Anti-inflammatory Effects of Fiber
To Study the Effect of High Fat High Carbohydrate Meal on Oxidative Load, Inflammatory Mediators and Insulin Resistance in Normal and Obese Subjects
1 other identifier
interventional
20
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2010
Typical duration for not_applicable
1 active site
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
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 25, 2016
CompletedFirst Posted
Study publicly available on registry
May 24, 2016
CompletedMay 25, 2016
May 1, 2016
2.5 years
April 25, 2016
May 23, 2016
Conditions
Keywords
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 COMPARATORSubjects 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.
HFHC meal plus Fiber
EXPERIMENTALHFHC 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.
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%).
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
Eligibility Criteria
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
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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