ClinicalTrials.gg
CompletedNCT03972878FP1Updated Apr 27, 2021

Foodprint 1.0: Physiological Acute Responses After Consumption of Confectionary Products

An interventional study of control snack and control cream in Glucose, High Blood, Inflammatory Response and Oxidative Stress, sponsored by University of Parma. Completed at 1 site in Italy. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-27.

Sponsored by University of Parma · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The composition of a food or a meal consumed plays an important role in the rate of postprandial endocrine and metabolic response, especially if high in fats, sugars and total energy content and a reduction in its entity is related to beneficial effects towards the prevention of several chronical diseases. The physiological postprandial response depends on several factors, both intrinsic, such as natural characteristic of food, and extrinsic, such as the way in which food is processed. This study aims at investigating postprandial hormonal, metabolic, oxidative stress, inflammation and endotoxaemia responses after the consumption of different commercial confectionary products made with different reformulation (ingredients and/or processing techniques).The principal scope of the study is to evaluate the impact of the reformulation of different snacks on postprandial responses. The investigators therefore designed a randomized controlled crossover trial, in which 15 healthy volunteers will consume different isocaloric confectionary products (snacks) and their related reformulation (total products number = 6) and a reference snack. Venous blood samples will be collected until 4-h after meal consumption. In order to evaluate postprandial hormonal, metabolic, oxidative stress, inflammation and endotoxaemia responses several markers will be evaluate:

  • metabolic substrates: glucose; Triglycerides and NEFA;
  • hormones: insulin; c-peptide; GLP-1, GIP, leptin, ghrelin, PYY;
  • markers of inflammation: IL-6, IL-8, IL-10, IL-17, TNF-α, hsCRP, MCP-1;
  • markers of oxidative stress and antioxidant capacity: GSH, FRAP;
  • endotoxaemia: lipopolysaccharides (LPS).

These results will contribute to a detailed evaluation of the effects of reformulation on physiological events after meal consumption, leading to clarify if these variations in ingredients and/or processing techniques can modify postprandial responses, making them more similar to those originated from the reference snack.

Read the detailed description

Meal consumption, especially if high in fats, sugars and total energy content, leads to a transient rise in blood glucose and lipids. The extent of glycemic and lipidemic postprandial responses have been linked to the progression of cardiovascular and other chronic degenerative diseases, such as type 2 diabetes and Alzheimer through a substantial increase in oxidative stress, systemic inflammation, and endothelial dysfunction. In addition, some studies have shown that consuming a high fat meal is associated with a postprandial increase in plasma and serum endotoxin concentrations in humans. LPS, lipopolysaccharide, is considered a major predisposing factor for inflammation-associated diseases such as atherosclerosis, sepsis and obesity. Therefore, following a correct dietary model may be beneficial in order to limit postprandial excursion and to modulate hormonal responses involved in satiety.

The physiological postprandial response depends on several factors, both intrinsic, such as natural characteristic of food, and extrinsic, such as the way in which food is processed. Thus, the present study aims at evaluating if the reformulation of some commercial confectionery products can lead to an improvement of the nutritional profile, through a decrease of postprandial metabolic and hormonal, oxidative stress, inflammation and endotoxaemia responses in comparison with commercial confectionery products (snacks).

02

Conditions studied

  • Glucose, High Blood
  • Inflammatory Response
  • Oxidative Stress
  • Endotoxemia

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03

In context

Endotoxemia

81 studies on the registry are indexed under Endotoxemia; 7 are open to participants now.

This study's enrollment of 13 is below the median of 31 across 70 interventional studies indexed under Endotoxemia.

Browse Endotoxemia studies →

Lead sponsor

University of Parma is the lead sponsor of 77 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy male and female adult subjects

Exclusion criteria

Exclusion Criteria:

  • > 30 kg/m2
  • Metabolic disorders (diabetes, hypertension, dyslipidemia, glucidic intolerance)
  • Chronic drug therapies for any pathologies (including psychiatric diseases)
  • Dietary supplements affecting metabolism of glucose and lipid
  • Celiac disease
  • Pregnancy or lactation
  • Lactose intolerance
  • Food allergies
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
13 participants (actual)

Study arms

  • Active comparator
    control snack

    control snack

    Other: control snack

  • Experimental
    control cream

    control spreadable cream

    Other: control cream

  • Experimental
    cream version 1

    control spreadable cream, version 1

    Other: cream version 1

  • Experimental
    cream version 2

    control spreadable cream, version 2

    Other: cream version 2

  • Experimental
    cream version 3

    control spreadable cream, version 3

    Other: cream version 3

  • Experimental
    control chocolate bar

    control chocolate bar

    Other: control chocolate bar

  • Experimental
    chocolate bar version 1

    control chocolate bar version 1

    Other: chocolate bar version 1

Interventions

  • Othercontrol snack

    dry fruit snack (200 kcal) + 250 ml water

  • Othercontrol cream

    commercial spreadable cocoa and hazelnut cream (200 kcal)+ 250 ml water

  • Othercream version 1

    commercial spreadable cocoa and hazelnut cream (200 kcal), version 1+ 250 ml water

  • Othercream version 2

    commercial spreadable cocoa and hazelnut cream (200 kcal), version 2+ 250 ml water

  • Othercream version 3

    commercial spreadable cocoa and hazelnut cream (200 kcal), version 3+ 250 ml water

  • Othercontrol chocolate bar

    commercial chocolate bar (200 kcal)+ 250 ml water

  • Otherchocolate bar version 1

    commercial chocolate bar (200 kcal), version 1+ 250 ml water

06

What researchers measure

Primary outcomes

  1. IAUC postprandial blood glucose

    Incremental area under the curve of blood glucose postprandial response (IAUC)

    Time frame: 0 (fasting), 15, 30, 45, 60, 90, 120, 180, 240 minutes

Secondary outcomes

  1. Postprandial response for blood glucose

    incremental blood glucose concentration at each timepoint of the curve

    Time frame: 0 (fasting), 15, 30, 45, 60, 90, 120, 180, 240 minutes

  2. IAUC postprandial blood hormones (insulin, c-peptide, ghrelin, Glucagon-like peptide 1 (GLP-1), Gastric inhibitory peptide (GIP), peptide YY (PYY), leptin)

    Incremental area under the curve for blood insulin postprandial response (IAUC)

    Time frame: 0 (fasting), 15, 30, 45, 60, 90, 120, 180, 240 minutes

  3. Postprandial response for blood hormones (insulin, c-peptide, ghrelin, Glucagon-like peptide 1 (GLP-1), Gastric inhibitory peptide (GIP), peptide YY (PYY), leptin)

    incremental blood insulin concentration at each timepoint of the curve

    Time frame: 0 (fasting), 15, 30, 45, 60, 90, 120, 180, 240 minutes

  4. IAUC postprandial blood lipids triglycerides (TAG) and non esterified fatty acid (NEFA)

    Incremental area under the curve for blood TAG and NEFA postprandial response (IAUC)

    Time frame: 0 (fasting), 30, 60, 90, 120, 180, 240 minutes

  5. Postprandial response for blood lipids triglycerides (TAG) and non esterified fatty acid (NEFA)

    incremental blood TAG and NEFA concentration at each timepoint of the curve

    Time frame: 0 (fasting), 30, 60, 90, 120, 180, 240 minutes

  6. IAUC postprandial blood inflammatory markers (IL-6, IL-8, IL-10, IL-17, TNF-α, hsCRP, MCP-1)

    Incremental area under the curve for blood inflammatory markers (IL-6, IL-8, IL-10, IL-17, TNF-α, hsCRP, MCP-1) postprandial response (IAUC)

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

  7. Postprandial response for blood inflammatory markers (IL-6, IL-8, IL-10, IL-17, TNF-α, hsCRP, MCP-1)

    incremental blood inflammatory markers (IL-6, IL-8, IL-10, IL-17, TNF-α, hsCRP, MCP-1) concentration at each timepoint of the curve

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

  8. IAUC postprandial blood oxidative stress related markers glutathione (GSH) and antioxidant capacity (Ferric ion reducing antioxidant power (FRAP))

    Incremental area under the curve for blood oxidative stress related markers glutathione (GSH) and antioxidant capacity (Ferric ion reducing antioxidant power (FRAP))

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

  9. Postprandial response for blood oxidative stress related markers glutathione (GSH) and antioxidant capacity (Ferric ion reducing antioxidant power (FRAP))

    incremental blood oxidative stress related markers glutathione (GSH) and antioxidant capacity (Ferric ion reducing antioxidant power (FRAP)) concentration at each timepoint of the curve

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

  10. IAUC postprandial blood endotoxemia (Lipopolysaccharides (LPS))

    Incremental area under the curve for LPS

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

  11. Postprandial response for blood LPS

    incremental blood LPS concentration at each timepoint of the curve

    Time frame: 0 (fasting), 60, 90, 120, 180, 240 minutes

Other outcomes

  1. Postprandial satiety using a 100mm visual analog scale

    Differences in subject-rated satiety using a 100mm visual analog scale (centimeter) Range 0-10 centimeter. Higher are the values of satiety in each timepoints better is the product.

    Time frame: 0 (fasting), 15, 30, 60, 120, 240 minutes

  2. Palatability

    Palatability using a 100mm visual analog scale (centimeter). Range 0-10 centimeter. Higher is the value of palatability better is the product.

    Time frame: 12 minutes (after consumption)

  3. Postprandial gastrointestinal symptoms using a 100mm visual analog scale

    gastrointestinal symptoms using a 100mm visual analog scale (centimeter). range 0-10 centimeter. Lower are the values of gastrointestinal symptoms better is the product.

    Time frame: 0 (fasting), 15, 30, 60, 120, 240 minutes

07

Study locations

1 site
  • University of Parma
    Parma, 43125, Italy
08

References and documents

Publications

  • Emerson SR, Kurti SP, Harms CA, Haub MD, Melgarejo T, Logan C, Rosenkranz SK. Magnitude and Timing of the Postprandial Inflammatory Response to a High-Fat Meal in Healthy Adults: A Systematic Review. Adv Nutr. 2017 Mar 15;8(2):213-225. doi: 10.3945/an.116.014431. Print 2017 Mar. PubMed 28298267 ↗
  • Erridge C, Attina T, Spickett CM, Webb DJ. A high-fat meal induces low-grade endotoxemia: evidence of a novel mechanism of postprandial inflammation. Am J Clin Nutr. 2007 Nov;86(5):1286-92. doi: 10.1093/ajcn/86.5.1286. PubMed 17991637 ↗
  • Herieka M, Erridge C. High-fat meal induced postprandial inflammation. Mol Nutr Food Res. 2014 Jan;58(1):136-46. doi: 10.1002/mnfr.201300104. Epub 2013 Jul 12. PubMed 23847095 ↗
  • O'Keefe JH, Bell DS. Postprandial hyperglycemia/hyperlipidemia (postprandial dysmetabolism) is a cardiovascular risk factor. Am J Cardiol. 2007 Sep 1;100(5):899-904. doi: 10.1016/j.amjcard.2007.03.107. Epub 2007 Jun 26. PubMed 17719342 ↗
  • Treib J, Haass A, Kiessig ST, Woessner R, Grauer MT, Schimrigk K. Tick-borne encephalitis diagnosis in patients with inflammatory changes in the cerebrospinal fluid in a region with very low prevalence. Infection. 1996 Sep-Oct;24(5):400-2. doi: 10.1007/BF01716095. PubMed 8923057 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2019 to primary completion in Jul 2019, 4 months.

Of 29 non-industry interventional studies with no phase under Endotoxemia, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 25. This study's 4 months is below that.

Counting every sponsor, half of 31 studies reached it within 17 months; a quarter within 8 and three quarters within 26.

How these figures are worked out, and which studies are left out of them.

Registered
May 31, 2019
First posted
Jun 4, 2019
StartActual
Mar 22, 2019
Primary completionActual
Jul 31, 2019
CompletionActual
Dec 31, 2020
Last update
Apr 27, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03972878
Lead sponsor
University of Parma
Responsible party
Daniele Del Rio (Professor of Nutrition at Department of Veterinary Science, University of Parma, University of Parma) — Principal investigator
First posted
Jun 4, 2019
Start date
Mar 22, 2019
Primary completion
Jul 31, 2019
Completion
Dec 31, 2020
Last update
Apr 27, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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