Research Article

An Anti-Inflammatory Sterol Decreases Obesity-Related Inflammation-Induced Insulin Resistance and Metabolic Dysregulation

Table 2

HE3286-0401 baseline demographics and characteristics of each group.

Cohort 1All SubjectsMCP-1a > 40 pmol/LMCP-1 40 pmol/L
HE3286PlaceboHE3286PlaceboHE3286Placebo

343822251213

Age48 (41–57)b50 (43–59)49 (40–57)12(44–61)48 (41–57)48 (43–56)
Gender F (%)19 (56%)18 (47%)12 (56%)12 (48%)7 (58%)6 (46%)

Ethnicity
 White/White Hispanic25 (74%)27 (71%)18 (82%)18 (72%)7 (58%)9 (69%)
 Black5 (15%)7 (18%)2 (9%)3 (12%)3 (25%)4 (31%)
 Asian3 (9%)3 (8%)1 (5%)3 (12%)1 (8%)0 (0%)
 Other1 (3%)1 (3%)1 (5%)1 (4%)1 (8%)0 (0%)

MCP-1 (pmol/L)50 (35–87)52 (34–70)61 (50–75)61 (52–81)32 (27–36)18 (20–36)
TNF (pmol/L)0 (0–0.1)0 (0–0.3)0 (0–0.1)0 (0–0.4)0 (0–0)0 (0–0.4)
BMI (kg/m2)29 (25–32)30 (26–36)29 (26–32)29 (25–37)27 (25–31)33 (29–36)
HbA1c (%Hb)8.5 (7.8–9.3)8.3 (8.0–9.2)9.0 (7.9–9.6)8.3 (8.0–9.3)8.0 (7.8–8.6)8.5 (8.0–9.2)
Hb (mmol/L)8.5 (8.1–9.3)8.5 (8.1–9.3)8.6 (8.1–9.3)8.3 (8.1–9.3)8.0 (7.5–8.7)9.1 (8.1–9.3)
Hct (proportion)0.41 (0.37–0.43)0.41 (0.39–0.44)0.41 (0.39–0.44)0.40 (0.39–0.43)0.39 (0.36–0.42) 0.44 (0.39–0.46)
RBC (1012/L)4.6 (4.3–4.9)4.7 (4.4–4.9)4.6 (4.4–5.0) 4.7 (4.4–5.0)4.6 (4.3–4.9)4.7 (4.4–5.1)
Insulin (pmol/L)56 (28–90)63 (35–118)69 (29–97)56 (28–104)56 (42–76)90 (35–188)
C-peptide (nmol/L)0.77 (0.60–1.0)0.90 (0.53–1.2)0.80 (0.50–1.1) 0.70 (0.53–1.1)0.73 (0.67–0.87)1.0 (0.53–1.4)
Fasting glucose (mmol/L)8.9 (7.7–11)9.2 (7.5–10.1)9.5 (8.3–11)8.4 (7.5–10)8.1 (7.5–8.7)9.2 (7.2–10)
1,5-Anhydroglucitol ( mol/L)c35 (12–60)52 (20–85)
CRP (pmol/L)30 (14–61)25 (12–73)29 (12–49)13 (11–73)35 (18–94)26 (15–57)
HOMA2 %B47 (36–62)59 (33–82)41 (33–57)58 (30–80)58 (47–67)70 (37–88)
HOMA2 IR2.0 (1.5–2.7)2.2 (1.4–3.2)2.3 (1.3–2.9)2.0 (1.4–2.9)1.9 (1.6–2.3)2.8 (1.3–3.6)
Triglycerides (mmol/L)1.8 (1.3–2.9)2.0 (1.3–2.5)1.7 (1.2–3.1)2.1 (1.3–2.7)2.0 (1.4–2.6)2.0 (1.3–2.1)

Cohort 2All subjectsBMI 31 kg/m2BMI 31 kg/m2
HE3286PlaceboHE3286PlaceboHE3286Placebo

