About this trial
The purpose of this investigation is to evaluate the impact of zinc supplementation on fasting glucose levels, hemoglobin A1c (HbA1c), and other indices of glucose homeostasis in individuals with prediabetes. The investigators hypothesize that prediabetic subjects receiving zinc will demonstrate a greater decrease in HbA1c and blood glucose compared to prediabetic subjects receiving placebo.
Specific Aim: Conduct a prospective, double-blind randomized clinical trial comparing the effects of 12 months of zinc supplementation (zinc gluconate 30 milligram \[mg\] per day) versus placebo on glucose homeostasis. Based upon expected effect size and power calculations, and anticipating a 20% drop-out rate, the investigators will study 200 prediabetic subjects (100 per group) using a 1:1 randomization design. HbA1c, fasting plasma glucose, and other measures will be obtained at 0, 6, and 12 months and will be compared between zinc supplementation and placebo groups.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Amish men or women who are 18 to 80 years old
Prediabetes (HgbA1c = 5.7-6.4% or fasting glucose levels 100-125 mg/dL)
Disqualifiers
Pregnant
Currently breastfeeding
History of severe gastrointestinal disorders or upper gastrointestinal surgery
Has hemochromatosis, cancer, liver disease, kidney disease, cardiovascular disease, or other coexisting malignancy
Trial design
Parallel
Treatments tested in this trial
Zinc Gluconate 30 MG
DrugParticipants will take one tablet per day (30 mg Zinc gluconate) for 1 year
Placebo
DrugParticipants will take one placebo tablet per day for 1 year
Treatment groups
Trial outcomes
Primary outcomes
Zinc-dependent effect on fasting glucose levels at 1 year
One of the investigator's primary endpoints will be to determine the difference in fasting glucose levels between zinc-treated and placebo-treated individuals after 1 year of receiving study drug
Zinc-dependent effect on HbA1c at 1 year
One of the investigator's primary endpoints will be to determine the difference in HbA1c levels between zinc-treated and placebo-treated individuals after 1 year of receiving study drug
Secondary outcomes
Zinc-dependent effect on fasting glucose levels at 6 months
One of the investigator's secondary endpoints will be to determine the difference in fasting glucose levels between zinc-treated and placebo-treated individuals after 6 months of receiving study drug
Zinc-dependent effect on HbA1c at 6 months
One of the investigator's secondary endpoints will be to determine the difference Hba1c between zinc-treated and placebo-treated individuals after 6 months of receiving study drug
Sponsors and contacts
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