Trial Outcomes & Findings for Pilot Study of Resveratrol in Older Adults With Impaired Glucose Tolerance (NCT NCT01375959)

NCT ID: NCT01375959

Last Updated: 2022-10-26

Results Overview

Glucose AUC following a standard mixed meal challenge AUC, Area Under a Curve. There are no "normal ranges" but a higher value is worse than a lower value.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

38 participants

Primary outcome timeframe

end of each of two 6 week treatment periods

Results posted on

2022-10-26

Participant Flow

Participant milestones

Participant milestones
Measure
Resveratrol First, Then Placebo
resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks wash-out period for 2 weeks matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks
Placebo First, Then Resveratrol
matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks wash-out period for 2 weeks resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks
First Intervention (6 Weeks)
STARTED
17
21
First Intervention (6 Weeks)
Received Invertention
17
21
First Intervention (6 Weeks)
COMPLETED
15
18
First Intervention (6 Weeks)
NOT COMPLETED
2
3
Wash-Out (3 Weeks)
STARTED
15
18
Wash-Out (3 Weeks)
COMPLETED
15
18
Wash-Out (3 Weeks)
NOT COMPLETED
0
0
Second Intervention (6 Weeks)
STARTED
15
18
Second Intervention (6 Weeks)
COMPLETED
15
15
Second Intervention (6 Weeks)
NOT COMPLETED
0
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Resveratrol First, Then Placebo
resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks wash-out period for 2 weeks matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks
Placebo First, Then Resveratrol
matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks wash-out period for 2 weeks resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks
First Intervention (6 Weeks)
Adverse Event
2
3
Second Intervention (6 Weeks)
Withdrawal by Subject
0
1
Second Intervention (6 Weeks)
Adverse Event
0
2

Baseline Characteristics

Pilot Study of Resveratrol in Older Adults With Impaired Glucose Tolerance

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Resveratrol First
n=17 Participants
resveratrol 500 mg capsules, 3 each day for 6 weeks resveratrol: resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks
Placebo First
n=21 Participants
matching placebo capsule containing lactose, 3 each day for 6 weeks Placebo: 3 placebo capsules orally twice a day for 6 weeks
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
67 years
STANDARD_DEVIATION 8 • n=5 Participants
67 years
STANDARD_DEVIATION 6 • n=7 Participants
67 years
STANDARD_DEVIATION 7 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
14 Participants
n=7 Participants
25 Participants
n=5 Participants
Region of Enrollment
United States
17 participants
n=5 Participants
21 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: end of each of two 6 week treatment periods

Population: Out of 38 total randomized, 35 actually received resveratrol and 36 actually received placebo.

Glucose AUC following a standard mixed meal challenge AUC, Area Under a Curve. There are no "normal ranges" but a higher value is worse than a lower value.

Outcome measures

Outcome measures
Measure
Resveratrol
n=35 Participants
Participants received resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks.
Placebo
n=36 Participants
Participants received placebo, 3 capsules (matching placebo capsule containing lactose), orally twice a day for 6 weeks.
Post Meal Glucose Area Under the Curve
508 mg*hr/dL
Standard Deviation 88
513 mg*hr/dL
Standard Deviation 80

SECONDARY outcome

Timeframe: end of each of two 6 week treatment periods

Insulin sensitivity was measured from insulin and glucose levels obtained following standard meal challenge using a modification of the Matsuda index. This was calculated based on data obtained from a 75 g oral glucose tolerance test, as follows: 10,000 divided by the square root of {(fasting plasma glucose X fasting plasma insulin) (mean plasma glucose X mean plasma insulin)}. This is a unitless measure. The Matsuda index is considered an early biomarker for metabolic dysregulation and is an effective clinical tool to define insulin sensitivity (i.e., the ability of tissues to respond to the signal of insulin) and secretory defects in individuals with impaired glucose homeostasis. The Matsuda index correlates strongly with the euglycemic insulin clamp which is a direct measure of insulin sensitivity. In the United States, it is recognized that participants who do not have insulin resistance have Matsuda Index values of \>=2.5.

