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Metabolic SyndromeDSNFMETSPHNCT06729008

Effect of Diabetes-Specific Nutrition Formula on the Metabolic Parameters of Filipino Adults with Metabolic Syndrome

A study testing Diabetes-specific nutrition formula (DSNF) and Medical Nutrition Therapy in people with Metabolic Syndrome, run by St. Luke's Medical Center, Philippines.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

INTRODUCTION: Metabolic syndrome, a cluster of metabolic abnormalities, is a growing global health concern, particularly in the Asia-Pacific region. The Philippines has seen a significant rise in metabolic syndrome prevalence, linked to lifestyle factors and socioeconomic changes. Read more about this study

Who is it for?
Ages 19 to 60 years
Conditions the study is for
Metabolic Syndrome
What is being tested?
Diabetes-specific nutrition formula (DSNF) and Medical Nutrition Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
No sites listed yet
Study dates
1 Feb 2025to Nov 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 19 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • An employee of St. Luke's Medical Center Global City for at least 1 year
  • Of Filipino descent
  • Aged 19-65 years
  • Diagnosed with metabolic syndrome74 for at least 3 months, one of the criteria must include central obesity (WC of ≥90cm in Asian men, ≥80cm in Asian women)
  • If being treated with a stable dose of medications for metabolic syndrome for ≥ 1 month, must only be among the following: i. Oral hypoglycemic agents (OHAs) (drugs permitted include Metformin, Sulfonylureas, Thiazolidinedione, Dipeptidyl Peptidase-IV Inhibitors, Glucagon-Like Peptide-1 Agonists) ii. Anti-hypertensive medications (drugs permitted include Angiotensin-converting enzyme (ACE) inhibitors, Angiotensin II receptor blockers, Calcium Channel Blockers) iii. Medications treating dyslipidemia (drugs permitted include Statins, Fibrates, Ezetimibe)
  • BMI of 23 kg/m2 or more
  • Willingness to adhere to study protocol

Who cannot join

  • Serious illness requiring medical attention within past year (active malignancy, HIV/AIDS, cardiovascular, respiratory, renal, or hepatic diseases)
  • Use of medications affecting plasma glucose within 3 months (corticosteroids, diuretics, beta-blockers, antipsychotics, and HIV medications)
  • Insulin use
  • Severe hypoglycemia or hyperglycemia requiring hospitalization within past year
  • Surgery or hospitalization within past 2-3 months
  • Anemia and/or blood transfusion within the last 3 months
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  • History of gastrointestinal disease/surgery affecting product consumption/absorption (inflammatory bowel disease/bowel resection, another specifies gastroparesis, malabsorption, bariatric surgery, short bowel syndrome)
  • Use of other diabetes-specific formulas prior to this study
  • Use of nutritional food supplements or multivitamin supplements (specifically calcium/vitamin D supplements and B complex syrups) within 15 days before study initiation
  • Psychiatric disorder impairing study adherence (eating disorders, severe dementia, delirium, significant neurological/psychiatric disorder)
  • Pregnancy/ lactation
  • Allergy/intolerance to study product components (INGREDIENTS : Maltodextrin, VEGETABLE OIL (high oleic sunflower oil, soy oil), calcium caseinate, sucromalt, isolated soy protein, maltitol, milk protein concentrate (cow's milk), MINERALS (potassium chloride, magnesium sulfate, calcium carbonate, potassium citrate, sodium phosphate, sodium chloride, magnesium phosphate, sodium citrate, potassium hydroxide, zinc sulfate, ferrous sulfate, manganese sulfate, copper sulfate, chromium chloride, potassium iodide, sodium molybdate, sodium selenite), fructose, fructo-oligosaccharides, isomaltulose, myo-inositol, oat fiber, flavoring, emulsifier (carboxymethyl cellulose), choline chloride, emulsifier (soy lecithin), stabiliser (xanthan gum), VITAMINS (ascorbyl palmitate, ascorbic acid, Vitamin E, niacinamide, calcium d-pantothenate, pyridoxine hydrochloride, thiamin chloride hydrochloride, riboflavin, Vitamin A palmitate, folic acid, phylloquinone, d-biotin, cholecalciferol, cyanocobalamin), taurine, L-carnitine, mixed tocopherols. Contains permitted flavouring substance. Contains stabilisers and emulsifiers as permitted food conditioners.)
  • Weight loss/gain ≥ 5 kg within 6 weeks of starting the study
  • Planning to start any form of calorie-restricted diet
  • Alcoholism/substance use

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Angelica Marie P Real, Doctor of Medicine contact

+639190979650

ampreal@stlukes.com.ph

About this study

Official title: Effect of Diabetes-Specific Nutrition Formula on the Metabolic Parameters of Filipino Adults with Metabolic Syndrome: a Randomized Crossover Trial

INTRODUCTION: Metabolic syndrome, a cluster of metabolic abnormalities, is a growing global health concern, particularly in the Asia-Pacific region. The Philippines has seen a significant rise in metabolic syndrome prevalence, linked to lifestyle factors and socioeconomic changes. This condition increases the risk of serious health issues like type 2 diabetes, cardiovascular disease, and mortality. Lifestyle modifications, including dietary interventions, are crucial for managing metabolic syndrome. While dietary recommendations exist, practical challenges hinder their implementation. Diabetes-specific nutrition formulas (DSNFs) offer a convenient and effective solution, especially for individuals with limited cooking skills or knowledge. While DSNFs show promise in managing diabetes, their impact on metabolic syndrome remains unclear. This study aims to investigate the effects of DSNF on the metabolic parameters of Filipino adults with metabolic syndrome.

METHODS: This open-label randomized crossover trial will be conducted at St. Luke's Medical Center Global City. Filipino adults aged 19-65 with metabolic syndrome will be recruited. Participants will be randomized to either a 90-day intervention phase (DSNF) with a 14-day washout period or a 90-day control phase. After the initial phase, participants will cross over to the alternate phase. The primary outcome will be the change in metabolic parameters in the metabolic syndrome criteria (fasting blood sugar, triglycerides, HDL cholesterol, blood pressure, and waist circumference). Secondary outcomes include changes in metabolic parameters related to the metabolic syndrome (glycosylated hemoglobin, total cholesterol, LDL cholesterol, body weight, BMI, body composition), and safety and tolerability of the treatments. Participants will be monitored through regular follow-up visits, daily food diaries, and subjective assessments. Data will be analyzed using appropriate statistical methods.

Being tested
Diabetes-specific nutrition formula (DSNF), Medical Nutrition Therapy
Keywords
Metabolic Syndrome, Diabetes-Specific Nutrition Formula, Philippines
Medical subject headings
Metabolic Syndrome

What participants receive

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

  • Diabetes-specific nutrition formula (DSNF)Dietary supplement

    The diabetes-specific nutrition formula to be used in this study will be Glucerna (Abbott Laboratories). It features an advanced blend of low-glycemic carbohydrates for steady energy release, a dual fiber blend to support digestive health, and a unique lipid blend free from trans fats, cholesterol, and low in saturated fat. Additionally, Glucerna is enriched with 4x more inositol and high levels of trivalent chromium, which contribute to maintaining normal blood glucose levels. It provides 28 essential vitamins and minerals, is low in lactose, and gluten-free, making it a suitable option for various dietary needs. 5 scoops will be mixed in 200 mL of water, and this amounts to 228 calories, with 30.01g of carbohydrates, 10.16g of protein, and 8.70g of fat. This will be given twice, as a breakfast replacement and an afternoon snack replacement.

  • Medical Nutrition TherapyOther

    Also called MNT

    Medical Nutrition Therapy is the standard of care for the management of metabolic syndrome

Study groups in NCT06729008
Study groupRoleWhat they receive
DSNF + MNTExperimentalNot described
Receives: Dietary Supplement: Diabetes-specific nutrition formula (DSNF); Other: Medical Nutrition Therapy
MNTActive comparatorNot described
Receives: Other: Medical Nutrition Therapy

What is being measured

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

  1. change from baseline to post-intervention in fasting blood sugar

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: fasting blood sugar, measured in mg/dL.

    Measured: 3 months

  2. change from baseline to post-intervention in HDL cholesterol

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: HDL cholesterol, measured in mg/dL.

    Measured: 3 months

  3. change from baseline to post-intervention in serum triglycerides

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: serum triglycerides, measured in mg/dL.

    Measured: 3 months

  4. change from baseline to post-intervention in systolic blood pressure

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: systolic blood pressure, measured in mmHg.

    Measured: 3 months

  5. change from baseline to post-intervention in diastolic blood pressure

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: diastolic blood pressure, measured in mmHg.

    Measured: 3 months

  6. change from baseline to post-intervention in waist circumference

    The primary outcome measure of this study is the change from baseline to post-intervention in the following parameter of metabolic syndrome: waist circumference, measured in centimeters.

