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Insulin SensitivityNCT05421390

Effect of Dairy Products on Insulin Resistance

A study testing Reduced fat dairy and Regular fat dairy in people with Insulin Sensitivity and Glucose Intolerance, run by McGill University Health Centre/Research Institute of the McGill University Health Centre at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the study is to determine the effect of dairy consumption on insulin sensitivity in overweight and obese adults with prediabetes. Men and women (30-65 y) will be recruited from the greater Montreal area. Read more about this study

Who is it for?
Ages 30 to 65 yearsHealthy volunteers can take part
What is being tested?
Reduced fat dairy and Regular fat dairy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteCanada
Study dates
10 Jun 2022to 18 Oct 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged between 30 and 65 years,
  • Able to provide informed consent,
  • Stable weight and dietary habits over a period of 3 months,
  • Body mass index of 25-40 kg/m2,
  • Waist circumference ≥94 cm for men, ≥80 cm for women,
  • One or more indicators of prediabetes:
Show all 9Show fewer
  • 5.7-6.4% HbA1c
  • fasting 5.6-6.9 mmol/L glucose, or
  • 7.8-11.0 mmol/L glucose at 2-h OGTT

Who cannot join

  • Current smokers,
  • Pregnant or planning to become pregnant in the next 6 months,
  • Breastfeeding,
  • Participation in a weight loss program in the past 3 months,
  • Dairy allergy or lactose intolerance,
  • Any diagnosed eating disorders,
Show all 17Show fewer
  • Substance abuse (drugs or alcohol >3 drinks/day),
  • Diagnosed medical conditions such as cardiovascular disease, anemia, kidney disease, liver disease and any cancer, other than skin, within 5 years.
  • Diabetes diagnosis,
  • Abnormal electrocardiogram or chest X-Ray,
  • Treatment with diuretics, certain β-blockers, bronchodilators, daily nonsteroidal anti-inflammatory drugs, anticoagulants or antiplatelet agents (except prophylactic aspirin 81 mg/d), antianginals, antiarrhythmics, oral steroids, or other medications known to affect glucose metabolism,
  • Refusal to temporarily stop taking supplements (vitamin D, calcium, multivitamins, herbal remedies),
  • Serum creatinine > 120 µmol/L,
  • Hemoglobin < 120 g/L,
  • Liver function tests ≥ 2× upper limit,
  • Positive viral serology,
  • Inaccessible veins.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • RI-MUHC

    Montreal, Quebec, H4A 3J1

Other trials in Canada

About this study

Official title: Effect of Dairy Products on Insulin Resistance in Overweight and Obese Individuals With Prediabetes

The objective of the study is to determine the effect of dairy consumption on insulin sensitivity in overweight and obese adults with prediabetes. Men and women (30-65 y) will be recruited from the greater Montreal area. Upon screening, those with prediabetes will complete a 2-wk run-in period in which participants will consume 1 serving/d of reduced-fat dairy. Adherent participants will be randomized by sex into 1 of 3 groups: ≤1 serving/d of dairy (limited dairy) or 2-3 servings/d of reduced-fat or regular-fat dairy for 12 weeks. Participants will be instructed on how to incorporate foods into their diet in a manner that prevents changes in their body weight. The hyperinsulinemic-euglycemic clamp will be used before and after the intervention to document potential changes in insulin sensitivity as the primary outcome. In addition, glycemic variables, body composition, and cardiometabolic risk factors will be assessed as secondary outcomes. Serum lipidomic and global gene expression responses to the intervention in subcutaneous adipose tissue will be measured as exploratory variables. Adherence to intervention will be assessed at each visit by food diaries, a record of consumed dairy products, and serum proportion of 15:0, 17:0, and t16:1n7 fatty acids as objective biomarkers of dairy fat intake.

Read the detailed description

The randomized controlled trial will be preceded by a 2-week run-in period in which participants will consume 1 serving/day of reduced-fat dairy. Following the run-in period, adherent participants will be randomly assigned to one of the three treatment groups (n=20 per group) in a 1:1:1 allocation ratio. Stratified permuted block randomization will be used to ensure adequate balance among groups using a computer-generated list of random numbers. Due to the nature of the test products, participants cannot be blinded to the diet intervention. However, outcome assessors will be blinded to treatment allocation.

During the screening visit, and after obtaining informed consent, eight, height, waist circumference, blood pressure, and pulse will be measured. Standard blood and urine tests, an OGTT, chest X-ray, electrocardiogram, and a physical exam will be performed. In addition, volunteers will be interviewed regarding demographic information, medical and family history, dietary habits, and physical activity using questionnaires.

At the run-in visit, participants will retrieve their dairy products and a dietitian will instruct them on how to incorporate incorporating 1 serving of reduced-fat dairy products each day into their habitual diet. Participants will be asked to record their food intake for 3 consecutive days (including one weekend day). They will also receive an accelerometer and instructions for use on the same 3-days they record their food intake. Participants will maintain a daily record of consumed dairy products during the run-in periods and throughout the study.

At the baseline and 12-week intervention visits, participants will undergo a hyperinsulinemic-euglycemic clamp to assess systemic insulin sensitivity. In addition, body composition will be measured by dual-energy X-ray absorptiometry and resting energy expenditure by indirect calorimetry. A biopsy of subcutaneous adipose tissue from the thigh will be taken at fasting.

During the 12-week intervention, participants in the limited dairy group will be instructed to limit their intake of dairy products to ≤1 serving/d of dairy. Participants in the 2-3 dairy servings of reduced or regular fat dairy groups will be provided with the study products. Serving sizes will be 250 mL milk, 175 g yogurt, and 50 g cheese. The dietitian will instruct participants individually on how to incorporate the dairy products into their habitual diets by reducing the intake of other foods of equivalent caloric content and complementary nutrient density, to maintain stable body weight. No additional dietary changes will be recommended.

At the monthly follow-up visits, weight, blood pressure, and pulse will be measured. In addition, participants will complete questionnaires about their health and physical activity. At each visit, they will be asked to track their food intake for 3 consecutive days (including one weekend day) using a mobile application on their smartphone or, if not possible, in written food diaries. Additionally, a blood sample will be collected to measure fatty acid biomarkers of dairy intake. On the second monthly visit, they will also receive an accelerometer and instructions for use on the same 3-days they record their food intake for the 12-week visit.

At the final follow-up visit, participants' weight, blood pressure, and pulse will be measured, and they will complete questionnaires regarding their health and activity. They will undergo an oral glucose tolerance test, as well as blood and urine tests, as described for the first visit.

Being tested
Reduced fat dairy, Regular fat dairy
Medical subject headings
Insulin Resistance, Glucose Intolerance, Prediabetic State

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Reduced fat dairyOther

    Serving sizes will be: 250 mL milk, 175 g yogurt, and 50 g cheese. Skim milk, fat-free yogurt, and ≤22 % fat cheese

  • Regular fat dairyOther

    Serving sizes will be: 250 mL milk, 175 g yogurt, and 50 g cheese. 3.25% fat milk, ≥2% fat yogurt, and ≥28% fat cheese

Study groups in NCT05421390
Study groupRoleWhat they receive
≤1 dairy serving/dayNo interventionLimited dairy intake
2-3 servings/day reduced-fatExperimental2-3 servings/day of skim milk, fat-free yogurt, and low-fat cheese
Receives: Other: Reduced fat dairy
2-3 servings/day regular-fatExperimental2-3 servings/day of regular-fat milk, yogurt, and cheese
Receives: Other: Regular fat dairy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in whole-body insulin sensitivity

    Change in whole-body insulin sensitivity as measured by glucose infusion rate during the last 30 min of a hyperinsulinemic-euglycemic clamp divided by serum insulin concentration at the same period (M/I)

    Measured: Difference between baseline and 12-weeks intervention visit

Secondary outcomes (17)
  1. Change in glucose tolerance

    Change in glucose tolerance as measured by plasma glucose concentration at 2-h oral glucose tolerance test

    Measured: Difference between screening and 13-week follow-up visit

  2. Change in Matsuda index

    Change in Matsuda index as measured by plasma glucose and insulin concentration during an oral glucose tolerance test

    Measured: Difference between screening and 13-week follow-up visit

  3. Change in Insulinogenic index

    Change in Insulinogenic index as measured by the ratio of serum c-peptide concentration and plasma glucose at 30 min minus 0 min during an oral glucose tolerance test

    Measured: Difference between screening and 13-week follow-up visit

  4. Change in oral disposition index

    Change in oral disposition index as measured by the product of the Matsuda index and Insulinogenic index

    Measured: Difference between screening and 13-week follow-up visit

  5. Change in Homeostatic Model Assessment for Insulin Resistance

    Change in Homeostatic Model Assessment for Insulin Resistance as calculated from fasting glucose and insulin concentration

    Measured: Difference between screening and 13-week follow-up visit

  6. Change in glycated hemoglobin

    Change in fasting serum glycated hemoglobin percent

    Measured: Difference between screening and 13-week follow-up visit

  7. Change in total lean body mass

    Change in total lean body mass as measured by dual-energy X-ray absorptiometry

    Measured: Difference between baseline and 12-weeks intervention visit

  8. Change in total fat mass

    Change in total fat mass as measured by dual-energy X-ray absorptiometry

    Measured: Difference between baseline and 12-weeks intervention visit

  9. Change in visceral fat mass

    Change in visceral fat mass as estimated by dual-energy X-ray absorptiometry

    Measured: Difference between baseline and 12-weeks intervention visit

  10. Change in systolic blood pressure

    Change in systolic blood pressure as measured by automated blood pressure monitor.

    Measured: Difference between baseline and 12-weeks intervention visit

  11. Change in diastolic blood pressure

    Change in diastolic blood pressure as measured by automated blood pressure monitor.

    Measured: Difference between baseline and 12-weeks intervention visit

  12. Change in total cholesterol

    Change in total cholesterol as measured by fasting serum concentration

    Measured: Difference between baseline and 12-weeks intervention visit

  13. Change in total triglycerides

    Change in total triglycerides as measured by fasting serum triglycerides

    Measured: Difference between baseline and 12-weeks intervention visit

  14. Change in total LDL-cholesterol

    Change in total LDL-cholesterol as measured as calculated from fasting serum total cholesterol, HDL-cholesterol, and triglycerides

    Measured: Difference between baseline and 12-weeks intervention visit

  15. Change in total HDL-cholesterol

    Change in total HDL-cholesterol as measured by fasting serum total HDL-cholesterol

    Measured: Difference between baseline and 12-weeks intervention visit

  16. Change in total non-HDL-cholesterol

    Change in total non-HDL-cholesterol as calculated from fasting serum total cholesterol and HDL-cholesterol

    Measured: Difference between baseline and 12-weeks intervention visit

  17. Change in C-reactive protein

    Change in fasting serum C-reactive protein concentration

    Measured: Difference between baseline and 12-weeks intervention visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jun 2022
  2. Study start10 Jun 2022
  3. Primary completion18 Oct 2024
  4. Study completion18 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05421390
Sponsor's protocol ID
2022-7468
Status last verified
Aug 2026
First submitted
13 Jun 2022
Last updated
11 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Reduced fat dairy and Regular fat dairy in people with Insulin Sensitivity and Glucose Intolerance, run by McGill University Health Centre/Research Institute of the McGill University Health Centre at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in whole-body insulin sensitivity (time frame: Difference between baseline and 12-weeks intervention visit). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2026.

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