NCT06376890

Brief Summary

Diabetes is a major health epidemic facing the United States and New Mexico. Currently, 11.6% of the US population (38.4 million) has diabetes, and 38.0% of US adults have prediabetes. It is estimated that around 70% of prediabetics will develop diabetes in their lifetime. In New Mexico, 48% of adults are at least prediabetic, and 12% of adults in southern New Mexico adults have diabetes. Moreover, major health disparities challenge the southern New Mexico region. Type 2 diabetes mellitus (T2DM) is generally linked with chronic inflammation, obesity, insulin resistance, and ultimately insulin dependence via pancreatic β-cell failure. Lessening pathological inflammation, a critically important factor that contributes to diabetes, can improve the disease. Furthermore, 89.8% of diabetics in the US are overweight or obese, this is a major risk for prediabetes and T2DM, as it causes insulin resistance and pancreatic β-cell dysfunction, Weight loss in people with T2DM and prediabetes has been demonstrated to affect glycemic control and metabolic parameters significantly. The purpose of this proposed study is to explore and establish the beneficial effects of 10 weeks of powdered chili pepper consumption on several parameters related to diabetes and prediabetes. This research will demonstrate how powdered chili pepper consumption can improve systemic inflammation, glycemic control, and body composition, and will provide valuable preliminary data for future funding to further examine these effects in Type 2 diabetics. This research is innovative because chili peppers are an already widely accepted food in Southern New Mexico. Demonstrating the beneficial improvements in diabetes-related markers using a popular food in the area may help to establish better treatments and protocols for an area that has health disparities. The first aim is to establish if 10 weeks of powdered red or green chili pepper consumption can significantly improve markers of inflammation, inflammatory capacity, and antioxidant capacity. The second aim is to establish if 10 weeks of powdered red or green chili pepper ingestion has a significant effect on resting blood glucose and insulin levels, connecting peptide (C-peptide) levels, and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). The third aim is to determine whether powdered chili pepper consumption for 10 weeks improves resting body composition and metabolic rate. This research is innovative because chili peppers are an already widely accepted food in Southern New Mexico. Demonstrating the beneficial improvements in diabetes-related markers using a popular food in the area may help to establish better treatments and protocols for an area with health disparities. Overall, this study will provide valuable insight and background knowledge for the use of chili peppers for the treatment of prediabetes and the prevention of diabetes progression.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
21

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jul 2024

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

First Submitted

Initial submission to the registry

April 12, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 19, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

July 1, 2024

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2025

Completed
Last Updated

April 19, 2024

Status Verified

April 1, 2024

Enrollment Period

10 months

First QC Date

April 12, 2024

Last Update Submit

April 16, 2024

Conditions

Outcome Measures

Primary Outcomes (6)

  • Concentration of resting and fasted blood glucose measured in mg/dl

    Resting and fasted blood glucose will be measure at the pre- and post 10-week intervention time points. The outcome will be reported in mg/dl.

    10 Weeks

  • Concentration of resting and fasted insulin measured in pmol/L

    Resting and fasted blood glucose will be measure at the pre- and post 10-week intervention time points. The outcome will be reported in pmol/L

    10 Weeks

  • Concentration of circulating C-reactive protein reported as mg/dl.

    Circulating concentrations of C-reactive protein (CRP) will be measured pre and post intervention and will be used as an indicator of whole-body inflammation. C-reactive protein will be reported in mg/dl.

    10 weeks

  • Concentration of circulating interleukin (IL)-1 beta reported as pg/ml.

    Circulating concentrations of IL-1 beta will be measured pre and post intervention and will be used as an indicator of inflammation and disease progression. IL-1 beta will be reported in pg/ml.

    10 weeks

  • Concentration of circulating interleukin-6 (IL-6) reported as pg/ml.

    Circulating concentrations of IL-6 will be measured pre and post intervention and will be used as an indicator of inflammation and disease progression. IL-6 will be reported in pg/ml.

    10 weeks

  • Concentration of circulating interleukin tumor necrosis factor (TNF)-alpha reported as pg/ml.

    Circulating concentrations of TNF-alpha will be measured pre and post intervention and will be used as an indicator of inflammation and disease progression. TNF-alpha will be reported in pg/ml.

    10 weeks

Secondary Outcomes (3)

  • Concentration of circulating superoxide dismutase (SOD) reported as ng/ml.

    10 weeks

  • Concentration of circulating glutathione peroxidase reported as pg/ml.

    10 weeks

  • Body composition measured as total fat mass and total fat free mass reported in kg.

    10 weeks

Study Arms (3)

Red Chili Pepper

EXPERIMENTAL

2.4 grams/day of red chili will be given to the red chili group for 10 weeks.

Dietary Supplement: Red chili peppers

Green Chili Pepper

EXPERIMENTAL

2.4 grams/day of green chili will be given to the green chili group for 10 weeks.

Dietary Supplement: Green Chili Pepper

Placebo

PLACEBO COMPARATOR

2.4 grams/day of corn start will be given to the placebo group for 10 weeks.

Dietary Supplement: Placebo

Interventions

Red chili peppersDIETARY_SUPPLEMENT

2.4 grams/day of powdered red chili pepper

Red Chili Pepper
Green Chili PepperDIETARY_SUPPLEMENT

2.4 grams/day of powdered green chili peppers

Green Chili Pepper
PlaceboDIETARY_SUPPLEMENT

2.4 grams of a metabolically equivalent placebo

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must be eighteen years or older,
  • Fasting blood glucose of 100mg/dl to 125mg/dl
  • BMI of 24 or higher
  • Must be willing to ingest powdered chili pepper
  • Must be able to swallow tablets

You may not qualify if:

  • Insulin dependent diabetes
  • Thyroid disease
  • History of metabolic disease
  • Allergic to chili peppers
  • Pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Prediabetic State

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Central Study Contacts

Peter Smoak, Ph.D.

CONTACT

David Castillo, M.S.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Only the primary investigator will know the intervention assigned to the participants.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A 3x2 model with 2 intervention groups (green and red chili) and a control group, and pre and post-intervention measures will be taken.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 12, 2024

First Posted

April 19, 2024

Study Start

July 1, 2024

Primary Completion

May 1, 2025

Study Completion

July 1, 2025

Last Updated

April 19, 2024

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will not share

Individualized participant data will not be shared with anyone other than those on the research team.