end of the scale is then measured and recorded.

    Measured: Baseline and every hour until 8 hours after consumption of the dietary lipid challenge.

  10. Cytokine concentration comparison

    Cytokine concentrations in the circulation obtained via catheter cannula will be measured via ELISA. The investigators will also measure cytokine concentrations in dried blood spots obtained via a finger prick (via a Meso Scale Discovery Electrochemiluminescence platform).

    Measured: Baseline and 6 hours after consumption of the dietary lipid challenge.

Timeline

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

  1. First posted26 Nov 2019
  2. Study start2 Dec 2019 (estimated)
  3. Primary completion28 Feb 2020 (estimated)
  4. Study completion28 Feb 2020 (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
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
Each research subject will visit the university on three separate occasions with a wash-out period of at least one week. At each visit the research subject will undergo one of the three dietary lipid challenge tests (a shake) in a randomized order. All research subjects have consumed all three dietary lipid challenge tests at the end of the study.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04178681
Sponsor's protocol ID
NL69492.081.19
Acronym
POEMI
Status last verified
Nov 2019
First submitted
16 Aug 2019
Last updated
26 Nov 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Collected data will be coded.

Questions about this trial

What is this clinical trial studying?

A study testing 100% vegetable blend, 100% AMF and 100% cream in people with Genomics and Postprandial Metabolism, run by Wageningen University at 1 site in Netherlands.

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 7 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: status not confirmed, as of the sponsor's last update on 26 Nov 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 Netherlands. 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 Charlotte Michielsen, MSc (+31 317 484 864, charlotte.michielsen@wur.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in transcriptomics from baseline to 6 hours after consumption of the three different fat blends, to elucidate underlying mechanistic responses in the circulation. (time frame: Baseline and 6 hours after consumption of the dietary lipid challenge.). The study lists 4 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 26 Nov 2019.

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