Clinical trial NCT05394155: Leucine Requirement in Adult Men and Women
Official title: Determination of Leucine Requirement in Young Men and Women Using the Indicator Amino Acid Oxidation (IAAO) Method
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: Leucine
amino acid
nutrition
requirement
Lead sponsor: The Hospital for Sick Children
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2022-05-27
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 39
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Repeated measures study design.
Primary purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: F13CO2
timeFrame: 4.5 hours during study visits
Secondary outcomes:
measure: 13C-phenylalanine enrichment
timeFrame: 4.5 hours during study visits
measure: Plasma amino acid concentrations
timeFrame: at end of each study visit
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: The Hospital for Sick Children
state: Ontario
Study officials:
affiliation: The Hospital for Sick Children
name: Glenda Courtney-Martin, PhD, RD
role: PRINCIPAL_INVESTIGATOR
References: