TomVasc - Vascular Effects of Tomato Extract (TomVasc)
Vascular Effects of Nutritional Supplementation With a Standardised Preparation of Tomato Extract (Ateronon) in Vivo in Man
Does tomato extract improve blood vessel function in healthy people and people with cardiovascular disease?
Atherosclerosis ('furring' of the arteries) affects the functioning of blood vessels, narrowing and eventually blocking them, causing conditions like heart attack and stroke. The Mediterranean diet, which is rich in tomatoes and tomato-based products, has been shown to be associated with a reduced risk of blood vessel damage. In this double blind, placebo-controlled randomised study, the investigators will investigate whether a food supplement containing a standardised extract of tomato improves blood vessel function in both healthy people (aged 40-80), and people with a history of cardiovascular disease. The food supplement is on sale to the public, and the investigators are testing the standard dose. Approximately 72 people will take part at the Clinical Pharmacology Unit at the ACCI Building, Cambridge University Hospitals NHS Trust.
After they have passed screening tests, participants will be allocated by chance to receive either the tomato extract product (Ateronon), or a matching placebo (a dummy capsule with no active ingredients), which they will take once a day for 8 weeks. At the beginning and end of the treatment period, the investigators will test blood vessel stiffness using an ECG machine and external probe. The investigators will also measure forearm blood flow, which involves infusing 3 separate agents that affect how the lining of the blood vessel wall works, and helps to assess whether this is affected by the study treatment. Blood tests will also be used to look at how the food supplement is working and its effects on cholesterol and markers of inflammation. Including the screening period, and a follow-up telephone call two weeks after the end of treatment, participants will be in the study for 14 weeks.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Cambridgeshire
-
Cambridge, Cambridgeshire, United Kingdom, CB2 0QQ
- Addenbrooke's Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
HEALTHY GROUP
Inclusion Criteria:
- Aged between 30 and 80 years
- Non-smoking
Exclusion Criteria:
- Hypertension or other cardiovascular disease
- Significant renal, respiratory or neurological disease
- Diabetes mellitus
- BMI>32, BMI<18
- Use of vasoactive medication
- Use of heparin or warfarin
- Allergy/intolerance to study substance ingredients
STABLE CARDIOVASCULAR DISEASE GROUP
Inclusion Criteria:
- Aged between 40 and 80 years
- Previous ischaemic heart disease (any of previous myocardial infarction, coronary stent, angina), transient ischaemic attack or stroke disease or peripheral vascular disease
- If taking a statin, dose must have been stable over preceding 2 months
Exclusion Criteria:
- Uncontrolled hypertension
- BMI>33
- Use of heparin or warfarin
- Allergy/intolerance to study substance ingredients
Study Plan
How is the study designed?
Design Details
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
PLACEBO_COMPARATOR: Healthy (placebo)
|
Matched placebo capsule, taken once daily for 56 days
|
|
ACTIVE_COMPARATOR: Healthy (Ateronon)
|
Tomato extract (lycopene) capsule, taken once daily for 56 days
|
|
PLACEBO_COMPARATOR: Cardiovascular Group (placebo)
|
Matched placebo capsule, taken once daily for 56 days
|
|
ACTIVE_COMPARATOR: Cardiovascular Group (Ateronon)
|
Tomato extract (lycopene) capsule, taken once daily for 56 days
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Forearm blood flow ratio and/or absolute flow in the infused arm (and % change), as measured by venous occlusion plethysmography, in response to intra-arterial acetylcholine infusion.
Time Frame: 8 weeks
|
8 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Forearm blood flow ratio and/or absolute flow in the infused arm (& % change), as measured by venous occlusion plethysmography, in response to intra-arterial sodium nitroprusside and L-NMMA infusion.
Time Frame: 8 weeks
|
8 weeks
|
|
Evaluation of pulse wave velocity and pulse wave analysis
Time Frame: 8 weeks
|
8 weeks
|
|
Pulse wave velocity measured between carotid and femoral artery.
Time Frame: 8 weeks
|
8 weeks
|
|
Analysis of Lipoprotein oxidation/circulating markers.
Time Frame: 8 weeks
|
8 weeks
|
|
Safety and tolerability parameters, including physical examination, blood pressure, heart rate, 12-lead electrocardiograms (ECGs), clinical laboratory tests and adverse event reporting.
Time Frame: 8 weeks
|
8 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Dr Joseph Cheriyan, MBChB, MRCP, Cambridge University Hospitals NHS Foundation Trust
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Atherosclerosis
- Brain Ischemia
- Coronary Disease
- Heart Diseases
- Coronary Artery Disease
- Myocardial Ischemia
- Vascular Diseases
- Ischemia
- Peripheral Arterial Disease
- Peripheral Vascular Diseases
- Ischemic Attack, Transient
Other Study ID Numbers
Other Study ID Numbers
- A091763
- 09/H03011/106 (OTHER: REC)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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