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Pre-diabetesSTRWNCT06173765

Understanding Dose Related Effects of Strawberry

A study testing freeze-dried whole strawberry powder 36 g powder and freeze-dried whole strawberry powder 12 g in people with Pre-diabetes and Insulin Sensitivity, run by Clinical Nutrition Research Center, Illinois Institute of Technology at 1 site in United States.

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

The proposed research is designed to extend previous research findings building on the knowledge of strawberries as fruits that support a healthy immune and vascular system. The proposed research leverages a recently funded proposal by the USDA to study in greater depth inflammation, glucoregulation and oxidative… Read more about this study

Who is it for?
Ages 20 to 60 yearsHealthy volunteers can take part
What is being tested?
freeze-dried whole strawberry powder 36 g powder and freeze-dried whole strawberry powder 12 g
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
1 siteUnited States
Study dates
31 Aug 2022to 1 Apr 2023
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Men or women 20-60 years of age
  • High sensitivity C-Reactive Protein (hs-CRP), a global marker of inflammation, >1.0 and ≤10 ng/L
  • BMI ≥ 25 kg/m2
  • Nonsmokers (Past smokers can be allowed if they have abstinence for minimum of 1 years). Occasional smoker may be allowed at investigator discretion
  • Judged to be in good health on the basis of the medical history ie., no clinical evidence of cardiovascular, metabolic, respiratory, renal, gastrointestinal or hepatic disease
  • Not taking any medications that would interfere with outcomes of the study, i.e. lipid lowering medications, anti-inflammatory drugs, dietary supplements, etc.
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  • Able to provide informed consent
  • Able to comply and perform the procedures requested by the protocol (including dietary restrictions, consumption of study treatments, records of food diary and study visit schedule)
  • Able to maintain usual physical activity pattern
  • Able to abstain from alcohol consumption and avoid vigorous physical activity for 24 hours prior to and during study visit

Who cannot join

  • Men and women who smoke regularly
  • Men and women with known or suspected intolerance, allergies or hypersensitivity to study foods or treatments
  • Men and women who have blood pressure >160 mmHg (systolic)/100 mmHg (diastolic) at screening visit
  • Men and women who have fasting blood glucose concentration >125 mg/dL at screening visit
  • Men and women with documented vascular disease, e.g., heart failure, myocardial infarction, stroke, angina, related surgeries, etc. that, in the opinion of the investigator, could interfere with the interpretation of the study results
  • Men and women with cancer other than non-melanoma skin cancer in previous 5 years
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  • Men and women diagnosed with chronic constipation, diarrhea or other chronic gastrointestinal complaint (e.g. irritable bowel syndrome)
  • Women who are known to be pregnant or who are intending to become pregnant over the course of the study
  • Women who are lactating
  • Taking medication or dietary supplements that may interfere with the outcomes of the study; e.g., antioxidant supplement, anti-inflammation, lipid lowering medication, blood pressure lowering medication, etc... Subjects may choose to go off dietary supplements (requires 30-day washout); e.g., fish oil, probiotics, etc...
  • Men and women who has participated in prebiotics or laxative trial within 3 months prior to enrollment or any other clinical trial within 1 month
  • Major trauma or a surgical event within 2 months or longer depending on trauma or event and after consultation with PI.
  • Vegan or other extreme dietary regimens (e.g., Atkins diet, etc.) as judged by the investigator.
  • Has a known intolerance or sensitivity to any ingredients in the study products
  • Has used antibiotics within the previous 2 months
  • History of an eating disorder (e.g., anorexia nervosa, bulimia nervosa, or binge eating) diagnosed by a health professional
  • Substance (alcohol or drug) abuse within the last 2 years
  • Excessive coffee and tea consumers (> 4 cups/d)
  • Donated blood within last 3 months
  • Men and women who do excessive exercise regularly or are an athlete
  • Unstable weight: gained or lost weight +/- 5 kg (11 lbs) in previous 2 months
  • Women who are taking unstable dose and brand of hormonal contraceptives and/or stable dose and brand less than 6 months
  • Unusual working hours i.e., working overnight (e.g. 3rd shift)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Clinical Nutrition Research Center

