Almased Multi-Center Diabetes Intervention Trial

NCT01702012 | Completed

• 1 other identifier: IRB00020672
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 1

Brief Summary

A 12 month multi-center randomization controlled study. Participants will be randomized to either a lifestyle education program or a meal replacement regimen with Almased, after an initial examination of eligibility criteria. Primary outcome-HbA1c

Conditions

Type 2 Diabetes; Obesity

Keywords

Diabetes-Obesity

Outcome Measures

Primary Outcomes (1)

• Change in HbA1c (%)

  2, 4, 6, 8, 10, and 12 months

Secondary Outcomes (2)

• Change in HOMA IR Index

  2, 4, 6, 8, 10, and 12 months

• Change in fasting blood glucose (mg/dl)

  2, 4, 6, 8, 10, and 12 months

Study Arms (2)

Almased Meal Replacement Powder

EXPERIMENTAL

Participants assigned to this arm will receive the Almased meal replacement powder and will be asked to replace one meal per day during the first 6 months of participation. During the second 6 months, participants will be allowed to choose whether to continue using the product to replace a meal or to use the product as a supplement prior to meals.

Dietary Supplement: Almased Meal Replacement Powder

Lifestyle Intervention

ACTIVE COMPARATOR

Participants randomized to this group will receive 5 group sessions in the first two months of participation and 5 additional group sessions in the last two months. These group sessions will focus on lifestyle behavior changes for weight loss and management including goal-setting, calorie balance, general nutrition, and physical activity.

Behavioral: Group-Based Lifestyle Intervention

Interventions

Almased Meal Replacement Powder DIETARY_SUPPLEMENT

Commercially available meal replacement product that contains soy protein, honey, yogurt, and amino acids. Participants assigned to this arm will receive the Almased meal replacement product and will be asked to replace one meal per day during the first 6 month. During the second 6 months, they will be allowed to choose to continue using the Almased as a meal replacement or to use it as a supplement prior to meals.

Almased Meal Replacement Powder

Group-Based Lifestyle Intervention BEHAVIORAL

Lifestyle Intervention

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Type 2 diabetes mellitus: Diabetes mellitus will be determined by medical records, current treatment, verification from personal health care provider, or test results meeting the 2010 American Diabetes Association criteria of fasting glucose ≥126 mg/dl, symptoms of hyperglycemia with casual plasma glucose \> 200 mg/dl or two-hour plasma glucose ≥200 mg/dl after a 75 gram oral glucose load. Individuals who have a clinical history strongly suggestive of type 1 diabetes will be excluded. Individuals taking oral hypoglycemic medication with diet and exercise are eligible. Subjects taking insulin will not be eligible for entry into the study.
• Body mass index: Overweight and obese individuals, with body mass index 25 - 40 kg/m2, are eligible. Weight loss is recommended for overweight diabetic participants with one or more cardiovascular risk factors.
• Age: Individuals older than 21 years are eligible.
• Ethnicity: All ethnic groups are eligible for the study.
• Blood pressure: AMDIT will enroll individuals whose blood pressure is under at least moderate control. For safety purposes, moderate control will be defined in this study as systolic values under 160 mm/Hg and diastolic values under 100 mm/Hg. Individuals whose blood pressure exceeds these levels during screening will be advised to seek treatment and may be re-evaluated following initiation of antihypertensive treatment.
• Lipid control: Individuals with a fasting triglycerides concentration less than 500 mg/dl are eligible.
• Willingness to participate: Participants must be willing to be randomized to either Almased or the Lifestyle Intervention and to follow the protocol to which they have been assigned. Individuals must be willing to modify their diet and their activity if they are assigned to the Lifestyle Intervention.

You may not qualify if:

• Psychotic disorders or bipolar disorders, hospitalization for depression in past six months;
• Self-report of alcohol or substance abuse within the past twelve months, current consumption of more than 14 alcoholic drinks per week, and/or current acute treatment or rehabilitation program for these problems;
• Plans to relocate to an area not served by AMDIT or travel plans that do not permit full participation in the study;
• Known allergies to soy or dairy;
• Current use of medications for weight loss;
• Self-reported inability to walk two blocks;
• History of bariatric surgery, small bowel resection, or extensive bowel resection;
• Chronic treatment with systemic corticosteroids as weight gain associated with steroids may interfere with the intervention goals;
• Candidates who have definite plans to move out of the area within the study period;
• Candidates with any dietary practice, behavior, or attitude that would substantially limit adherence to the intervention;
• Currently pregnant or nursing;
• Cancer requiring treatment in the past five years, except for non-melanoma skin cancers or cancers that have clearly been cured or in the opinion of the investigator carry an excellent prognosis (e.g. Stage 1 cervical cancer);
• HIV positive (self-report), due to effects on weight and body composition of HIV and medications used to treat HIV;
• Active tuberculosis (self-report);
• Cardiovascular or cardiopulmonary disease including a heart attack or procedure within the past three months; participation in a cardiac rehabilitation program within last three months; stroke or history/treatment for transient ischemic attacks in the past three months; documented history of pulmonary embolus in past six months; unstable angina pectoris or angina pectoris at rest; known history of cardiac arrest; known history of complex ventricular arrhythmia at rest or with exercise; known history of uncontrolled atrial fibrillation (heart rate of 100 beats per minute or more); known history of NYHA Class III or IV congestive heart failure; known history of acute myocarditis, pericarditis or hypertrophic myocardiopathy; known history of clinically significant aortic stenosis; known history of left bundle branch block or cardiac pacemaker unless evaluated by a cardiologist; cardiac defibrillator; heart transplant; known history of aortic aneurysm of at least 7 cm in diameter or aortic aneurysm repair;

Sponsors & Collaborators

• Wake Forest University Health Sciences: lead
• University of Freiburg: collaborator
• University of Campinas, Brazil: collaborator
• London Metropolitan University: collaborator
• University of Mysore: collaborator

Study Sites (1)

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Obesity

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Overweight; Overnutrition; Nutrition Disorders; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mara Z Vitolins, DrPH MPH RD

  Wake Forest University Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 3, 2012
• First Posted: October 5, 2012
• Study Start: January 1, 2013
• Primary Completion: April 1, 2015
• Study Completion: May 1, 2015
• Last Updated: January 31, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)