Leucine Requirement in Adult Men and Women

NCT ID: NCT05394155

Last Updated: 2024-02-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-29

Study Completion Date

2023-12-31

Brief Summary

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The purpose of the study is to determine the body's nutritional need for the essential amino acid, leucine, in adult men and women 18 to 39 years of age.

Detailed Description

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The experimental design will be based on the minimally invasive IAAO model (12). Each participant will be studied at a minimum of 4 and up to 7, randomly assigned, intake levels of leucine.

Subjects will be weighed at the pre-study assessment and at the start of each IAAO study day to ensure accurate prescription of diets and isotopes, and to confirm weight maintenance throughout the study.

Each study will consist of a 2-day adaptation period to a prescribed diet in accordance with the energy requirement of the subject and 1-study day. The diet will provide an adequate amount of protein, of 1 g protein∙kg-1∙d-1. The 2-day adaptation period is to allow the body to adapt to an adequate amount of protein as it has been shown that protein kinetics is altered without it. Following the 2 days of adaptation is the study day where leucine intake will be randomly assigned and phenylalanine (Phe) kinetics will be measured with the use of L-\[1-13C\]phenylalanine. On this day, VCO2 will be measured by calorimetry immediately after the 5th meal for a period of 20 minutes, and a 15ml blood sample will be collected at the end of each study visit to measure plasma amino acid levels, insulin, and glucose in males and females and progesterone, and estrogen in females.

For female participants, each level of intake will be studied both in the luteal and follicular phase of their menstrual cycle (up to 14 studies in total). For the follicular phase, the study will be conducted 3-7 days immediately after the 1st day of menstrual bleeding. For the luteal phase, the study will be conducted 4-7 days before the onset of next menstrual bleeding. The IAAO study day of the luteal phase will be set on the basis of each subject's length of their menstrual cycle, and the length and regularity of their cycle will be determined during the pre-study assessment.

Conditions

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Healthy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Repeated measures study design.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Leucine intake

For this study, each participant will be randomly assigned to receive up to 7 intake levels of leucine, ranging from 10 to 75 mg/kg/d.

Group Type EXPERIMENTAL

Leucine

Intervention Type DIETARY_SUPPLEMENT

7 intake levels of leucine, ranging from 10 to 75 mg/kg/d.

Interventions

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Leucine

7 intake levels of leucine, ranging from 10 to 75 mg/kg/d.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. Healthy adult males, 18 to 39 years of age.
2. Healthy adult females, 18 to 39 years of age with regular menstrual cycles within in the last 12 months.
3. Willingness to participate in the study and completed the screening procedures (height, weight, fasting blood sample and medical history questionnaire).
4. No recent history of weight loss
5. BMI between 18.5 - 27 kg/m 2
6. Absence of chronic disease or acute illness that could affect protein and AA metabolism (diabetes, cancer, liver or kidney disease, HIV, acute cold or flu, COVID-19, hypo or hyperthyroidism, rheumatoid arthritis treated with anti-inflammatory medications).
7. Non-smoking
8. Willingness to consume the diet provided.

Exclusion Criteria

1. Presence of disease known to affect protein and AA metabolism (diabetes, cancer, liver or kidney disease, HIV, acute cold or flu, Covid-19, hypo or hyperthyroidism, rheumatoid arthritis treated with anti-inflammatory medications).
2. On medications known to affect protein and amino acid metabolism (steroids) or taking oral contraceptive pills or other birth control devices that would affect sex hormone profiles over the last 2 years.
3. Pregnant or lactating women.
4. Recent significant weight loss; ≥ 5% of body with in the last 3 months.
5. Individuals on weight reducing diets.
6. Inability to tolerate the diet
7. Unwilling to have blood drawn from a venous access, or using a ventilated hood indirect calorimeter for the purposes of the study.
8. Significant coffee consumption of more than 2 cups/day
9. Significant alcohol consumption of more than one drink/day
10. Failure to disclose any of the information needed to assess eligibility.
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

The Hospital for Sick Children

OTHER

Sponsor Role lead

Responsible Party

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Glenda Courtney-Martin

Associate Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Glenda Courtney-Martin, PhD, RD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children

Locations

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The Hospital for Sick Children

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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Szwiega S, Pencharz PB, Xu L, Kong D, Tomlinson C, Elango R, Courtney-Martin G. Leucine requirement determined in healthy young adult males using the indicator amino acid oxidation method. Am J Clin Nutr. 2024 Nov;120(5):1063-1070. doi: 10.1016/j.ajcnut.2024.08.022. Epub 2024 Aug 28.

Reference Type DERIVED
PMID: 39209155 (View on PubMed)

Other Identifiers

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1000078896

Identifier Type: -

Identifier Source: org_study_id

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