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RecruitingNCT06012227Kent'ErbasUpdated Aug 30, 2023

Assessment Metabolic Flexibility in Middle-aged Individuals: The Nutritional Impact of Cheese Consumption

An interventional study of kent'erbas cheese study in Metabolism and Nutrition, sponsored by University of Cagliari. Recruiting at 1 site in Italy. Open to participants aged 45 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-30.

Sponsored by University of Cagliari · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Jan 2022, registered Jul 2023).
  • Started Jan 2022; still recruiting 4 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
45 Years to 65 Years
Sex
All
01

Study summary

The aim of the study will be to evaluate the impact of consumption of meat and dairy products from extensive or intensive farming on apparently healthy individuals aged between 45 and 65 years, a stage of life associated with reduced metabolic flexibility and changes in lipid metabolism.

The study will analyze:

  1. The transcription factor PPAR-α determined by the gene expression of PPAR-α in white blood cells, variations in circulating fatty acid metabolism, and the endocannabinoid system determined by circulating analysis of N-acylethanolamine (NAE), and 2-monoacylglycerols (2-MG);
  2. Metabolic flexibility, determined by indirect calorimetry in fasting condition during an incremental exercise;
  3. Body composition, determined by bioimpedance analysis, waist circumference, and waist-to-hip ratio.
Read the detailed description

The study will be a double-blind crossover intervention clinical trial conducted on the aforementioned individuals, who will consume "kent'erbas" cheese products, from extensive and intensive farming.

The study will include 105 individuals aged between 45 and 65 years, apparently in good health, recruited from the UTIC cardiology unit of A.O.U.CA Cagliari (Italy). All participants will be provided with a detailed explanation of the study procedures and its purpose, and their participation will be contingent upon signing an informed consent form. Throughout the study, subjects will maintain their regular lifestyle and unrestricted food intake.

At the outset of the study, relevant information necessary for an appropriate approach to each participant will be collected, including a comprehensive medical history, measurement of anthropometric parameters, and blood sampling for a thorough hematological, inflammatory, and lipid-metabolomic analysis.

In the pecorino study, subjects will consume 350g/week of "kent'erbas" pecorino from extensive farming or 350g/week of "industrial" pecorino from intensive farming for 4 weeks in total. At the end of this period, a blood sample will be taken. Subsequently, there will be a 8 weeks washout period during which participants will follow their usual diet without consuming either type of pecorino. At the end of the washout period, an additional blood sample will be taken. Following this, the participants who had consumed "kent'erbas" pecorino will switch to "industrial" pecorino for 4 weeks, and vice versa. At the end of this second period, a final blood sample will be collected.

The quantities of pecorino cheese chosen for intake are representative of the average consumption in Italy.

02

Conditions studied

  • Metabolism
  • Nutrition

Keywords

  • metabolic flexibility
  • lipid metabolism
03

In context

Lead sponsor

University of Cagliari is the lead sponsor of 82 studies on the registry; 17 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

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

04

Who can participate

Ages eligible
45 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 45-65 years of age
  • BMI \< 27
  • waist-to-hip ratio female\<0.85; male \< 0.98

Exclusion criteria

Exclusion Criteria:

  • metabolic diseases
  • Physical activity of competitive nature
  • Vegans and vegetarians
  • Intolerances and allergies to the foods under study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
105 participants (estimated)

Study arms

  • Experimental
    "kent'erbas" pecorino from extensive farming with crossover Arm 1

    This study was a 4-week, randomized, controlled, crossover clinical trial. Arm 1: Volunteers will be randomize to be allocated to eat 350g/week of "kent'erbas" pecorino from extensive farming with a crossover with arm 2 after 6 weeks of washout.

    Dietary Supplement: kent'erbas cheese study

  • Active comparator
    "industrial" pecorino from intensive farming with crossover Arm 2

    This study was a 4-week, randomized, controlled, crossover clinical trial. Arm 2 : Volunteers will be randomize to be allocated to eat 350g/week of "industrial" pecorino from intensive farming for 4 weeks in total, with a crossover with arm 1 after 6 weeks of washout.

    Dietary Supplement: kent'erbas cheese study

Interventions

  • Dietary supplementkent'erbas cheese study

    Nutritional intervention with "kent'erbas" pecorino from extensive farming with crossover and "industrial" pecorino from intensive farming

06

What researchers measure

Primary outcomes

  1. Changes in plasma levels of DHA and acylethanolamides as Metabolic indices of PPAR-α induction increase in plasma levels of DHA

    Changes in plasma levels of DHA)and modulation of the endocannabinoid system, through the biosynthesis of AEA, PEA, and OEA. All these parameters will be assessed as pmoles/ml of plasma

    Time frame: After 4 weeks of treatment, 8 weeks of washout and 4 weeks of crossover

Secondary outcomes

  1. Quotient respiratory changes measurement as metabolic flexibility indices

    Metabolic flexibility indices, through fasting differences in the respiratory quotient, measured as Liter/min of Oxygen consumption and carbon dioxide

    Time frame: After 4 weeks of treatment, 8 weeks of washout and 4 weeks of crossover

07

Study locations

1 of 1 sites recruiting
  • University of Cagliari
    Monserrato, Cagliari 09042, Italy
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06012227
Lead sponsor
University of Cagliari
Responsible party
Sebastiano Banni (full professor, University of Cagliari) — Principal investigator
First posted
Aug 25, 2023
Start date
Jan 20, 2022
Primary completion
Jul 27, 2023
Completion
Dec 20, 2026 (estimated)
Last update
Aug 30, 2023

Study contacts

Sebastiano Banni
Contact
banni@unica.it
070-6754128

Oversight

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

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