Given the data on the active ingredients of Totum-63, this research aims to evaluate the effect of its chronic consumption (24 weeks) on glucose and lipid homeostasis and especially on fasting plasma glucose in volunteers with abdominal obesity associated with impaired glucose tolerance or untreated type 2 diabetes and hypertriglyceridemia. This clinical study is designed to estimate the effect of Totum-63, active ingredient of Valedia, on several glucose and lipid homeostasis related parameters since these data are still unknown for this specific dietary supplement formula. Collected data will provide more reliable information which may be used to plan a subsequent larger main study.
Primary objective: The primary objective of the present trial is to assess the beneficial effect of Totum-63 compared to a placebo on glucose homeostasis assessed by the fasting plasma glucose level in prediabetics or untreated type 2 diabetics after 24 weeks of consumption. Secondary objectives: Secondary objectives of the study are to assess the efficacy of Totum-63 compared to a placebo in prediabetics or untreated type 2 diabetics after 12 and 24 weeks of consumption through the following criteria: * Glucose homeostasis assessed by fasting plasma glucose level (after 12 weeks of consumption only), fasting blood HbA1c and fructosamine levels, OGTT (Oral Glucose Tolerance Test after 24 weeks of consumption only), insulinemic and glycemic parameters. * Pancreatic beta-cells function and insulin sensitivity assessed by fasting blood insulin level, HOMA-IR (Homeostasis Model Assessment of Insulin Resistance), HOMA-β, QUICKI (Quantitative Insulin sensitivity Check Index), ISI-M (Matsuda-DeFronzo Insulin Sensitivity Index after 24 weeks of consumption only), OGIS (Oral Glucose Insulin Sensitivity after 24 weeks of consumption only) and PREDIM (PREDIcted M after 24 weeks of consumption only) indexes. * Lipid homeostasis assessed by fasting blood levels of triglycerides (TG), Total Cholesterol (TC), HDL-cholesterol, LDL-cholesterol and NEFA (Non-Esterified Fatty Acids). * Oxidation mechanism of circulating lipids assessed by the ratio fasting blood LDLox / fasting blood LDLc and the PON-1 (paraoxonase-1, arylesterase activity) activity in blood. * Low grade inflammation assessed by fasting blood hsCRP level. * Hepatic function assessed by fasting blood total bilirubin level, GGT, ASAT and ALAT activities in blood. * Hemodynamics assessed by Heart Rate (HR), Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP). * Anthropometrics assessed by Body Weight (BW), Waist Circumference (WC), Hip Circumference (HC) and Waist to Hip Ratio (WHR). * Satiety assessed by the three-day food diary energy and nutrient intake parameters. Safety objectives: The following criteria assessed after 24 weeks of study product consumption participate to the objectives of safety check: * Renal function assessed by fasting blood creatinine and urea level; * Complete blood count.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
66
Each randomized subject will consume 8 capsules daily of either active (5200 mg of Totum-63) during 24 weeks (from visit V1 to visit V3). They will consume 3 capsules at the beginning of their breakfast, 2 capsules at the beginning of their lunch and 3 capsules at the beginning of their dinner.
Each randomized subject will consume 8 capsules daily of placebo (5064 mg of maltodextrine) during 24 weeks (from visit V1 to visit V3). They will consume 3 capsules at the beginning of their breakfast, 2 capsules at the beginning of their lunch and 3 capsules at the beginning of their dinner.
Institut Pasteur de Lille
Lille, France
Biofortis Mérieux NutriSciences Clinical Investigation Center
Saint-Herblain, France
Atlantia Food Clinical Trials
Cork, Ireland
Clinical center of Kragujevac, / Poseidon CRO
Kragujevac, Serbia
Clinical Center of Vojvodina / Poseidon CRO
Novi Sad, Serbia
University Medical Centre Ljubljana / Poseidon CRO
Ljubljana, Slovenia
Changes in fasting glycemia
Defined as the difference V3 (24 weeks) - V1 (baseline) in g/L
Time frame: 24 weeks
Changes in fasting glycemia
Defined as the difference V2 (12 weeks) - V1 (baseline) in g/L
Time frame: 12 weeks
Changes in fasting blood levels of HbA1c
Defined as the difference V3 (24 weeks) - V1 (baseline) in %
Time frame: 24 weeks
Changes in fasting blood levels of HbA1c
Defined as the difference V2 (12 weeks) - V1 (baseline) in %
Time frame: 12 weeks
Changes in fasting blood levels of fructosamine
Defined as the difference V3 (24 weeks) - V1 (baseline) in µmol/L
Time frame: 24 weeks
Changes in fasting blood levels of fructosamine
Defined as the difference V2 (12 weeks) - V1 (baseline) in µmol/L
Time frame: 12 weeks
Changes in fasting insulinemia
Defined as the difference V3 (24 weeks) - V1 (baseline) in mU/L
Time frame: 24 weeks
Changes in fasting insulinemia
Defined as the difference V2 (12 weeks) - V1 (baseline) in mU/L
Time frame: 12 weeks
Changes in the evolution of glycemia during an oral glucose tolerance test
Changes between V1 (baseline) and V3 (24 weeks) visits (defined as the difference V3-V1 in g/L) of glycemia at 30, 60, 90 and 120 minutes, glucose Cmax and Δpeak (difference from the baseline at Cmax) and Incremental Area Under the Curve (iAUC) of glycemia between T0 and T120 minutes following the 75g glucose intake (iAUC0-120min) and considering the following time-points: T0, T30, T60, T90 and T120
Time frame: 24 weeks
Changes in the evolution of insulinemia during an oral glucose tolerance test
Changes between V1 (baseline) and V3 (24 weeks) visits (defined as the difference V3-V1 in g/L) of insulinemia at 30, 60, 90 and 120 minutes, insulin Cmax and Δpeak (difference from the baseline at Cmax) and Incremental Area Under the Curve (iAUC) of insulinemia between T0 and T120 minutes following the 75 g glucose intake (iAUC0-120min) and considering the following time-points: T0, T30, T60, T90 and T120
Time frame: 24 weeks
Changes in HOMA-IR, HOMA-β, QUICKI, ISI-M, OGIS and PREDIM indices
Defined as the difference V3 (24 weeks) - V1 (baseline)
Time frame: 24 weeks
Changes in HOMA-IR, HOMA-β and QUICKI indices
Defined as the difference V2 (12 weeks) - V1 (baseline)
Time frame: 12 weeks
Changes in fasting blood concentrations of triglycerides, non esterified fatty acids, LDL cholesterol, HDL cholesterol and Total cholesterol
Defined as the difference V3 (24 weeks) - V1 (baseline) in g/L
Time frame: 24 weeks
Changes in fasting blood concentrations of triglycerides, non esterified fatty acids, LDL cholesterol, HDL cholesterol and Total cholesterol
Defined as the difference V2 (12 weeks) - V1 (baseline) in g/L
Time frame: 12 weeks
Changes in fasting blood level of PON-1 (Paraoxonase)
Defined as the difference V3 (24 weeks) - V1 (baseline) in μkat/L
Time frame: 24 weeks
Changes in fasting blood level of PON-1 (Paraoxonase)
Defined as the difference V2 (12 weeks) - V1 (baseline) in μkat/L
Time frame: 12 weeks
Changes in the ratio of fasting blood oxidized LDL / fasting blood LDL cholesterol
Defined as the difference V3 (24 weeks) - V1 (baseline) in U/g
Time frame: 24 weeks
Changes in the ratio of fasting blood oxidized LDL / fasting blood LDL cholesterol
Defined as the difference V2 (12 weeks) - V1 (baseline) in U/g
Time frame: 12 weeks
Changes in fasting blood level of hsCRP
Defined as the difference V3 (24 weeks) - V1 (baseline) in mg/L
Time frame: 24 weeks
Changes in fasting blood level of hsCRP
Defined as the difference V2 (12 weeks) - V1 (baseline) in mg/L
Time frame: 12 weeks
Changes in fasting blood levels of ASAT (Aspartate aminotransferase) and ALAT (Alanine aminotransferase)
Defined as the difference V3 (24 weeks) - V1 (baseline) in µkat/L
Time frame: 24 weeks
Changes in fasting blood levels of GGT (Gamma glutamyltransferase)
Defined as the difference V3 (24 weeks) - V1 (baseline) in µkat/L
Time frame: 24 weeks
Changes in fasting blood levels of bilirubin
Defined as the difference V3 (24 weeks) - V1 (baseline) in µmol/L
Time frame: 24 weeks
Changes in fasting blood levels of creatinine
Defined as the difference V3 (24 weeks) - V1 (baseline) in µmol/L
Time frame: 24 weeks
Changes in fasting blood levels of creatinine
Defined as the difference V2 (12 weeks) - V1 (baseline) in µmol/L
Time frame: 12 weeks
Changes in heart rate
Defined as the difference V3 (24 weeks) - V1 (baseline) in bpm
Time frame: 24 weeks
Changes in heart rate
Defined as the difference V2 (12 weeks) - V1 (baseline) in bpm
Time frame: 12 weeks
Changes in SBP (systolic blood pressure) and DBP (diastolic blood pressure)
Defined as the difference V3 (24 weeks) - V1 (baseline) in mmHg (mean of the two measures for each parameter at each visit)
Time frame: 24 weeks
Changes in SBP (systolic blood pressure) and DBP (diastolic blood pressure)
Defined as the difference V2 (12 weeks) - V1 (baseline) in mmHg (mean of the two measures for each parameter at each visit)
Time frame: 12 weeks
Changes in body weight
Defined as the difference V3 (24 weeks) - V1 (baseline) in kg
Time frame: 24 weeks
Changes in body weight
Defined as the difference V2 (12 weeks) - V1 (baseline) in kg
Time frame: 12 weeks
Changes in WC (waist circumference)
Defined as the difference V3 (24 weeks) - V1 (baseline) in cm
Time frame: 24 weeks
Changes in WC (waist circumference)
Defined as the difference V2 (12 weeks) - V1 (baseline) in cm
Time frame: 12 weeks
Changes in HC (hip circumference)
Defined as the difference V3 (24 weeks) - V1 (baseline) in cm
Time frame: 24 weeks
Changes in HP (hip circumference)
Defined as the difference V2 (12 weeks) - V1 (baseline) in cm
Time frame: 12 weeks
Changes in WHR (waist to hip ratio)
Defined as the difference V3 (24 weeks) - V1 (baseline)
Time frame: 24 weeks
Changes in WHR (waist to hip ratio)
Defined as the difference V2 (12 weeks) - V1 (baseline)
Time frame: 12 weeks
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