252812151313

Age54 (48–60)53 (46–58)53 (42–56)53 (46–55)55 (49–63)58 (46–62)
Gender F (%)10 (40%)14 (50%)4 (33%)9 (60%)6 (46%)5 (38%)

Ethnicity
 White/White Hispanic20 (80%)27 (96%)10 (83%)15 (100%)10 (77%)12 (92%)
 Black3 (12%)0 (0%)2 (17%)0 (0%)1 (8%)0 (0%)
 Asian2 (8%)1 (4%)0 (0%)0 (0%)2 (15%)1 (8%)
 Other0 (0%)0 (0%)0 (0%)0 (0%)0 (0%)0 (0%)

BMI (kg/m2)31 (29–33)31 (29–37)33 (32–36)36 (32–37) 29 (28–30)29 (28–30)
MCP-1
(pmol/L)d
108 (51–189)94 (64–117)97 (49–182) 94 (62–129)110 (68–195)95 (67–123)
HbA1c (%Hb)8.1 (7.5–8.7)8.5 (7.7–10.2)7.6 (8.0–8.4)8.4 (7.5–9.8)8.4 (7.5–8.8)9.4 (8.1–10.6)
Hb (mmol/L)9.4 (8.7–9.9) 8.8 (8.1–9.9)9.5 (8.7–9.9)8.9 (8.1–9.9)8.9 (8.7–9.9)8.8 (8.1–9.9)
Hct (proportion)0.45 (0.41–0.46)0.42 (0.39–0.46)0.45 (0.43–0.46)0.44 (0.39–0.46)0.42 (0.40–0.47)0.42 (0.38–0.46)
RBC (1012/L)4.7 (4.5–5.1)4.7 (4.5–5.1)4.9 (4.6–5.1)4.8 (4.5–5.0)4.7 (4.3–5.0)4.5 (4.3–5.1)
Insulin (pmol/L)104 (69–146)111 (76–153)118 (76–139)118 (76–146)97 (69–153)104 (69–174)
C-peptide (nmol/L)1.1 (0.8–1.3)1.1 (0.9–1.4)1.2 (0.8–1.3)1.2 (1.0–1.3)1.0 (0.8–1.2)1.0 (0.9–1.5)
Fasting glucose (mmol/L)8.3 (7.2–9.9)9.2 (7.3–11)8.0 (6.7–8.8)8.2 (6.8–10)8.5 (7.2–11)9.3 (8.1–13)
1,5-Anhydroglucitol ( mol/L)e54 (31–83)102 (35–154)
CRP (pmol/L)27 (19–49)32 (16–48)27 (22–67)33 (22–53)28 (13–48)30 (12–45)
HOMA2 %B74 (43–108)61 (45–89)87 (47–123)80 (43–120)71 (35–85)56 (46–73)
HOMA2 IR2.7 (2.2–3.4)2.8 (2.5–3.8)2.9 (2.1–3.4)3.2 (2.5–3.9)2.6 (2.2–3.3)2.7 (2.5–4.3)
Triglycerides (mmol/L)1.6 (1.1–2.7)2.1 (1.5–3.5)1.4 (1.1–1.8)2.0 (1.6–2.8)1.4 (2.3–3.2)3.5 (1.4–6.7)

aMCP-1: monocyte chemoattractant protein 1; TNF : tumor necrosis factor alpha; BMI: body mass index; HbA1c: hemoglobin A1c; Hb: hemoglobin; Hct: hematocrit; RBC: red blood cells; CRP: C-reactive protein; HOMA2 %B: homeostatic model assessment of % pancreatic beta cell function, HOMA2 IR: homeostatic model assessment of insulin resistance. bNumbers are medians (IQR) or numbers (%). c1,5-Anhydroglucitol only 19 retention samples (9 HE3286, 10 placebo, predominantly with MCP > 40 pmol/mL). dMCP-1 only 38 samples (18 HE3286, 20 placebo); e1,5-Anhydroglucitol only 23 retention samples (9 HE3286, 14 placebo, predominantly from BMI > 31 kg/m2 subjects).