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due to slow enrollment
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A double-blind, randomized, placebo-controlled, multi-dose clinical study consisting of 2 phases; 1) an 8-week lead-in period during which patients followed a diet judged to be within the acceptable guidelines of the ADA, and 2) a 12-week treatment period, at the beginning of which, Subjects are randomly assigned to 1 of the 3 treatment groups: placebo, 3.4 g psyllium BID for a total of 6.8 g/day (10.4g Metamucil) or 6.8g psyllium BID for a total of 13.6 g/day (20.8g Metamucil). For 12 weeks, Subjects took Metamucil or the fiber-free placebo BID, just prior to breakfast and dinner.
Patients visited the clinic 10 times during the 20-week period at Screening, Weeks -8, -6, -4, 0, Day 3, and Weeks 2, 4, 8 and 12, fasting at least 12 hours prior to each visit where a blood sample was taken (all visits except Week -6 and Day 3) for analysis of fasting serum glucose and lipid levels, and HbA1c. Clinical chemistry, hematology and urinalysis were done at Weeks -8, 0 and 12. The completed 7-day food diaries were reviewed by the study dietician at each visit and discussed with the patient to ensure compliance with the recommended diet and the patients' body weights were recorded
During the first phase, lead-in period during Subjects followed a diet judged to be within the acceptable guidelines of the ADA, with compliance assessed by a study dietician using 7-day food diaries completed by the patients. Subject body weight, serum glucose and serum HbA1c, and lipid levels were allowed to stabilize during this period.
During the 12-week treatment period, Subjects were stratified by either diet alone or diet and oral hypoglycemic medication and randomly assigned to 1 of the 3 treatment groups: placebo, 3.4 g psyllium BID for a total of 6.8 g/day (10.4g Metamucil) or 6.8g psyllium BID for a total of 13.6 g/day (20.8g Metamucil). For 12 weeks, patients took Metamucil or the fiber-free placebo BID, just prior to breakfast and dinner.
Patients visited the clinic 10 times during the 20-week period at Screening, Weeks -8, -6, -4, 0, Day 3, and Weeks 2, 4, 8 and 12, fasting at least 12 hours prior to each visit where a blood sample was taken (all visits except Week -6 and Day 3) for analysis of fasting serum glucose and lipid levels, and HbA1c. Clinical chemistry, hematology and urinalysis were done at Weeks -8, 0 and 12. The completed 7-day food diaries were reviewed by the study dietician at each visit and discussed with the patient to ensure compliance with the recommended diet and the patients' body weights were recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo | Placebo Comparator | matched placebo BID |
|
| psyllium 3.4g BID | Active Comparator | 3.4g psyllium BID for a Total of 6.8g daily |
|
| 6.8g psyllium BID | Active Comparator | 6.8g psyllium BID for a total of 13.6 g/day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| placebo | Dietary Supplement | fiber-free placebo |
| |
| 3.4 g psyllium BID |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Fasting Glucose | Change from Baseline is defined as the Post-Baseline value subtracted from the Baseline value | 12 weeks |
| Change From Baseline in Fasting HbA1c | Change is defined as Post-Baseline minus Baseline | 12 weeks |
| Change From Baseline in Fasting HDL Cholesterol | Change is defined as Post-Baseline minus Baseline | 12 weeks |
| Change From Baseline in Fasting LDL Cholesterol | Change is defined as Post-Baseline minus Baseline | 12 weeks |
| Total Cholesterol Change From Baseline | Change is defined as Post-Baseline minus Baseline | 12 weeks |
| Triglyceride Change From Baseline | Change is defined as Post-Baseline minus Baseline | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Reeves, MD | University of Miami | Principal Investigator |
| Richard Bergenstal, MD | International Diabetes Center, Minneapolis, MN 55416 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Miami, Diabetes Unit D-1 | Miami | Florida | 33136 | United States | ||
| International Diabetes Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Psyllium 3.4g BID | Metamucil, psyllium 3.4g BID (6.8g/day) |
| FG001 | 6.8g Psyllium BID | Metamucil, psyllium 6.8g BID (13.6g/day) |
| FG002 | Placebo | Placebo, orange-flavored formulation with excipients of the Metamucil formulation without psyllium BID |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Psyllium 3.4g BID | Metamucil, psyllium 3.4g BID (6.8g/day) |
| BG001 | 6.8g Psyllium BID | Metamucil, psyllium 6.8g BID (13.6g/day) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Fasting Glucose | Change from Baseline is defined as the Post-Baseline value subtracted from the Baseline value | Intent-to-Treat | Posted | Mean | Standard Error | mg/dL | 12 weeks |
|
through 12 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Psyllium 3.4g BID | Metamucil, psyllium 3.4g BID (6.8g/day) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Discomfort | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| John McRorie, PhD | Procter and Gamble | 513-622-1423 | mcrorie.jw@pg.com |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D011620 | Psyllium |
| ID | Term |
|---|---|
| D010936 | Plant Extracts |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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| Dietary Supplement |
3.4 g psyllium BID for a total of 6.8 g/day (10.4g Metamucil) |
|
|
| 6.8g psyllium BID | Dietary Supplement | 6.8g psyllium BID for a total of 13.6 g/day (20.8g Metamucil) |
|
|
| Minneapolis |
| Minnesota |
| 55416 |
| United States |
| fasting blood glucose outside Protocol |
|
| BG002 | Placebo | Placebo, orange-flavored formulation with excipients of the Metamucil formulation without psyllium BID |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
|
| Primary | Change From Baseline in Fasting HbA1c | Change is defined as Post-Baseline minus Baseline | Posted | Mean | Standard Error | percentage of total hemoglobin | 12 weeks |
|
|
|
|
| Primary | Change From Baseline in Fasting HDL Cholesterol | Change is defined as Post-Baseline minus Baseline | Analysis of Covariance of Cholesterol Measures Intent-to-Treat | Posted | Mean | Standard Error | mg/dL | 12 weeks |
|
|
|
|
| Primary | Change From Baseline in Fasting LDL Cholesterol | Change is defined as Post-Baseline minus Baseline | The LDL cholesterol values for two subjects at week 12 were unreportable. | Posted | Mean | Standard Error | mg/dL | 12 weeks |
|
|
|
|
| Primary | Total Cholesterol Change From Baseline | Change is defined as Post-Baseline minus Baseline | Analysis of Covariance of Cholesterol Measures Intent-to-Treat | Posted | Mean | Standard Error | mg/dL | 12 weeks |
|
|
|
|
| Primary | Triglyceride Change From Baseline | Change is defined as Post-Baseline minus Baseline | Analysis of Covariance of Cholesterol Measures Intent-to-Treat | Posted | Mean | Standard Error | mg/dL | 12 weeks |
|
|
|
|
| 0 |
| 15 |
| 12 |
| 15 |
| EG001 | 6.8g Psyllium BID | Metamucil, psyllium 6.8g BID (13.6g/day) | 0 | 14 | 12 | 14 |
| EG002 | Placebo | Placebo, orange-flavored formulation with excipients of the Metamucil formulation without psyllium BID | 0 | 8 | 7 | 8 |
| Abdominal distension | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Abnormal faeces | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Faecal volume increased | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Frequent bowel movements | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Gastrointestinal pain | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Stools abnormal | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Tooth abscess | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Stool analysis abnormal | Investigations | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Transient ischaemic attack | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Nervousness | Psychiatric disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Skin discolouration | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Hot flush | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Cataract | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
Data, calculations, interpretations, opinions, and recommendations are the property of P&GP
| D004700 | Endocrine System Diseases |
| Mean Difference (Final Values) |
| 0.65 |
| No |
| Superiority or Other |
| Mean Difference (Final Values) |
| -2.0 |
| No |
| Superiority or Other |
| Mean Difference (Final Values) |
| 0.43 |
| No |
| Superiority or Other |
| Mean Difference (Final Values) |
| -.24 |
| No |
| Superiority or Other |
| Mean Difference (Final Values) |
| 6.45 |
| No |
| Superiority or Other |