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SatietyNCT04210544

Protein Intake and Satiety: a Postprandial Study

A study testing Experimental dietary protein, Casein and Water in people with Satiety, run by Clinica Universidad de Navarra, Universidad de Navarra at 1 site in Spain.

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

Obesity is considered the emerging epidemic of the 21st century, becoming one of the major public health problems. Excessive body weight increases morbidity and mortality risk, while decreases the quality of life and expectance. The prevalence of obesity almost has doubled in the last 20 years. Read more about this study

Who is it for?
Ages 20 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Satiety
What is being tested?
Experimental dietary protein, Casein and Water
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
1 siteSpain
Study dates
17 Jul 2019to 5 Dec 2019
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 20 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Women and men aged 20-65 years.
  • Overweight or obese (BMI: 24.9 - 34.9 kg / m2).
  • Physical characteristics and vital signs normal or clinically without relevance to the experiment.
  • Volunteers undergoing drug treatment will be included if the dose is stable for at least three months before the start of the study with the exception of treatments that alter gastrointestinal function, lipid lowering and antidiabetics treatments.
  • Able to understand and be willing to sign the informed consent form and to follow all the study procedures and requirements.

Who cannot join

  • Subjects with relevant functional or structural abnormalities of the digestive system, such as malformations, angiodysplasia, active peptic ulcers, chronic inflammatory diseases or malabsorption.
  • Consuming more than 14 units of alcohol intake per week in women, or more than 21 units per week in men.
  • Pregnancy or lactation.
  • Subjects who have undergone surgical interventions with permanent sequelae (for example, gastroduodenostomy).
  • Subjects with some liver disease.
  • Subjects with some type of cancer or in treatment of it, or less than 5 years after its eradication.
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  • Subjects with allergy to any component of the products under study or some other food that interferes and makes difficult to follow the study.
  • Subjects that present some kind of cognitive and / or psychical impairment.
  • Subjects with poor collaboration, or with difficulty to follow the study procedures.
  • Subjects who exhibit restrictive or specific behaviors in the diet (Eating Attitude Test-26 equal or more than 20 points).

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Centre for Nutrition Research, University of Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

About this study

Official title: Effect of a Protein Intake on the Feeling of Hunger / Satiety in Men and Women Through an Acute Postprandial Study

Obesity is considered the emerging epidemic of the 21st century, becoming one of the major public health problems. Excessive body weight increases morbidity and mortality risk, while decreases the quality of life and expectance. The prevalence of obesity almost has doubled in the last 20 years. According to the World Health Organization, 39% of the population is overweight and 13% of the population is obese.

Obesity is a multifactorial origin disease, where genetic plays an important role. However, lifestyle factors, such as unhealthy diets and physical inactivity are the main cause for the development of obesity and associated comorbidities such as hypertension, dyslipidemia, diabetes and even some types of cancer. The prevention and control of obesity as well as its comorbidities requires interventions at individual and population level.

Read more

Intervention studies based on hypocaloric diets show poor adherence in the long term. Moreover, high energy density diets accompanied by snacking between meals contribute to weight gain. Therefore, the inclusion of bioactive compounds with satiating capacity within healthy and personalized dietary patterns could be a strategy to improve adherence in a dietary plan, and consequently reduce morbidity and mortality rates associated to obesity.

Considering this background, the general aim of this investigation is to perform an acute postprandial study to evaluate the effect of a dietary protein intake on the feeling of hunger and satiety. To carry out this objective, different data will be analysed, such as the measurement of gut hormone circulating concentrations, lipid and glucose profile, energy compensation after the postprandial period and the total energy intake during the day.

Read the detailed description

This study is designed as a crossover, randomized, three-arm postprandial study. All participants attend the Nutrition Intervention Unit of the Centre for Nutrition Research in the University of Navarra three times separated by at least one week. The day before each study day, participants should avoid vigorous physical exercise, alcohol consumption or high-fiber food consumption. Moreover, they are asked to follow a standardized dinner before 9 pm.

On each study day, participants visit the Nutrition Intervention Unit in fasting state. After 5 minutes rest and having answered the first hunger / satiety visual analogue scale (VAS) questionnaire, blood pressure is measured. After that, participant are asked to collect a baseline urine sample.

Once the cannulation is placed, first blood collection is performed in fasting state (time 0). Then, the participant is provided with the randomly assigned standardized breakfast (250 g of custard) with the addition of 20 g of experimental protein or 20 g of casein or 20 g of water. After custard consumption, volunteer is asked to drink 50 mL of water.

When participant finishes the breakfast, the time is registered and every 15 minutes the participant have to complete a VAS questionnaire (15´, 30´, 45´, 60´, 75´ and 90´). Moreover, blood samples are drawn at different time points after breakfast intake (15´, 30´, 60´ and 90´). The cannula is removed when the last blood sample is collected. In addition, participants are asked to collect the urine sample at 90 minutes postingestion and to fill a questionnaire about gastrointestinal symptoms.

Finally, participant is offered an ad libitum lunch (ham and cheese sandwiches) to eat until feeling comfortably satiated. Once completed, participant leaves the Centre for Nutrition Research with the necessary material to register the food intake (solids and liquids) during the rest of the day. Likewise, the participant is provided with the questionnaire of gastrointestinal symptoms to be filled before the dinner of the same day.

Conditions
Satiety
Being tested
Experimental dietary protein, Casein, Water
Keywords
Satiety, Hunger, Obesity, Ghrelin, Visual Analogue Scale, Gastrointestinal hormones, Energy compensation
Medical subject headings
Obesity

What participants receive

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

  • Experimental dietary proteinDietary supplement

    Breakfast intake consisted on a 250 g custard intake mixed with 20 g of the experimental protein accompanied by a glass with 50 mL water.

  • CaseinDietary supplement

    Breakfast intake consisted on a 250 g custard intake mixed with 20 g of casein accompanied by a glass with 50 mL water.

  • WaterDietary supplement

    Breakfast intake consisted on a 250 g custard intake mixed with 20 g of water accompanied by a glass with 50 mL water.

Study groups in NCT04210544
Study groupRoleWhat they receive
Dietary proteinExperimentalPostprandial effects after consuming 20 g of a experimental dietary protein mixed with 250 g of custard and to drink of 50 mL of water served in a glass.
Receives: Dietary Supplement: Experimental dietary protein
CaseinActive comparatorPostprandial effects after consuming 20 g of casein mixed with 250 g of custard and to drink of 50 mL of water served in a glass.
Receives: Dietary Supplement: Casein
WaterPlacebo comparatorPostprandial effects after consuming 20 g of water mixed with 250 g of custard and to drink of 50 mL of water served in a glass.
Receives: Dietary Supplement: Water

What is being measured

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

  1. Baseline subjective hunger

    Visual analogue scale rating in a scale from 0 to 100 mm, for the quantification the perceived hunger before the experimental custard intake.

    Measured: Baseline

  2. Postprandial subjective hunger

    Visual analogue scale ratings in a scale from 0 to 100 mm for the quantification the perceived hunger measured at 15, 30, 45, 60, 75 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  3. Baseline subjective fullness

    Visual analogue scale rating in a scale from 0 to 100 mm for the quantification of the perceived fullness before experimental custard intake.

    Measured: Baseline

  4. Postprandial subjective fullness

    Visual analogue scale ratings in a scale from 0 to 100 mm for the quantification the perceived hunger measured at 15, 30, 45, 60, 75 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  5. Baseline subjective satiety

    Visual analogue scale rating in a scale from 0 to100 mm for the quantification of the perceived fullness before experimental custard intake.

    Measured: Baseline

  6. Postprandial subjective satiety

    Visual analogue scale ratings in a scale from 0 to 100 mm for the quantification the perceived hunger measured at 15, 30, 45, 60, 75 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  7. Baseline subjective desire to eat

    Visual analogue scale rating in a scale from 0 to 100 mm for the quantification of the perceived fullness before experimental custard intake at baseline.

    Measured: Baseline

  8. Postprandial subjective desire to eat

    Visual analogue scale ratings in a scale from 0 to 100 mm for the quantification the perceived hunger measured at 15, 30, 45, 60, 75 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  9. Baseline subjective thirst

    Visual analogue scale rating in a scale from 0 to 100 mm for the quantification of the perceived fullness before experimental custard intake.

    Measured: Baseline

  10. Postprandial subjective thirst

    Visual analogue scale ratings in a scale from 0 to 100 mm for the quantification the perceived hunger measured at 15, 30, 45, 60, 75 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  11. Baseline blood ghrelin concentration

    Blood ghrelin concentration before experimental custard intake.

    Measured: Baseline

  12. Postprandial blood ghrelin concentration

    Blood ghrelin concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  13. Ad libitum food intake

    Quantification of food intake after the 90 minutes of postprandial period.

    Measured: 90 minutes

Secondary outcomes (36)
  1. Baseline weight

    Baseline weight of participants will be reported in kg and will be performed in the first visit.

    Measured: Baseline

  2. Baseline height

    Baseline height of participants will be reported in cm and will be performed in the first visit.

    Measured: Baseline

  3. Baseline body mass index

    To calculate baseline body mass index weight and height will be combined to report BMI in kg/m^2

    Measured: Baseline

  4. Baseline waist circumference

    Baseline waist circumference will be reported in cm and will be performed in the first visit

    Measured: Baseline

  5. Baseline systolic blood pressure

    Baseline systolic blood pressure will be reported in mmHg at each visit

    Measured: Baseline

  6. Baseline diastolic blood pressure

    Baseline diastolic blood pressure will be reported in mmHg at each visit

    Measured: Baseline

  7. Baseline heart rate

    Baseline heart rate will be reported in beat/minute at each visit

    Measured: Baseline

  8. Baseline blood glucose concentration

    Blood glucose levels before experimental custard intake

    Measured: Baseline

  9. Postprandial blood glucose concentration

    Blood glucose measured at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  10. Baseline blood insulin concentration

