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This is a two-cohort, crossover pilot study to determine interstitial glucose levels coincident with the consumption of a novel carbohydrate blocking supplement.
This two-cohort study will evaluate a novel supplement developed for metabolic support using measures of glycemic variability, fasting glucose, and fasting insulin. In the first cohort, over the course of two weeks, these endpoints will be determined by continuous glucose monitoring (CGM) and blood/urine analyses in healthy adults using a carbohydrate blocking supplement (CBS). Following an interim analysis, the CBS will be evaluated for an additional two months in healthy volunteers using the same measures outlined above.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental arm | Experimental | In cohort 1, participants will receive either a 250 mg mulberry leaf extract CBS dose (1 supplement capsule t.i.d. + 1 placebo capsule to preserve blinding) or a 500 mg mulberry leaf extract CBS dose (2 supplements t.i.d.) in the experimental arm and will cross over to or from the placebo arm. In cohort 2, participants will receive a 500 mg mulberry leaf extract CBS dose (2 supplement capsules t.i.d.) in the experimental arm and will cross over to or from the placebo arm. |
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| Placebo arm | Placebo Comparator | In Cohorts 1 and 2, participants will receive 2 placebo capsules in the placebo arm and will cross over to or from the experimental arm. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carbohydrate blocking supplement (CBS) | Dietary Supplement | The CBS is composed of a Hypromellose outer shell, and filled with mulberry leaf extract, berberine HCl, cinnamon bark powder, and cinnamon bark essential oil. Mulberry leaf extract (Reducose) - 250 mg Berberine HCl (97%)(Berberis aristata root extract)- 25 mg Organic cinnamon powder (Cinnamon (Cinnamomum loureirii) bark powder) - 20 mg Essential oil blend (Grapefruit (Citrus paradisii) peel oil, Lemon (Citrus limon) peel oil Peppermint (Mentha piperita) aerial (leaf/stem) oil), Ginger (Zingiber officinale) root oil, Cinnamon (Cinnamomum zeylanicum) bark oil) - 5 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Safety/tolerability (cohort 1) | This study will monitor the occurrence and frequency of adverse events and safety, both through participant report and blood chemistry/hematology analyses. Dosage for cohort 2 will be determined | 2 weeks |
| Dose determination for Cohort 2 | Dosage for cohort 2 will be determined | 2 weeks |
| Glucose levels monitoring (Cohort 2) | Use of continuous glucose monitoring (CGM) to monitor interstitial glucose levels | 2 months |
| Glycemic variability (Cohort 2) | Glycemic variability will be determined in healthy individuals. | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose levels monitoring (Cohort 1) | Use of continuous glucose monitoring (CGM) to monitor interstitial glucose levels | 2 weeks |
| Glycemic variability (Cohort 1) | Use of continuous glucose monitoring (CGM) to monitor interstitial glucose levels and Glycemic variability will be determined in healthy individuals. |
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Inclusion Criteria:
If female, negative pregnancy test
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Russell Osguthorpe, MD | doTERRA International | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| doTERRA International | Pleasant Grove | Utah | 84062 | United States |
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Cohort 1 is single-blind. Participants will not know their treatment allocation in either arm of the study. Furthermore, in cohort 1, the participants may receive a 250 mg or 500 mg CBS dose, but will not be informed which they receive. In order to preserve blinding to dosage allocation, participants will be instructed to consume two capsules prior to each meal.
Cohort 2 is double blind - participants will know that they will receive either the treatment or placebo first, but will be blinded to which they receive. All members of research staff will be blinded with the exception of a designated member
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| Placebo capsule | Dietary Supplement | The placebo is composed of a Hypromellose outer shell filled with extra virgin olive oil. |
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| 2 weeks |
| Albumin (g/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| BUN (mg/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Creatinine (mg/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Alkaline phosphatase (U/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| ALT (U/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| AST (U/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Calcium (mg/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks, 2 months (Cohort 2) |
| Carbon Dioxide (mmol/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Chloride (mmol/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Potassium (mmol/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Sodium (mmol/L) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Total bilirubin (mg/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Total protein (g/dL) | Item in comprehensive metabolic panel for safety assessment | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Fasting insulin | Fasting insulin to determine changes, if any, to metabolism. | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Fasting glucose | Fasting glucose to determine changes, if any, to metabolism. | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Body weight | Determine whether body weight is affected by the consumption of the study product. | 2 weeks (Cohort 1), 2 months (Cohort 2) |
| Safety/tolerability (cohort 2) | This study will monitor the occurrence and frequency of adverse events and safety, both through participant report and blood chemistry/hematology analyses. | 2 months |