NCT02781350

Brief Summary

The main objective of this research is to investigate the effect of addition of fiber on the high fat high carbohydrate (HFHC) meal induced inflammation and oxidative stress mechanisms at the molecular level in humans, in vivo. The investigators have previously shown that the intake of one HFHC meal leads to an increase in oxidative stress and inflammation. HFHC meal also induces an increase in the expression of suppressor of cytokine signaling- 3 (SOCS-3) in the mononuclear cells (MNC), which interferes with insulin signal transduction and contributes to the pathogenesis of insulin resistance. In contrast, an American heart association (AHA) meal rich in fruits and fiber does not induce these effects. These observations are important since HFHC meal not only induces oxidative stress and inflammation but also lays the foundations of a potentially greater insulin resistance through the induction of SOCS-3, TLR-4 and TLR-2.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Nov 2010

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

November 1, 2010

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2013

Completed
3 years until next milestone

First Submitted

Initial submission to the registry

April 25, 2016

Completed
29 days until next milestone

First Posted

Study publicly available on registry

May 24, 2016

Completed
Last Updated

May 25, 2016

Status Verified

May 1, 2016

Enrollment Period

2.5 years

First QC Date

April 25, 2016

Last Update Submit

May 23, 2016

Conditions

Keywords

high fat dietinsulinogenesisFiberinflammation

Outcome Measures

Primary Outcomes (1)

  • effect of addition of fiber on the relative change of NF-Kappa B

    The investigators hypothesize that addition of fiber intake will suppress NF-kappa B after HFHC meal. Therefore, changes in NF-kappa B activity will be compared as percent change form baseline after HFHC meal with or without fiber in lean and obese subjects

    Baseline and 1 week

Secondary Outcomes (4)

  • effect of addition of fiber on Changes in ROS generation.

    Baseline and 1 week

  • effect of addition of fiber on Changes in TLR-4 mRNA expression in MNC

    Baseline and 1 week

  • effect of addition of fiber on Changes in SOCS-3 mRNA expression in MNC

    Baseline and 1 week

  • effect of addition of fiber on Changes in insulin secretion between the 2 visits (HFHC meal with or without fiber) will be compared as percent change from baseline.

    Baseline and 1 week

Study Arms (2)

High fat high carbohydrate (HFHC) meal

PLACEBO COMPARATOR

Subjects will consume a HFHC meal. HFHC meal includes egg muffin and sausage muffin sandwiches and two hash browns which contain 88g carbohydrates, 51 g fat (33% saturated) and 34 g protein (carbohydrates 41%, protein 17%, and fat 42%). 35 ml of blood will be obtained at 1h ,2h,3h and 4 h and 5 ml at 15 min,30 min,45 min,75 min and 90 min . A total of 165 ml (11 tablespoon) blood will be collected.

Other: HFHC meal

HFHC meal plus Fiber

EXPERIMENTAL

HFHC meal includes egg muffin and sausage muffin sandwiches and two hash browns which contain 88g carbohydrates, 51 g fat (33% saturated) and 34 g protein (carbohydrates 41%, protein 17%, and fat 42%). Subjects will also receive FiberOne Original cereal 14 grams (half cup) before and after the HFHC meal. 35 ml of blood will be obtained at 1h ,2h,3h and 4 h and 5 ml at 15 min,30 min,45 min,75 min and 90 min . A total of 165 ml (11 tablespoon) blood will be collected.

Dietary Supplement: HFHC MEAL plus Fiber

Interventions

900 Cal high fat high carbohydrate fast food meal (HFHC). meal includes egg muffin and sausage muffin sandwiches and two hash browns which contain 88g carbohydrates, 51 g fat (33% saturated) and 34 g protein (carbohydrates 41%, protein 17%, and fat 42%).

High fat high carbohydrate (HFHC) meal
HFHC MEAL plus FiberDIETARY_SUPPLEMENT

900 Cal high fat high carbohydrate fast food meal containing egg muffin and sausage muffin sandwiches and two hash browns which contain 88g carbohydrates, 51 g fat (33% saturated) and 34 g protein (carbohydrates 41%, protein 17%, and fat 42%).with FiberOne Original cereal 14 grams (half cup) each before and after the HFHC meal

HFHC meal plus Fiber

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age: 18 to 80 years of age
  • Subject will be available for duration of the study and willing to comply with all study requirements
  • Written and informed consent signed and dated
  • Nonsmoker

You may not qualify if:

  • Coronary artery disease (CAD): documented by history of myocardial infarction, angioplasty/stent placement, angina, exercise EKG positive for ischemia or angiographic evidence of CAD
  • Patient on non-steroidal anti-inflammatory drugs or steroids
  • Hepatic disease (transaminase \> 3 times normal)
  • Renal impairment (serum creatinine \> 1.5 mg/dl)
  • History of drug or alcohol abuse
  • Participation in any other concurrent clinical trials
  • Use of an investigational agent or therapeutic regimen within 30 days of study
  • Pregnancy
  • Premenopausal women who are trying to be pregnant
  • Anemia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

ECMC Ambulatory Center, 3rd Floor

Buffalo, New York, 14215, United States

Location

MeSH Terms

Conditions

Inflammation

Interventions

Dietary Fiber

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Dietary CarbohydratesCarbohydratesFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
SUNY Distinguished Professor

Study Record Dates

First Submitted

April 25, 2016

First Posted

May 24, 2016

Study Start

November 1, 2010

Primary Completion

May 1, 2013

Study Completion

May 1, 2013

Last Updated

May 25, 2016

Record last verified: 2016-05

Locations