SPF1: Salmon Peptide Fraction: Safety and Cardiometabolic Health

Sponsor
Laval University (Other)
Overall Status
Recruiting
CT.gov ID
NCT05025462
Collaborator
(none)
40
1
2
14
2.9

Study Details

Study Description

Brief Summary

The overall goal of this study is to verify the safety of 15g of salmon peptide fraction (SPF), and to test the effects on metabolic syndrome risk factors of two doses of SPF (7.5g and 15g) in overweight-obese men and women. Transcriptomic, metabolomic and metagenomic approaches will be used to study the physiological effects of SPF and to discover the potential mechanism underlying these effects.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: Supplement dose 15g/d
  • Dietary Supplement: Supplement dose 7.5g/d
N/A

Detailed Description

Increased fish consumption has been suggested to improve the metabolic syndrome (MetS) and to reduce the incidence of type 2 diabetes (T2D) and cardiovascular disease (CVD) in obese subjects. While it is well documented that marine long chain polyunsaturated fatty acids (n-3 PUFA) decrease CVD risk by improving the plasma lipid profile and reducing inflammation, the beneficial effects of n-3 PUFA on glucose homeostasis and insulin sensitivity in humans remains highly controversial. Animal and human studies carried out by the group of investigators over the past 20 years have shown that fish proteins can improve the plasma lipid profile, enhance insulin sensitivity and reduce obesity-linked inflammation. The investigators also reported that a salmon protein hydrolysate reduces body fat and increases insulin sensitivity via its calcitonin content and they observed that protein hydrolysates from salmon and other fish sources reduced inflammation in visceral adipose tissue in rodents. The investigators therefore decided a few years ago to focus on the identification of bioactive peptides from fish proteins to explore the potential of increasing the efficacy of fish muscle protein hydrolysates to prevent/treat the MetS. The investigators hypothesized that it was the peptides produced from gastrointestinal digestion that were responsible for the remarkable bioactive effects of fish proteins on the MetS. The investigators have also confirmed that a small peptides fraction (SPF) from salmon protein markedly reduces the development of T2D and inflammation in a high-fat diet (HFD)-induced, obese, atherosclerosis-prone mouse LDLr knockout (KO). These findings are very promising and suggest that fish protein-derived peptides or amino acids may also explain the beneficial effects of dietary fish intake on the MetS, T2D and CVD. Additional studies are required to validate these observations, delineate the mechanisms, and assess their direct impact in human clinical trials.

Subjects will take an oral dose of 15 g of SPF or comparator per day (powder mixed with water) in the first intervention phase (6 weeks), then 7.5 g of SPF or comparator per day (powder mixed with water) in the second intervention phase (6 weeks).

Study Design

Study Type:
Interventional
Anticipated Enrollment :
40 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:
double blind
Primary Purpose:
Prevention
Official Title:
Supplementation With Salmon Peptide Fraction in Overweight-Obese Men and Women: Safety, Cardiometabolic Health Effects and Mechanisms of Action
Actual Study Start Date :
Nov 1, 2021
Anticipated Primary Completion Date :
Aug 31, 2022
Anticipated Study Completion Date :
Dec 31, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: SPF

Salmon peptide fraction supplement: powder mixed in water

Dietary Supplement: Supplement dose 15g/d
Supplementation with 15g/day of SPF or Comparator

Dietary Supplement: Supplement dose 7.5g/d
Supplementation with 7.5g/d of SPF ou comparator

Active Comparator: Comparator

Casein peptide fraction supplement: powder mixed in water

Dietary Supplement: Supplement dose 15g/d
Supplementation with 15g/day of SPF or Comparator

Dietary Supplement: Supplement dose 7.5g/d
Supplementation with 7.5g/d of SPF ou comparator

Outcome Measures

Primary Outcome Measures

  1. Change in hepatic enzymes using blood sampling [Change between the beginning and the end of the intervention (6 weeks)]

    Measure hepatic enzymes aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma glutamyl transferase (GGT) to test the safety of SPF

  2. Change in renal function using blood sampling [Change between the beginning and the end of the intervention (6 weeks)]

    Measure creatinine to test the safety of SPF

  3. Change in complete blood count using blood sampling [Change between the beginning and the end of the intervention (6 weeks)]

    Measure of complete blood count to test th safety of SPF

  4. Adverse event and general acceptability evaluated by questionnaires [Change between the beginning and the end of the intervention (6 weeks)]

    To test the safety of SPF

Secondary Outcome Measures

  1. Change in lipid profile [Change between the beginning and the end of the intervention (6 weeks)]

    Evaluation of plasma triglycerides (TG), Total cholesterol, LDL, HDL, Apolipoprotein B and free fatty acids

  2. Change in glucose metabolism [Change between the beginning and th end of the intervention (6 weeks)]

    Evaluation of blood glucose concentration during a 3h oral glucose tolerance test

  3. Change in insulin secretion [Change between the beginning and th end of the intervention (6 weeks)]

    Evaluation of blood insulin and C-peptide concentration during a 3h oral glucose tolerance test

  4. Change in blood pressure [Change between the beginning and th end of the intervention (6 weeks)]

    Evaluation of systolic and diastolic blood pressure to test metabolic syndrome risk factors

  5. Change in body mass index [Change between the beginning and th end of the intervention (6 weeks)]

    Evaluation of BMI by measuring weight and height to test metabolic risk factors

  6. Change in waist circumference [Change between the beginning and th end of the intervention (6 weeks)]

    Measure of waist circumference to test metabolic risk factors

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • BMI between 25 and 35 kg/m2

  • Waist circumference ≥ 94 cm for men and ≥ 80 cm for women

  • Meet at least one of the following criteria:

Plasma TG > 1.35 mmol/L Fasting glycemia ≥ 5,6 mmol/L and ≤ 6,9 mmol/L HbA1c ≥ 5,7% and ≤ 6.4% Insulin concentration > 42 pmol/L

Exclusion Criteria:
  • Smoker

  • Suffering from any metabolic disorder requiring pharmacological treatment

  • Taking any medications or natural health products affecting glucose metabolism or plasma lipid levels

  • Use of protein supplements, probiotics supplements or antibiotics within the last 3 months

  • Taste aversion for fish/seafood

  • Fish-seafood or casein/milk protein or any non-medicinal ingredients allergy

  • Lactose intolerance

  • Regular alcohol consumption (>2 drinks/d)

  • 5% weight loss over the last 3 months

  • Major surgery within the last 3 months

  • Pregnant and breastfeeding women

Contacts and Locations

Locations

Site City State Country Postal Code
1 INAF, Université Laval Québec Canada G1V 0A6

Sponsors and Collaborators

  • Laval University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
André Marette, Professor, Laval University
ClinicalTrials.gov Identifier:
NCT05025462
Other Study ID Numbers:
  • SPF1 2021-157
First Posted:
Aug 27, 2021
Last Update Posted:
Apr 12, 2022
Last Verified:
Apr 1, 2022
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 12, 2022