Egg Protein Hydrolysate and Vascular Function
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Purpose
The incidence of type 2 diabetes mellitus (T2DM) is rapidly growing. Patients with T2DM are at increased risk of developing long term micro- and macrovascular complications. Subjects with impaired glucose tolerance (IGT) show increased blood glucose levels after an oral glucose load. These subjects have a markedly increased risk of later T2DM development.
T2DM development can be prevented or delayed by lifestyle modifications. To support lifestyle changes and reduce the risk of T2DM development, foods containing functional ingredients are being developed. An interesting functional ingredient is protein hydrolysate. An egg protein hydrolysate has been experimentally shown to improve endothelial function, to inhibit plasma angiotensin converting enzyme (ACE) and to reduce blood pressure in rats. Egg protein hydrolysate could thus be a interesting ingredient to treat the cardiovascular dysfunction associated with T2DM. In the present study, the effects of egg protein hydrolysate will be evaluated in subjects with overweight or moderate obesity and IGT or T2DM.
| Condition | Intervention |
|---|---|
|
Arterial Stiffness Dietary Modification Impaired Glucose Tolerance Type 2 Diabetes Mellitus |
Dietary Supplement: protein hydrolysate capsules and placebo capsules |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | The Effect of Egg Protein Hydrolysate on Arterial Stiffness in Overweight or Moderately Obese Subjects With Impaired Glucose Tolerance or Diabetes Type 2 |
- The change (baseline vs 2 hours, and baseline vs 2 days) in arterial stiffness measured as carotid-femoral pulse wave velocity [ Time Frame: baseline vs 2 hours, baseline vs 2 days ] [ Designated as safety issue: No ]
- Changes in glucose and insulin concentrations and calculated HOMA-index, incretins, lipids, characteristics of the microcirculation, and non-invasively assessed upper-arm blood pressure and central aortic systolic blood pressure and heart rate changes [ Time Frame: baseline vs 2 hours, and baseline vs 2 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: intervention and placebo
Once in the study, 20 subjects will be randomly assigned to a group taking capsules containing 5 gr egg protein hydrolysate per day, and 20 to a group taking placebo capsules. The subjects consume the capsules during three consecutive days (period 1). Following a wash-out period of minimally four weeks, the treatments are crossed-over.
|
Dietary Supplement: protein hydrolysate capsules and placebo capsules
Once in the study, 20 subjects will be randomly assigned to a group taking capsules containing 5 gr egg protein hydrolysate per day, and 20 to a group taking placebo capsules. The subjects consume the capsules during three consecutive days (period 1). Following a wash-out period of minimally four weeks, the treatments are crossed-over.
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age between 18 and 70 years;
- male and female;
- Body Mass Index (BMI) between 25-35 kg/m2;
- Diagnosed T2DM (subjects are allowed to use oral antidiabetics and/or to be on a diabetes diet) or impaired glucose tolerance (defined as blood glucose > 7.8 mmol/l and < 11.0 mmol/L, two hours after ingesting 75 gram glucose in 150 ml water)
Exclusion Criteria:
- known allergy to (chicken) egg proteins;
- active cardiovascular diseases like congestive heart failure or recent (< 6 months) event (acute myocardial infarction, cerebral vascular incident);
- severe medical conditions related to the intestine that might interfere with the study such as inflammatory bowel disease and celiac disease;
- the use of insulin;
- the use of medication such as antihypertensives, statins or drugs that change gastric motility or emptying;
- abuse of drugs or alcohol (> 21 units per week);
- pregnant or breast-feeding women;
- current smoker;
- having donated blood at the blood bank within a period of 8 weeks prior to the start of the study
Contacts and Locations| Contact: Nadine Severins, Phd-student | +31433881305 | n.severins@maastrichtuniversity.nl |
| Netherlands | |
| PreCare Trial & Recruitment | Recruiting |
| Beek, Limburg, Netherlands, 6191 JW | |
| Contact: Nadine Severins, Phd-student +31433881305 n.severins@maastrichtuniversity.nl | |
| Principal Investigator: | Jogchum Plat, Dr. | Maastricht University |
More Information
No publications provided
| Responsible Party: | Maastricht University Medical Center |
| ClinicalTrials.gov Identifier: | NCT01559896 History of Changes |
| Other Study ID Numbers: | NL36690.068.11 |
| Study First Received: | March 19, 2012 |
| Last Updated: | October 24, 2012 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Keywords provided by Maastricht University Medical Center:
|
egg protein hydrolysate |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Food Habits Glucose Intolerance Glucose Metabolism Disorders |
Metabolic Diseases Endocrine System Diseases Habits Hyperglycemia |
ClinicalTrials.gov processed this record on May 19, 2013