NCT03994367

Brief Summary

The goal of this proposal is to determine the effect of a high protein diet in which the increase in protein intake is derived from different sources (animal vs plant and protein-rich whole foods vs protein isolates) on: i) liver and muscle insulin sensitivity; ii) the metabolic response to a meal, and iii) 24-h plasma concentration profiles of glucose, glucoregulatory hormones, and protein-derived metabolites purported to cause metabolic dysfunction.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
24mo left

Started Jul 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress78%
Jul 2019Apr 2028

First Submitted

Initial submission to the registry

June 18, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 21, 2019

Completed
21 days until next milestone

Study Start

First participant enrolled

July 12, 2019

Completed
8.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 25, 2028

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 25, 2028

Last Updated

March 17, 2025

Status Verified

March 1, 2025

Enrollment Period

8.6 years

First QC Date

June 18, 2019

Last Update Submit

March 14, 2025

Conditions

Keywords

High ProteinMetabolismDiet

Outcome Measures

Primary Outcomes (2)

  • 24-hour plasma glucose concentration

    up to 12 weeks after the intervention

  • Insulin sensitivity assessed as insulin-mediated glucose disposal during a hyperinsulinemic-euglycemic clamp procedure

    up to 12 weeks after the intervention

Secondary Outcomes (5)

  • Postprandial plasma glucose concentration

    up to 12 weeks after the intervention

  • mTOR signaling (phospho-S6 content) in circulating monocytes

    up to 12 weeks after the intervention

  • Endothelial function, assessed as reactive hyperemia index

    up to 12 weeks after the intervention

  • Postprandial plasma insulin concentration

    up to 12 weeks after the intervention

  • Postprandial plasma amino acid concentration

    up to 12 weeks after the intervention

Study Arms (5)

Standard protein (control)

NO INTERVENTION

High animal protein isolate

EXPERIMENTAL
Other: High animal protein isolate

High animal protein whole food

EXPERIMENTAL
Other: High animal protein whole food

High plant protein isolate

EXPERIMENTAL
Other: High plant protein isolate

High plant protein whole food

EXPERIMENTAL
Other: High plant protein whole food

Interventions

Increased dietary protein content from animal protein isolates

High animal protein isolate

Increased dietary protein content from animal protein whole food

High animal protein whole food

Increased dietary protein content from plant protein isolates

High plant protein isolate

Increased dietary protein content from animal protein whole food

High plant protein whole food

Eligibility Criteria

Age21 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age: ≥21 and ≤70 years;
  • BMI: \>24.5 and \<32.5 kg/m2;
  • habitual protein intake \<0.9 g/kg/day (assessed on 2 weekdays and 2 weekend days by using the HealthWatch 360 app); and
  • weight stable (i.e., ≤3% change) and untrained (≤150 min of structured exercise/week) for at least 2 months before entering the study.

You may not qualify if:

  • prediabetes or type 2 diabetes;
  • evidence of chronic kidney disease by medical history or laboratory tests (glomerular filtration rate \<60 ml/min/1.73 m2 or an albumin to creatinine ratio in urine ≥30 mg/g);
  • vegetarians or vegans;
  • intolerance or allergies to ingredients in the metabolic meal or intervention diet;
  • take dietary supplements (e.g., pre- and probiotics, fiber, fish oil) or medications known to affect our study outcomes;
  • received antibiotic or antifungal treatment (which affect the microbiome and therefore microbial metabolite production) 2 months before entering the study;
  • consume tobacco products or excessive alcohol (women: \>14 drinks/week; men: \>21 drinks/week);
  • evidence of significant organ system dysfunction or diseases (e.g., cirrhosis), and
  • unwilling or unable to provide informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Missouri School of Medicine

Columbia, Missouri, 65212, United States

RECRUITING

MeSH Terms

Conditions

Metabolic SyndromeGlucose Metabolism Disorders

Condition Hierarchy (Ancestors)

Insulin ResistanceHyperinsulinismMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Bettina Mittendorfer

    University of Missouri-Columbia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

BETTINA MITTENDORFER

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Senior Associate Dean for Research

Study Record Dates

First Submitted

June 18, 2019

First Posted

June 21, 2019

Study Start

July 12, 2019

Primary Completion (Estimated)

February 25, 2028

Study Completion (Estimated)

April 25, 2028

Last Updated

March 17, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations