Protocol summary
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Study aim
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Determining The effect of date seed powder supplementation on nutritional status, metabolic, oxidative stress and inflammatory parameters in diabetes type 2 patients
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Design
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This Randomized, three-blind study to determine the effects of date seed powder supplementation on patients with type 2 diabetes will be done. Patients were randomly divided into two groups with 21 paticipants based on a block randomization procedure of size six by using random allocation software (RAS). Each block involves patients with the same categories of BMI and age.
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Settings and conduct
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This randomized, three- blind clinical trial will be performed on T2DM patients from the Iran Diabetes Society and Hospitals of Kerman University of Medical Science.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria included having at least 6 months of history of diabetes, age range 30 to 50 years, BMI between 25 to 30 and no weight changes during the last 3 months, no insulin therapy and use of antihypertensive drugs, propensity to take Date seed powder during the study and exclusion criteria include the use of insulin therapy, specific medications, receiving antioxidant supplements at least three months before the start of the study, a history of weight loss diet during the last 6 months or special diet, the presence of disease or Impairment, alcohol or smoking, pregnancy, lactation, being an athlete, strenuous physical activity and unwillingness to consume palm seed powder and gastrointestinal symptoms during the study.
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Intervention groups
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The intervention group will receive 5 grams of date seed powder daily for 8 weeks.
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Main outcome variables
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Glycemic markers (insulin, HbA1c, fasting blood sugar), lipid profile, anti-inflammatory markers (TNF-α, hs-CRP), oxidative stress and antioxidant markers
General information
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Reason for update
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No changes have been made in the protocol of the present study, and only some parameters have been added. According to the comprehensive review on registered trial, all the added parameters along with the recorded parameters were presented as a comprehensive study in this field. Unfortunately, before registering this project in the Iranian Registry of Clinical Trials due to financial constraints, some of the considered parameters were removed. Recently, due to the funding of the project via top researchers grant, researchers have re-added the deleted parameters to the project for a comprehensive study in this field.
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20150205020965N10
Registration date:
2021-12-11, 1400/09/20
Registration timing:
prospective
Last update:
2022-06-25, 1401/04/04
Update count:
1
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Registration date
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2021-12-11, 1400/09/20
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2022-04-09, 1401/01/20
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Expected recruitment end date
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2022-09-21, 1401/06/30
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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The effect of date seed powder supplementation on nutritional status, metabolic, oxidative stress and inflammatory parameters in diabetes type 2 patients
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Public title
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The effect of date seed powder on diabetes
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Purpose
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Supportive
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Inclusion/Exclusion criteria
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Inclusion criteria:
Have at least 6 months of diabetes history
No weight changes during the last 3 months
No insulin therapy
Use of blood sugar lowering drugs
Tendency to consume palm kernel powder during the study
Having a BMI between 25 and 35
Exclusion criteria:
Use of glucocorticoids, laxatives, anti-obesity, multivitamins, nonsteroidal anti-inflammatory drugs (NSAIDS) and antibiotics
Take antioxidant supplements at least three months before the start of the study
History of weight loss diet in the last 6 months or special diet
Having diseases such as intestinal diseases such as inflammation of the intestines, intestinal cancer and digestive problems
Having thyroid disorders, heart disease, kidney, liver, lung, infectious and other cancers treated with radiotherapy
Alcohol or smoking
Pregnancy, breastfeeding, being an athlete or doing strenuous physical activity
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Age
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From 30 years old to 50 years old
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Gender
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Both
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Phase
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N/A
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Groups that have been masked
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- Participant
- Investigator
- Data analyser
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Sample size
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Target sample size:
42
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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At baseline, eligible individuals will be matched for BMI and age according to the classification of these variables. Individuals will be randomly divided into two groups, the intervention group (n=21, receiving date seed powder) control (n=21, receiving Maltodextrin) using RAS software into 2 and 4 blocks, and will be given codes 1 and 2.
