About this trial
This pilot study aims to explore the potential benefits of consuming Greek bottarga (grey mullet fish roe) in individuals with at least one metabolic abnormality (low HDL cholesterol, high LDL cholesterol, high triglycerides, obesity, or HbA1c ≥ 5.7%) or a diagnosis of diabetes.
Before initiating the crossover randomized controlled trial (RCT), the investigators will conduct a preliminary dose-testing study in five adults with at least one metabolic abnormality. Participants will undergo clinical assessments before and after the dietary intervention to evaluate changes in metabolic health markers. Following this phase, the investigators will proceed with a randomized, controlled crossover trial involving 20 eligible adult participants. This main study phase will compare the metabolic effects of daily bottarga supplementation with those of a calorically matched dairy product over an 8-week intervention period, with a 2-week washout period between interventions.
The investigators anticipate that bottarga supplementation will improve lipid profiles, inflammation markers, and insulin resistance, thereby supporting the potential use of sustainable blue foods as part of a healthy diet.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18-60 years
Residents of Massachusetts
Presence of at least one metabolic abnormality (low HDL cholesterol, elevated LDL cholesterol, elevated triglycerides, obesity, or HbA1c ≥ 5.7%) or a diagnosis of diabetes
Not pregnant
Disqualifiers
Use of any medications for diabetes (except metformin), dyslipidemia (except statins), or immunosuppression
Current use of any supplements containing n-3 fatty acids
Current use of illicit drugs (other than marijuana)
Use of hormone therapy (except oral contraceptives)
Trial design
Crossover
Treatments tested in this trial
Bottarga
Other interventionParticipants will consume prepackaged daily doses of Bottarga, each containing the required amount (20 grams/day; participants weighing \>100 kg \[220 lbs\] will consume 40 g/day) for 8 weeks.
Comparator
Other interventionParticipants will consume 28g of cream cheese/day (participants weighing \>100 kg \[220 lbs\] will consume 56 g/day) for 8 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Mean change in fasting glucose
Mean change in fasting glucose levels (mg/dL) after overnight fast.
Mean Change in High-Sensitivity C-Reactive Protein (hs-CRP)
Mean change in serum hs-CRP levels (mg/L) after overnight fast.
Mean Change in Hemoglobin A1c (HbA1c)
Mean change in HbA1c levels (%) after overnight fast.
Mean Change in Lipid Profile (Total Cholesterol, Triglycerides, HDL-C, LDL-C)
Mean change in fasting lipid levels-including total cholesterol (mg/dL), triglycerides (mg/dL), high-density lipoprotein cholesterol (HDL-C, mg/dL), and low-density lipoprotein cholesterol (LDL-C, mg/dL after overnight fast.
Secondary outcomes
Mean change in body mass index
Body Mass Index (kg/m-squared)
Mean change in body fat
Body fat percentage as measured by bioelectrical impedance
Mean change in waist circumference
Waist circumference (cm)
Mean change in waist/hip ratio
Waist/hip ratio (waist circumference (cm) divided by hip circumference (cm)
Sponsors and contacts
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