NCT07246408

Brief Summary

Cardiovascular disease risk factors, including higher BMIs and poor cholesterol profiles, are on the rise and contribute to the United States' growing disease burden. Cottonseed oil (CSO) is found readily in the food supply, and the investigator's previous studies have demonstrated that incorporating CSO into the diet is sufficient to improve fasting and postprandial blood lipids and other markers of chronic disease risk in both healthy and at-risk populations. This study aims to examine the impact of intermittent CSO consumption at different doses (consumed three times per week (3x/wk)) on changes in fasting and postprandial lipid metabolism/blood lipids and markers of chronic disease risk. The specific aims are: \*Examine the impact of intermittent CSO consumption (3x/week) at two different doses on fasting and postprandial lipids. \*Examine the impact of intermittent CSO consumption (3x/week) at two different doses on other markers of chronic disease risk. Participants will be asked to: \*Consume provided meal replacement shakes and snacks 3 times per week for 56 days. \*Attend three bi-weekly (every other week) short visits for fasting blood draws, body measurements, and collection of the next two weeks' study materials. \*Attend two longer (5.5h) testing visits, which include eating a standardized breakfast meal and having blood drawn periodically before and after breakfast. Researchers will compare CSO-30, CSO-20, and Control groups (receiving no oil) to see if intermittent CSO consumption imparts the same health benefits as previously shown with daily doses of CSO.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
35mo left

Started Jan 2026

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress13%
Jan 2026May 2029

First Submitted

Initial submission to the registry

November 13, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

November 24, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

January 16, 2026

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2029

Last Updated

January 23, 2026

Status Verified

January 1, 2026

Enrollment Period

2.3 years

First QC Date

November 13, 2025

Last Update Submit

January 21, 2026

Conditions

Outcome Measures

Primary Outcomes (10)

  • Change in fasting serum lipoprotein and cholesterol concentrations

    The concentration of fasting serum total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, cholesterol/HDL ratio, and non-HDL cholesterol (mg/dL)

    baseline, 8 weeks

  • Change in fasting and postprandial plasma triglyceride concentrations

    The concentration of plasma triglycerides before and after the high saturated fat meal challenge at both pre-and post-intervention visits (mg/dL)

    baseline, 8 weeks

  • Change in fasting and postprandial plasma non-esterified fatty acid (NEFA) concentrations

    The concentration of plasma NEFAs before and after the high saturated fat meal challenge at both pre- and post-intervention visits (mEq/L)

    baseline, 8 weeks

  • Change in fasting and postprandial plasma appetite control hormone concentrations

    The concentration of plasma appetite control hormones before and after the high saturated fat meal challenge at both pre- and post-intervention visits. Appetite control hormones include cholecystokinin (CCK), Peptide YY (PYY), and Ghrelin (pg/mL)

    baseline, 8 weeks

  • Change in fasting and postprandial subjective feelings related to appetite

    Visual analog scale ratings of feelings related to appetite before and after the high saturated fat meal challenge, and for the remainder of the day, at both pre- and post-intervention visits. Subjective feelings of hunger, fullness, desire to eat, prospective consumption, and a composite appetite score are measured by visual analog scales (mm).

    baseline, 8 weeks

  • Change in fasting and postprandial plasma Malondialdehyde (MDA)

    The concentration of MDA before and after the high saturated fat meal challenge at both pre- and post-intervention visits (nmol/mL).

    baseline, 8 weeks

  • Change in fasting and postprandial plasma total antioxidant capacity

    Total antioxidant capacity before and after the high saturated fat meal challenge at both pre- and post-intervention visits (U/mL).

    baseline, 8 weeks

  • Change in fasting inflammatory cytokine concentrations

    The concentration of interleukin-1 beta, C-reactive protein, tumor-necrosis factor-alpha, interleukin-10, and interleukin-6 at fasting at both pre-and post-intervention visits (pg/mL).

    baseline, 8 weeks

  • Change in fasting plasma markers of coagulation potential

    The concentration of plasminogen activator inhibitor-1, fibrinogen, and tissue factor at fasting for both pre- and post-intervention visits (pg/mL)

    baseline, 8 weeks

  • Change in fasting and postprandial plasma angiopoietin-like (ANGPTL) proteins

    The concentration of ANGPTL 3, ANGPTL 4, and ANGPTL 8 before and after the high saturated fat meal challenge at both pre- and post-intervention visits (ng/mL)

    baseline, 8 weeks

Secondary Outcomes (9)

  • Change in fasting serum hepatic enzymes

    baseline, 8 weeks

  • Change in fasting serum hepatic proteins

    baseline, 8 weeks

  • Change in fasting serum bilirubin

    baseline, 8 weeks

  • Change in fasting and postprandial plasma insulin concentrations

    baseline, 8 weeks

  • Change in fasting and postprandial plasma glucose concentrations

    baseline, 8 weeks

  • +4 more secondary outcomes

Other Outcomes (13)

  • Change in blood pressure

    baseline, 8 weeks

  • Change in body weight

    baseline, 8 weeks

  • Change in body composition

    baseline, 8 weeks

  • +10 more other outcomes

Study Arms (3)

CSO-30

EXPERIMENTAL

Participants are given foods enriched with cottonseed oil and instructed on how to substitute provided study foods into usual diet to maintain caloric balance.

Other: CSO-30

CSO-20

EXPERIMENTAL

Participants are given foods enriched with cottonseed oil and instructed on how to substitute provided study foods into usual diet to maintain caloric balance.

Other: CSO-20

Control

PLACEBO COMPARATOR

Participants are given foods void of cottonseed oil and instructed on how to substitute provided study foods into usual diet to maintain caloric balance.

Other: Control

Interventions

CSO-30OTHER

Participants are provided a breakfast shake and snack to consume 3 times per week that meets 30% of participant's daily estimated energy needs as cottonseed oil for 56 days.

CSO-30
CSO-20OTHER

Participants are provided a breakfast shake and snack to consume 3 times per week that meets 20% of participant's daily estimated energy needs as cottonseed oil for 56 days.

CSO-20
ControlOTHER

Participants are provided a breakfast shake and snack to consume 3 times per week that does not contain cottonseed oil, but does contain thickened water for blinding purposes, for 56 days.

Control

Eligibility Criteria

Age25 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • year-old men and women at increased risk for cardiovascular disease. Increased risk for cardiovascular disease will be defined by either elevated cholesterol profiles -or- overweight/obesity.
  • Elevated cholesterol profiles will be defined as:
  • "Borderline High" and/or "at risk" in two of more of the following variables (total cholesterol: 180-239 mg/dL, LDL cholesterol 110-159 mg/dL, triglycerides 130-199 mg/dL) --or--
  • "High" in total cholesterol (240 mg/dL and higher), LDL (160 mg/dL or higher), or triglycerides (between 200-350 mg/dL).

You may not qualify if:

  • Probable familial hypercholesterolemia, defined by: total cholesterol greater than 290 mg/dL or LDL levels greater than 190 mg/dL plus a family history of myocardial infarction (MI) before 50 years of age in a 2nd-degree relative or below age 60 in a 1st-degree relative.
  • Women on hormone replacement therapy less than 2 years.
  • Women who are pregnant or nursing/breastfeeding
  • individuals who regularly exercise more than 3h/w
  • weight gain or loss of more than 5% body weight in the past 3 months
  • plans to begin a weight loss/exercise regimen during the trial
  • history of medical or surgical events that could affect digestion or swallowing
  • gastrointestinal surgeries, conditions, or disorders
  • any chronic diseases (including moderate to severe asthma, chronic lung disease, and kidney disease),
  • metabolic disease
  • atherosclerosis
  • previous MI or stroke
  • cancer
  • fasting blood glucose levels greater than 126 mg/dL
  • blood pressure greater than 180/120 mmHg
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Georgia

Athens, Georgia, 30602, United States

RECRUITING

MeSH Terms

Conditions

DyslipidemiasOverweightObesity

Condition Hierarchy (Ancestors)

Lipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesOvernutritionNutrition DisordersBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Jamie Cooper, PhD

    University of Georgia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jamie Cooper, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Participants are blinded to their group assignment. Investigator blinded to participant's intervention group assignment.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Three groups of 56-day parallel feeding trials with one group receiving 30% of energy needs from CSO, one group receiving 20% of energy needs from CSO, and one group serving as Control receiving no CSO.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Department Head of Kinesiology, Director of UGA Obesity Initiative

Study Record Dates

First Submitted

November 13, 2025

First Posted

November 24, 2025

Study Start

January 16, 2026

Primary Completion (Estimated)

May 1, 2028

Study Completion (Estimated)

May 1, 2029

Last Updated

January 23, 2026

Record last verified: 2026-01

Locations