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Blinding (investigator's opinion)
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Triple blinded
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Blinding description
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After randomization, both groups will be given date seed powder and maltodextrin that encoded in sachets weighing 2.5 g in similar packages (metalized) without the researcher intervention and coded with codes 1 and 2. Until releasing of study results, the patient, the researcher, and the data analyzer will not be aware of the assigned codes. Therefore, the study will be three-blind
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2020-10-16, 1399/07/25
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Ethics committee reference number
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IR.TBZMED.REC.1400.752
Health conditions studied
1
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Description of health condition studied
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Type 2 diabetes
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ICD-10 code
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E11
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ICD-10 code description
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Type 2 diabetes mellitus
Primary outcomes
1
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Description
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Lipid profile (TG, TC, HDL-c)
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Timepoint
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At baseline and and two months after the start of the study
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Method of measurement
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Kit
2
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Description
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Total antioxidant capacity
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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Kit
3
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Description
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Malondialdehyde
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
4
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Description
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Tumor Necrosis Factor(TNF)
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
5
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Description
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Highly sensitive C-reactive protein(hs-CRP )
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
6
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Description
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HbA1c
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
7
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Description
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Fasting glucose
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
8
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Description
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Fasting insulin
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
9
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Description
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Interleukins 4, 6, 10, 18
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
10
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Description
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fructosamine
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
11
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Description
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LPS endotoxin
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
12
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Description
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Pentosidine
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
13
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Description
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Total oxidant status (TOS)
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
14
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Description
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carboxymethyl lysine (CML)
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
15
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Description
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soluble receptor for advanced glycation end-products
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
16
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Description
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8-iso-prostaglandin F2α
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
17
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Description
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brain-derived neurotrophic factor
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
18
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Description
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cortisol
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
19
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Description
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Tryptophan
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
20
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Description
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Kynurenine
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
21
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Description
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Adrenocorticotropic hormone
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
22
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Description
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Adipokines (leptin and adiponectin)
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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enzyme-linked immunosorbent assay (ELISA) kit
23
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Description
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T lymphocyte ( CD4 and CD8)
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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flow cytometry
24
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Description
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Glutathione peroxidase
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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Kit
25
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Description
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Superoxide dismutase
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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Kit
26
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Description
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Catalase
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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Kit
27
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Description
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Uric acid
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
28
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Description
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8-Hydroxy-2-deoxy-guanosine
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Timepoint
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At baseline and two months after start of the study
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Method of measurement
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kit
Secondary outcomes
1
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Description
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Body Mass Index (BMI)
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Timepoint
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At baseline and two months after baseline
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Method of measurement
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Scale-Meter
2
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Description
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Energy intake, Daily macronutrient intake (carbohydrate, protein, fat)
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Timepoint
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At baseline and two months after baseline
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Method of measurement
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questionnaire
3
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Description
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General Health , Sleep quality, Depression, Anxiety and Stress
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Timepoint
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At baseline and two months after baseline
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Method of measurement
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questionnaire
4
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Description
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Blood pressure
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Timepoint
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At baseline and two months after baseline
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Method of measurement
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manometer
Intervention groups
1
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Description
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Intervention group: date seed powder. This group will consume two sachets of 2.5 g of date seed powder (Flavinea Company, Iran) daily for 2 months in the morning and evening in food such as drinks or yogurt.
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Category
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Treatment - Other
2
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Description
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Control group: maltodextrin. The group will consume two sachets of 2.5 g of maltodextrin (Qinhuangdao Lihua Starch co, china) daily for two months in the morning and evening in foods such as beverages or yogurt.
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Tabriz University of Medical Sciences
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Proportion provided by this source
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100
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Public or private sector
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Public
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Academic
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Yes - There is a plan to make this available
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Study Protocol
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Undecided - It is not yet known if there will be a plan to make this available
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Statistical Analysis Plan
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Undecided - It is not yet known if there will be a plan to make this available
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Informed Consent Form
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No - There is not a plan to make this available
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Clinical Study Report
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Undecided - It is not yet known if there will be a plan to make this available
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Analytic Code
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Undecided - It is not yet known if there will be a plan to make this available
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Data Dictionary
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Undecided - It is not yet known if there will be a plan to make this available
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Title and more details about the data/document
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Participant data will be presented in the article without identifiable details
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When the data will become available and for how long
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2022-2023
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To whom data/document is available
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Tabriz University of Medical Sciences
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Under which criteria data/document could be used
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The application must be submitted to Tabriz University of Medical Sciences. It will available if Tabriz University of Medical Sciences is allowed.
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From where data/document is obtainable
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Tabriz University of Medical Sciences
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What processes are involved for a request to access data/document
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The application must be submitted to Tabriz University of Medical Sciences. It will available if Tabriz University of Medical Sciences is allowed.
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Comments
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