    Blood insulin levels before experimental custard intake

    Measured: Baseline

  11. Postprandial blood insulin concentration

    Blood insulin measured at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  12. Baseline insulin resistance index (HOMA)

    Insulin resistance index (HOMA) before experimental custard intake

    Measured: Baseline

  13. Postprandial insulin resistance index (HOMA)

    Insulin resistance index (HOMA) at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  14. Baseline blood total cholesterol concentration

    Blood total cholesterol concentration before experimental custard intake

    Measured: Baseline

  15. Postprandial blood total cholesterol concentration

    Blood total cholesterol concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  16. Baseline blood high density lipoprotein cholesterol (HDL) concentration

    Blood high density lipoprotein cholesterol (HDL) concentration before experimental custard intake

    Measured: Baseline

  17. Postprandial blood high density lipoprotein cholesterol (HDL) concentration

    Blood high density lipoprotein cholesterol (HDL) concentration at 15, 30, 60 and 90 minutes after consuming 250 g of the experimental custard.

    Measured: Up to 90 minutes

  18. Baseline blood low density lipoprotein cholesterol (LDL) concentration

    Blood low density lipoprotein cholesterol (LDL) concentration before experimental custard intake

    Measured: Baseline

  19. Postprandial blood low density lipoprotein cholesterol (LDL) cholesterol concentration

    Low density lipoprotein cholesterol (LDL) concentration at 15, 30, 60 and 90 minutes after experimental custard intake

    Measured: Up to 90 minutes

  20. Baseline blood triglyceride concentration

    Blood triglyceride concentration before experimental custard intake

    Measured: Baseline

  21. Postprandial blood triglyceride concentration

    Blood triglyceride concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  22. Baseline blood cholecystokinin (CCK) concentration

    Blood cholecystokinin (CCK) concentration before experimental custard intake

    Measured: Baseline

  23. Postprandial blood cholecystokinin (CCK) concentration

    Blood cholecystokinin (CCK) concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  24. Baseline blood glucagon like peptide-1 concentration

    Blood glucagon like peptide-1 concentration concentration before experimental custard intake

    Measured: Baseline

  25. Postprandial blood glucagon like peptide-1 concentration

    Blood glucagon like peptide-1 concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  26. Baseline blood peptide YY (PYY) concentration

    Blood peptide YY (PYY) concentration before experimental custard intake

    Measured: Baseline

  27. Postprandial blood peptide YY (PYY) concentration

    Blood peptide YY (PYY) concentration at 15, 30, 60 and 90 minutes after experimental

    Measured: Up to 90 minutes

  28. Questionnaire about gastrointestinal symptoms (1)

    Gastrointestinal questionnaire at 90 minutes of consuming the experimental custard.

    Measured: 90 minutes

  29. Questionnaire about gastrointestinal symptoms (2)

    Gastrointestinal questionnaire before dinner of the experimental day.

    Measured: Before dinner of the experimental day

  30. Quantification of food intake during the rest of the day

    Food record calibration from the end of the ad libitum lunch until go to sleep.

    Measured: During the whole day of the experimental day.

  31. Baseline blood apolipoprotein concentration

    Blood apolipoproteins concentration before experimental custard intake

    Measured: Baseline

  32. Postprandial blood apolipoprotein concentration

    Blood apolipoprotein concentration at 15, 30, 60 and 90 minutes after experimental custard intake.

    Measured: Up to 90 minutes

  33. Baseline blood concentration of reference amino acid of the experimental protein.

    Baseline blood concentration of reference amino acids of the experimental protein.

    Measured: Baseline

  34. Postprandial blood concentration of reference amino acid of the experimental protein

    Blood concentration (15, 30, 60 and 90 minutes) of reference amino acid of the experimental protein after the experimental custard intake.

    Measured: Up to 90 minutes

  35. Baseline urine concentration of reference amino acid of the experimental protein.

    Baseline urine concentration of reference amino acid of the experimental protein.

    Measured: Baseline

  36. Urine concentration of reference amino acid of the experimental protein at 90 minutes post ingestion

    Urine concentration of reference amino acid of the experimental protein at 90 minutes post ingestion

    Measured: 90 minutes

Timeline

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

  1. First posted24 Dec 2019
  2. Study start17 Jul 2019
  3. Primary completion5 Dec 2019
  4. Study completion5 Dec 2019

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
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Single blind
Who is masked
Participant
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04210544
Sponsor's protocol ID
2019.069
Status last verified
Dec 2019
First submitted
18 Dec 2019
Last updated
24 Dec 2019
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 Experimental dietary protein, Casein and Water in people with Satiety, run by Clinica Universidad de Navarra, Universidad de Navarra at 1 site in Spain.

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 5 inclusion and 10 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 24 Dec 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 Spain. 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. Some participants in this study may receive a placebo. 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?

Baseline subjective hunger (time frame: Baseline). 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?
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 Dec 2019.

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