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Safety, Acceptability and Efficacy of a Long-term Intervention With a Diabetes-specific Low-carbohydrate, High-mono-unsaturated Fatty Acid Containing Oral Nutritional Supplement on Glycaemic Control in Type 2 Diabetic Patients

Fresenius Kabi logo

Fresenius Kabi

Status

Completed

Conditions

Diabetes

Treatments

Dietary Supplement: Oral nutritional supplement, food for special medical purposes

Study type

Interventional

Funder types

Industry

Identifiers

NCT01241695
GCOS-002-CFS

Details and patient eligibility

About

The purpose of the study is to determine the safety, acceptability and the efficacy of a 12-week intervention with a diabetes-specific oral nutritional supplement on glycaemic control in type 2 diabetic patients with or at risk of malnutrition

Enrollment

40 patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • diagnosis of type 2 diabetes according to the WHO diagnostic criteria for more than 6 months: Fasting plasma glucose (FPG) ≥ 126 mg/dl (7.0 mmol/l) or 2-h plasma glucose ≥ 200 mg/dl (11.1 mmol/l) during an OGTT (oral glucose tolerance test);
  • HbA1c between 6.5-8.5 % (confirmed in the previous 3 months),
  • capable of using oral nutritional supplementation,
  • on stable and controlled anti-diabetic regime for at least 1 months,
  • use of metformin and/or sulphonylureas as oral anti-diabetic medication,
  • in need of nutritional support because of ≥5% involuntary weight loss in the last 3 months, ≥10% involuntary weight loss in the last 6 months, inadequate nutritional intake causing failure to meet nutritional requirements or at risk of developing malnutrition

Exclusion criteria

  • diabetes type 1,
  • participation in a clinical trial with an investigational product or regular use of disease-specific oral nutritional supplements within 4 weeks prior to study start
  • patients requiring a fibre free diet,
  • enteral tube feed or parenteral nutrition,
  • concomitant therapy with systemic glucocorticoids, insulins or anti-diabetic medication other than metformin and sulphonylureas,
  • known or suspected intolerance or allergy to any component of the investigational product(s),
  • any acute gastrointestinal disease within 2 weeks prior to study entry,
  • gastrectomy, gastroparesis or other gastric emptying abnormalities,
  • acute sever heart failure (NYHA class 4), liver insufficiency / failure (male: ALAT > 150 U/l; female: ALAT > 120 U/l) or renal failure requiring dialysis,
  • cancer cachexia,
  • galactosaemia, fructosaemia,
  • suspicion of drug abuse, abuse of/addiction to alcohol,
  • pregnant or breast feeding women, or fertile women refusing to use contraceptives,
  • patients with untreated major psychiatric disorder,
  • known HIV positive (safety reasons),
  • patient unable to co-operate adequately

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

40 participants in 2 patient groups, including a placebo group

Test
Experimental group
Description:
Diben DRINK (200 ml) / a diabetes-specific oral nutritional supplement
Treatment:
Dietary Supplement: Oral nutritional supplement, food for special medical purposes
Dietary Supplement: Oral nutritional supplement, food for special medical purposes
Control
Placebo Comparator group
Description:
Fresubin(R) energy fibre DRINK / an isoenergetic standard oral nutritional supplement
Treatment:
Dietary Supplement: Oral nutritional supplement, food for special medical purposes
Dietary Supplement: Oral nutritional supplement, food for special medical purposes

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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