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DietRPONCT05791370

Red Palm Olein on Inflammation and Gut Health

A study testing A 12-week parallel dietary intervention in people with Diet and Healthy, run by Malaysia Palm Oil Board at 1 site in Malaysia.

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

A parallel intervention was conducted to test the effect of consuming diets enriched with red palm olein (RPOO), extra virgin coconut oil (EVCO) and extra virgin olive oil (EVOO; positive control) in centrally obese individuals over a 12-week period. Read more about this study

Who is it for?
Ages 20 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Diet, Healthy
What is being tested?
A 12-week parallel dietary intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
156 participants
Where
1 siteMalaysia
Study dates
1 Jan 2019to 30 Nov 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 20 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • aged 25-45 years
  • waist circumference ≥ 90 cm for men and ≥ 80 cm for women

Who cannot join

  • BMI ≤ 18.5 kg/m2
  • medical history of cardiovascular diseases
  • positive for diabetes or dyslipidemia
  • diagnosed with chronic illness
  • plasma total cholesterol > 6.5 mmol/L
  • triacylglycerol >4.5 mmol/L
Show all 10Show fewer
  • on antihypertensive or lipid-lowering medication
  • lactating
  • pregnant
  • smoking

Trial locations and contacts

1 site in 1 country.

Malaysia1 site
  • Malaysian Palm Oil Board

    Kajang, Selangor, 43000

Other trials in Malaysia

About this study

A parallel intervention was conducted to test the effect of consuming diets enriched with red palm olein (RPOO), extra virgin coconut oil (EVCO) and extra virgin olive oil (EVOO; positive control) in centrally obese individuals over a 12-week period. Following the screening of the subjects' health status, including their biochemical and lipid profiles, the subjects completed a 12-week dietary intervention. Both fasting blood and urine samples were collected at baseline (day 0) and endpoint (week 12); measurements were taken in duplicates. All data collected were blinded to the investigators by an independent third party until the completion of the analysis.

Read the detailed description

The study was conducted according to the guidelines laid down in the Declaration of Helsinki. All subjects gave informed consent prior to the commencement of the study. A parallel intervention was conducted to test the effect of consuming diets enriched with red palm olein (RPOO), extra virgin coconut oil (EVCO) and extra virgin olive oil (EVOO; positive control) in centrally obese individuals over a 12-week period. Following the screening of the subjects' health status, including their biochemical and lipid profiles, the subjects completed a 12-week dietary intervention. Both fasting blood and urine samples were collected at baseline (day 0) and endpoint (week 12); measurements were taken in duplicates. All data collected were blinded to the investigators by an independent third party until the completion of the analysis. The efficacy of the blinding procedure was assessed by evaluating the compliance of participants using the visual analogue scale to the experimental diets. Statistical analysis was conducted independently by a statistician not involved in the conduct of the study.

Conditions
Diet, Healthy
Being tested
A 12-week parallel dietary intervention
Keywords
red palm olein, extra virgin coconut oil, extra virgin olive oil, high sensitivity C-reactive protein, inflammation, obesity
Medical subject headings
Inflammation, Obesity

What participants receive

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

  • A 12-week parallel dietary interventionDietary supplement

    Subjects consumed 3 isocaloric meals prepared with the 3 oils for a duration of 12 weeks. The test meals were given for 5-day a week and contained 27-30% energy fat, with 2/3 (20% energy fat) replaced by experimental fat.

Study groups in NCT05791370
Study groupRoleWhat they receive
Red palm oleinExperimentalMeals enriched with Red palm olein
Receives: Dietary Supplement: A 12-week parallel dietary intervention
Extra virgin coconut oilExperimentalMeals enriched with Extra virgin coconut oil
Receives: Dietary Supplement: A 12-week parallel dietary intervention
Extra virgin olive oilExperimentalMeals enriched with Extra virgin olive oil
Receives: Dietary Supplement: A 12-week parallel dietary intervention

What is being measured

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

  1. hs-C reactive protein (hsCRP)

    Changes in the mean of plasma hs-CRP at the endpoint relative to the baseline. Plasma hsCRP will be measured using an immunoturbidimetric method, fibrinogen by Clauss method (Dade)

    Measured: 12 weeks

Secondary outcomes (30)
  1. Plasma lipid profile: Total cholesterol (mmol/L)

    Changes in the mean of plasma Total cholesterol (mmol/L) at the endpoint relative to the baseline. Total cholesterol analysis will be performed by enzymatic method by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  2. Plasma lipid profile: LDL cholesterol (mmol/L)

    Changes in the mean of plasma LDL cholesterol (mmol/L) at the endpoint relative to the baseline. LDL cholesterol will be analysed by Friedewald calculation by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  3. Plasma lipid profile: HDL cholesterol (mmol/L)

    Changes in the mean of plasma HDL cholesterol (mmol/L) at the endpoint relative to the baseline. Plasma HDL cholesterol will be analysed by elimination / catalase method by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  4. Plasma lipid profile: Triacylglycerol (mmol/L)

    Changes in the mean of plasma Triacylglycerol (mmol/L) at the endpoint relative to the baseline. Plasma triglycerides will be analysed by glycerol phosphate oxidase method by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  5. Plasma lipid profile: Apolipoprotein B-100 (g/L)

    Changes in the mean of plasma Apolipoprotein B-100 (g/L) at the endpoint relative to the baseline. Plasma apolipoprotein B-100 (apo B-100) will be analysed by PEG enhanced immunoturbidimetric method by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  6. Plasma lipid profile: Apolipoprotein A-1 (g/L)

    Changes in the mean of plasma Apolipoprotein A-1 (g/L) at the endpoint relative to the baseline. Plasma Apolipoprotein A-1 will be analysed by PEG enhanced immunoturbidimetric method by an accredited clinical laboratory (Pathology \& Clinical Laboratory (M) Sdn. Bhd, Malaysia).

    Measured: 12 weeks

  7. Plasma fatty acid composition: Palmitic acid (C16:0)

    Changes in the mean of plasma fatty acid composition (Palmitic acid (C16:0)) at the endpoint relative to the baseline. Lipids will be extracted from the plasma using Folch method and then trans-methylated with methanol and sulphuric acid. The fatty acid composition of the test fats will be determined by converting fatty acids of triacylglyceride to fatty acid methyl esters (FAME) according to AOCS Official Method Ch 1-91. The fatty acid composition will be determined according to AOCS Official Method Ce 1a-13 using Perkin Elmer Autosystem Gas Chromatography (PerkinElmer, Inc., California, USA). Data will be reported in g/100 g total fatty acids.

    Measured: 12 weeks

  8. Plasma fatty acid composition: Oleic acid (C18:1 cis)

    Changes in the mean of plasma fatty acid composition (Oleic acid (C18:1 cis)) at the endpoint relative to the baseline. Lipids will be extracted from the plasma using Folch method and then trans-methylated with methanol and sulphuric acid. The fatty acid composition of the test fats will be determined by converting fatty acids of triacylglyceride to fatty acid methyl esters (FAME) according to AOCS Official Method Ch 1-91. The fatty acid composition will be determined according to AOCS Official Method Ce 1a-13 using Perkin Elmer Autosystem Gas Chromatography (PerkinElmer, Inc., California, USA). Data will be reported in g/100 g total fatty acids.

    Measured: 12 weeks

  9. Plasma fatty acid composition: Linoleic acid (C18:2n6 cis)

    Changes in the mean of plasma fatty acid composition (Linoleic acid (C18:2n6 cis)) at the endpoint relative to the baseline. Lipids will be extracted from the plasma using Folch method and then trans-methylated with methanol and sulphuric acid. The fatty acid composition of the test fats will be determined by converting fatty acids of triacylglyceride to fatty acid methyl esters (FAME) according to AOCS Official Method Ch 1-91. The fatty acid composition will be determined according to AOCS Official Method Ce 1a-13 using Perkin Elmer Autosystem Gas Chromatography (PerkinElmer, Inc., California, USA). Data will be reported in g/100 g total fatty acids.

