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Trial registered on ANZCTR
Registration number
ACTRN12613000273785
Ethics application status
Not yet submitted
Date submitted
13/02/2013
Date registered
6/03/2013
Date last updated
6/03/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of beta-alanine supplementation on exercise capacity in people with type 2 diabetes
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Scientific title
The effect of beta-alanine supplementation on exercise capacity in individuals with type 2 diabetes: a randomized double-blind, placebo-controlled trial
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Secondary ID [1]
281952
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Nil
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Universal Trial Number (UTN)
U1111-1139-5111
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Trial acronym
BASED Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes Mellitus
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Obesity
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Condition category
Condition code
Metabolic and Endocrine
288715
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0
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Diabetes
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Diet and Nutrition
288777
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental subjects will receive 4g beta-alanine capsules (oral capsules) once daily for 28 days.
An incremental treadmill test supervised by a PhD-level accredited exercise physiologist will be carried out at baseline and at 28 days (4 weeks). We will employ a ramp protocol (ACSM Guidelines for Exercise Testing and Prescription, 8th edition, pg 114) for which we are assessing exercise endurance. The test will be terminated when the participant has reached at least 85% age-predicted max heart rate or s/he requests to stop. We will also use an ECG to assess for any potential abnormal cardiac responses (i.e., ST segment depression, ventricular arrythmias, etc as per ACSM guidelines). HR and BP will be assessed to monitor for abnormal haemodynamic responses. Pre and post-exercise blood glucose will be assessed to ensure participants are normoglycaemic.
The protocol will be as follows:
kmh % grade
0.8 0
1.6 0
2.4 0
3.2 0
4.0 0
4.8 0
4.8 1
4.8 2
4.8 3
Protocol will continue at 4.8 kmh plus 1% each minute until termination criteria have been achieved.
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Intervention code [1]
286515
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Treatment: Other
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Comparator / control treatment
Control subjects will receive 4g of maltodextrin placebo (oral capsules) once daily for 28 days. An incremental treadmill test will be performed pre- and post-intervention at four weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Exercise capacity as determined by an incremental treadmill protocol
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Assessment method [1]
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Timepoint [1]
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Baseline and at 4 weeks
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Secondary outcome [1]
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Insulin sensitivity: Determined from fasting glucose and insulin using the most recent HOMA2-IR calculator (version 2.2.2, Oxford University).
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Assessment method [1]
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Timepoint [1]
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Baseline and at 4 weeks
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Secondary outcome [2]
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Blood lipids (Total Cholesterol, High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL), Triglycerides (TG) to be determined via standard enzymatic methods. LDL mathematically determined as total cholesterol minus HDL minus (0.45 x TG).
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Assessment method [2]
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Timepoint [2]
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Baseline and at 4 weeks
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Secondary outcome [3]
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Haemodynamics (Heart rate (HR), cardiac rhythm, and Blood Pressure (BP)): Seated blood pressure measured in duplicate on the left arm after 5 minutes rest on a standard hospital-grade sphygmomanometer. Exercise HR and cardiac rhythm determined by electrocardiogram.
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Assessment method [3]
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Timepoint [3]
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Baseline and at 4 weeks
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Secondary outcome [4]
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Diabetes Quality of Life Questionnaire
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Assessment method [4]
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Timepoint [4]
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Baseline and at 4 weeks
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Eligibility
Key inclusion criteria
Diagnosis of type 2 diabetes.
Medically stable and medically managed.
No documented cardiac history or stable cardiac history for previous 6 months.
No change in diabetes medications for previous two months.
Not currently taking exogenous insulin injections.
Signed consent from their general practitioner (GP) or specialist.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Diabetic complications which may be worsened by exercise.
Change in medications during previous 2 months.
Unstable cardiovascular disease, stroke, or other conditions which might be worsened by exercise.
Lower limb injuries or chronic limb impairment which may preclude completion of a treadmill protocol.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/04/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Southern Cross University
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Address [1]
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Military Road
Lismore, NSW 2480
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Southern Cross University
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Address
Military Road
Lismore, NSW 2480
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Southern Cross University Human Research Ethics Committee
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Ethics committee address [1]
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Military Road Lismore, NSW 2480
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/04/2013
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
There is evidence that exercise capacity is reduced in patients with type 2 diabetes. Beta-alanine has been shown to increase exercise capacity in younger, apparently healthy individuals and in elderly subjects. To date, no previous exercise trials have evaluated the effects of B-alanine supplementation on exercise capacity in a cohort of patients with T2DM. An improvement in exercise capacity in this population is valuable in that it may translate to an improvement in GLUT4 translocation and, consequently, an increase in glucose uptake. Further increases in exercise capacity secondary to B-alanine supplementation may yield significant improvements in insulin sensitivity, resulting in an overall improvement blood glucose management (HbA1c) and possibly a reduction in diabetes medications or dosages.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr William Sukala
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Address
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PO Box 157
Lismore, NSW 2480
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Country
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Australia
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Phone
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+61-2-6626-9569
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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William Sukala
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Address
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PO Box 157
Lismore, NSW 2480
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Country
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Australia
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Phone
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+61-2-6626-9569
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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William Sukala
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Address
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PO Box 157
Lismore, NSW 2480
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Country
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Australia
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Phone
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+61-2-6626-9569
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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