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Dietary HabitsMini-MEDNCT05500976

Metabolomics Initiative: Mediterranean-amplified vs Habitual Western Diet on Food Signatures, Health, and Microbiome

A study of Dietary Habits, run by University of Colorado, Denver at 1 site in United States.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 study plans to learn more about how consuming a diet with foods typical to a Mediterranean Diet such as whole grains, fruits and vegetables in a Western-style diet compares to eating a typical Western-style diet. Read more about this study

Who is it for?
Ages 30 to 69 years
Conditions the study is for
Dietary Habits
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteUnited States
Study dates
21 Nov 2022to 31 Mar 2025
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 30 to 69 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Overweight or obesity (BMI 25-37 kg/m2) and weight-stable;
  • Age 30-69 years;
  • Nonsmoker (including tobacco, marijuana, and other inhaled substances);
  • Consistent physical activity levels for 3 months prior to and throughout the study period;
  • Stable medication use for 6 months prior to and throughout the study period;
  • Having at least three components of Metabolic Syndrome (MetS): i.e., impaired fasting glucose, hypertension, central adiposity (waist circumference ≥ 94 cm or 80 cm, for men and women, respectively), fasting hypertriglyceridemia, and/or low levels of HDL cholesterol17 OR on medication for the treatment of hyperglycemia, hypertension, or hypercholesterolemia in lieu of meeting the corresponding MetS component;
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  • Report of baseline consumption of a habitual diet not meeting criteria for a Mediterranean-style dietary pattern, defined as a score of <5 as assessed via the Mediterranean Diet Assessment Tool
  • Follows an omnivorous diet and willing to consume all provided foods (e.g., will eat salmon, fruits/vegetables, beef);
  • Willingness to refrain from consumption of nutritional supplements, herbal supplements, botanical supplements, and pre- or probiotics aside from those prescribed by a physician for the duration of the study;
  • Willingness to come to the CTRC biweekly for clinical assessments and biospecimen collection;
  • No plans to relocate or for extended travel (>1 week) within next 6 months; and
  • Capable and willing to provide informed consent

Who cannot join

  • Use of medications contraindicating increased consumption of fruits/vegetables (e.g., warfarin);
  • Diagnosis of acute or chronic condition impacting appetite, food intake, and/or the metabolism and absorption of foods to be provided (e.g., Crohn's disease, Celiac disease, Ulcerative colitis, short bowel syndrome, chronic diarrhea);
  • Impaired liver or kidney function;
  • Food allergies to foods provided in either dietary intervention;
  • Vegetarian, vegan; and
  • For females: pregnant or lactating or planning to become pregnant during study period

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Colorado School of Medicine

    Aurora, Colorado, 80045

Other trials in United States

About this study

Official title: Metabolomics INItiative: Effects of a MEDiterranean-amplified vs Habitual Western Diet on Biomarker Signatures, Cardiometabolic Health, and the Microbiome

This study plans to learn more about how consuming a diet with foods typical to a Mediterranean Diet such as whole grains, fruits and vegetables in a Western-style diet compares to eating a typical Western-style diet. This study will look at how diet affects overall health including risk factors for heart disease, gut health and inflammation as well as underlying mechanisms linking whole food to health. Findings from this study will potentially inform effective dietary recommendations and interventions, thereby reducing chronic disease in humans.

Read the detailed description

The investigators propose to conduct a 16-week randomized, cross-over, semi-controlled feeding study of two isocaloric dietary interventions: 1. Mediterranean-amplified habitual/Western (mini-MED) diet, containing 500 kcal/day from Mediterranean target foods (such as raspberries, avocado, red bell pepper, basil, walnuts, chickpeas, oats, salmon); and 2. Habitual/Western (Western) diet, containing 500 kcal/day from non-Mediterranean target foods (such as potato, beef, sour cream, refined grain bread, chocolate dessert); among individuals who are not already consuming a Mediterranean-style dietary pattern. Participants will have overweight or obesity and meet criteria for Metabolic Syndrome (MetS), and therefore be at increased risk of cardiometabolic disease (CMD).

The primary goal is to validate results from metabolomics analyses of foods and biospecimens from a completed Mediterranean-style dietary intervention in a prospective feeding trial. Secondary aims are to evaluate impacts of incremental changes in diet on cardiometabolic health and microbiome structure/function. The primary hypothesis is that pre-defined metabolomics signatures in participant biospecimens will be responsive to dietary intakes and reproducible within individuals over time. The secondary hypotheses are that a Mediterranean-amplified diet will lead to improvements in cardiometabolic health and changes in microbiome structure/function over time and compared to a habitual Western diet.

Aim 1: Test reproducibility of pre-defined signatures from Mediterranean target foods provided in mini-MED in biospecimens (blood/urine) within individuals over time. Participants will complete a 16-week randomized cross-over dietary intervention of mini-MED vs Western diet. The investigators hypothesize that: (1) novel food-specific compounds will increase in participant biospecimens after consumption of mini-MED and decrease during Western diet, and (2) established biomarkers of fruit/vegetable intake (e.g., plasma and skin carotenoids, urine polyphenols) and other target foods (e.g., plasma alkylresorcinols, astaxanthin) will increase after consumption of mini-MED.

Aim 2: Determine the impact of mini-MED on cardiometabolic health. Cardiometabolic health indicators (e.g., blood pressure, lipid panel, inflammatory cytokines, indicators of subclinical inflammation) will be assessed pre- and post- each intervention. The investigators hypothesize that consumption of mini-MED will lead to improvements in cardiometabolic health indicators (e.g., reductions in blood pressure, total cholesterol, LDL cholesterol, triglycerides, C-reactive protein, bioactive lipids; increases in HDL cholesterol) over time and compared to Western diet.

Aim 3: Evaluate changes in microbiota community structure/function in response to mini-MED. Microbiome structure (taxonomy) and function (metagenomics) will be assessed pre- and post- each intervention. The investigators hypothesize that consumption of mini-MED will lead to increases in microbiome diversity and enrichment in taxa associated with increased production of health-promoting compounds (e.g., short chain fatty acids) over time and compared to Western diet.

Conditions
Dietary Habits
Being tested
Semi-controlled dietary intervention - Western, Semi-controlled dietary intervention - MiniMed
Keywords
Mediterranean diet, Foodomics, Metabolomics, Food-specific signatures, Cardiometabolic health, Microbiome
Medical subject headings
Feeding Behavior

What participants receive

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

  • Semi-controlled dietary intervention - WesternOther

    Participants will complete a 2-week washout prior to a 16-week randomized, crossover semi-controlled feeding study of mini-MED vs Western diet. Each diet intervention will last four weeks, with 500 kcal/day of target Western diet foods (eg, beef, potatoes, bread, sour cream) provided during each intervention and will be repeated twice.

  • Semi-controlled dietary intervention - MiniMedOther

    Participants will complete a 2-week washout prior to a 16-week randomized, crossover semi-controlled feeding study of mini-MED vs Western diet. Each diet intervention will last four weeks, with 500 kcal/day of target Mediterranean foods (eg, oatmeal, salmon, nuts, basil, olive oil, fruits) provided during each intervention and will be repeated twice.

Study groups in NCT05500976
Study groupRoleWhat they receive
mini-MedExperimentalMediterranean-amplified habitual/Western (mini-MED) diet, containing 500 kcal/day from Mediterranean target foods (such as raspberries, avocado, red bell pepper, basil, walnuts, chickpeas, oats, salmon).
Receives: Other: Semi-controlled dietary intervention - MiniMed
WesternActive comparatorHabitual/Western (Western) diet, containing 500 kcal/day from non-Mediterranean target foods (such as potato, beef, sour cream, refined grain bread, chocolate dessert).
Receives: Other: Semi-controlled dietary intervention - Western

What is being measured

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

  1. Foodomics

    Change in the number of unique to food compounds (i.e., putative biomarkers of intake) from baseline to end of each diet intervention period in participant serum samples.

    Measured: Baseline to endline changes in food-specific compounds over each 4-week dietary intervention period

Secondary outcomes (13)
  1. Cardiometabolic Health - IL-6

    Changes in blood inflammatory markers including IL-6 over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  2. Cardiometabolic Health - TNF-alpha

    Changes in blood inflammatory markers including TNF-alpha over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  3. Cardiometabolic Health - C-reactive protein

    Changes in blood inflammatory markers including C-reactive protein over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  4. Cardiometabolic Health - alpha-1-acid glycoprotein

    Changes in blood inflammatory markers including alpha-1-acid glycoprotein over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  5. Cardiometabolic Health - Total Cholesterol

    Changes in fasting total cholesterol over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  6. Cardiometabolic Health - LDL Cholesterol

    Changes in fasting LDL cholesterol over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  7. Cardiometabolic Health - HDL Cholesterol

    Changes in fasting HDL cholesterol over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  8. Cardiometabolic Health - Triglycerides

    Changes in fasting triglycerides over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  9. Cardiometabolic Health - Blood Pressure

    Changes in blood pressure over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  10. Cardiometabolic Health - Insulin

    Changes in fasting blood insulin over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  11. Cardiometabolic Health - Glucose

    Changes in fasting blood glucose over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  12. Cardiometabolic Health - Adipokines

    Changes in circulating plasma adipokines over time and between the two dietary interventions.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

  13. Gut Microbiota

    Changes in diversity and community composition of the gut microbiota.

    Measured: Baseline to endline changes over each 4-week dietary intervention period

Timeline

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

  1. First posted15 Aug 2022
  2. Study start21 Nov 2022
  3. Primary completion31 Mar 2025 (estimated)
  4. Study completion31 Mar 2025 (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
Participants will complete a 16-week randomized cross-over semi-controlled feeding study comparing two isocaloric dietary interventions. The two diets will be a Mediterranean-amplified habitual/Western (mini-MED) diet, containing 500 kcal/day from Mediterranean target foods (such as raspberries, avocado, red bell pepper, basil, walnuts, chickpeas, oats, salmon) and their habitual/Western (Western) diet, Participants will be randomized (1:1) to start one of the dietary interventions, with subsequent assignment to the other upon completion of the first. A permuted block randomization scheme using block size of 2 and stratification by sex will be utilized to ensure balance between intervention order and number of males and females in each arm.
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05500976
Sponsor's protocol ID
21-4563
Other IDs
R01DK113957, 2070
Acronym
Mini-MED
Status last verified
Aug 2024
First submitted
3 Aug 2022
Last updated
27 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: 1\) Data will be made available in accordance with the "Final NIH Statement on Sharing Research Data". Results, data, workflows, and tools will be made available through publication, presentations at scientific meetings, open access on our website following publication, in open repositories when they are established, and according to other policies set forth by the NIH. The primary type of data collected will be raw mass spectrometry data. There are widely available free-ware data converters for mass spectrometry data that have been created by the mass spectrometry community. Thus, the data from this project will be saved in the original raw format.

Publications

  • Hill EB, Tang M, Long JM, Kemp JF, Westcott JL, Hendricks AE, Reisdorph NA, Campbell WW, Krebs NF; mini-MED Trial Team. mini-MED: study protocol for a randomized, multi-intervention, semi-controlled feeding trial of a Mediterranean-amplified vs. habitual Western dietary pattern for the evaluation of food-specific compounds and cardiometabolic health. Trials. 2024 Feb 2;25(1):101. doi: 10.1186/s13063-024-07939-8.

    PubMed 38302990
  • Hill EB, Reisdorph RM, Rasolofomanana-Rajery S, Michel C, Khajeh-Sharafabadi M, Doenges KA, Weaver N, Quinn K, Sutliff AK, Tang M, Borengasser SJ, Frank DN, O'Connor LE, Campbell WW, Krebs NF, Hendricks AE, Reisdorph NA. Salmon Food-Specific Compounds and Their Metabolites Increase in Human Plasma and Are Associated with Cardiometabolic Health Indicators Following a Mediterranean-Style Diet Intervention. J Nutr. 2024 Jan;154(1):26-40. doi: 10.1016/j.tjnut.2023.10.024. Epub 2023 Oct 31.

    PubMed 37918675

Questions about this trial

What is this clinical trial studying?

A study of Dietary Habits, run by University of Colorado, Denver 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 12 inclusion and 6 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 27 Aug 2024. 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?

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?

Foodomics (time frame: Baseline to endline changes in food-specific compounds over each 4-week dietary intervention period). 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 NCT05500976, which also lists 2 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 27 Aug 2024.

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