CClinicalTrials.gg
RecruitingNCT07436260IMPA-CTUpdated Feb 27, 2026

Effect of the Consumption of Milk With Beta-casein A2A2, Milk With Beta-casein A1A2 and a Plant-based Drink on Metabolic Health in Adults: IMPA-CT Study

An interventional study of Consumption 500 ml of A1 milk. and Consumption 500 ml of A2 milk in Healthy Participants, sponsored by Dawid Madej. Recruiting at 1 site in Poland. Open to participants aged 30 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by Dawid Madej · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Apr 2026, 5 months ago, but the record still lists the study as recruiting.
  • Registered 4 months after the study started (first participant enrolled Sep 2025, registered Jan 2026).
  • Started Sep 2025; still recruiting 1 year 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
30 Years to 60 Years
Sex
All
01

Study summary

The purpose of this study was to identify and compare the effects of daily consumption of A2 milk, conventional milk, and an oat drink on bone health, cardiometabolic health, and immune system function in adults. Although cow's milk plays an important role in human nutrition, its proteins-particularly β-caseins-exhibit significant genetic diversity. Conventional milk typically contains a mix of A1 and A2 β-casein variants, whereas A2 milk contains exclusively the A2/A2 variant. The key difference between the two lies in a single amino acid at position 67: variant A1 contains histidine, which allows digestive enzymes to release the opioid peptide β-casomorphin-7 (BCM-7), while variant A2 contains proline, which prevents the release of this peptide. Consequently, the study is trying to answer the question of whether 12 weeks of consuming 500 ml of A2 milk daily-thereby eliminating dietary exposure to BCM-7-results in different outcomes for bone health (the primary measure), as well as for cardiometabolic health and immune function, when compared to consuming conventional milk or a plant-based oat drink in healthy adults aged 30-60.

02

Conditions studied

  • Healthy Participants
03

In context

Lead sponsor

This is the only study on the registry with Dawid Madej as lead sponsor.

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

04

Who can participate

Ages eligible
30 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • aged 30 to 60 years,
  • body mass index >18.5 or \<30 kg/m2,
  • no diagnosed chronic disease, i.e. diabetes, cancer, kidney disease,
  • not taking medications/dietary supplements that may affect carbohydrate and/or lipid metabolism.

Exclusion criteria

Exclusion Criteria:

  • pregnancy or lactation in women,
  • implanted medical materials such as: pacemaker, defibrillator, stent, metal suture in the heart or blood vessel, and implants,
  • previous radiotherapy and/or chemotherapy,
  • significantly modified diet (e.g., ketogenic, vegetarian, or ovo-vegetarian) and health condition requiring a specialist diet,
  • unable to give informed consent,
  • unable or unwilling to comply with the study procedures,
  • have medical history of gastrointestinal surgery or disorders (inflammatory bowel disease, ulcerative colitis, coeliac disease, Crohn's disease), cardiorespiratory problems, uncontrolled diabetes mellitus, bleeding disorders.

Non-exclusion criteria:

  • hypertension, or depression that are well-controlled with medical intervention.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    A2 Milk Group

    Habitual diet supplemented with 500 mL of milk A2 daily for 12 weeks; product available on the market

    Other: Consumption 500 ml of A2 milk

  • Experimental
    A1 Milk Group

    Habitual diet with 500 mL of milk A1/A2 daily for 12 weeks; product available on the market

    Other: Consumption 500 ml of A1 milk.

  • Experimental
    Pland Drink Group

    Habitual diet supplemented with 500 mL of oat drink daily for 12 weeks; product available on the market

    Other: Consumption 500 ml of oat drink.

Interventions

  • OtherConsumption 500 ml of A1 milk.

    The intervention study consisted of the consumption 500 ml of an appropriate product: A1 milk - daily for a 12 weeks.

  • OtherConsumption 500 ml of A2 milk

    The intervention study consisted of the consumption 500 ml of an appropriate product: A2 milk - daily for a 12 weeks.

  • OtherConsumption 500 ml of oat drink.

    The intervention study consisted of the consumption 500 ml of an appropriate product: oat drink - daily for a 12 weeks.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Bone Mineral Density (BMD)

    Assessment of changes in bone mineral density (BMD) using Dual-energy X-ray Absorptiometry (DEXA).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

Secondary outcomes

  1. Change from Baseline in Plasma Procollagen Type 1 N-terminal Propeptide (P1NP) Concentration

    Assessment of changes in P1NP as a biochemical marker of bone formation.

    Time frame: Baseline, and after 12 weeks of intervention.

  2. Change from Baseline in Bone Alkaline Phosphatase (BALP) Concentration

    Assessment of changes in BALP as a biochemical marker of bone formation.

    Time frame: Baseline, and after 12 weeks of intervention.

  3. Change from Baseline in Plasma C-terminal Telopeptide of Type 1 Collagen (CTX-1) Concentration

    Assessment of changes in plasma CTX-1 as a biochemical marker of bone resorption.

    Time frame: Baseline, and after 12 weeks of intervention.

