Effects of Resveratrol in Patients With Type 2 Diabetes

NCT01677611 | Completed Phase 1 DMC

• 1 other identifier: NIG 35
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

Animal studies indicate that resveratrol, a phytoalexin enriched in the skin of red grapes and a constituent of red wine, is associated with longevity likely through the increased production of a protein, SIRT1. The trial is a proof-of-concept study primarily designed to examine for the first time in humans, the effect of 12 weeks of oral resveratrol on skeletal muscle SIRT1 expression in 10 patients with T2DM in a randomized, placebo-controlled, double-blind fashion. Secondary outcomes include measures of AMPK, p-AMPK and GLUT4 expression levels, energy expenditure, physical activity levels, distribution of abdominal adipose tissue and skeletal muscle fiber type composition, body weight, HbA1c, plasma lipid subfraction, adiponectin levels and insulin sensitivity.

Conditions

Type 2 Diabetes

Keywords

Resveratrol; SIRT1; AMPK

Outcome Measures

Primary Outcomes (1)

• Skeletal muscle sirtuin 1 (SIRT1) expression

  3 months

Secondary Outcomes (13)

• Skeletal muscle 5'-AMP-activated protein kinase (AMPK) expression

  3 months

• Skeletal muscle phosphorylated-AMPK-Thr172 (p-AMPK) expression

  3 months

• Skeletal muscle glucose transporter type 4 (GLUT 4) expression

  3 months

• Glycated hemoglobin (HbA1c)

  3 months

• Body weight

  3 months

Study Arms (2)

Resveratrol

EXPERIMENTAL

Trans-resveratrol extract from Polygonum Cuspidatum (Mega Resveratrol, Danbury, USA) was used in the trial.Following the run-in period, subjects who were tolerant of the placebo would proceed to the treatment period. Subjects were given a starting dose of 500 mg daily of either resveratrol.The dose was increased by 500 mg per day every 3 days to a maximum dose of 3 g per day in three divided doses if there was no hypoglycemia. Subjects were instructed to abstain from foods with high resveratrol content during the entire duration of the trial.

Drug: Trans-resveratrol extract from Polygonum Cuspidatum

Placebo

PLACEBO COMPARATOR

All subjects underwent a 2-week run-in period during which placebo was administered. The placebo was manufactured so that it was not distinguishable by color, form, or taste from the active drug. Following the run-in period, subjects who were tolerant of the placebo would proceed to the treatment period. Subjects were given a starting dose of 500 mg daily of matching placebo and instructed to abstain from foods with high resveratrol content during the entire duration of the trial. The dose was increased by 500 mg per day every 3 days to a maximum dose of 3 g per day in three divided doses if there was no hypoglycemia.

Drug: Placebo

Interventions

Trans-resveratrol extract from Polygonum Cuspidatum DRUG

Starting dose of 500 mg daily of either resveratrol to be administered on Day 1 and increased by 500 mg per day every 3 days to a maximum dose of 3 g per day in three divided doses if there was no hypoglycemia.

Also known as: Mega Resveratrol, Danbury, USA

Resveratrol

Placebo DRUG

Placebo

Eligibility Criteria

• Age: 40 Years - 69 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Ability to give informed consent
• Chinese Male
• Age 40 to 69 yrs old
• For subjects with type 2 diabetes mellitus
• Diagnosis of type 2 diabetes mellitus based on MOH criteria and,
• HbA1c \>6.5 during screening

You may not qualify if:

• Willing to abstain from ingesting large quantities of resveratrol-containing foods (eg. red wine, nuts) Cancer diagnosis that is currently under treatment, is clinically detectable, or that has been treated within the past 5 years Terminal disease or on palliative care Current excessive alcohol intake (\>21 units per week for men; 14 units per week for women) On maximal doses of 3 or \> oral hypoglycaemic agents On insulin therapy or known type 1 diabetes mellitus Past history of documented or suspected hypoglycemia within last 3 months Past history of recurrent hypoglycemia Past history of serious hypoglycemia as defined by documented hypoglycemia requiring hospital admission Past history of hyperglycemic emergencies within last 6 months Past or current history of hemorrhagic strokes On anti-platelet agents, non-steroidal anti-inflammatory drugs (NSAIDs), anti-coagulation therapy or omega-3 fatty acids History of unexplained bleeding disorders History of any grape allergy History of allergy to local anaesthetic History of surgery with surgery with clips, staples or stents Presence of cardiac pacemaker or metallic foreign body in any part of the body On alternative or traditional medications Treated with another investigational drug within last 6 months Poorly controlled hypertension (SBP \>/= 160 or DBP \>/= 100) within last one month ALT and/or AST \> 1.5 times above upper limit of normal within last 6 months GFR \< 50 ml/min/1.73m2 (MDRD equation) within last 6 months

Sponsors & Collaborators

• Khoo Teck Puat Hospital: lead
• National Medical Research Council (NMRC), Singapore: collaborator

Study Sites (1)

Alexandra Health, Khoo Teck Puat Hospital

Singapore, Singapore, 768828, Singapore

Location

Related Publications (4)

• Baur JA, Pearson KJ, Price NL, Jamieson HA, Lerin C, Kalra A, Prabhu VV, Allard JS, Lopez-Lluch G, Lewis K, Pistell PJ, Poosala S, Becker KG, Boss O, Gwinn D, Wang M, Ramaswamy S, Fishbein KW, Spencer RG, Lakatta EG, Le Couteur D, Shaw RJ, Navas P, Puigserver P, Ingram DK, de Cabo R, Sinclair DA. Resveratrol improves health and survival of mice on a high-calorie diet. Nature. 2006 Nov 16;444(7117):337-42. doi: 10.1038/nature05354. Epub 2006 Nov 1.

  PMID: 17086191 BACKGROUND

• Lagouge M, Argmann C, Gerhart-Hines Z, Meziane H, Lerin C, Daussin F, Messadeq N, Milne J, Lambert P, Elliott P, Geny B, Laakso M, Puigserver P, Auwerx J. Resveratrol improves mitochondrial function and protects against metabolic disease by activating SIRT1 and PGC-1alpha. Cell. 2006 Dec 15;127(6):1109-22. doi: 10.1016/j.cell.2006.11.013. Epub 2006 Nov 16.

  PMID: 17112576 BACKGROUND

• Baur JA, Sinclair DA. Therapeutic potential of resveratrol: the in vivo evidence. Nat Rev Drug Discov. 2006 Jun;5(6):493-506. doi: 10.1038/nrd2060. Epub 2006 May 26.

  PMID: 16732220 BACKGROUND

• Fujii N, Jessen N, Goodyear LJ. AMP-activated protein kinase and the regulation of glucose transport. Am J Physiol Endocrinol Metab. 2006 Nov;291(5):E867-77. doi: 10.1152/ajpendo.00207.2006. Epub 2006 Jul 5.

  PMID: 16822958 BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Officials

• Kian Peng Goh, FRCP

  Alexandra Health, Khoo Teck Puat Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant

Study Record Dates

• First Submitted: August 30, 2012
• First Posted: September 3, 2012
• Study Start: December 1, 2008
• Primary Completion: September 1, 2010
• Study Completion: March 1, 2012
• Last Updated: September 3, 2012

Record last verified: 2012-08

Locations

SG (1)