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Cholesterol Absorption Inhibition Study (CASTELL)

2017年5月1日 更新者:Unilever R&D

CASTELL = Cholesterol Absorption Study STErols (LL)

Rationale: Consuming Plant Sterols (PS) fortified foods is widely accepted as easy to apply, life-style change to combat modestly elevated plasma cholesterol concentrations. PS are typically formulated as PS fatty acid ester (PSE) from margarines. In this study, PS will be formulated in a new innovative type spread. To confirm that the new spread results in a comparable cholesterol absorption inhibition as the reference product a dual isotope cholesterol study is planned, prior to any larger efficacy study.

Primary objective: Cholesterol absorption inhibition (%) calculated from plasma concentration vs. time curves from labeled cholesterol, for the PS or PSE containing products, compared to a control product without PS or PSE.

Secondary objectives: PK parameters for cholesterol as derived from the plasma concentration vs. time curves.

Study design: Acute, single dose, double-blind, randomized, cross-over. Study population: 18 healthy, non-obese men (BMI 20-27 kg∙m-2, age range 20 - 65 yr) Test products: PS (2250 mg) formulated in innovatively processed spread (30 g); PSE (2250 mg PS) reference product (30 g); Control product without PS or PSE (30 g) Intervention: Three study periods during which a single dose of either Test, Reference or Control (regular light spread) spreads will be consumed together with standard breakfast. At each study period, 50 mg of D7-cholesterol is added to the meal and 30 mg of 13C-cholesterol is injected to measure cholesterol absorption. Before and four times after consumption of each spread, blood samples will be taken at 24 h intervals up to 7 days.

Key parameters: Enrichments of labeled cholesterol isotopes as determined by GCMS and IRMS. Fractional absorption is determined by the ratio of the two isotopes in plasma cholesterol after 7 days.

研究概览

研究类型

介入性

注册 (预期的)

18

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Noord-Holland
      • Amsterdam、Noord-Holland、荷兰
        • Academisch Medisch Centrum, vasculaire geneeskunde

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

20年 至 65年 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

男性

描述

Inclusion Criteria:

  1. Apparently healthy: no medical conditions which might effect study measurements (judged by study physician).
  2. Males aged 20 - 65
  3. BMI 20-27 kg∙m-2
  4. LDL-C levels between 3.0 - 5.0 mmol/L, triglycerides < 3.0 mmol/L
  5. Not more than 10 hours per week of strenuous exercise
  6. Ability to give informed consent.
  7. Ability to follow verbal and written instructions.
  8. Non-smoker (tobacco, marijuana).
  9. The ability to attend and to commute to the performance site for each of study day visit and follow-up throughout the study period are required.
  10. Willing to consume a breakfast in the morning of each study day.
  11. Willing to consume margarine on each study occasion.
  12. Having a general practitioner.
  13. No use of medication which interferes with study measurements (as judged by the study physician).
  14. Agreeing to be informed about medically relevant personal test-results after the screening visit by a physician.
  15. Consumption =< 21 alcoholic drinks in a typical week.
  16. No blood donation 1 month prior to pre-study examination or during the study.
  17. Has accessible veins on the forearm as determined by examination at screening.
  18. Not being an employee of Unilever.
  19. No reported participation in another nutritional or biomedical trial 3 months before the pre-study examination or during the study.
  20. No reported participation in night shift work during the study.

    Exclusion Criteria:

  21. Unwilling to refrain from consumption of plant sterol or stanol containing products one week before and during the study..
  22. Plasma lipid profile which indicates deviating lipid / cholesterol homeostasis, to be judged by study physician.
  23. Evidence of severe cardiovascular, respiratory, urogenital, gastrointestinal/ hepatic, hemato¬logical/ immunologic, HEENT (head, ears, eyes, nose, throat), dermatological/ connective tissue, musculoskeletal, metabolic/nutritional, endocrine, neurological/ psychiatric diseases, allergy, major surgery and/or laboratory assessments which might limit participation in or completion of the study protocol.
  24. Gastrointestinal or hepatic disorders influencing gastrointestinal absorption or transit, including gallstones or biliary diseases.
  25. History of surgery related to the gastro-intestinal tract
  26. On a medically prescribed or weight reduction diet
  27. Recreational (intravenous) drug use.
  28. The use of psychotropic drugs, including: benzodiazepines or alcohol in excess of 21 units/ week for males
  29. Concomitant medication that may modulate gastro-intestinal secretions and pH (e.g. antacids, proton-pump-inhibitors, prostaglandins, anticholinergic agents, H2-receptor antagonists)
  30. Concomitant medication that can alter gastric emptying (e.g. metoclopramide, cisapride, domperidone and erythromycin, anticholinergics, tricyclic antidepressants, narcotic analgesics, adrenergic agents, calcium channel blockers)
  31. Concomitant medication that can alter intestinal transit (e.g. loperamide, chemical/ osmotic/bulk laxatives), or influence satiety/energy intake (e.g. sibutramine, gluco¬corticoids, anabolic steroids)
  32. Intolerance or allergy for test product.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:随机化
  • 介入模型:交叉作业
  • 屏蔽:三倍

武器和干预

参与者组/臂
干预/治疗
有源比较器:Reference spread

2250 mg PS (as PSE) in spread (30 g)

  • 50 mg labeled D7-cholesterol,
  • 30 mg 3,4-13C-cholesterol, iv dosed at same time.
Single dose (30 gr) of spread, containing 2250 mg PS
安慰剂比较:Placebo spread

regular light margarine (30 g)

  • 50 mg labeled D7-cholesterol,
  • 30 mg 3,4-13C-cholesterol, iv dosed at same time.
Single dose (30 gr) of regular light margarine
实验性的:Test spread

2250 mg PS in innovatively processed spread (30 g)

  • 50 mg labeled D7-cholesterol,
  • 30 mg 3,4-13C-cholesterol, iv dosed at same time.
Single dose (30 gr) of innovatively processed spread containing 2250 mg PS.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
cholesterol absorption calculated from plasma cholesterol enrichments vs. time curves
大体时间:5 blood samples within one week for each intervention
5 blood samples within one week for each intervention

次要结果测量

结果测量
大体时间
PK parameters derived from plasma curves (Cmax, Tmax, cholesterol pool, flux).
大体时间:5 blood samples within one week for each intervention
5 blood samples within one week for each intervention

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

调查人员

  • 首席研究员:Maud N Vissers, Dr. Ir、Academisch Medisch Centrum, afdeling vasculaire geneeskunde
  • 研究主任:Guus SM Duchateau, Dr、Unilever Research & Development Vlaardingen

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2010年6月1日

初级完成 (实际的)

2010年11月1日

研究完成 (实际的)

2010年11月1日

研究注册日期

首次提交

2010年6月4日

首先提交符合 QC 标准的

2010年6月4日

首次发布 (估计)

2010年6月7日

研究记录更新

最后更新发布 (实际的)

2017年5月4日

上次提交的符合 QC 标准的更新

2017年5月1日

最后验证

2017年5月1日

更多信息

与本研究相关的术语

其他研究编号

  • 09030V

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