Outcome measures

Outcome measures
Measure
Resveratrol
n=30 Participants
Participants received resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks.
Placebo
n=30 Participants
Participants received placebo, 3 capsules (matching placebo capsule containing lactose), orally twice a day for 6 weeks.
Insulin Sensitivity Using a Modification of the Matsuda Index
2.3 units on a scale
Standard Deviation 1.7
2.0 units on a scale
Standard Deviation 1.0

OTHER_PRE_SPECIFIED outcome

Timeframe: end of each of two 6 week treatment periods

c-peptide deconvolution; HOMA-B

Outcome measures

Outcome measures
Measure
Resveratrol
n=30 Participants
Participants received resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks.
Placebo
n=30 Participants
Participants received placebo, 3 capsules (matching placebo capsule containing lactose), orally twice a day for 6 weeks.
Insulin Secretion
8.9 pmol/kg/min
Standard Deviation 3.0
8.1 pmol/kg/min
Standard Deviation 2.5

OTHER_PRE_SPECIFIED outcome

Timeframe: end of each of two 6 week treatment periods

Reactive Hyperemia-Peripheral Arterial Tonometry (RH-PAT) index is the ratio of the average pulse amplitude in the posthyperemic phase divided by the average baseline amplitude, with normalization to the signal in the control arm to compensate for any systemic changes. RH-PAT is a non-invasive and user-independent technique used to assess peripheral microvascular endothelial function by measuring changes in digital pulse volume during reactive hyperemia. Lower RH-PAT scores are associated with flow mediated dilatation (FMD) and may predict mortality in subjects with cardiovascular (CV) risk factors including obesity, total/HDL cholesterol ratio, diabetes, smoking and dyslipidemia.

Outcome measures

Outcome measures
Measure
Resveratrol
n=30 Participants
Participants received resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks.
Placebo
n=30 Participants
Participants received placebo, 3 capsules (matching placebo capsule containing lactose), orally twice a day for 6 weeks.
Peripheral Microvascular Endothelial Function Via Reactive Hyperemia-Peripheral Arterial Tonometry (RH-PAT) Index
2.02 RH-PAT Index
Standard Deviation 0.2
1.76 RH-PAT Index
Standard Deviation 0.02

OTHER_PRE_SPECIFIED outcome

Timeframe: end of each of two 6 week treatment periods

Gene expression in skeletal muscle using RNASeq

Outcome measures

Outcome measures
Measure
Resveratrol
n=30 Participants
Participants received resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks.
Placebo
n=30 Participants
Participants received placebo, 3 capsules (matching placebo capsule containing lactose), orally twice a day for 6 weeks.
Number of Differentially Expressed Transcripts
140 differentially expressed transcripts
0 differentially expressed transcripts

Adverse Events

Resveratrol

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Resveratrol
n=38 participants at risk
resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks
Placebo
n=38 participants at risk
matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks
Infections and infestations
pneumonia
0.00%
0/38 • During full 16 week study period
2.6%
1/38 • Number of events 1 • During full 16 week study period

Other adverse events

Other adverse events
Measure
Resveratrol
n=38 participants at risk
resveratrol 500 mg capsules, 3 capsules (1500 mg) orally twice a day for 6 weeks
Placebo
n=38 participants at risk
matching placebo capsule containing lactose, 3 orally twice a day for 6 weeks
Skin and subcutaneous tissue disorders
rash
5.3%
2/38 • Number of events 2 • During full 16 week study period
2.6%
1/38 • Number of events 1 • During full 16 week study period
Gastrointestinal disorders
diarrhea
5.3%
2/38 • Number of events 2 • During full 16 week study period
2.6%
1/38 • Number of events 1 • During full 16 week study period
Gastrointestinal disorders
abdominal pain
5.3%
2/38 • Number of events 2 • During full 16 week study period
5.3%
2/38 • Number of events 2 • During full 16 week study period
Hepatobiliary disorders
abnormal liver function
0.00%
0/38 • During full 16 week study period
2.6%
1/38 • Number of events 1 • During full 16 week study period
Cardiac disorders
abnormal electrocardiogram
0.00%
0/38 • During full 16 week study period
5.3%
2/38 • Number of events 2 • During full 16 week study period
Renal and urinary disorders
elevated PSA
2.6%
1/38 • Number of events 1 • During full 16 week study period
0.00%
0/38 • During full 16 week study period
Metabolism and nutrition disorders
gout
2.6%
1/38 • Number of events 1 • During full 16 week study period
0.00%
0/38 • During full 16 week study period
General disorders
weight loss
0.00%
0/38 • During full 16 week study period
2.6%
1/38 • Number of events 1 • During full 16 week study period

Additional Information

Dr. Jill Crandall

Albert Einstein College of Medicine

Phone: 718-430-3765

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place