Plasma Trimethylamine N-oxide Elevation Induced by L-carnitine Supplementation and Insulin Resistance
MR
The Role of Gut Microbiota Metabolite, Trimethylamine N-oxide, in the Insulin Resistance Development
1 other identifier
interventional
40
1 country
1
Brief Summary
The primary aims of the current study:
- using L-carnitine supplementation modulate the level of plasma trimethylamine N-oxide to assess its effect on circulating cytokines related to diabetes and metabolic syndrome;
- using simulated night-shift work intervention as a stress factor, explore the effect of circulating metabolites on insulin sensitivity The secondary aim is to evaluate the effect of carnitine supplementation on gut microbiome composition.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2022
Longer than P75 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
February 7, 2022
CompletedFirst Submitted
Initial submission to the registry
February 11, 2022
CompletedFirst Posted
Study publicly available on registry
February 22, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 31, 2027
October 3, 2025
September 1, 2025
4.3 years
February 11, 2022
September 29, 2025
Conditions
Outcome Measures
Primary Outcomes (5)
Circulating microbiome metabolites
Determination of plasma trimethylamine and trimethylamine N-oxide using ultra performance liquid chromatography - tandem mass spectrometer (UPLC-MS/MS) method
13 weeks
Circulating carnitine metabolites
Determination of plasma free, total, and acyl-L-carnitines using ultra performance liquid chromatography - tandem mass spectrometer (UPLC-MS/MS) method
13 weeks
Circulating diabetes biomarkers
insulin, C-peptide, ghrelin, leptin, resistin using enzyme-linked immunosorbent assay
13 weeks
Circulating inflammatory biomarkers
tumor necrosis factor, C-reactive protein using enzyme-linked immunosorbent assay
13 weeks
Oral Glucose Tolerance Test
The subjects will consume 75 g of glucose solution drink within a 5-minute time frame. The glucose level will be continuously monitored with the FreeStyle Libre Sensor.
1 week
Secondary Outcomes (1)
gut microbiome composition
13 weeks
Study Arms (4)
carnitine
EXPERIMENTAL2 grams of L-carnitine per day for 12 weeks
leucine
PLACEBO COMPARATOR2 grams of L-leucine per day for 12 weeks
modified circadian cycle
EXPERIMENTALno sleep at night for four consecutive days (enabling sleep between 8:00 and 17:00).
normal circadian cycle
ACTIVE COMPARATORsleep at night for four consecutive days
Interventions
L-carnitine-L-tartrate
Reducing sleep at night for four consecutive days (enabling sleep between 8:00 and 17:00)
Eligibility Criteria
You may qualify if:
- healthy volunteers,
- must be able to swallow tablets
You may not qualify if:
- smokers,
- cardiovascular disease
- liver disease
- kidney disease
- gastrointestinal disorders (including stomach ulcers and erosions)
- diabetes
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Akademia Wychowania Fizycznego
Poznan, 61-871, Poland
Related Publications (2)
Samulak JJ, Sawicka AK, Hartmane D, Grinberga S, Pugovics O, Lysiak-Szydlowska W, Olek RA. L-Carnitine Supplementation Increases Trimethylamine-N-Oxide but not Markers of Atherosclerosis in Healthy Aged Women. Ann Nutr Metab. 2019;74(1):11-17. doi: 10.1159/000495037. Epub 2018 Nov 28.
PMID: 30485835BACKGROUNDBescos R, Boden MJ, Jackson ML, Trewin AJ, Marin EC, Levinger I, Garnham A, Hiam DS, Falcao-Tebas F, Conte F, Owens JA, Kennaway DJ, McConell GK. Four days of simulated shift work reduces insulin sensitivity in humans. Acta Physiol (Oxf). 2018 Jun;223(2):e13039. doi: 10.1111/apha.13039. Epub 2018 Feb 12.
PMID: 29356345BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Olek, PhD
Poznan University of Physical Education
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 11, 2022
First Posted
February 22, 2022
Study Start
February 7, 2022
Primary Completion (Estimated)
May 31, 2026
Study Completion (Estimated)
May 31, 2027
Last Updated
October 3, 2025
Record last verified: 2025-09