    Measured: 3 months

Secondary outcomes (9)
  1. change from baseline to post-intervention in glycosylated hemoglobin

    The secondary outcome measures of this study are the change from baseline to post-intervention in the following parameter related to metabolic syndrome: glycosylated hemoglobin, measured as a percentage of total hemoglobin.

    Measured: 3 months

  2. change from baseline to post-intervention in LDL cholesterol

    The secondary outcome measures of this study are the change from baseline to post-intervention in the following parameter related to metabolic syndrome: LDL cholesterol, measured in mg/dL.

    Measured: 3 months

  3. change from baseline to post-intervention in total cholesterol

    The secondary outcome measures of this study are the change from baseline to post-intervention in the following parameter related to metabolic syndrome: total cholesterol, measured in mg/dL.

    Measured: 3 months

  4. change from baseline to post-intervention in body weight

    The secondary outcome measures of this study are the change from baseline to post-intervention in the following parameter related to metabolic syndrome: body weight, measured in kilograms.

    Measured: 3 months

  5. change from baseline to post-intervention in body mass index

    The secondary outcome measures of this study are the change from baseline to post-intervention in the following parameter related to metabolic syndrome: body mass index, measured in kg/m^2.

    Measured: 3 months

  6. Adverse events related to the DSNF

    Adverse events related to the DSNF such as diarrhea, constipation, abdominal distension, bloating, nausea, vomiting, and flatulence

    Measured: 3 months

  7. Satiety scale

    A visual analog scale called the SLIM scale (satiety labeled intensity magnitude scale) will assess participants' subjective feelings of fullness or satiety. This will also be asked daily per meal via Google Forms. The SLIM scale is a vertical line anchored by "greatest imaginable fullness" at one end at 100mm, and "greatest imaginable hunger" at the other at -100mm. Descriptive phrases indicating various hunger and fullness levels are placed along the scale.

    Measured: 3 months

  8. DSNF Compliance

    Compliance with the DSNF will be determined by reviewing the participants' daily food diary and returned product cans. 1 can contains 35 scoops. The compliance percentage will be calculated as: (number of scoops consumed per day/ number of scoops prescribed per day) * 100. This will also be counterchecked by counting the number of scoops in the returned product cans.

    Measured: 3 months

  9. Participants' perception of DSNF

    This will be assessed using a 9-point hedonic scale. The 9-point hedonic scale will consist of "dislike extremely", "dislike very much", "dislike moderately", "dislike slightly", "neither like nor dislike", "like slightly", "like moderately", "like very much", and "like extremely". In addition to the hedonic scale, an open-ended question will be included to allow participants to express their thoughts and opinions about the product.

    Measured: 3 months

Timeline

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

  1. First posted11 Dec 2024
  2. Study start1 Feb 2025 (estimated)
  3. Primary completion15 Oct 2025 (estimated)
  4. Study completionNov 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
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06729008
Sponsor's protocol ID
CDTEDDSNF2025
Acronym
DSNFMETSPH
Status last verified
Dec 2024
First submitted
6 Dec 2024
Last updated
11 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001 Dec 13;414(6865):782-7. doi: 10.1038/414782a.

    PubMed 11742409
  • International Diabetes Federation. The IDF consensus worldwide definition of the metabolic syndrome. Accessed November 7, 2024. https://idf.org/media/uploads/2023/05/attachments-30.pdf

  • Amihaesei IC, Chelaru L. Metabolic syndrome a widespread threatening condition; risk factors, diagnostic criteria, therapeutic options, prevention and controversies: an overview. Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):896-900.

    PubMed 25581945
  • Ranasinghe P, Mathangasinghe Y, Jayawardena R, Hills AP, Misra A. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review. BMC Public Health. 2017 Jan 21;17(1):101. doi: 10.1186/s12889-017-4041-1.

    PubMed 28109251

Questions about this trial

What is this clinical trial studying?

A study testing Diabetes-specific nutrition formula (DSNF) and Medical Nutrition Therapy in people with Metabolic Syndrome, run by St. Luke's Medical Center, Philippines.

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 15 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: opening soon, as of the sponsor's last update on 11 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Angelica Marie P Real, Doctor of Medicine (+639190979650, ampreal@stlukes.com.ph), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

change from baseline to post-intervention in fasting blood sugar (time frame: 3 months). The study lists 6 primary outcomes in all. 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 NCT06729008, which also lists 4 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 11 Dec 2024.

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