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| Name | Class |
|---|---|
| KGK Science Inc. | INDUSTRY |
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The goal of part 1 of this clinical trial is to investigate the tolerability of Lembas Edge in healthy adults. The objective of Part 2 of this study is to investigate the efficacy of Lembas Edge on postprandial glycemic control in prediabetic overweight and obese adults. The main questions it aims to answer are:
Researchers will compare Lembas Edge to placebo to see its effects. Participants will be asked to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Dose Lembas Edge | Experimental | Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
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| Medium Dose Lembas Edge | Experimental | Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
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| High Dose Lembas Edge | Experimental | In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13). In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
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| Placebo | Placebo Comparator | In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13). In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low dose alpha-galactosidase-derived peptide | Dietary Supplement | Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of post-emergent adverse events (AE) | Part 1. Incidence of post-emergent adverse events (AE) | Day 0 to 14 |
| Clinically relevant changes in blood pressure after supplementation | Part 1. Clinically relevant changes in blood pressure (mmHg) after supplementation | Day 0 to 14 |
| Clinically relevant changes in heart rate after supplementation | Part 1. Clinically relevant changes in heart rate (beats per minute) after supplementation | Day 0 to 14 |
| Clinically relevant changes in aspartate aminotransferase | Part 1. Clinically relevant changes in aspartate aminotransferase (U/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in alanine aminotransferase | Part 1. Clinically relevant changes in alanine aminotransferase (U/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in alkaline phosphatase | Part 1. Clinically relevant changes in alkaline phosphatase (U/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in total bilirubin | Part 1. Clinically relevant changes in total bilirubin (micromole/litre) after supplementation. | Day 0 to 14 |
| Measure | Description | Time Frame |
|---|---|---|
| The difference in postprandial glucose iAUC (0-240 min) between Lembas Edge and placebo | Part 2. The difference in postprandial glucose, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo | Visit 2 (day 1) to Visit 5 (day 22) |
| The difference in postprandial insulin between Lembas Edge and placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change in fasting glucose from baseline to day 14 after supplementation | Part 1. The change in fasting glucose from baseline to day 14 after supplementation | Day 0 to 14 |
| Change in fasting insulin from baseline to day 14 after supplementation |
Inclusion Criteria Part 1:
Males & females 18 years and older
Females not of child-bearing potential, defined as those who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal for at least 1 year prior to screening Or, Individuals of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include:
Agrees to maintain current lifestyle habits (diet, physical activity, medications, supplements, and sleep) as much as possible throughout the study
Provided voluntary, written, informed consent to participate in the study
Healthy as determined by medical history as assessed by the Qualified Investigator (QI)
Inclusion Criteria Part 2:
Males & females 18 years and older
Body Mass Index (BMI) between 25.0 and 34.9 kg/m2
Females not of child-bearing potential, defined as those who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, complete endometrial ablation) or have been post-menopausal for at least 1 year prior to screening Or, Individuals of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. All hormonal birth control must have been in use for a minimum of three months. Acceptable methods of birth control include:
Hemoglobin A1c (HbA1c) of 5.7-6.4% at screening
Willingness to complete questionnaires, records and diaries associated with the study and to complete clinic visits
Agrees to maintain current lifestyle habits (diet, physical activity, medications, supplements, and sleep) as much as possible throughout the study
Provided voluntary, written, informed consent to participate in the study
Healthy as determined by medical history as assessed by the Qualified Investigator (QI)
Exclusion Criteria Part 1:
Exclusion Criteria Part 2:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erin Lewis | Contact | +248 1-226-242-4551 | elewis@kgkscience.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KGK Science Inc. | London | Ontario | Canada |
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Part 1: Single-arm, open-label & Part 2: Randomized, triple-blind, placebo controlled, cross over
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Part 1: Open-label & Part 2: Triple-blind
