A Study to Assess the Effect of Psyllium vs. Wheat Dextrin on Glycemic Control and Inflammatory Markets in Diabetes Mellitus 2
Fiber and Diabetes (FAD) Study: Effect of Psyllium vs. Wheat Dextrin on Glycemic Control and Inflammatory Markers in DM2
1 other identifier
interventional
101
1 country
1
Brief Summary
The purpose of this study is to determine which of Psyllium and Wheat Dextrin is more effective in lowering fasting blood sugar and hemoglobin A1c, and to evaluate the effects they have on laboratory values.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2020
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
First Submitted
Initial submission to the registry
September 8, 2020
CompletedFirst Posted
Study publicly available on registry
September 14, 2020
CompletedStudy Start
First participant enrolled
December 23, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 27, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 27, 2023
CompletedMarch 28, 2024
March 1, 2024
2.9 years
September 8, 2020
March 27, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Change in fasting blood sugar
The two endpoints of primary interest for this study are HbA1c and fasting glucose. The primary analysis will assess the change in these endpoints between the two treatment groups over the 12 week study period. To estimate the difference between study groups a linear mixed model will be used to account for repeated measures of subjects. The independent variable will be Psyllium group and the baseline outcome result will be included as a covariate.
12 weeks
Change in HbA1c
The primary analysis will assess the change in these endpoints between the two treatment groups over the 12 week study period. To estimate the difference between study groups a linear mixed model will be used to account for repeated measures of subjects. The independent variable will be Psyllium group and the baseline outcome result will be included as a covariate.
12 weeks
Secondary Outcomes (4)
Change in LDL-C
12 weeks
Change in ceramides
12 weeks
Change in blood pressure
12 weeks
Change in weight
12 weeks
Study Arms (2)
Psyllium group
EXPERIMENTALSubjects will take psyllium once daily for the first three days, then twice daily starting Day 4 until the end of the study.
Wheat Dextrin group
EXPERIMENTALSubjects will take wheat dextrin once daily for the first three days, then twice daily starting Day 4 until the end of the study.
Interventions
One level scoop (12.5mL) of 5.1g of psyllium fiber twice a day with 8 ounces water
One level scoop (12.5 mL) of 1.7g wheat dextrin fiber twice a day with 8 ounces water
Eligibility Criteria
You may qualify if:
- Age \>18
- May be on oral therapy (including metformin) or insulin
- Most recent HgbA1c level measuring between 6.5 -10 within the last 3 months
- May be on stable (\> 4 weeks) statin dose or no statin therapy
- Willing to sign informed consent and stay on current medical regimen
- Does not use regular dietary fiber supplements; has not had any psyllium containing products in the previous 30 days; is willing to refrain from taking any other fiber containing supplement products during the study
- Has not used systemic steroid agents in the last 30 days
- Able to participate fully in all aspects of the study
- Have access and ability to utilize text messaging or email
You may not qualify if:
- Unwilling/unable to participate
- Comorbid inflammatory bowel disease, celiac sprue, nephrotic syndrome, severe cholestasis (e.g., primary biliary cirrhosis), or history of bariatric surgery/bowel resection
- Alcohol use in excess of 14 drinks/week
- Allergic reactions to psyllium or wheat dextrin
- Has participated in a clinical drug study or used an investigational new drug during the previous 30 days
- Self-Report of known or suspected pregnancy or immediate plans (within 3 months) of becoming pregnant
- Currently breastfeeding
- Has a known history of any condition or factor judged by the investigator to preclude participation in the study or which might hinder adherence
- Anticipated or recent major changes in diet or exercise routine
- Anticipated colonoscopy prep during 3 months of study period
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (1)
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stephen Kopecky, MD
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
September 8, 2020
First Posted
September 14, 2020
Study Start
December 23, 2020
Primary Completion
November 27, 2023
Study Completion
November 27, 2023
Last Updated
March 28, 2024
Record last verified: 2024-03
Data Sharing
- IPD Sharing
- Will not share