Supplementation of Brown Seaweed on Insulin Resistance of NAFLD Patients With Pre- or Type 2-Diabetes

Sponsor
Taipei Medical University WanFang Hospital (Other)
Overall Status
Unknown status
CT.gov ID
NCT04715776
Collaborator
Hi-Q Marine Biotech International, Ltd. (Industry)
106
1
4
26.6
4

Study Details

Study Description

Brief Summary

Investigators research team conducted a previous human clinical trial of brown algae and conducted liver and metabolic indicators of brown algae to improve nonalcoholic fatty liver disease, and found brown algae extract (LMF-HSFx, commodity In addition to reducing the liver function index, HbA1c in some patients with early stage diabetes or type 2 diabetes has an improved effect. In the mouse model of type 2 diabetes, comprehensive anti-hyperglycemia, anti-hyperlipidemia and hepatoprotective activity were studied using LMF-HSFx. Intake of LMF-HSFx reduced fasting blood glucose, increased adiponectin levels, reduced urine glucose, and improved hepatic glucose metabolism. LMF-HSFx can improve glucose and lipid metabolism in adipose tissue of diabetic mice, and inflammatory factors such as TNF-α and IL-6 can also be reduced.

In this study,participants will be given Fuco-HiQ, and their effects on blood glucose and various metabolic indicators will be evaluated.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: Brown seaweed
  • Dietary Supplement: placebo
N/A

Detailed Description

Brown seaweeds rich in flavonoids and bioactive polysaccharides have been shown the potential effects on suppressing fat accumulation, oxidative stress and inflammation in liver. The refined seaweed compounds such as low-molecular-weight-fucoidan (LMF) and high stability fucoxanthin (HSFx), have not been well studied for its biological function.

The high stability fucoxanthin (HSFx) and the low-molecular-weight fucoidan (LMF) were produced by HiQ Marine Biotech Company in Taiwan. Study use fucoidan-fucoxanthin mixture (abbreviated as LMF-HSFx, each capsule contains 275 mg LMF and 275 mg HSFx).

Insulin resistance has a high correlation with fatty liver. Our research team conducted a previous human clinical trial of brown algae and conducted liver and metabolic indicators of brown algae to improve nonalcoholic fatty liver disease, and found brown algae extract (LMF-HSFx, commodity In addition to reducing the liver function index, HbA1c in some patients with early stage diabetes or type 2 diabetes has an improved effect. In the mouse model of type 2 diabetes, comprehensive anti-hyperglycemia, anti-hyperlipidemia and hepatoprotective activity were studied using LMF-HSFx. Intake of LMF-HSFx reduced fasting blood glucose, increased adiponectin levels, reduced urine glucose, and improved hepatic glucose metabolism. LMF-HSFx can improve glucose and lipid metabolism in adipose tissue of diabetic mice, and inflammatory factors such as TNF-α and IL-6 can also be reduced.

Based on these studies, we hope to further explore whether LMF-HSFx can improve insulin resistance and thus assist blood glucose control.In this study,subjects will be given Fuco-HiQ, and their effects on blood glucose and various metabolic indicators will be evaluated.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
106 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Supplementation of Brown Seaweed on Insulin Resistance of NAFLD Patients With Pre- or Type 2-Diabetes
Actual Study Start Date :
Dec 10, 2018
Actual Primary Completion Date :
Dec 16, 2019
Anticipated Study Completion Date :
Feb 28, 2021

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Pre-DM patients with placebo

Pre-Diabetes patients uptake placebo as dietary supplement

Dietary Supplement: placebo
Uptake of 1650 mg placebo twice daily

Experimental: Pre-DM patients with supplement

Pre-Diabetes patients uptake Brown seaweed as dietary supplement

Dietary Supplement: Brown seaweed
Uptake of 1650 mg brown seaweed product twice daily

Placebo Comparator: DM patients with placebo

Diabetes patients uptake placebo as dietary supplement.

Dietary Supplement: placebo
Uptake of 1650 mg placebo twice daily

Experimental: DM patients with supplement

Diabetes patients uptake Brown seaweed as dietary supplement

Dietary Supplement: Brown seaweed
Uptake of 1650 mg brown seaweed product twice daily

Outcome Measures

Primary Outcome Measures

  1. From baseline to 3 months after using dietary supplements (compare yourself with yourself), follow up for a total of 12 months [12 months]

    The change of HbA1c

Eligibility Criteria

Criteria

Ages Eligible for Study:
20 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

Between the ages of 20 and 75 years old, biochemical test data and abdominal ultrasound screening were selected according to the following conditions.

  1. Prediabetes: AC at 101 to 125 and HbA1c at 5.8 to 6.4 and abdominal ultrasound confirmed fatty liver.

  2. Type 2 Diabetes: Abdominal ultrasound confirms the presence of fatty liver; Hypoglycemic agent HbA1c controls 8% (but does not contain Pioglitazone or injection of Liraglutide), or patient HbA1c is controlled below 9% but does not want to increase drug Dosage or add other hypoglycemic agents.

Exclusion Criteria:
  1. Severe renal insufficiency (diabetic or eGFR less than 30 mL/min/1.73 m2), severe heart failure (NYHA function classification III or IV), etc.

  2. Allergies to seafood and seaweed ingredients.

  3. Cannot or refuse to sign test consent.

  4. Inject insulin or Liraglutide or take Pioglitazone.

  5. Type 1 diabetes patients.

  6. People who drink alcohol and take weight-related drugs and health products.

  7. There are blood transfusion recipients within three months.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Wanfang Hospital Taipei Wenshan District Taiwan 116

Sponsors and Collaborators

  • Taipei Medical University WanFang Hospital
  • Hi-Q Marine Biotech International, Ltd.

Investigators

  • Study Director: Ming-Shun Wu, Taipei Municipal Wanfang Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Taipei Medical University WanFang Hospital
ClinicalTrials.gov Identifier:
NCT04715776
Other Study ID Numbers:
  • N201805009
First Posted:
Jan 20, 2021
Last Update Posted:
Jan 20, 2021
Last Verified:
Aug 1, 2020
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Taipei Medical University WanFang Hospital
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 20, 2021