| Medium dose alpha-galactosidase-derived peptide | Dietary Supplement | Participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
|
| High dose alpha-galactosidase-derived peptide | Dietary Supplement | In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13). In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
|
| Placebo | Dietary Supplement | In part 1, participants will be instructed to take 3 capsules daily (as a single dose) in the morning until the day prior to their end of study visit (Day 13). In part 2, participants will be instructed to take 3 capsules of the study product in a fasted state 120 minutes before a standardized breakfast. |
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| Clinically relevant changes in creatinine | Part 1. Clinically relevant changes in creatinine (micromole/litre) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in sodium | Part 1. Clinically relevant changes in sodium (mmol/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in potassium | Part 1. Clinically relevant changes in potassium (mmol/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in chloride | Part 1. Clinically relevant changes in chloride (mmol/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in estimated glomerular filtration rate | Part 1. Clinically relevant changes in estimated glomerular filltration rate (mL/min/1.73 m^2) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in glucose | Part 1. Clinically relevant changes in glucose (mmol/L) after supplementation. | Day 0 to 14 |
| Clinically relevant changes in red blood cell count | Part 1. Clinically relevant changes in red blood cell count (x 10^12/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in white blood cell count | Part 1. Clinically relevant changes in white blood cell count (x 10^9/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in platelet count | Part 1. Clinically relevant changes in platelet count (x 10^9/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in hemoglobin | Part 1. Clinically relevant changes in hemoglobin (g/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in hematocrit | Part 1. Clinically relevant changes in hematocrit (L/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in red blood cell indices (MCV - Mean Corpuscular Volume) | Part 1. Clinically relevant changes in MCV (fL) after supplementation | Day 0 to 14 |
| Clinically relevant changes in red blood cell indices (MCH - Mean Corpuscular Hemoglobin) | Part 1. Clinically relevant changes in MCH (pg) after supplementation | Day 0 to 14 |
| Clinically relevant changes in red blood cell indices (MCHC - Mean Corpuscular Hemoglobin Concentration) | Part 1. Clinically relevant changes in MCHC (g/L) after supplementation | Day 0 to 14 |
| Clinically relevant changes in RDW - Red Cell Distribution Width | Part 1. Clinically relevant changes in RDW (%) after supplementation | Day 0 to 14 |
| Clinically relevant changes in red blood cell indices (MPV - Mean Platelet Volume) | Part 1. Clinically relevant changes in MPV (fL) after supplementation | Day 0 to 14 |
| The difference in postprandial glucose between Lembas Edge and placebo | Part 2. The difference in postprandial glucose, as assessed by incremental area under the curve (iAUC) (0-120 min), between Lembas Edge (high dose, medium dose, low dose) and placebo. | Visit 2 (day 1) to Visit 5 (day 22) |
| The height of the postprandial glucose peak and nadir post meal between Lembas Edge and placebo | Part 2. The height of the postprandial glucose peak and nadir post meal between Lembas Edge (high dose, medium dose, low dose) and placebo. | Visit 2 (day 1) to Visit 5 (day 22) |
Part 2. The difference in postprandial insulin, as assessed by iAUC (0-120 min) and iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo |
| Visit 2 (day 1) to Visit 5 (day 22) |
| The difference in self-reported satiety scores between Lembas Edge and placebo | Part 2. The difference in self-reported satiety scores, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo | Visit 2 (day 1) to Visit 5 (day 22) |
Part 1. The change in fasting insulin from baseline to day 14 after supplementation
| Day 0 to 14 |
| Change in fasting HOMA-IR from baseline to day 14 after supplementation | Part 1. The change in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) from baseline to day 14 after supplementation | Day 0 to 14 |
| Part 2. Incidence of post-emergent adverse events (AE) | Part 2. Incidence of post-emergent adverse events (AE) | Visit 1 (day -45 to -1) to visit 5 (day 22) |
| The difference in postprandial peptide YY (PYY) between Lembas Edge and placebo | Part 2. The difference in postprandial PYY, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo | Day 1 to 22 |
| The difference in postprandial GIP (Glucose-Dependent Insulinotropic Polypeptide) between Lembas Edge and placebo | Part 2. The difference in postprandial GIP, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo | Day 1 to 22 |
| The difference in postprandial Glucagon-Like Peptide-1 (GLP-1) between Lembas Edge and placebo | Part 2. The difference in postprandial GLP-1, as assessed by iAUC (0-240 min), between Lembas Edge (high dose, medium dose, low dose) and placebo | Day 1 to 22 |