The goal of this clinical trial is to investigate the safety and efficacy of Nextida GC-B on glycemic control in adults with normoglycemia and prediabetes. The main question it aims to answer is: What is the difference in change in postprandial glycemic control from baseline at Day 90 between Nextida GC-B and placebo as assessed by glucose incremental AUC (iAUC 0-180 min).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
One liquid shot contains 5 g of collagen hydrolysate.
One liquid shot contains non-active ingredients in Nextida GC-B (water, Erythritol, Citric Acid, DL-Malic Acid, Natural Apples Flavor, Steviol Glycosides).
KGK Science Inc.
London, Ontario, Canada
The difference in change in postprandial glycemic control between Nextida GC-B and placebo
The difference in change in postprandial glycemic control from baseline at Day 90 between Nextida GC-B and placebo as assessed by glucose incremental area under the curve (AUC) (iAUC 0-180 min).
Time frame: Day 0 to 90
The difference in change in glycated hemoglobin (HbA1c) and glucose variability from baseline at Day 90 between Nextida GC-B and placebo
The difference in change in glycated hemoglobin (HbA1c) and glucose variability between Nextida GC-B and placebo
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial glucose maximum concentration (Cmax)
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial glucose maximum concentration (Cmax)
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial insulin iAUC
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial insulin iAUC
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial insulin Tmax
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial insulin Tmax
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Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial insulin Cmax
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial insulin Cmax
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial redox status as assessed by reduced and oxidized glutathione ratio (GSH/GSSG)
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in redox status as assessed by reduced and oxidized glutathione ratio (GSH/GSSG)
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial redox status as assessed by reduced and oxidized glutathione ratio (GSH/GSSG)
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in post prandial redox status as assessed by reduced and oxidized glutathione ratio (GSH/GSSG)
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial gut hormones as assessed by glucagon-like peptide-1 (GLP-1) and gastric inhibitory polypeptide (GIP)
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in post prandial gut hormones as assessed by glucagon-like peptide-1 (GLP-1) and gastric inhibitory polypeptide (GIP)
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial hunger.
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial hunger as assessed by hunger and satiety visual analogue scales (VAS). One a scale of 1 to 7, with 1 being "not hungry at all" and 7 being "very very hungry"
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in postprandial satiety.
The difference in change from baseline at Day 90 between Nextida GC-B and placebo in postprandial satiety as assessed by hunger and satiety visual analogue scales (VAS). One a scale of 1 to 7, with 1 being "not at all satisfactory and 7 being "completely satisfactory".
Time frame: Day 0 to 90
The difference in change from baseline between Nextida GC-B and placebo in fasting blood glucose
The difference in change between Nextida GC-B and placebo in fasting blood glucose
Time frame: Day 0 to 1
The difference in change from baseline between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
The difference in change between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
Time frame: Day 0 to 1
The difference in change from baseline between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
The difference in change between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
Time frame: Day 0 to 1
The difference in change from baseline between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS. On a scale of 1 indicating "not hungry at all" to 10 indicating "extremely hungry".
Time frame: Day 0 to 1
The difference in change from baseline between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS. On a scale of 1 indicating "not satisfied at all" to 10 indicating "extremely satisfied".
Time frame: Day 0 to 1
The difference in change in markers of protein glycation between Nextida GC-B and placebo in glycated hemoglobin (HbA1c)
The difference in change in markers of protein glycation from baseline at Day 30 between Nextida GC-B and placebo in glycated hemoglobin (HbA1c)
Time frame: Day 0 to 30
The difference in change in markers of protein glycation between Nextida GC-B and placebo in glycated albumin (GA)
The difference in change in markers of protein glycation from baseline at Day 30 between Nextida GC-B and placebo in glycated albumin (GA)
Time frame: Day 0 to 30
The difference in change in markers of protein glycation between Nextida GC-B and placebo in glycated albumin (GA)
The difference in change in markers of protein glycation from baseline at Day 90 between Nextida GC-B and placebo in glycated albumin (GA)
Time frame: Day 0 to 90
The difference in change in lipid profile between Nextida GC-B and placebo.
The difference in change in lipid profile between Nextida GC-B and placebo from baseline at Day 30.
Time frame: Day 0 to 30
The difference in change in lipid profile between Nextida GC-B and placebo.
The difference in change in lipid profile between Nextida GC-B and placebo from baseline at Day 90.
Time frame: Day 0 to 90
The difference in change in body weight between Nextida GC-B and placebo
The difference in change in body weight from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in body weight between Nextida GC-B and placebo
The difference in change in body weight from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in body mass index (BMI) between Nextida GC-B and placebo
The difference in change in body mass index (BMI) from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in body mass index (BMI) between Nextida GC-B and placebo
The difference in change in body mass index (BMI) from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in body composition between Nextida GC-B and placebo
The difference in change in body composition (fat mass (kg and % of total weight) from baseline at Day 90 between Nextida GC-B and placebo as assessed by DEXA scan.