  4. Change from Baseline in Urinary Calcium Concentration

    Assessment of changes in urinary calcium levels as a marker of bone resorption.

    Time frame: Baseline, and after 12 weeks of intervention.

  5. Change from Baseline in Urinary Deoxypyridinoline Concentration

    Assessment of changes in urinary deoxypyridinoline levels as a marker of bone resorption.

    Time frame: Baseline, and after 12 weeks of intervention.

  6. Change from Baseline in Plasma Calcium Concentration

    Assessment of changes in plasma calcium levels as a marker of bone homeostasis.

    Time frame: Baseline, and after 12 weeks of intervention.

  7. Change from Baseline in 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] Concentration

    Assessment of changes in 1,25(OH)2D3 levels as a marker of bone homeostasis.

    Time frame: Baseline, and after 12 weeks of intervention.

  8. Change from Baseline in Body Mass Index (BMI)

    Weight and height will be combined to report BMI in kg/m\^2.

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  9. Change from Baseline in Waist-Hip Ratio (WHR)

    Assessment of fat distribution calculated as waist measurement divided by hip measurement (unitless ratio).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  10. Change from Baseline in Waist-to-Height Ratio (WHtR)

    Assessment of fat distribution calculated as waist measurement divided by height (unitless ratio).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  11. Change from Baseline in Ankle-Brachial Index (ABI)

    Assessment of cardiovascular health using blood pressure measurements to calculate the Ankle-Brachial Index (ABI).

    Time frame: Baseline, and after 12 weeks of intervention.

  12. Change from Baseline in Body Fat Mass

    Assessment of changes in body fat mass, assessed by BIA and DEXA. Results will be reported in kilograms (kg).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  13. Change from Baseline in Body Fat Percentage

    Assessment of changes in total body fat content, assessed by BIA and DEXA. Results will be reported as a percentage (%).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  14. Change from Baseline in Visceral Fat Area

    Assessment of changes in visceral fat assessed by BIA and DEXA. Results will be reported in square centimeters (cm\^2).

    Time frame: Baseline, and after 4, 8 and 12 weeks of intervention.

  15. Change from Baseline in Cholesterol Concentration

    Assessment of changes in total cholesterol, High-Density Lipoprotein (HDL) and Low-Density Lipoprotein (LDL) Cholesterol Concentration as part of the lipid profile.

    Time frame: Baseline, and after 12 weeks of intervention.

  16. Change from Baseline in Triglycerides Concentration

    Assessment of changes in triglycerides as part of the lipid profile.

    Time frame: Baseline, and after 12 weeks of intervention.

  17. Change from Baseline in Fasting Glucose Concentration

    Assessment of changes in fasting blood glucose levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  18. Change from Baseline in Fasting Insulin Concentration

    Assessment of changes in fasting insulin levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  19. Change from Baseline in Insulin-like Growth Factor-1 (IGF-1) Concentration

    Assessment of changes in IGF-1 levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  20. Change from Baseline in IGF-Binding Protein-3 (IGFBP-3) Concentration

    Assessment of changes in IGFBP-3 levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  21. Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP) Concentration

    Assessment of changes in hsCRP as a marker of systemic inflammation.

    Time frame: Baseline, and after 12 weeks of intervention.

  22. Change from Baseline in Uric Acid Concentration at 12 Weeks

    Assessment of changes in uric acid levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  23. Change from Baseline in Creatinine Concentration

    Assessment of changes in creatinine levels.

    Time frame: Baseline, and after 12 weeks of intervention.

  24. Baseline, and after 12 weeks of intervention.

    Assessment of changes in plasma levels of Immunoglobulin A (IgA) as an indicator of immune system functioning.

    Time frame: Baseline, and after 12 weeks of intervention.

  25. Change from Baseline in Immunoglobulin G (IgG) Concentration

    Assessment of changes in plasma levels of Immunoglobulin G (IgG) as an indicator of immune system functioning.

    Time frame: Baseline, and after 12 weeks of intervention.

  26. Change from Baseline in Allergen-specific Immunoglobulin E (sIgE) Concentration

    Assessment of changes in allergen-specific Immunoglobulin E (sIgE) as a marker for potential casein allergy.

    Time frame: Baseline, and after 12 weeks of intervention.

07

Study locations

1 of 1 sites recruiting
  • Warsaw Univeristy of Life Science
    Warsaw, Masovian Voivodeship 02-776, Poland
    Recruiting
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 Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07436260
Lead sponsor
Dawid Madej
Responsible party
Dawid Madej (Principal Investigator, Warsaw University of Life Sciences) — Sponsor-investigator
First posted
Feb 27, 2026
Start date
Sep 5, 2025
Primary completion
Apr 23, 2026 (estimated)
Completion
Apr 23, 2026 (estimated)
Last update
Feb 27, 2026

Study contacts

Jadwiga Hamulka Prof. dr hab., Prof. dr hab.
Contact
jadwiga_hamulka@sggw.edu.pl
(48)0225937112

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion