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CompletedNCT02118142Updated Aug 12, 2014

Modulation of Insulin Sensitivity by Betaine Upregulation of FGF21

An interventional study of Betaine and Dextrose in Insulin Sensitivity, sponsored by UNC Nutrition Research Institute. Completed at 1 site in United States. Open to participants aged 21 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-08-12.

Sponsored by UNC Nutrition Research Institute · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
21 Years to 70 Years
Sex
All
01

Study summary

People with poor insulin sensitivity do not respond normally to elevations in blood sugar. This may increase their risk of developing diabetes in the future. The purpose of this research study is to determine if the nutrient betaine, found in beets, spinach and wheat products, can enhance the production of fetal growth factor 21 (FGF21), a molecule that is believed to promote insulin sensitivity.

Read the detailed description

AIM: To determine if betaine is a modulator of FGF21 in humans. Low plasma betaine is associated with an increased risk of metabolic syndrome, but the mechanisms modulating this correlation are poorly delineated. Betaine bioavailability in humans is determined by dietary intake and genetic polymorphisms that influence betaine metabolism. Therefore, moderating betaine levels could be particularly beneficial for some individuals. FGF21 is elevated in response to insulin insensitivity and is under active investigation as a therapeutic modality. The mechanisms of action of FGF21 and betaine on insulin sensitivity in humans are incompletely understood. This study tests the hypothesis that betaine induces FGF21 secretion and insulin sensitizing actions in humans by measuring plasma FGF21, betaine, choline (betaine precursor), glucose, insulin and adiponectin in response to betaine supplementation over a 24 hour time course in 20 healthy, lean individuals. This pilot nutrition intervention will provide key preliminary evidence for understanding whether and how betaine exerts metabolic benefit in humans and will inform a future study to investigate the novel betaine-FGF21-insulin sensitivity axis in a larger cohort.

02

Conditions studied

  • Insulin Sensitivity
03

In context

Insulin Resistance

1,959 studies on the registry are indexed under Insulin Resistance; 305 are open to participants now.

This study's enrollment of 23 is below the median of 40 across 1,535 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

UNC Nutrition Research Institute is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy
  • Able/willing to consume study meals
  • Non-smoker
  • BMI in normal range (18-24.9)

Exclusion criteria

Exclusion Criteria:

  • Use of chronic medications
  • Abnormal physical examination or chronic illness
  • Use of drugs or medications known to alter choline/betaine metabolism
  • Consumption of more than 2 oz of alcohol/day or 24 oz wine/day
  • Use of choline/betaine-containing dietary supplements during the previous 3 months
  • Diagnosed with Cystathionine Beta-Synthase (CBS) Deficiency
  • Pregnant or breastfeeding
  • Known hypersensitivity to betaine
  • Current substance abuse or addiction
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Active comparator
    Betaine

    6 gram dose of betaine delivered in encapsulated form

    Dietary Supplement: Betaine

  • Placebo comparator
    Dextrose

    6 gram dose of dextrose delivered in encapsulated form

    Dietary Supplement: Dextrose

Interventions

  • Dietary supplementBetaine

    6 gram one-time dose of betaine delivered in encapsulated form with an unsweetened beverage

  • Dietary supplementDextrose

    6 gram one-time dose of dextrose delivered in encapsulated form with an unsweetened beverage

06

What researchers measure

Primary outcomes

  1. Plasma Fetal Growth Factor 21 (FGF21) concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

  2. Plasma choline concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

  3. Plasma betaine concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

  4. Plasma glucose concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

  5. Plasma insulin concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

  6. Plasma adiponectin concentration

    Time frame: 0, 0.5, 1, 2, 4, 8, and 24 hours post- betaine or placebo supplement

Secondary outcomes

  1. Typical dietary intake

    Assessed via questionnaire

    Time frame: During day 2 of the first 3 day phase

  2. Typical exercise habits

    Assessed via questionnaire

    Time frame: During day 2 of the first 3 day phase

07

Study locations

1 site
  • UNC Nutrition Research Institute
    Kannapolis, North Carolina 28081, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02118142
Lead sponsor
UNC Nutrition Research Institute
Responsible party
Sponsor
First posted
Apr 21, 2014
Start date
Mar 2014
Primary completion
Jul 2014
Completion
Jul 2014
Last update
Aug 12, 2014

Study contacts

Karen Corbin, PhD, RD
principal investigator · UNC Nutrition Research Institute

Oversight

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

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This study is completed, as verified in Aug 2014. You cannot join it, but the record below documents what was studied.

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