NCT05925933

Brief Summary

Diabetes/ prediabetes is a substantial problem in India not only because it itself can be associated with morbidities such as coronary artery disease but also because it is a point of importance for the prevention of other diseases. It is not clear if a high protein calorie diet in the Indian population associated with a heightened tendency for prediabetes, metabolic syndrome, atherosclerosis and dysmetabolic state etc. could, besides lifestyle factors, be related to diet, or interaction between the two. The analysis of whole blood transcriptomes and plasma metabolomics profiles may be a potentially useful tool for the assessment of metabolic health status. The proposed study is the first to perform a detailed gene expression profiling with the use of next-generation sequencing technology to assess the differences in molecular mechanisms in the peripheral blood of subjects with prediabetes.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
6mo left

Started Oct 2023

Typical duration for not_applicable

Status
not yet 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 Progress84%
Oct 2023Oct 2026

First Submitted

Initial submission to the registry

June 13, 2023

Completed
16 days until next milestone

First Posted

Study publicly available on registry

June 29, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

October 1, 2023

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2026

Last Updated

June 29, 2023

Status Verified

June 1, 2023

Enrollment Period

3 years

First QC Date

June 13, 2023

Last Update Submit

June 22, 2023

Conditions

Outcome Measures

Primary Outcomes (7)

  • Body Mass Index

    BMI will be calculated by using formula weight (Kg)/height (m2).

    6 Months

  • Body Fat

    Body estimations will be done by DEXA Scan

    2 MONTHS

  • Liver Fat

    Liver fat will be done by MRI Scan

    2 Months

  • Next Generation sequencing

    06 MONTHS

  • Pancreatic fat

    Pancreatic fat estimation will be done by MRI

    06 MONTHS

  • RNA Extraction

    06 MONTHS

  • Metabolomics profile

    06 MONTHS

Study Arms (2)

High Protein Diet

EXPERIMENTAL

High protein diet (carbohydrates 45%, protein 29%, and fat 26%) over 8-week periods. All assessments as done on day 1 will be repeated on day 60.

Other: Intervention

Control Group

OTHER

Equicaloric normal diet (carbohydrates 60%, protein 15%, and fat 25%)

Other: Intervention

Interventions

high protein diet (carbohydrates 45%, protein 29%, and fat 26%) over 8-week periods.

Control GroupHigh Protein Diet

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may not qualify if:

  • Acute infections and advanced end-organ damage.
  • History of hepatitis or pancreatitis, abnormal liver and renal function tests.
  • Recent (\<3 months) changes in weight (≥5%) and/or weight changing medications.
  • Subjects with metallic implants, pacemaker leads, radioactive seeds or surgical staples in the body.
  • Cases:
  • Age 18 to 50 years. Subjects with pre-diabetes on oral glucose tolerance test (OGTT)
  • Fasting blood glucose≥100mg/dl and \<126 mg/dl or 2-h plasma glucose ≥140mg/dl and \<200mg/dl (after ingestion of 75 grams of anhydrous oral glucose) or both.
  • Controls:
  • Age 18 to 50 years. Normoglycemia by OGTT
  • Fasting blood glucose \<100mg/dl and 2-h plasma glucose \<140mg/dl (after ingestion of 75 gram of anhydrous oral glucose).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Glucose Intolerance

Interventions

Methods

Condition Hierarchy (Ancestors)

HyperglycemiaGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Investigative Techniques

Central Study Contacts

Anoop Misra, MD

CONTACT

Surya Prakash, PhD+Post Doc

CONTACT

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
SPONSOR

Study Record Dates

First Submitted

June 13, 2023

First Posted

June 29, 2023

Study Start

October 1, 2023

Primary Completion (Estimated)

September 30, 2026

Study Completion (Estimated)

October 31, 2026

Last Updated

June 29, 2023

Record last verified: 2023-06

Data Sharing

IPD Sharing
Will not share

In this study a total of 60 subjects with pre-diabetes and 60 age and body mass index, and gender matched controls (age 18-40 years) will be recruited. They will be randomized to an equicaloric normal diet or high protein diet over 8-week periods. All assessments as done on day 1 will be repeated on day 60.