NCT00607867

Brief Summary

We will determine the metabolic response to a Low Biologically Available Glucose Diet (LoBAG30) in subjects currently receiving the maximum dose of metformin as monotherapy in whom the glycohemoglobin is not at an acceptable level (\>8.0%). Our hypothesis is that introduction of a LoBAG30 diet to subjects currently treated with a full therapeutic dose of metformin will improve blood glucose control in people who have not achieved an acceptable total glycohemoglobin on metformin alone.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable diabetes-mellitus

Timeline
Completed

Started Apr 2008

Typical duration for not_applicable diabetes-mellitus

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 31, 2008

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 6, 2008

Completed
2 months until next milestone

Study Start

First participant enrolled

April 1, 2008

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2011

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2011

Completed
3.8 years until next milestone

Results Posted

Study results publicly available

December 12, 2014

Completed
Last Updated

December 12, 2014

Status Verified

December 1, 2014

Enrollment Period

2.8 years

First QC Date

January 31, 2008

Results QC Date

November 17, 2014

Last Update Submit

December 10, 2014

Conditions

Keywords

Diabetes Mellitus (type 2)DietGlycohemoglobinLipidsKidney FunctionGlycemic IndexDietary ProteinDietary Carbohydrate

Outcome Measures

Primary Outcomes (4)

  • Change in %Hemoglobin A1c at 5 Weeks From Baseline

    Hemoglobin A1c measured before and after 5 weeks on the diet

    Baseline and 5 weeks after dietary intervention

  • Change in Total Glucose Area at 5 Weeks From Baseline

    The area response is measured using zero as baseline. The area is measured before dietary intervention, and following 5 weeks of dietary intervention.

    Baseline and 5 weeks after dietary intervention

  • Change in Body Weight at 5 Weeks From Baseline

    Subjects were to remain weight stable. We expected less than 2 pound weight change over 5 weeks. Weight was measured before dietary intervention, and after 5 weeks of dietary intervention.

    baseline and 5 weeks after dietary intervention

  • Change in Overnight Fasting Glucose Concentration at 5 Weeks From Baseline

    Overnight fasting glucose concentration was measured before dietary intervention and after 5 weeks of dietary intervention.

    baseline and 5 weeks after dietary intervention

Secondary Outcomes (2)

  • Microalbumin Excretion

    baseline and 5 weeks after dietary intervention

  • Change in Fasting Triglycerides at 5 Weeks From Baseline

    baseline and 5 weeks after dietary intervention

Study Arms (2)

Arm 1

ACTIVE COMPARATOR

A LoBAG30, weight maintenance diet will be given to subjects on metformin. All food will be provided for 5 weeks.

Other: LoBAG30 diet

Arm 2

PLACEBO COMPARATOR

A weight maintenance, control diet consisting of 55% carbohydrate, 15% protein, 30% fat will be given to subjects on metformin. All food will be provided for 5 weeks.

Other: Control Diet

Interventions

A LoBAG30 diet consists of 30% of total energy intake as carbohydrate, 30% protein, and 40% fat.

Arm 1

A control diet consists of 55% of total energy intake as carbohydrate, 15% protein, 30% fat

Arm 2

Eligibility Criteria

Age50 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • People with type 2 diabetes mellitus who currently are receiving the maximal dose of metformin monotherapy (2500 mg/day).
  • These subjects will have had a stable glycohemoglobin (tGHb) in an unacceptably high range (8-11%) for at least 4 months prior to beginning the study.
  • Subjects with tGHB \> 11% (HbA1c \> 10%) will not be recruited into the study.

You may not qualify if:

  • Hematological abnormalities
  • liver disease
  • kidney disease
  • macroalbuminuria (\>300 mg albumin/24 hours)
  • untreated thyroid disease
  • congestive heart failure
  • angina
  • life-threatening malignancies
  • proliferative retinopathy
  • severe diabetic neuropathy
  • peripheral vascular disease
  • serious psychological disorders
  • a body mass index \> 35
  • and a fasting triglyceride of \>400 mg/dl.
  • Subjects taking slow-release metformin will not be studied.
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

VA Medical Center, Minneapolis

Minneapolis, Minnesota, 55417, United States

Location

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Limitations and Caveats

Funding ended with only 14 subjects studied. With a parallel arm design, we were not able to draw any conclusions from the study. Funds were unavailable for a more sophisticated statistical analysis.

Results Point of Contact

Title
Mary C. Gannon, Ph.D.
Organization
Minneapolis VA Health Care System, Metabolic Research Labortory

Study Officials

  • Mary Gannon, PhD

    Minneapolis Veterans Affairs Medical Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 31, 2008

First Posted

February 6, 2008

Study Start

April 1, 2008

Primary Completion

January 1, 2011

Study Completion

March 1, 2011

Last Updated

December 12, 2014

Results First Posted

December 12, 2014

Record last verified: 2014-12

Locations