    Chicago, Illinois, 60616

Other trials in United States

About this study

Official title: Understanding Dose Related Effects of Strawberry Intake on Chronic Inflammation, Oxidative Stress, and Their Relationship With Endothelial Function and Insulin Sensitivity

The proposed research is designed to extend previous research findings building on the knowledge of strawberries as fruits that support a healthy immune and vascular system. The proposed research leverages a recently funded proposal by the USDA to study in greater depth inflammation, glucoregulation and oxidative stress defense and their relation to improving endothelial function and insulin sensitivity.

Before and after strawberry intake, blood samples will be collected for monocyte (immune cells and source of inflammatory cytokines) isolation and activation via changes in cellular NF-κB and Nrf-2 (key transcription factors of inflammation/oxidative stress defense) status along with products of their activation (ie., plasma cytokines). Because inflammation and oxidative stress impairs endothelial function and insulin sensitivity, acutely and chronically, investigators will also study changes in vascular and insulin sensitivity status, assessing changes in vascular adhesion molecules, endothelial responsiveness through flow mediated vasodilation (ie., FMD) and insulin sensitivity using the Liquid Meal Tolerance (LMTT) if intravenous glucose tolerance test (IVGTT) method cannot be used due to supply chain issues of sterile Dextrose. Glucoregulation will be assessed by placing a Continuous Glucose monitoring (CGM) machine (Dexcom-6) to participants for 10 days at the beginning and at the end of the study period of intervention. The study will be a randomized, double-blinded, 3-arm parallel, 4-week, dose-response study. Individuals with chronic low grade inflammation will be sought to test the anti-inflammation - vaso-relaxing - insulin sensitivity effects of strawberry.

Read the detailed description

Investigators are proposing to leverage ongoing research funded by USDA to study in greater depth the effect of strawberry intake on chronic low grade inflammation and its relation to endothelial function and insulin sensitivity (InsS). Investigators' rationale is based on facts that inflammation is a key feature in the development of atherosclerotic cardiovascular disease and diabetes, and strawberry intake has been shown to modulate biomarkers of inflammation, but with inconsistencies deserving follow up and better understanding. Of note, meal-induced inflammatory responses seem to be counteracted better with lower amounts of strawberry intake [~1 cup fresh weight equivalent (FWeq) vs 3 cups FWeq]. In contrast, markers of inflammation in the fasting state in humans have been relatively unremarkable showing no or limited change with daily strawberry intake. However, many of these investigations used higher intake levels (~2-3 cup FWeq) to test hypotheses on alternative endpoints (ie., lipids) and in groups with varied health risks. To better understand the effects of strawberry intake on systemic inflammation, investigators propose to study mechanisms (ie., NF-kB/Nrf-2 mediated signaling) within a sub population of immune cells (ie., monocytes) that result in plasma markers of inflammation. Investigators propose to do this by harvesting monocytes from subjects and study the activation of these signaling pathways after 4-week strawberry intake compared to a control condition. To address dose-response dynamics, investigators propose to study two strawberry intake levels (1 cup FWeq and 3 cup FWeq vs Control). Investigators are also interested in expanding recently completed vascular work in our lab showing improved vasodilation (by flow mediated vasodilation) 1 h after strawberry intake and after 4-week strawberry intake (3 cup FWeq) daily in individuals with modestly elevated cholesterol levels. Because chronic inflammation and oxidative stress impair endothelial function, investigators hypothesize that intake levels of strawberry that have the greatest benefit in reducing inflammation and oxidative stress will align with lower markers of endothelial inflammation and enhanced endothelial function (ie., vasodilation). Dietary patterns and components of the diet that preserve or improve endothelial function have an important risk lowering impact on cardiovascular disease development.

And finally, investigators aim to explore more deeply the relationship of strawberry intake, inflammation and InsS using the Liquid Meal Tolerance (LMTT) if intravenous glucose tolerance test (IVGTT) method cannot be used due to supply chain issues of sterile Dextrose. Investigators' previous work with strawberries is suggestive of improved peripheral InsS in a meal-challenge paradigm in overweight individuals with 1 cup FWeq and in abdominally obese individuals and impaired InsS with 3 cup FWeq. Changes in fasting insulin concentrations after intake of strawberries with 1-3 cup FWeq have been neutral.

However, fasting insulin concentrations give insight about liver InsS and less about peripheral InsS, which is relevant in post-meal glucose tolerance. In normal physiology, a major function of insulin in post meal state is to suppress hepatic gluconeogenesis while stimulating glucose uptake into muscle and fat. As impaired InsS is a major risk for developing pre-diabetes and type 2 diabetes, intervening early and strategically with diet, and with specific foods as science supports to restore InsS, is prudent. The proposed research can help characterize the role of strawberries in improving InsS and its relation to inflammation status.

Glucoregulation will be assessed by placing a Continuous Glucose monitoring (CGM) machine (Dexcom-6) which monitors interstitial glucose levels every 5 minutes for 10 days. This will be placed to participants at the beginning of the study for 7-10 days and similarly at the end of the study for 7-10 days of period. The study is focused on three areas important to public health and consumers: inflammation, vascular, and metabolic health. The project will provide new, deeper knowledge in these areas elucidating pathways by which strawberries reduce inflammation and risk for atherosclerotic vascular disease and diabetes. The data can contribute to health claim petitions. The new knowledge can be used to inform/educate a number of stakeholders, including the strawberry industry, consumers, health professionals, the scientific, medical and regulatory communities/agencies, and contribute to the evidence-base for establishing intake recommendations of polyphenolic rich fruits, like strawberries, in the USA, to promote health and reduce chronic disease risk.

Being tested
freeze-dried whole strawberry powder 36 g powder, freeze-dried whole strawberry powder 12 g, freeze-dried control powder 0 g strawberry
Medical subject headings
Glucose Intolerance, Insulin Resistance, Inflammation

What participants receive

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

  • freeze-dried whole strawberry powder 36 g powderOther

    After day 1 measurements, subjects will be given their first intervention drink (powder plus water) according to their randomization to 3 cup FW equivalent of strawberries. The freeze-dried whole strawberry powder (36 g powder) requested from the California Strawberry Commission.

    All drinks will be standardized to 41 g powder to match USDA Control arm.

  • freeze-dried whole strawberry powder 12 gOther

    After day 1 measurements, subjects will be given their first intervention drink (powder plus water) according to their randomization to 1 cup FW equivalent of strawberries. The freeze-dried whole strawberry powder (12 g powder) requested from the California Strawberry Commission.

    All drinks will be standardized to 41 g powder to match USDA Control arm.

  • freeze-dried control powder 0 g strawberryOther

    After day 1 measurements, subjects will be given their first intervention drink (powder plus water) according to their randomization to 0 cup FW equivalent of strawberries. The freeze-dried powder is used as a control.

    All drinks will be standardized to 41 g powder to match USDA Control arm.

Study groups in NCT06173765
Study groupRoleWhat they receive
36g of strawberryExperimentalHigh dose intervention
Receives: Other: freeze-dried whole strawberry powder 36 g powder
12g of strawberryExperimentalLow dose intervention
Receives: Other: freeze-dried whole strawberry powder 12 g
0g of strawberryPlacebo comparatorControl
Receives: Other: freeze-dried control powder 0 g strawberry

What is being measured

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

  1. Changes in plasma biomarkers and measures of inflammation: NF-κB activation/suppression

    The dose related change in measures of inflammation by analyzing NF-κB activation/suppression in monocytes among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).

