- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02647333
Intervention With Omega Fatty Acids in High-risk Patients
December 19, 2016 updated by: Haukeland University Hospital
Intervention With Omega Fatty Acids in High-risk Patients With Hypertriglyceridemic Waist
In order to reduce cardiovascular risk, current European guidelines recommend a diet low on saturated fatty acid through replacement with polyunsaturated fatty acids (PUFA).
Polyunsaturated fatty acids can be classified into omega-3 and omega-6.
However the results from recent meta-analyses investigating coronary risk outcomes did not clearly support a low intake of saturated fatty acids and a high intake of omega-3 or omega-6.
The aim of this study is to investigate the short term effects of a high intake of PUFAs on microvascular function, lipids, inflammation and other cardiovascular risk factors in inactive patients with increased waistline.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Phase 2
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
30 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Waist circumference ≥ 94 cm in men and ≥ 80 cm in women
- Physical inactivity (< 2 h vigorous/active exercise training per week)
Exclusion Criteria:
- Regular use of certain prescription medications at baseline
- Severe psychiatric illness
- Pregnancy
- Pacemaker or implantable cardioverter defibrillator
- Cigarette smoking
- Previous coronary intervention
- Concomitant use of dietary supplements
- Use of omega-3 supplements at baseline
- Alcohol or drug abuse or any condition associated with poor compliance.
- Scheduled hospitalisation during the course of the study.
- Participation in a clinical trial in the last 12 weeks, or prior randomisation.
- Blood donation within the preceding 12 weeks.
- Diabetes Mellitus Type 1 or type 2
- Triglycerides > 5 mmol/l
- Previous bariatric surgery
- Malabsorption disorder
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Omega-3 fatty acid
Omega-3 fatty acids for 8 weeks, dosage are 3 and 4 g/day for women and men, respectively.
|
Experimental: Omega-3 fatty acid In the intervention period the participants will receive a daily supplement of omega-3 fatty acids for 8 weeks, where the dosage are 3 and 4 g/day for women and men, respectively.
The omega-3 supplement is a hydrolyzed and reesterified TAG fish oil, containing 33 area percent eicosapentaenoic acid and 22 area percent docosahexaenoic acid.
Other Names:
|
Experimental: Omega-6 fatty acid
Omega-6 fatty acids for 8 weeks, dosage are 20 and 27 g/day for women and men, respectively.
|
Experimental: Omega-6 fatty acid In the intervention period the participants will receive a daily supplement of omega-6 fatty acid for 8 weeks, where the dosage are 20 and 27 g/day for women and men, respectively.
The omega-6 supplement is a high-quality organic, cold pressed and filtered safflower oil, containing 68-83% linoleic acid, 5-15% saturated fatty acid, 8-21% oleic acid, 0,0-0,5% ALA and maximum 2% other fatty acids.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in lipid profile
Time Frame: Measured at baseline and after 8 weeks
|
High-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol and triglycerides (TG) will be measured in plasma/serum (mmol/L).
|
Measured at baseline and after 8 weeks
|
Changes in particle concentrations of lipoproteins of different sizes
Time Frame: Measured at baseline and week 8
|
Particle concentration (nmol/L) of lipoprotein of different sizes will be calculated from the measured amplitude of their spectroscopically lipid methyl group NMR signals.
|
Measured at baseline and week 8
|
Changes in lipoprotein particle sizes
Time Frame: Measured at baseline and week 8
|
Lipoprotein particle size (nm) analysis will be performed by proton nuclear magnetic resonance (NMR) spectroscopy.
The size will be derived from the sum of diameter of each subclass multiplied by its relative mass percentage based on its methyl NMR signal.
|
Measured at baseline and week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in body composition
Time Frame: Measured at baseline and week 8
|
Body composition will be measured by bioelectrical impedance (InBody 720).
|
Measured at baseline and week 8
|
Changes in body weight
Time Frame: Measured at baseline and week 8
|
Measured at baseline and week 8
|
|
Changes in waist and hip circumference
Time Frame: Measured at baseline and week 8
|
Measured at baseline and week 8
|
|
Changes in circulating markers of inflammation, also including adipokines and kynurenine
Time Frame: Measured at baseline and week 8
|
Inflammatory markers and adipokines will be measured in serum/plasma, e.g tumor necrosis factor-α (TNF-α), interleukins, macrophage inflammatory protein 1-α (MIP-1-α) and granulocyte-macrophage colony stimulating factor (GM-CSF).
|
Measured at baseline and week 8
|
Changes in markers of inflammation in adipose tissue
Time Frame: Measured at baseline and week 8
|
Inflammatory markers like TNF-α, interleukins, GM-CSF and adiponectin in will be measured in adipose tissue (pg/mg tissue).
|
Measured at baseline and week 8
|
Changes in one carbon metabolites
Time Frame: Measured at baseline and week 8
|
Choline, betaine and related metabolites and B-vitamins involved in 1-carbon metabolism.
|
Measured at baseline and week 8
|
Changes in microbiota
Time Frame: Measured at baseline and week 8
|
Bacterial DNA in stool samples will be subjected to high-throughput barcode multiplex sequencing of the 16s ribosomal RNA gene (rRNA).
|
Measured at baseline and week 8
|
Changes in endothelial function
Time Frame: Measured at baseline and week 8
|
Vascular reactivity index (VRI) will be measured by monitoring fingertip temperature changes during a reactive hyperemia protocol.
|
Measured at baseline and week 8
|
Changes in carnitine and metabolites
Time Frame: Measured at baseline and week 8
|
Trimethylamine N-oxide (TMAO), carnitine, acylcarnitines and fatty acids will be measured in serum/plasma.
|
Measured at baseline and week 8
|
Changes in gene expression in adipose tissue
Time Frame: Measured at baseline and week 8
|
Gene expression in adipose tissue will be measured by microarray and quantitative PCR.
|
Measured at baseline and week 8
|
Changes in amino acids
Time Frame: Measured at baseline and week 8
|
Amino acids, methylated amino acids and metabolites will be measured in serum/plasma.
|
Measured at baseline and week 8
|
Changes in gene expression i whole blood
Time Frame: Measured at baseline and week 8
|
Gene expression in full blood will be measured by quantitative PCR.
|
Measured at baseline and week 8
|
Changes in apolipoproteins
Time Frame: Measured at baseline and week 8
|
Apolipoproteins A1, A2, B, C2, C3 and E will be measured in serum by a multiplex kit.
|
Measured at baseline and week 8
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Espen Rostrup, MD PhD, Haukeland University Hospital, Department of Heart Disease
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2015
Primary Completion (Actual)
April 1, 2016
Study Completion (Actual)
April 1, 2016
Study Registration Dates
First Submitted
September 9, 2015
First Submitted That Met QC Criteria
January 4, 2016
First Posted (Estimate)
January 6, 2016
Study Record Updates
Last Update Posted (Estimate)
December 20, 2016
Last Update Submitted That Met QC Criteria
December 19, 2016
Last Verified
December 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2014/2336
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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