    Measured: 12 weeks

  10. Plasma fatty acid composition: Linolenic acid (C18:3)

    Changes in the mean of plasma fatty acid composition (Linolenic acid (C18:3)) at the endpoint relative to the baseline. Lipids will be extracted from the plasma using Folch method and then trans-methylated with methanol and sulphuric acid. The fatty acid composition of the test fats will be determined by converting fatty acids of triacylglyceride to fatty acid methyl esters (FAME) according to AOCS Official Method Ch 1-91. The fatty acid composition will be determined according to AOCS Official Method Ce 1a-13 using Perkin Elmer Autosystem Gas Chromatography (PerkinElmer, Inc., California, USA). Data will be reported in g/100 g total fatty acids.

    Measured: 12 weeks

  11. Plasma antioxidant : alpha tocopherol (ug/ml)

    Changes in the mean of plasma antioxidant (alpha tocopherol) at the endpoint relative to the baseline. The quantities of lipid-soluble antioxidants will be determined by reverse-phase HPLC (Agilent 1260 Infinity, US) and reported in ug/ml.

    Measured: 12 weeks

  12. Plasma antioxidant : retinol (ug/ml)

    Changes in the mean of plasma antioxidant (retinol) at the endpoint relative to the baseline. The quantities of lipid-soluble antioxidants will be determined by reverse-phase HPLC (Agilent 1260 Infinity, US) and reported in ug/ml.

    Measured: 12 weeks

  13. Plasma antioxidant : alpha carotene (ug/ml)

    Changes in the mean of plasma antioxidant (alpha carotene) at the endpoint relative to the baseline. The quantities of lipid-soluble antioxidants will be determined by reverse-phase HPLC (Agilent 1260 Infinity, US) and reported in ug/ml.

    Measured: 12 weeks

  14. Plasma antioxidant : beta carotene (ug/ml)

    Changes in the mean of plasma antioxidant (beta carotene) at the endpoint relative to the baseline. The quantities of lipid-soluble antioxidants will be determined by reverse-phase HPLC (Agilent 1260 Infinity, US) and reported in ug/ml.

    Measured: 12 weeks

  15. Urinary Total Phenolics

    Changes in the mean of urinary total phenolics at the endpoint relative to the baseline. Total phenolic content will be measured in urine samples using the Folin-Ciocalteu assay after a solid-phase clean-up

    Measured: 12 weeks

  16. Dual-energy X-ray Absorptiometry (DEXA) Scan: Total body fat (z-score)

    Changes in DEXA parameter (Total body fat (z-score)) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  17. Dual-energy X-ray Absorptiometry (DEXA) Scan: AP Spine (percentage of fat)

    Changes in DEXA parameter (AP Spine (percentage of fat) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  18. Dual-energy X-ray Absorptiometry (DEXA) Scan: Left femur (percentage of fat)

    Changes in DEXA parameter (Total body fat (Left femur (percentage of fat) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  19. Dual-energy X-ray Absorptiometry (DEXA) Scan: BMD AP spine L1-L4 (g/cm2)

    Changes in DEXA parameter (BMD AP spine L1-L4 (g/cm2)) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  20. Dual-energy X-ray Absorptiometry (DEXA) Scan: AP spine L1-L4 (z-score)

    Changes in DEXA parameter (AP spine L1-L4 (z-score)) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  21. Dual-energy X-ray Absorptiometry (DEXA) Scan: BMD total femur (g/cm2)

    Changes in DEXA parameter (BMD total femur (g/cm2)) at the endpoint relative to the baseline. DEXA scanning will be conducted in a subset of participants by trained personnel in the Prince Court Medical Centre, Malaysia with a Lunar Prodigy Advance densitometer (General Electric, Milwaukee, WI, USA).

    Measured: 12 weeks

  22. Gut Microbiome: Alpha and Beta Diversities

    Changes in gut microbiome data: Alpha and Beta Diversities at the endpoint relative to the baseline. The analyses will be done on the complete OTU count table. Sample ordination in principal coordinate axis (PCoA) space will be visualised using the first two principal coordinate axes. NGS Amplicon sequencing and gut microbiota analyses will be performed by Apical Scientific Sdn Bhd.

