CClinicalTrials.gg
CompletedNCT06659523EXPLORERUpdated Oct 29, 2024

Exploring Unconventional Plant-Derived Metabolites for Glycemic Control: the Case of Pomegranate

An interventional study of EPS supplement intervention and Placebo in Prediabetes, sponsored by Regina Menezes. Completed at 1 site in Portugal. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-29.

Sponsored by Regina Menezes · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The EXPLORER study will investigate whether supplementation with a pomegranate extract rich in ellagitannins is able to improve well-being and metabolic health in individuals without diabetes. The aim is to establish for the first time an association between the intake of ellagitanninsa and glycaemic control, the processing/aggregation of IAPP (a protein associated with diabetes), the state of the intestinal microbiota and circulating levels of urolithin B (a small bioavailable molecule resulting from the metabolism of ellagitannins).

This is a 12-week pilot study that is double-blind (neither participants nor researchers know who gets the treatment) and placebo-controlled (some people will receive a non-active substance). It will involve volunteers who do not have diabetes.

Phase 1 - Recruitment: Volunteers without diabetes, who are patients at a family health unit, will be recruited. Participants will provide informed consent and information such as sociodemographic and biochemical data.

Phase 2 - Intervention: The recruited individuals will be divided into two groups: one receiving the pomegranate extract supplement (intervention group) and the other receiving a placebo. In total, 60 participants will take part in the study.

Read the detailed description

A double-blinded, randomized, placebo-controlled pilot study was designed to assess the effect of Ellagitannins Pomegranate Supplements (EPS) in metabolic health of participants.

Participants will be recruited at the family health unit USF São Martinho de Alcabideche from the grouping of health centres ACES Cascais, and the study will be conducted according to universal bioethical principles.

At least 60 individuals with pre-diabetes will be included in the study. After the fulfilment of the inclusion criteria, they will be randomly assigned to the intervention group (IG) and the placebo group (PG). Equal distribution of gender, age and BMI will be ensured between the groups.

02

Conditions studied

  • Prediabetes

Keywords

  • prediabetes
  • Food supplement
  • beta-cell function
  • IAPP
  • Urolithins
03

In context

Prediabetic State

999 studies on the registry are indexed under Prediabetic State; 238 are open to participants now.

This study's enrollment of 60 is close to the median of 65 across 844 interventional studies indexed under Prediabetic State.

Browse Prediabetic State studies →

Lead sponsor

This is the only study on the registry with Regina Menezes as lead sponsor.

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

04

Who can participate

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

Inclusion criteria

  • Individuals without diabetes
  • Both sexes
  • Aged between 18 and 65
  • Body Mass Index (BMI) less than 29.9 kg/m2
  • Fasting plasma glucose levels below 126 mg/dL
  • Haemoglobin A1C levels between 5.7 - 6.5%

Exclusion criteria

Exclusion Criteria:

  • Not agreeing to take part in the study
  • BMI>30 kg/m2
  • Being diagnosed with diabetes
  • Having any type of cognitive disorder
  • Using anti-diabetic medication
  • Alcohol or drug abuse
  • Pomegranate allergy
  • Regular use of food supplements
  • Difficulty swallowing tablets
  • Being on, or planning to be on during the study period, a different diet than usual
  • Pregnancy, planning to become pregnant during the study, breastfeeding 1 year before or during the study
  • Oncological, cardiac, hepatic, renal, thyroid or other endocrine diseases
  • Medical or social conditions that may affect adherence
  • Participating in another study at the same time.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Supplement Intervention Group

    31 healthy individuals, male and female, were recruted at one family health unit, and randomly assigned to the intervention group, and were given for 12 weeks of one daily dose of 1.5 g powdered capsules of EPS.

    Dietary Supplement: EPS supplement intervention

  • Placebo comparator
    Placebo Group

    29 individuals with pre-diabetes, male and female, were recruted at one family health unit, and randomly assigned to the intervention group, and were given for 12 weeks of one daily dose of placebo supplement (cellulose).

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementEPS supplement intervention

    31 healthy individuals, male and female, were recruted at one family health unit, and randomly assigned to the intervention group, and were given for 12 weeks of one daily dose of 1.5 g powdered capsules of EPS.

  • Dietary supplementPlacebo

    29 healthy individuals, male and female, were recruted at one family health unit, and randomly assigned to the placebo group, and were given for 12 weeks of one daily dose of placebo.

06

What researchers measure

Primary outcomes

  1. Targeted metabolites - urolithins profiling

    Urine sample

    Time frame: 12 weeks

  2. pro-IAPP

    Blood sample

    Time frame: 12 weeks

  3. IAPP (Islet Amiloide Polipeptide)

    Boold sample

    Time frame: 12 weeks

Secondary outcomes

  1. Short-chain fatty acids profiling

    Blood sample

    Time frame: 12 weeks

07

Study locations

1 site
  • Lusofona University
    Lisbon, 1749-024, Portugal
08

References and documents

Publications

  • Stumvoll M, Goldstein BJ, van Haeften TW. Type 2 diabetes: principles of pathogenesis and therapy. Lancet. 2005 Apr 9-15;365(9467):1333-46. doi: 10.1016/S0140-6736(05)61032-X. PubMed 15823385 ↗
  • Raimundo AF, Ferreira S, Tomas-Barberan FA, Santos CN, Menezes R. Urolithins: Diet-Derived Bioavailable Metabolites to Tackle Diabetes. Nutrients. 2021 Nov 27;13(12):4285. doi: 10.3390/nu13124285. PubMed 34959837 ↗
  • Banihani SA, Makahleh SM, El-Akawi Z, Al-Fashtaki RA, Khabour OF, Gharibeh MY, Saadah NA, Al-Hashimi FH, Al-Khasieb NJ. Fresh pomegranate juice ameliorates insulin resistance, enhances beta-cell function, and decreases fasting serum glucose in type 2 diabetic patients. Nutr Res. 2014 Oct;34(10):862-7. doi: 10.1016/j.nutres.2014.08.003. Epub 2014 Aug 20. PubMed 25223711 ↗
  • Mansoor K, Bardees R, Alkhawaja B, Mallah E, AbuQatouseh L, Schmidt M, Matalka K. Impact of Pomegranate Juice on the Pharmacokinetics of CYP3A4- and CYP2C9-Mediated Drugs Metabolism: A Preclinical and Clinical Review. Molecules. 2023 Feb 24;28(5):2117. doi: 10.3390/molecules28052117. PubMed 36903363 ↗
  • Raimundo AF, Ferreira S, Pobre V, Lopes-da-Silva M, Brito JA, Dos Santos DJVA, Saraiva N, Dos Santos CN, Menezes R. Urolithin B: Two-way attack on IAPP proteotoxicity with implications for diabetes. Front Endocrinol (Lausanne). 2022 Dec 15;13:1008418. doi: 10.3389/fendo.2022.1008418. eCollection 2022. PubMed 36589826 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06659523
Lead sponsor
Regina Menezes
Collaborators
Universidade Lusófona de Humanidades e Tecnologias
Responsible party
Regina Menezes (Principal Investigator, Lusofona University) — Sponsor-investigator
First posted
Oct 26, 2024
Start date
Jun 1, 2024
Primary completion
Aug 30, 2024
Completion
Sep 30, 2024
Last update
Oct 29, 2024

Study contacts

Regina Menezes, PhD
principal investigator · Lusofona University - CBIOS

Oversight

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

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This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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