    Measured: Baseline to 4 weeks

  2. Change in primary clinical marker of inflammation IL-6

    The dose related change in blood level of IL-6 among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry). Cellular evaluation of inflammatory status, collected plasma samples will be analyzed for selected inflammatory markers (IL-6) using standard ELISA.

    Measured: Baseline to 4 weeks

Secondary outcomes (8)
  1. Change flow mediated dilation (FMD) before and after four weeks strawberry intake compared to control

    FMD imaging of the brachial artery is a non-invasive technique that assesses endothelial- dependent relaxation and is used as a surrogate marker of macrovascular endothelial function among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).

    Measured: Baseline to 4 weeks

  2. Change in Insulin sensitivity index using Liquid Meal Tolerance Test (LMTT).

    Liquid Meal Tolerance Test (LMTT) will be used to assess pre and post intervention fasting insulin sensitivity (HOMA-%S) and rate among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).The IVGTT will be included in a subset only as sterile dextrose is available (supply chain issues).

    Measured: Baseline to 4 weeks

  3. Change in Beta cell function using Liquid Meal Tolerance Test (LMTT).

    Liquid Meal Tolerance Test (LMTT) will be used to assess pre and post intervention fasting β-cell function (HOMA-%B) and rate among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).The IVGTT will be included in a subset only as sterile dextrose is available (supply chain issues).

    Measured: Baseline to 4 weeks

  4. Change in Insulin Disposition index using Liquid Meal Tolerance Test (LMTT).

    Liquid Meal Tolerance Test (LMTT) will be used to assess pre and post intervention fasting insulin disposition (HOMA-%S) and rate among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).The IVGTT will be included in a subset only as sterile dextrose is available (supply chain issues).

    Measured: Baseline to 4 weeks

  5. Change in Insulin Fractional disappearance rate of plasma glucose using Liquid Meal Tolerance Test (LMTT).

    Liquid Meal Tolerance Test (LMTT) will be used to assess pre and post intervention fasting insulin fractional disappearance rate (HOMA-%S) and rate among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).The IVGTT will be included in a subset only as sterile dextrose is available (supply chain issues).

    Measured: Baseline to 4 weeks

  6. Change in Nrf-2 activation/suppression

    The dose related change in measures of inflammation by analyzing Nrf-2 activation/suppression in monocytes among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).

    Measured: Baseline to 4 weeks

  7. Change in 10-day Glucose average

    Average glucoregulation will be assessed by using CGM machine (Dexcom-6) by 10 days among participants at the beginning of the intervention and at the end of 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry). This CGM will monitor interstitial glucose levels after placing the machine to participants every 5 minutes for 7-10 days.

    Measured: Baseline to 4 weeks

  8. Change in fasting Lipids

    The dose related change in measures of fasting Lipids among participants after 4 weeks of strawberry intake (1 cup or 3 cup FWeq) vs control (0 cup strawberry).

    Measured: Baseline to 4 weeks

Timeline

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

  1. First posted18 Dec 2023
  2. Study start31 Aug 2022
  3. Primary completion30 Mar 2023
  4. Study completion1 Apr 2023

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
Parallel groups
Model description
a 3 arm, randomized, controlled parallel design using the control arm from the USDA parallel study.
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06173765
Sponsor's protocol ID
IRB-2021-98
Acronym
STRW
Status last verified
Aug 2026
First submitted
22 May 2023
Last updated
28 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing freeze-dried whole strawberry powder 36 g powder and freeze-dried whole strawberry powder 12 g in people with Pre-diabetes and Insulin Sensitivity, run by Clinical Nutrition Research Center, Illinois Institute of Technology 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 10 inclusion and 23 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 28 Aug 2026. 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. 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?

Changes in plasma biomarkers and measures of inflammation: NF-κB activation/suppression (time frame: Baseline to 4 weeks). The study lists 2 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 28 Aug 2026.

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