    Measured: 12 weeks

  23. Gut Microbiome: Firmicutes to Bacteroides Ratio

    Changes in gut microbiome (Firmicutes to Bacteroides Ratio) at the endpoint relative to the baseline. Computation of Firmicutes to Bacteroides (F/B) ratio using the complete microbial count table. NGS Amplicon sequencing and gut microbiota analyses will be performed by Apical Scientific Sdn Bhd.

    Measured: 12 weeks

  24. Gut Microbiome: Differential Abundance Analysis

    Changes in gut microbiome (Differential Abundance Analysis) at the endpoint relative to the baseline. NGS Amplicon sequencing and gut microbiota analyses will be performed by Apical Scientific Sdn Bhd.

    Measured: 12 weeks

  25. Plasma inflammatory marker: IL-6 (pg/mL)

    Changes in Plasma inflammatory marker: IL-6 (pg/mL) at the endpoint relative to the baseline. Plasma IL-6 will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 12 weeks

  26. Plasma inflammatory marker: IL-1beta (pg/mL)

    Changes in Plasma inflammatory marker:IL-1beta (pg/mL) at the endpoint relative to the baseline. Plasma IL-1beta will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 12 weeks

  27. Plasma inflammatory marker: TNF-alpha (pg/mL)

    Changes in Plasma inflammatory marker: TNF-alpha (pg/mL) at the endpoint relative to the baseline. Plasma TNF-alpha will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 12 weeks

  28. Plasma inflammatory marker: sICAMs (ng/mL)

    Changes in Plasma inflammatory marker: sICAMs (ng/mL) at the endpoint relative to the baseline. Plasma sICAM-1 will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 12 weeks

  29. Plasma inflammatory marker: sVCAMs (ng/mL)

    Changes in Plasma inflammatory marker: sVCAMs (ng/mL) at the endpoint relative to the baseline. Plasma sVCAM-1 will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 12 weeks

  30. Plasma inflammatory marker: RBP-4 (ng/mL)

    Changes in Plasma inflammatory marker: RBP4 at the endpoint relative to the baseline. Plasma RBP-4 will be measured by quantitative sandwich enzyme immunoassay (R\&D Systems, USA).

    Measured: 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 posted30 Mar 2023
  2. Study start1 Jan 2019
  3. Primary completion30 May 2019
  4. Study completion30 Nov 2022

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
We recruited a total of 156 overweight individuals, aged 25-45 years, with waist circumference ≥ 90 cm for men and ≥ 80 cm for women in a single-blind 3-arm randomised controlled trial. The participants consumed isocaloric diets (\~ 2400 kcal) enriched with red palm olein (RPOO), extra virgin coconut oil (EVCO) and extra virgin olive oil (EVOO, as a control) for a 12-week duration
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
156 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05791370
Sponsor's protocol ID
PD232/18
Acronym
RPO
Status last verified
Mar 2023
First submitted
20 Dec 2022
Last updated
30 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no plan to share the individual participant data , provided requested specifically for scientific analysis purposes

Publications

  • Teng KT, Loganathan R, Chew BH, Khang TF. Diverse impacts of red palm olein, extra virgin coconut oil and extra virgin olive oil on cardiometabolic risk markers in individuals with central obesity: a randomised trial. Eur J Nutr. 2024 Jun;63(4):1225-1239. doi: 10.1007/s00394-024-03338-6. Epub 2024 Feb 19.

    PubMed 38372798

Questions about this trial

What is this clinical trial studying?

A study testing A 12-week parallel dietary intervention in people with Diet and Healthy, run by Malaysia Palm Oil Board at 1 site in Malaysia.

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 2 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 30 Mar 2023. 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 Malaysia. 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?

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?

hs-C reactive protein (hsCRP) (time frame: 12 weeks). 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 NCT05791370, 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 30 Mar 2023.

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