Time frame: Day 0 to 90
The difference in change in Interleukin-6 (IL-6) between Nextida GC-B and placebo
The difference in change in Interleukin-6 (IL-6) from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in Interleukin-6 (IL-6) between Nextida GC-B and placebo
The difference in change in Interleukin-6 (IL-6) from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in C-reactive protein (CRP) between Nextida GC-B and placebo
The difference in change in C-reactive protein (CRP) from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in C-reactive protein (CRP) between Nextida GC-B and placebo
The difference in change in C-reactive protein (CRP) from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in Tumor necrosis factor-α (TNF-α) between Nextida GC-B and placebo
The difference in change in Tumor necrosis factor-α (TNF-α) from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in Tumor necrosis factor-α (TNF-α) between Nextida GC-B and placebo
The difference in change in Tumor necrosis factor-α (TNF-α) from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in interferon-gamma (IFN-ɣ) between Nextida GC-B and placebo
The difference in change in interferon-gamma (IFN-ɣ) from baseline at Day 30 between Nextida GC-B and placebo.
Time frame: Day 0 to 30
The difference in change in interferon-gamma (IFN-ɣ) between Nextida GC-B and placebo
The difference in change in interferon-gamma (IFN-ɣ) from baseline at Day 90 between Nextida GC-B and placebo.
Time frame: Day 0 to 90
The difference in change in quality of life between Nextida GC-B and placebo
The difference in change in quality of life from baseline at Day 30 between Nextida GC-B and placebo as assessed by the RAND SF-36 Questionnaire. On a scale of 1 to 5, with higher scores meaning a worse outcome.
Time frame: Day 0 to 30
The difference in change in quality of life between Nextida GC-B and placebo
The difference in change in quality of life from baseline at Day 90 between Nextida GC-B and placebo as assessed by the RAND SF-36 Questionnaire. On a scale of 1 to 5, with higher scores meaning a worse outcome.
Time frame: Day 0 to 90
The difference in change in product perception between Nextida GC-B and placebo
The difference in product perception at Day 90 between Nextida GC-B and placebo as assessed by the Product Perception Questionnaire (PPQ). Product perception is not scored on a scale.
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including elasticity
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including elasticity as assessed by Corneometer®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including elasticity
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including elasticity as assessed by Cutometer®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including wrinkles, texture, and age spots as assessed by Visia®
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including wrinkles, texture, and age spots as assessed by Visia®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including subjective skin quality as assessed by Modified Skin Self-Assessment Questionnaire.
The difference in change in measures of skin health from baseline at Day 30 between Nextida GC-B and placebo including subjective skin quality as assessed by Modified Skin Self-Assessment Questionnaire. No numbering scale is used for this assessment. Scale is from "very satisfied" to "very Unsatisfied".
Time frame: Day 0 to 30
The difference in change in measures of skin health between Nextida GC-B and placebo including subjective skin quality as assessed by Modified Skin Self-Assessment Questionnaire.
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including subjective skin quality as assessed by Modified Skin Self-Assessment Questionnaire.
Time frame: Day 0 to 90
The difference in change in nail health between Nextida GC-B and placebo as assessed by the Modified Nail Self-Assessment Questionnaire
The difference in change in nail health from baseline at Day 30 between Nextida GC-B and placebo as assessed by the Modified Nail Self-Assessment Questionnaire. No numbering scale is used for this assessment. Scale is from "very satisfied" to "very Unsatisfied".
Time frame: Day 0 to 30
The difference in change in nail health between Nextida GC-B and placebo as assessed by the Modified Nail Self-Assessment Questionnaire
The difference in change in nail health from baseline at Day 90 between Nextida GC-B and placebo as assessed by the Modified Nail Self-Assessment Questionnaire. No numbering scale is used for this assessment. Scale is from "very satisfied" to "very Unsatisfied".
Time frame: Day 0 to 90
The difference in change in hair health between Nextida GC-B and placebo as assessed by the Modified Hair Self-Assessment Questionnaire
The difference in change in hair health from baseline at Day 30 between Nextida GC-B and placebo as assessed by the Modified Hair Self-Assessment Questionnaire. No numbering scale is used for this assessment. Scale is from "very satisfied" to "very Unsatisfied".
Time frame: Day 0 to 30
The difference in change in hair health between Nextida GC-B and placebo as assessed by the Modified Hair Self-Assessment Questionnaire
The difference in change in hair health from baseline at Day 90 between Nextida GC-B and placebo as assessed by the Modified Hair Self-Assessment Questionnaire. No numbering scale is used for this assessment. Scale is from "very satisfied" to "very Unsatisfied".
