Clinical trial NCT06622616: NUTRITIONAL INTERVENTION STUDY to EVALUATE the EFFECT of ACHETA DOMESTICUS POWDER CONSUMPTION on GLUCOSE HOMEOSTASIS and INTESTINAL DYSBIOSIS in HEALTHY and PREDIABETIC POPULATION.
Official title: NUTRITIONAL INTERVENTION STUDY to EVALUATE the EFFECT of ACHETA DOMESTICUS POWDER CONSUMPTION on GLUCOSE HOMEOSTASIS and INTESTINAL DYSBIOSIS in HEALTHY and PREDIABETIC POPULATION
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Insulin Resistance
Type 2 Diabetes Mellitus with Features of Insulin Resistance
Keywords: Acheta Domesticus
Insect powder
Insulin resistance
microbiota
Artificial Inteligence
Lead sponsor: IMDEA Food
Sponsor class: OTHER
Collaborators: name: Biomedical Research Institute Sols-Morreale (CSIC-UAM)
name: Centro de BiologÃ-a Molecular Severo Ochoa, Spain (CBMSO)
name: Epidisease S.L
name: NUTRINSECT
First posted: 2024-10-02
Enrollment: 120
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A pilot nutritional intervention study will be conducted that will be longitudinal, prospective, double-blind, randomized and parallel.

The study will have two arms, the functional group with A. domesticus powder (n=60) and a placebo group that will take a vegetable protein powder with a similar macronutrient composition (n=60). This population will be classified according to sex and BMI, and their nutritional-metabolic status (insulin resistance or not).
Primary purpose: TREATMENT

Brief summary: A nutritional intervention study is proposed to evaluate the association between the consumption of A. domesticus (insect protein) powder and the effect on insulin resistance and the microbiome, in order to generate personalized nutrition strategies through its analysis with artificial intelligence.

This study is expected to involve 120 healthy volunteers between 18 and 65 years old, with or without insulin resistance, who will be recruited by IMDEA-Food. This is a 12-week nutritional intervention study, so you must come to Institute IMDEA-Food for a first screening visit (V0) and, if you meet the study inclusion criteria and are still interested in volunteering for the study, you will be informed about the study, sign the informed consent form and be scheduled for 2 more visits (V1 or initial zero-time, and V2 or final) at IMDEA-Food\&#39;s facilities.

Detailed description: In visit 1 (basal visit), the participant will provide a stool sample (for microbiota analysis), a fasting blood sample (for biochemical, genetic, epigenetic and metabolomic analysis) and then go to the nutrition consultation where medical history data and lifestyle habits will be collected, a nutritional assessment will be made and the completed questionnaires will be corrected. In addition, they will be provided with continuous glucose monitoring sensors and an activity wristband to record lifestyle patterns. The glucose sensors will be used for the first 14 and last 14 days of the intervention. In addition, all participants will be provided with the required amount of product until the next visit, as well as how to consume, store, and ideas for consumption. In addition, a balanced (normoprotein) and varied diet and physical activity guidelines will be explained.

In the second visit (final), the participant will again submit a stool sample (for microbiota analysis), a fasting blood sample will be taken (for biochemical, epigenetic and metabolomic analysis) and then they will go to the nutrition clinic where a nutritional assessment will be made and the completed questionnaires will be corrected. In addition, the glucose sensor and the activity bracelet will be removed.

During the intervention phase of the study, participants will be able to come to the center for the collection of more product as well as for the review and troubleshooting of any problems with the sensors that may arise. In turn, halfway through the study (6 weeks), a telephone survey will be conducted to participants to avoid travel, in order to assess the degree of adherence and possible adverse effects.

Eligibility criteria: Inclusion Criteria:

* Men and women between 18 and 65 years of age.
* Adequate cultural level and understanding of the clinical study.
* Agree to participate voluntarily in the study and give their informed consent in writing.

Exclusion Criteria:

* Subjects with dementia, mental illness or decreased cognitive function that prevents understanding of the study.
* Subjects with celiac disease or serious diseases (tumour, immunological, intestinal, metabolic, cardiovascular processes, etc.).
* BMI \&lt; 18 or ≥ 35.
* Pregnant or breastfeeding women.
* Being a socially vulnerable person.
* Subjects whit chronic pharmacological treatment for weight loss, insulin or antibiotic treatment in the month prior to the start of the intervention or during it.
* Subjects with food allergies, especially to mollusks and their by-products, dust mites, chickpeas or soy (the product may contain traces of soy and gluten).

  * Subjects who refuse to be monitored by sensors, collect samples, draw blood and nutritional visits.
  * Subjects who reject the consumption of products made with alternative proteins (insect powder).

Primary outcomes:
measure: insulin resistance (HOMA)
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References: