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CompletedNCT01441921EPIRDEMUpdated Feb 11, 2019

Effect of Pistachio Intake on Insulin Resistance and Type 2 Diabetes Mellitus

An interventional study of Pistachios and control diet in Type 2 Diabetes Mellitus, sponsored by Institut Investigacio Sanitaria Pere Virgili. Completed at 1 site in Spain. Open to participants aged 25 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-02-11.

Sponsored by Institut Investigacio Sanitaria Pere Virgili · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
25 Years to 65 Years
Sex
All
01

Study summary

Hypothesis: Chronic intake of pistachios improves glucose metabolism and insulin resistance status thus contributing to decrease the risk of type 2 diabetes mellitus and its associated abnormalities.

Read the detailed description

In free-living overweight or obese adult with impaired fasting glucose or impaired glucose tolerance we will compare the effects of a pistachio-rich diet or a Mediterranean Diet on:

  • Fasting glucose levels, hemoglobin A1c, insulin, C peptide, HOMA IR, advanced glycation end products and soluble receptor of advanced glycation-end products.
  • Peripheral haemostatic parameters.
  • Plasma inflammatory markers.
  • Lymphocyte expression of toll-like receptors, C peptide, resistin and interleukin-6 in peripheral leukocytes.
  • Lymphocyte glucose transport and expression of glucose transporter 4 in peripheral blood leukocytes.
  • Platelet function including platelet number, mean platelet volume, platelet factor 4 levels and urinary 11-dehydro-thromboxane B2.
02

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • pistachio intake
  • insulin resistance
  • type 2 diabetes mellitus
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 50 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Institut Investigacio Sanitaria Pere Virgili is the lead sponsor of 35 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • BMI less than 35 kg/m2.
  • Fasting plasma glucose levels between 100 and 125 mg/dl or
  • Oral glucose tolerance test of 140 to 199 mg/dl.

Exclusion criteria

Exclusion Criteria:

  • Diabetes mellitus.
  • Alcohol, tobacco, or drug abuse.
  • Significant liver, kidney, thyroid, or other endocrine diseases.
  • Frequent consumption of nuts or known history of allergy to them.
  • Use of plant sterol, oral antidiabetic drugs, supplemental use of phyllium, fish oil supplements and multivitamins, vitamin E or other antioxidant supplements.
  • Bad dentures, implying difficulty to chew pistachios.
  • Being pregnant or wishing to become a pregnant 6 months before or during the study, lactating 6wk before or during the study.
  • Following vegetarian or weight loss diets.
  • Other medical or social conditions that difficult the compliance to the intervention.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Investigator)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Control diet

    Low-fat normocaloric diet (30% fat, 55% carbohydrates, 15% proteins)

    Other: control diet

  • Experimental
    Pistachio diet

    Diet supplemented with 2 ounces of pistachio (35% fat, 50% carbohydrates adn 15% protein)

    Dietary Supplement: Pistachios

Interventions

  • Dietary supplementPistachios

    Participants are randomised crossover clinical trial of 4-months trials separated by a 2-week washout period. Total duration of intervention and follow-up is nine months.

  • Othercontrol diet

    Participants are randomised crossover clinical trial of 4-months trials separated by a 2-week washout period. Total duration of intervention and follow-up is nine months.

06

What researchers measure

Primary outcomes

  1. Changes from baseline in circulating levels of glucose and insulin according to the intervention arm

    Measurement of circulating glucose and insulin levels and cellular glucose uptake

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

Secondary outcomes

  1. Changes from baseline in inflammatory, oxidative and metabolic risk markers related to glucose/insulin metabolism according to the intervention arm

    Cpeptide, resistin, IL-6, IL-18, Ghrelin, leptin, adiponectin, GLP-1 and oxidized LDL will be measured.

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  2. Changes from baseline in haemostatic parameters according to the intervention arm

    Tissue factor, fibrinogen, PAI-1, vWF will be measured.

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  3. Changes from baseline in HL and LDL size according to the intervention arm

    Plasmi lipoprotein size will be measured by polycacrylamide gradient gel electrophoresis

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  4. Changes in advanced glycation end products according to the intervention arm

    Advanced glycation end products and soluble receptor of advanced glycation-end produtcs will be measured

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  5. Changes from baseline in gene expression in the peripheral cells according to the intervention arm

    RNA from peripheral leukocytes will be isolated for the subsequent measurements of changes in gene expression of toll-like receptors, GLUT-4, C-peptide, resistin adn IL-6, and genes involved in telomere maintenance and oxidation

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  6. Changes from baseline in cellular glucose uptake according to the intervention arm

    Glucose uptake and GLUT4 protein levels will be assessed in peripheral leukocytes

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  7. Changes from baseline in platelet function according to the intervention arm

    Platelet number, mean platelet volume and platelet factor 4 in blood, and urinary levels of 11-dehydro-thromboxane B2 will be assessed.

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first and second intervention arm

  8. Changes from baseline in telomeric length of leukocytes (LTL)

    Telomere lenght will be evaluated as a biomarker of biological age and general health status. Telomere attrition may play an important role in the pathogenesis and severity of type 2 diabetes (T2D) increasing the probability of beta-cell senescence, leading to reduced cell mass and decreased insulin secretion.

    Time frame: Participants will be followed for 9 months. Measurements will be done before and after 4 months of the first intervention arm. Measurements will be not analysed after the second period due to expected carry-over effect.

07

Study locations

1 site
  • Human Nutrition Unit, Faculty of Medicine, Rovira i Virgili University
    Reus, Tarragona 43201, Spain
08

References and documents

Publications

  • Hernandez-Alonso P, Salas-Salvado J, Baldrich-Mora M, Mallol R, Correig X, Bullo M. Effect of pistachio consumption on plasma lipoprotein subclasses in pre-diabetic subjects. Nutr Metab Cardiovasc Dis. 2015 Apr;25(4):396-402. doi: 10.1016/j.numecd.2015.01.013. Epub 2015 Feb 7. PubMed 25791863 ↗
  • Hernandez-Alonso P, Salas-Salvado J, Baldrich-Mora M, Juanola-Falgarona M, Bullo M. Beneficial effect of pistachio consumption on glucose metabolism, insulin resistance, inflammation, and related metabolic risk markers: a randomized clinical trial. Diabetes Care. 2014 Nov;37(11):3098-105. doi: 10.2337/dc14-1431. Epub 2014 Aug 14. PubMed 25125505 ↗
  • Hernandez-Alonso P, Canueto D, Giardina S, Salas-Salvado J, Canellas N, Correig X, Bullo M. Effect of pistachio consumption on the modulation of urinary gut microbiota-related metabolites in prediabetic subjects. J Nutr Biochem. 2017 Jul;45:48-53. doi: 10.1016/j.jnutbio.2017.04.002. Epub 2017 Apr 12. PubMed 28432876 ↗
  • Hernandez-Alonso P, Giardina S, Salas-Salvado J, Arcelin P, Bullo M. Chronic pistachio intake modulates circulating microRNAs related to glucose metabolism and insulin resistance in prediabetic subjects. Eur J Nutr. 2017 Sep;56(6):2181-2191. doi: 10.1007/s00394-016-1262-5. Epub 2016 Jul 6. PubMed 27383196 ↗
  • Canudas S, Hernandez-Alonso P, Galie S, Muralidharan J, Morell-Azanza L, Zalba G, Garcia-Gavilan J, Marti A, Salas-Salvado J, Bullo M. Pistachio consumption modulates DNA oxidation and genes related to telomere maintenance: a crossover randomized clinical trial. Am J Clin Nutr. 2019 Jun 1;109(6):1738-1745. doi: 10.1093/ajcn/nqz048. PubMed 31051499 ↗

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01441921
Lead sponsor
Institut Investigacio Sanitaria Pere Virgili
Collaborators
Western Pistachio Association
Responsible party
Dra Monica Bullo (Principal Investigators, Institut Investigacio Sanitaria Pere Virgili) — Principal investigator
First posted
Sep 28, 2011
Start date
Sep 2011
Primary completion
Sep 2016
Completion
Sep 2017
Last update
Feb 11, 2019

Study contacts

Monica Bullo, Dra.
principal investigator · Institut Investigacio Sanitaria Pere Virgili

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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