Trial Outcomes & Findings for Modulation of the Intestinal Microbiome by a High Protein Diet (NCT NCT04812964)

NCT ID: NCT04812964

Last Updated: 2024-08-07

Results Overview

The primary objective is to compare weight loss between each of the two diets, a high-protein diet versus a standard protein diet.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

106 participants

Primary outcome timeframe

Primary outcome of weight loss is measured by subtracting the baseline weight on Day 1 from the weight at the end of the 16 week study period for each subject, and converting to % of baseline weight.

Results posted on

2024-08-07

Participant Flow

106 individuals were consented but only 87 completed the first study visit and were considered to have started the study.

Participant milestones

Participant milestones
Measure
Standard Diet
Standard protein diet group as control based on 0.5 gram protein per pound of lean body mass with same calories: 15% protein and 55% carbohydrate. Protein powder supplement, standard dosage based on 0.5 gram protein per pound of subject's lean body mass: Standard protein diet as control, based on 0.5 gram protein per pound of lean body mass, isocaloric (same number of calories) and consisting of 15% protein and 55% carbohydrate.
High Protein Diet
High protein diet group based on 1 gram of protein per pound of lean body mass: 30% protein and 40% carbohydrate. Protein powder supplement, High Level Protein, based on 1 gram of protein per pound of lean body mass: 25% protein and 45% carbohydrate: High level of protein diet, based on 1 gram of protein per pound of subject's lean body mass, isocaloric (same number of calories) and consisting of 30% protein and 40% carbohydrate.
Overall Study
STARTED
40
47
Overall Study
COMPLETED
31
27
Overall Study
NOT COMPLETED
9
20

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Modulation of the Intestinal Microbiome by a High Protein Diet

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Diet
n=40 Participants
Standard protein diet group as control based on 0.5 gram protein per pound of lean body mass with same calories: 15% protein and 55% carbohydrate. Protein powder supplement, standard dosage based on 0.5 gram protein per pound of subject's lean body mass: Standard protein diet as control, based on 0.5 gram protein per pound of lean body mass, isocaloric (same number of calories) and consisting of 15% protein and 55% carbohydrate.
High Protein Diet
n=47 Participants
High protein diet group based on 1 gram of protein per pound of lean body mass: 30% protein and 40% carbohydrate. Protein powder supplement, High Level Protein, based on 1 gram of protein per pound of lean body mass: 25% protein and 45% carbohydrate: High level of protein diet, based on 1 gram of protein per pound of subject's lean body mass, isocaloric (same number of calories) and consisting of 30% protein and 40% carbohydrate.
Total
n=87 Participants
Total of all reporting groups
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
40 Participants
n=5 Participants
47 Participants
n=7 Participants
87 Participants
n=5 Participants
Age, Continuous
53.9 years
STANDARD_DEVIATION 12.4 • n=5 Participants
56.2 years
STANDARD_DEVIATION 10.4 • n=7 Participants
55.1 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
36 Participants
n=7 Participants
65 Participants
n=5 Participants
Race/Ethnicity, Customized
African American
12 Participants
n=5 Participants
17 Participants
n=7 Participants
29 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
5 Participants
n=5 Participants
13 Participants
n=7 Participants
18 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic White
20 Participants
n=5 Participants
14 Participants
n=7 Participants
34 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Primary outcome of weight loss is measured by subtracting the baseline weight on Day 1 from the weight at the end of the 16 week study period for each subject, and converting to % of baseline weight.

The primary objective is to compare weight loss between each of the two diets, a high-protein diet versus a standard protein diet.

Outcome measures

Outcome measures
Measure
Standard Diet
n=31 Participants
Standard protein diet group as control based on 0.5 gram protein per pound of lean body mass with same calories: 15% protein and 55% carbohydrate. Protein powder supplement, standard dosage based on 0.5 gram protein per pound of subject's lean body mass: Standard protein diet as control, based on 0.5 gram protein per pound of lean body mass, isocaloric (same number of calories) and consisting of 15% protein and 55% carbohydrate.
High Protein Diet
n=27 Participants
High protein diet group based on 1 gram of protein per pound of lean body mass: 30% protein and 40% carbohydrate. Protein powder supplement, High Level Protein, based on 1 gram of protein per pound of lean body mass: 25% protein and 45% carbohydrate: High level of protein diet, based on 1 gram of protein per pound of subject's lean body mass, isocaloric (same number of calories) and consisting of 30% protein and 40% carbohydrate.
Weight Loss (% Change) in Response to Dietary Intervention Change
-3.83 percentage weight change from baseline
Standard Error 0.75
-3.89 percentage weight change from baseline
Standard Error 0.74

SECONDARY outcome

Timeframe: Changes in liver steatosis will be measured at baseline and at the end of the 16 week study period for each subject.

Association of change in fat mass on a high protein diet versus standard protein diet will be measured by Fibroscan (CAP score).

Outcome measures

Outcome measures
Measure
Standard Diet
n=31 Participants
Standard protein diet group as control based on 0.5 gram protein per pound of lean body mass with same calories: 15% protein and 55% carbohydrate. Protein powder supplement, standard dosage based on 0.5 gram protein per pound of subject's lean body mass: Standard protein diet as control, based on 0.5 gram protein per pound of lean body mass, isocaloric (same number of calories) and consisting of 15% protein and 55% carbohydrate.
High Protein Diet
n=27 Participants
High protein diet group based on 1 gram of protein per pound of lean body mass: 30% protein and 40% carbohydrate. Protein powder supplement, High Level Protein, based on 1 gram of protein per pound of lean body mass: 25% protein and 45% carbohydrate: High level of protein diet, based on 1 gram of protein per pound of subject's lean body mass, isocaloric (same number of calories) and consisting of 30% protein and 40% carbohydrate.
Change in Steatosis From Baseline as Measured by Fibroscan in Response to Dietary Intervention
-18.3 dB/m
Standard Error 13.3
3.5 dB/m
Standard Error 22.1

SECONDARY outcome

Timeframe: Changes in liver steatosis will be measured at baseline and at the end of the 16 week study period for each subject.

Association of change in hepatic fibrosis on a high protein diet versus standard protein diet will be measured by Fibroscan elastography.

Outcome measures

Outcome measures
Measure
Standard Diet
n=31 Participants
Standard protein diet group as control based on 0.5 gram protein per pound of lean body mass with same calories: 15% protein and 55% carbohydrate. Protein powder supplement, standard dosage based on 0.5 gram protein per pound of subject's lean body mass: Standard protein diet as control, based on 0.5 gram protein per pound of lean body mass, isocaloric (same number of calories) and consisting of 15% protein and 55% carbohydrate.
High Protein Diet
n=27 Participants
High protein diet group based on 1 gram of protein per pound of lean body mass: 30% protein and 40% carbohydrate. Protein powder supplement, High Level Protein, based on 1 gram of protein per pound of lean body mass: 25% protein and 45% carbohydrate: High level of protein diet, based on 1 gram of protein per pound of subject's lean body mass, isocaloric (same number of calories) and consisting of 30% protein and 40% carbohydrate.
Change in Liver Fibrosis From Baseline as Measured by Fibroscan in Response to Dietary Intervention
-1.77 kPa
Standard Error 0.71
-0.07 kPa
Standard Error 0.57

Adverse Events

Standard Diet

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

High Protein Diet

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. Jonathan Jacobs

VA Greater Los Angeles Healthcare System

Phone: 310-478-3711

Results disclosure agreements

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