Time frame: Day 0 to 90
The difference in change in body composition between Nextida GC-B and placebo
The difference in change in body composition (lean mass (kg and % of total weight)) from baseline at Day 90 between Nextida GC-B and placebo as assessed by DEXA scan.
Time frame: Day 0 to 90
The difference in change in body composition between Nextida GC-B and placebo
The difference in change in body composition (android fat (%)) from baseline at Day 90 between Nextida GC-B and placebo as assessed by DEXA scan.
Time frame: Day 0 to 90
The difference in change in body composition between Nextida GC-B and placebo
The difference in change in body composition gynoid fat (%) from baseline at Day 90 between Nextida GC-B and placebo as assessed by DEXA scan.
Time frame: Day 0 to 90
The difference in change in body composition between Nextida GC-B and placebo
The difference in change in android/gynoid fat ratio from baseline at Day 90 between Nextida GC-B and placebo as assessed by DEXA scan.
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including hydration
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including hydration as assessed by Corneometer®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including firmness
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including firmness as assessed by Corneometer®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including firmness
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including firmness as assessed by Cutometer®
Time frame: Day 0 to 90
The difference in change in measures of skin health between Nextida GC-B and placebo including hydration
The difference in change in measures of skin health from baseline at Day 90 between Nextida GC-B and placebo including hydration as assessed by Cutometer®
Time frame: Day 0 to 90
The difference in change in postprandial glycemic control
The difference in change in postprandial glycemic control between Nextida GC-B and placebo in glucose incremental AUC (iAUC 0-180 min)
Time frame: Day 0 to 1
The difference in change in postprandial glycemic control
The difference in change in postprandial glycemic control between Nextida GC-B and placebo in glucose incremental AUC (iAUC 0-180 min)
Time frame: Day 0 to 30
The difference in change in postprandial glycemic control
The difference in change in postprandial glycemic control between Nextida GC-B and placebo in glucose incremental AUC (iAUC 0-180 min)
Time frame: Day 1 to 30
The difference in change in postprandial glycemic control
The difference in change in postprandial glycemic control between Nextida GC-B and placebo in glucose incremental AUC (iAUC 0-180 min)
Time frame: Day 1 to 90
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
Time frame: Day 0 to 1
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
Time frame: Day 0 to 30
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
Time frame: Day 1 to 30
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
The difference in change between Nextida GC-B and placebo in postprandial glucose time to maximum concentration (Tmax)
Time frame: Day 1 to 90
The difference in change in glucose variability between Nextida GC-B and placebo as assessed by a continuous glucose monitor (CGM)
The difference in change in glucose variability between Nextida GC-B and placebo as assessed by a continuous glucose monitor (CGM)
Time frame: Day 0 to 7
The difference in change from baseline between Nextida GC-B and placebo in fasting blood glucose
The difference in change between Nextida GC-B and placebo in fasting blood glucose
Time frame: Day 0 to 30
The difference in change from baseline between Nextida GC-B and placebo in fasting blood glucose
The difference in change between Nextida GC-B and placebo in fasting blood glucose
Time frame: Day 0 to 90
The difference in change between Nextida GC-B and placebo in fasting insulin
The difference in change between Nextida GC-B and placebo in fasting insulin
Time frame: Day 0 to 1
The difference in change between Nextida GC-B and placebo in fasting insulin
The difference in change between Nextida GC-B and placebo in fasting insulin
Time frame: Day 0 to 30
The difference in change between Nextida GC-B and placebo in fasting insulin
The difference in change between Nextida GC-B and placebo in fasting insulin
Time frame: Day 0 to 90
The difference in change from baseline between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
The difference in change between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
Time frame: Day 0 to 30
The difference in change from baseline between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
The difference in change between Nextida GC-B and placebo in fasting Redox status as assessed by GSH/GSSG
Time frame: Day 0 to 90
The difference in change from baseline between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
The difference in change between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
Time frame: Day 0 to 30
The difference in change from baseline between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
The difference in change between Nextida GC-B and placebo in fasting gut hormones as assessed by GLP-1 and GIP
Time frame: Day 0 to 90
The difference in change from baseline between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS. On a scale of 1 indicating "not hungry at all" to 10 indicating "extremely hungry".
Time frame: Day 0 to 30
The difference in change from baseline between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting hunger as assessed by hunger and satiety VAS. On a scale of 1 indicating "not hungry at all" to 10 indicating "extremely hungry".
Time frame: Day 0 to 90
The difference in change from baseline between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS. On a scale of 1 indicating "not satisfied at all" to 10 indicating "extremely satisfied".
Time frame: Day 0 to 30
The difference in change from baseline between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS.
The difference in change from baseline at Days 30 and 90 between Nextida GC-B and placebo in fasting satiety as assessed by hunger and satiety VAS. On a scale of 1 indicating "not satisfied at all" to 10 indicating "extremely satisfied".
Time frame: Day 0 to 90