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Trial registered on ANZCTR
Registration number
ACTRN12612000325808
Ethics application status
Approved
Date submitted
20/03/2012
Date registered
21/03/2012
Date last updated
16/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of genetic background on blood pressure response to dietary salt
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Scientific title
To examine the effect of the CYP4F2 G1347A polymorphism on blood pressure and plasma and urinary 20-HETE responses to dietary salt in healthy overweight volunteers
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Secondary ID [1]
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
metabolic syndrome
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Condition category
Condition code
Cardiovascular
286307
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0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Healthy overweight men aged between 20 and 70 years and overweight healthy post-menopausal women less than 70yrs will give a blood sample from which DNA will be extracted. The DNA will be used to screen for two genetic polymorphisms called CYP4F2 G1347A and CYP4A11 T8590C, using a reverse transcription polymerase chain reaction. These polymorphisms are known to affect 20-HETE levels. A group that are carriers of the A allele of the CYP4F2 G1347A polymophism but who do not have the CYP4A11 T8590C polymorphism and a control group that have neither polymorphism will be studied. Baseline salt intake will be assessed by 24 hr urine collections. A dietitian will counsel both groups to reduce their salt intake to ~ 50mmol/day for 6 weeks. After 3 weeks participants will be asked to take enteric coated sodium chloride tablets (Slow-Sodium) providing 100mmol/day sodium for 3 weeks.
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Intervention code [1]
284507
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Lifestyle
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Comparator / control treatment
The comparator group is the group that has neither of the polymorphisms undergoping the same intervention.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Blood pressure measured using an ambulatory blood pressure monitor over a 24hour period at each time point.
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Assessment method [1]
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Timepoint [1]
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baseline, 3 weeks and 6 weeks
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Primary outcome [2]
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plasma 20-HETE measured using gas chromatography mass spectrometry
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Assessment method [2]
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Timepoint [2]
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baseline, 3 weeks and 6 weeks
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Primary outcome [3]
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urinary 20-HETE measured using gas chromatography mass spectrometry
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Assessment method [3]
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Timepoint [3]
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baseline, 3 weeks and 6 weeks
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Secondary outcome [1]
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plasma and urinary isoprostanes measured using gas chromatography mass spectrometry
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Assessment method [1]
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Timepoint [1]
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baseline, 3 weeks and 6 weeks
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Eligibility
Key inclusion criteria
Healthy overweight men with waist circumference greater than or equal to 102cm and overweight healthy postmenopausal women with a waist circumference greater than or equal to 88cm who have a systolic BP greater or equal to 120mmHg. Volunteers who fit the criteria be screened for two genetic polymorphisms called CYP4F2 G1347A and CYP4A11 T8590C that affect 20-HETE levels. Two groups will be studied. A group that are carriers of the A allele of the CYP4F2 G1347A polymophism but who do not have the CYP4A11 T8590C polymorphism and a control group that have neither polymorphism will be studied
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Minimum age
20
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
smoking, BMI>40, taking blood pressure or lipid lowering medication, drinking more than 3 standard drinks/day or 4 standard drinks in a single session, impaired renal function.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Volunteers are allocated according to their genotype. All suitable volunteers undergo the same intervention.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2011
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Actual
3/07/2011
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Date of last participant enrolment
Anticipated
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Actual
9/10/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
53
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council of Australia
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Address [1]
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Level 1, 16 Marcus Clarke Street,
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Anne Barden
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Address
School of Medicine & Pharmacology,
Royal Perth Hospital Unit, PO Box X2213, Perth, WA 6847
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Lawrie Beilin
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Address [1]
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit, PO Box X2213, Perth, WA 6847
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Ian Puddey
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Address [1]
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit, PO Box X2213, Perth, WA 6847
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Professor Kevin Croft
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Address [2]
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit, PO Box X2213, Perth, WA 6847
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Dr Natalie Ward
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Address [3]
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit, PO Box X2213, Perth, WA 6847
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Country [3]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Western Australia Human Research Ethics committee
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Ethics committee address [1]
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35 Stirling Hwy, Crawley, Western Australia, 6009
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
286936
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Approval date [1]
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18/12/2009
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Ethics approval number [1]
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RA/4/1/2611
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Summary
Brief summary
The effectiveness of treatment to reduce heart disease risk can vary a great deal between individuals. this is partly due to an individuals genetic makeup. Fatty acid metabolites called CYP450metabolites of arachidonic acid can act on blood vessels and the kidney to regulate blood pressure. one of these metabolites known as 20-HETE is known to be affected by dietary salt intake. we will study volunteers with two different genetic make-ups that affect 20-HETE levels differently to see if they affect blood pressure and heart disease risk. We will asses whether having either genetic make up causes a blood pressure and plasma and urinary 20-HETE when participants have different intakes of dietary salt.
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Trial website
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Trial related presentations / publications
Papers are being prepared for publication
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Public notes
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Contacts
Principal investigator
Name
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Prof Anne Barden
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Address
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School of Medicine and Pharmacology Royal Perth Hospital Unit, GPO Box X2213 Perth, Western Australia, 6847.
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Country
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Australia
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Phone
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61892240272
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Anne Barden
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Address
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School of Medicine and Pharmacology
Royal Perth Hospital Unit,
GPO Box X2213
Perth, Western Australia, 6847.
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Country
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Australia
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Phone
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61 8 92240272
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Fax
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61 8 92240246
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anne Barden
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Address
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School of Medicine and Pharmacology
Royal Perth Hospital Unit,
GPO Box X2213
Perth, Western Australia, 6847.
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Country
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Australia
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Phone
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61 8 92240272
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Fax
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61 8 92240246
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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