Study on the benefit of quercetin intake in diabetic patients treated with antidiabetic tablets.

ISRCTN ISRCTN13131584
DOI https://doi.org/10.1186/ISRCTN13131584
Secondary identifying numbers 2934/253
Submission date
20/11/2022
Registration date
17/01/2023
Last edited
05/02/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Quercetin has a scientifically proven anti-oxidant, anti-inflammatory and anti-coagulant effect. Nevertheless, the anti-aging effect of quercetin has been studied exclusively in vitro (test-tube experiments) with promising results. Thus, research is needed to examine quercetin's anti-aging effect in humans. The aim of this study is to investigate the benefit of quercetin in improving health and daily life.

Who can participate?
The selection of participants will be performed in a random manner from the registered population of responsibility of the 4th Public Health Unit (TOMY) of Heraklion and will include 100 patients with type II diabetes, treated with antidiabetic tablets, over 50 years old, who will be asked to participate in this research.

What does the study involve?
Participants will be randomly allocated to receive the quercetin supplement (intervention group) or not (control group).
Laboratory tests will be performed at the beginning and end of the study in both groups. The research is divided into the following parts: A pool of potential patients-participants will be established by recording and assessing demographic, anthropometric characteristics and living habits (gender, age, smoking habits, diet, physical activity, medical treatment). Of these, those who after thorough information accept and consent to participate will be included, while particularly vulnerable individuals will be excluded.
The total participation time is 8 months. The study will be conducted in the 4th TOMY (Local Health Unit) of Heraklion, 7th HPE (Health District) of Crete.
The time and dosage of taking quercetin will be based on the indications of supplement in question. Specifically, the intervention group will be given 500 mg of quercetin per day for 12 weeks, then stopped for 8 weeks and re-administered for another 12 weeks.
Blood samples will be taken from participants for laboratory testing at baseline (t=0) and end of the study (t= 8 mo). The sample is necessary to measure telomere length (genetic data), which will give us information about cellular aging.
At the same time, the participants will be asked to consent to the measurement of their anthropometric indicators, such as BMI and waist circumference, while they will also undergo spirometry with a pikometer in the aforementioned phases.

What are the possible benefits and risks of participating?
The risks associated with quercetin supplementation are considered minimal. However, one potential inconvenience may be the time required to complete the study.
Although there are no direct benefits resulting from the participation in this research, it may help by highighting the action of quecetin and subsequently facilitating the adoption of targeted interventions. Participants may benefit from the action of this supplement. There will be no personal compensation for participation in the study.

Where is the study run from?
This study will be conducted in the 4th Local Health Unit of Heraklion (TOMY), Crete.

When is the study starting and how long is it expected to run for?
January 2021 to January 2024

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
PhD Candidate Aikaterini Mantadaki
aikaterini.mantadaki@gmail.com, medp2012012@med.uoc.gr

Contact information

Miss Aikaterini Mantadaki
Principal Investigator

Department of Social Medicine
Faculty of Medicine
University of Crete
Heraklion
71500
Greece

ORCiD logoORCID ID 0000-0002-6160-8066
Phone +30 6977123064
Email medp2012012@med.uoc.gr

