CClinicalTrials.gg
Status unknownNCT05294861Milk-GMUpdated Mar 24, 2022

Effect of Milk Consumption on Glycemia and Gut Microbiome in T2D

An interventional study of YesMdiet and NoMdiet in Type2Diabetes, sponsored by Tel Aviv University. Status unknown. Open to participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-03-24.

Sponsored by Tel Aviv University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
01

Study summary

The overall glycemic excursions display circadian variations which are controlled by the circadian clock genes (CCG) and are strongly influenced by meal timing.

Indeed, in T2D, a diet aligned with the CCG, with high-energy and protein breakfast, and reduced in CH dinner (Bdiet) resulted in effective reduction of body weight, HbA1c, and of overall glycemia versus reverse schedule or six meals, with energy and carbohydrates (CH) evenly distributed throughout the day.

in addition to meal timing of Bdiet, the source of protein i.e., Milk and dairy products, by favorable changes in the Guts Microbiome (GM) composition may also play a role in the reduction of overall glycemia of T2D.

The investigators hypothesize that Bdiet schedule with high content of milk and other dairy proteins (YesMdiet), will reduce overall glycemia in T2D, compared to isocaloric and iso-protein Bdiet with another source (nondairy) proteins (NoMdiet).

Study Design: The effect of the two Bdiet interventions on GM will be assessed in T2D participants in a cross-over design, at baseline and after YesMdiet and after NoMdiet, in random order. We expect more favorable changes in glycemic control and in GM composition in YesMdiet versus NoMdiet.

Read the detailed description

Background: Reduction of the overall glycemic excursion is the main target in the treatment of T2D to reduce HbA1c and cardiovascular risk. The overall glycemic excursions display circadian variations controlled by the circadian clock genes (CG) and are strongly influenced by meal timing.

Indeed, the investigators have recently shown in T2D, that a diet aligned with the CCG, with high-energy and protein breakfast, and reduced in CH dinner (Bdiet) resulted in effective reduction of body weight, HbA1c, and substantial reduction of overall (diurnal and nocturnal) glycemia as compared to the reverse schedule or a diet with six meals, with energy and carbohydrates (CH) evenly distributed throughout the day.

However, in addition to meal timing, the source of protein in Bdiet and the changes of Gut Microbiome (GM) composition, may also play a role in the reduction of overall glycemia. It has been recently shown that consumption of milk and dairy products is associated beneficial effect on overall glycemia. Further, milk and dairy may exert a beneficial effect on overall glycemia by favorable changes in GM composition.

Working hypothesis: Therefore, in this study, we hypothesize that a Bdiet schedule with high content of milk and other dairy proteins (YesMdiet), compared to isocaloric and iso-protein Bdiet with another source (nondairy) proteins (NoMdiet) and may lead to favorable changes in the Gut Microbiota (GM) [Primary end-point] in association with the improvement of overall glycemia in T2D participant under continuous glucose monitoring (CGM) surveillance.

Study Design: The effect of the two Bdiet interventions on GM will be assessed in n=16 participants in a cross-over design, at baseline and after 14 days of Bdiet consuming Milk and dairy products (YesMdiet) or isocaloric Bdiet without milk or dairy products (NoMdiet), in random order in T2D individual undergoing CGM surveillance.

Expected results: We expect more favorable changes in glycemic control and in GM composition in YesMdiet versus NoMdiet.

Scientific Significance: This trial will reveal whether the benefits of Bdiet on glycemic control is further enhanced by milk and dairy consumption, in association with favorable changes in Gut Microbiome

02

Conditions studied

  • Type2Diabetes
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's planned enrollment of 20 is below the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Tel Aviv University is the lead sponsor of 100 studies on the registry; 26 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients diagnosed with T2D \< 20 years
  • HbA1c ≥ 6.5 %.
  • BMI - 28-45 kg/m2
  • Men and women 30 -75 years of age inclusive
  • Normal liver, kidney, and thyroid functions, and eGFR > 45 mL/min/1.73 m2.
  • Type 2 diabetes controlled with diet, lifestyle alone, or with antidiabetics other than insulin (i.e. biguanides, sulfonylureas, glinides, SGLT2 inhibitors, DPP4 inhibitors, GLP-1 analogs), with stable doses for at least 3 months before entering the study.
  • Stable weight (less than 5% change in body weight in last 3 months before the study - determined by self-reporting or documentation in clinical records).
  • Concomitant medication i.e. antihypertensive, anti-lipidemic, anti-thrombotic drugs will be allowed also on a stable dose for at least 3 months before the beginning of the trial.
  • Patients that usually wake up between 06:00 and 08:00 and go to sleep between 22:00 and 24:00.
  • Should not have shift work within 6 months of the study and should not have crossed time zones within 2 weeks of the study.
  • No change in medication or nutrition supplements or physical activity will be made during the study.

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes or secondary forms of diabetes.
  • Patients with latent autoimmune diabetes in adults (LADA).
  • Treatment with insulin.
  • Serum creatinine level >2mg/dl. Renal dysfunction: eGFR \< 45 mL/min/1.73 m2).
  • Hepatic dysfunction: liver disease or transaminase levels > 2.5-fold above normal.
  • Major illness with life expectancy \< 5 years.
  • Malignant neoplasm requiring chemotherapy, surgery, radiation, or palliative therapy within the previous 5 years (with the exception of basal cell skin cancer).
  • Those taking psychotropic, anorectic medication, steroid treatment, or illicit drug abuse or alcoholism within one year prior to study onset. Pregnancy or lactation.
  • Known hypersensitivity to milk components or lactose intolerance.
  • Night or rotating shift workers or those who crossed more than 2 time zones during the 2- week period prior to study onset.
  • Not able to give informed consent
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    YesMdiet

    After one week baseline, the participants will be assigned to YesMdiet, consuming milk and dairy products for 14 days

    Other: YesMdiet

  • Active comparator
    NoMdiet

    After one week baseline, the participants will be assigned to NoMdiet, consuming another source of protein and without milk or dairy products for 14 days

    Other: NoMdiet

Interventions

  • OtherYesMdiet

    In the YesMdiet, participants will consume Milk and Dairy products

    Also known as: Yes Milk diet

  • OtherNoMdiet

    In the YesMdiet, participants will not consume Milk and Dairy products, only other sources of protein

    Also known as: No Milk diet

06

What researchers measure

Primary outcomes

  1. Gut Microbiome

    Gut Microbiome composition will be assessed using 16s rRNA sequencing method after 14 days of YesMdiet

    Time frame: 14 day

Secondary outcomes

  1. Gut Microbiome

    Gut Microbiome composition will be assessed using 16s rRNA sequencing method after 14 days of NoMdiet

    Time frame: 14 days

  2. Overall Glycemia

    Overall Glycemia will be assessed using continuous glucose monitoring CGM during 14 days of either YesMdiet or NoBdiet

    Time frame: 14 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05294861
Lead sponsor
Tel Aviv University
Responsible party
Daniela Jakubowicz (Prof. Daniela Jakubowicz, MD, Tel Aviv University) — Principal investigator
First posted
Mar 24, 2022
Start date
Apr 28, 2022 (estimated)
Primary completion
Oct 28, 2022 (estimated)
Completion
Dec 28, 2022 (estimated)
Last update
Mar 24, 2022

Study contacts

Julio Wainstein, MD
Contact
julio_w@walla.com
972-506296940
Orit Twito, MD
Contact
orit.twito@gmail.com
972-542270104
Daniela Jakubowicz, MD
principal investigator · Wolfson Medical Center

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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