Trial Outcomes & Findings for Peanuts and Glycemic Control (NCT NCT03654651)

NCT ID: NCT03654651

Last Updated: 2023-08-18

Results Overview

Within-condition mean differences (change from baseline).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

51 participants

Primary outcome timeframe

6 weeks

Results posted on

2023-08-18

Participant Flow

267 participants were screened for eligibility

51 participants were randomized. One participant withdrew from study before receiving either intervention

Participant milestones

Participant milestones
Measure
Evening Peanut Consumption - Evening Snack Sequence
First intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume. Second intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine).
Evening Snack-Evening Peanut Consumption Sequence
First intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine). Second intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume.
First Intervention (6 Weeks)
STARTED
26
25
First Intervention (6 Weeks)
COMPLETED
25
25
First Intervention (6 Weeks)
NOT COMPLETED
1
0
Washout Period (2-weeks)
STARTED
25
25
Washout Period (2-weeks)
COMPLETED
25
25
Washout Period (2-weeks)
NOT COMPLETED
0
0
Second Intervention (6 Weeks)
STARTED
25
25
Second Intervention (6 Weeks)
COMPLETED
25
25
Second Intervention (6 Weeks)
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Evening Peanut Consumption - Evening Snack Sequence
First intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume. Second intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine).
Evening Snack-Evening Peanut Consumption Sequence
First intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine). Second intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume.
First Intervention (6 Weeks)
Withdrawal by Subject
1
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Evening Peanut Consumption-Evening Snack Sequence
n=25 Participants
First intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume. Second Intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine).
Evening Snack-Evening Peanut Consumption Sequence
n=25 Participants
First Intervention: Participants will consume an isocaloric higher carbohydrate snack as an evening snack (i.e., after dinner and before sleep). High carbohydrate snack: Whole wheat crackers will be purchased from a local grocery store and provided to subjects to consume with a spread (e.g. cream cheese or margarine). Second Intervention: Participants will consume one ounce per day (28 g) of peanuts as an evening snack (i.e., after dinner and before sleep). Peanut: Roasted, unsalted peanuts will be purchased from a local grocery store and provided to subjects to consume.
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=25 Participants
0 Participants
n=25 Participants
0 Participants
n=50 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=25 Participants
24 Participants
n=25 Participants
48 Participants
n=50 Participants
Age, Categorical
>=65 years
1 Participants
n=25 Participants
1 Participants
n=25 Participants
2 Participants
n=50 Participants
Age, Continuous
40 years
STANDARD_DEVIATION 15 • n=25 Participants
43 years
STANDARD_DEVIATION 15 • n=25 Participants
42 years
STANDARD_DEVIATION 15 • n=50 Participants
Sex: Female, Male
Female
13 Participants
n=25 Participants
11 Participants
n=25 Participants
24 Participants
n=50 Participants
Sex: Female, Male
Male
12 Participants
n=25 Participants
14 Participants
n=25 Participants
26 Participants
n=50 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
25 participants
n=25 Participants
25 participants
n=25 Participants
50 participants
n=50 Participants

PRIMARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Fasting Plasma Glucose
-0.9 mg/dL
Interval -2.7 to 0.9
-0.4 mg/dL
Interval -2.2 to 1.4

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Fructosamine
-4.0 umol/L
Interval -5.1 to 5.4
-3.8 umol/L
Interval -5.1 to 5.4

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Fasting Insulin
-0.2 umol/L
Interval -1.5 to 1.0
-0.8 umol/L
Interval -2.1 to 0.5

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Peripheral Systolic and Diastolic Blood Pressure
Peripheral diastolic within-condition mean difference
0.5 mmHg
Interval -1.5 to 2.5
-0.0 mmHg
Interval -2.0 to 2.0
Peripheral Systolic and Diastolic Blood Pressure
Peripheral systolic within-condition mean difference
0.4 mmHg
Interval -2.5 to 3.3
-0.3 mmHg
Interval -3.1 to 2.6

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Central Systolic and Diastolic Blood Pressure
Central systolic within-condition mean difference
0.6 mmHg
Interval -1.9 to 3.1
-0.4 mmHg
Interval -2.9 to 2.1
Central Systolic and Diastolic Blood Pressure
Central diastolic within-condition mean difference
0.5 mmHg
Interval -1.5 to 2.6
-0.4 mmHg
Interval -2.4 to 1.6

SECONDARY outcome

Timeframe: 6 weeks

Carotid-femoral pulse wave velocity is a measure of arterial stiffness and is determined from the time taken for the arterial pulse to propagate from the carotid to the femoral artery. Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Carotid Femoral Pulse Wave Velocity
0.3 m/s
Interval 0.1 to 0.6
0.1 m/s
Interval -0.1 to 0.3

SECONDARY outcome

Timeframe: 6 weeks

A measure of arterial stiffness assessed using a SphymoCor Ecel (Atcor Medical). A higher percentage value is indicative of greater arterial stiffness Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Augmentation Index (%)
-0.4 % adjusted to a HR of 75 BPM
Interval -3.7 to 2.9
0.2 % adjusted to a HR of 75 BPM
Interval -4.0 to 4.3

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
LDL Cholesterol
2.4 mg/dL
Interval -2.1 to 6.9
-2.3 mg/dL
Interval -6.8 to 2.2

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
HDL Cholesterol
0.6 mg/dL
Interval -0.6 to 1.8
0.6 mg/dL
Interval -1.6 to 2.3

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Total Cholesterol
0.1 mg/dL
Interval -4.9 to 5.1
-2.7 mg/dL
Interval -7.8 to 2.3

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Triglycerides
-17 mg/dL
Interval -29.1 to -4.8
-5.7 mg/dL
Interval -17.1 to 5.7

SECONDARY outcome

Timeframe: 6 weeks

Within-condition mean differences (change from baseline).

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Body Weight
0.2 kg
Interval -0.1 to 1.5
0.0 kg
Interval -0.5 to 0.5

SECONDARY outcome

Timeframe: 6 weeks

Measured by Faith's Phylogenetic Diversity Score. This is a measure of biodiversity (based on phylogeny). Faith's phylogenetic diversity measures the amount of the phylogenetic tree covered by the bacterial community. It's a sum of the minimum branch lengths. A higher number (more branches), means more richness (more diversity). Increases in Faith's Phylogenetic Diversity is indicative of more richness and diversity but no standard reference range or clinically relevant values have been established. Presented as endpoint mean values with IQR

Outcome measures

Outcome measures
Measure
Evening Peanut Consumption
n=50 Participants
Evening Peanut Consumption
Evening Lower-fat Higher-carbohydrate Snack
n=50 Participants
Evening lower-fat higher-carbohydrate snack
Microbiota Alpha-diversity
10.4 Faith's Phylogenetic Diversity Score
Interval 7.5 to 13.3
10.6 Faith's Phylogenetic Diversity Score
Interval 7.4 to 13.8

Adverse Events

Evening Peanut Consumption

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

Evening Lower-Fat Higher-Carbohydrate Snack

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Penny Kris-Etherton

The Pennsylvania State University

Phone: 814-863-2923

Results disclosure agreements

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