Study information

Study designInterventional randomized controlled clinical trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)GP practice
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleStudy on the benefit of quercetin intake in diabetic patients treated with antidiabetic tablets. A two-arm, prospective randomized control clinical trial (interventional vs observation group) in primary health care.
Study hypothesisIn the present study, the hypothesis that the intake of quercetin could be related to an improvement of the body's antioxidant status and an antiaging effect will be examined.
The main research question investigates the occurrence of antiaging action. The secondary question concerns the antioxidant effect resulting from the intake of quercetin.
Ethics approval(s)Approved 20/08/2021, University of Crete Research Ethics Committee (Rectors Office, University of Crete, Voutes University Campus Heraklion, Crete, 71300, Greece; +302810395206; ehde@uoc.gr), ref: 104/20.08.2021.
ConditionDiabetes mellitus
InterventionThis is an interventional study, in which a nutritional supplement will be used in a group of diabetic patients treated with antidiabetic tablets, who will receive the supplement in question alongside their treatment (intervention group) and a group which will not be administered to the nutritional supplement alongside the treatment (control group). The nutritional supplement that will be administered is quercetin. The time and dosage of supplementation of quercetin will respect the indications of the nutritional supplement. Specifically, the intervention group will be given 500 mg of quercetin per day for 12 weeks, which will then be ceased for 8 weeks and re-administered for another 12 weeks. A random allocation ratio will be used for the recruitment of the patients in the intervention and control group, taking into account age and gender.
Intervention typeSupplement
Primary outcome measureTelomere length will be measured using quantitative Polymerase Chain Reaction (qPCR), before (t=0) and after the intervention (t=32 weeks) for both groups
Secondary outcome measures1. [CBC] measured using [Beckman Coulter method of counting and sizing], before and after the intervention for both study groups
2. [IL-6] measured using [electrochemiluminescence] before and after the intervention for both study groups
3. [reticulocytes] measured using [Methylene blue stain (NMB)] before and after the intervention for both study groups
4. [hemoglobin] measured using [Beckman Coulter method of counting and sizing] before and after the intervention for both study groups
5. [WBC] measured using [Beckman Coulter method of counting and sizing] before and after the intervention for both study groups
6. [CRP] measured using [latex indirect agglutination (LIA)] before and after the intervention for both study groups
7. [HbA1c] measured using [high-performance liquid chromatography (HPLC)] before and after the intervention for both study groups
8. [TC] measured using [enzymatic method] before and after the intervention for both study groups
9. [LDL] measured using [Friedewald calculation] before and after the intervention for both study groups
10. [TGL] measured using [GPO/POD] before and after the intervention for both study groups
11. [creatinine] measured using [Creatinine amidohydrolase enzymatic method] before and after the intervention for both study groups
12. [serum nitrogen] measured using [Nesslerization] before and after the intervention for both study groups
13. [DHEAS] measured using [DHEA Sulfate Test] before and after the intervention for both study groups,
14. [25-OH-vitamin D] measured using [immunoassay, Liaison 25(OH) Vitamin D Total assay] before and after the intervention for both study groups
15. [FEV1] measured using piko-spirometry before and after the intervention for both study groups
Overall study start date29/01/2021
Overall study end date29/01/2024

Eligibility

Participant type(s)Patient
Age groupOther
Lower age limit50 Years
SexBoth
Target number of participants100 (50 patients in the control group, 50 patients in the interventional arm)
Total final enrolment100
Participant inclusion criteriaEligible participants will be type II diabetes patients treated with antidiabetic tablets, with an age over 50 years who belong to the registered population of responsibility of the 4th Local Health Unit (TOMY) of Heraklion.
Participant exclusion criteriaHighly vulnerable individuals will be excluded, following the relevant legal and ethical rules. The above cases are also excluded:
1. Gestational diabetes (breastfeeding/pregnancy),
2. Maturity-onset diabetes of the young (MODY),
3. Pancreatogenic diabetes (T3CDM),
4. Heart, liver or kidney disease,
5. Serious psychiatric illness or addiction,
6. Patients with comorbidities such as cancer, AIDS, neoplastic diseases,
7. Organ transplant patients, patients under immunosuppressive therapy,
8. Patients who have recently suffered a cardiovascular event, within three months before the start of the study,
9. Patients using other antioxidant supplementations,
10. Patients with a requirement for long-term use of aspirin, other than low dosage for protection against cardiovascular events, or NSAIDs,
11. Patients participating in another interventional clinical study,
12. Patients with planned surgery or other interventional procedure requiring systemic anesthesia during the study.
Recruitment start date07/02/2023
Recruitment end date30/05/2023

Locations

Countries of recruitment

  • Greece

Study participating centre

4th Local Health Unit of Heraklion (TOMY)
Iakinthou 9
Heraklion Crete
71303
Greece

Sponsor information

University of Crete
University/education

Athina Palace
Voutes Campus
Heraklion
71300
Greece

Phone +30 2810393660
Email protokol-uoc@uoc.gr
Website http://www.en.uoc.gr/
ROR logo "ROR" https://ror.org/00dr28g20

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date18/11/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to the sensitivity of the genetic, bioclinical and personal data of study participants.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 29/08/2024 05/02/2025 Yes No
Results article 15/06/2024 05/02/2025 Yes No
Results article 14/04/2024 05/02/2025 Yes No

Editorial Notes

05/02/2025: Publication references and total final enrolment added.
19/12/2023: The recruitment start date has been changed from 28/12/2022 to 07/02/2023.
04/12/2023: The following changes were made to the trial record:
1. The funder "Green Import, Exclusive Lamberts Healthcare LTD distributor, Greece" was removed.
2. The plain English summary was updated to reflect these changes.
10/05/2023: The recruitment end date was changed from 30/04/2023 to 30/05/2023.
04/04/2023: The recruitment end date was changed from 30/03/2023 to 30/04/2023.
07/02/2023: The recruitment end date was changed from 30/01/2023 to 30/03/2023.
05/12/2022: Trial's existence confirmed by University of Crete.