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Trial registered on ANZCTR
Registration number
ACTRN12622000435785
Ethics application status
Approved
Date submitted
2/03/2022
Date registered
17/03/2022
Date last updated
20/02/2023
Date data sharing statement initially provided
17/03/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Investigating the effect of French bark extract, Pycnogenol, as a supplement to improve exercise performance in a population of AFL footballers.
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Scientific title
Evaluation of the effects of supplementation with Pycnogenol (French Pinus pinaster bark extract) on exercise performance in a population of AFL footballers: A single blind, placebo-controlled trial.
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Secondary ID [1]
306572
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Nil known
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Universal Trial Number (UTN)
U1111-1275-2128
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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:
exercise performance
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Condition category
Condition code
Alternative and Complementary Medicine
322849
322849
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0
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Other alternative and complementary medicine
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Musculoskeletal
322850
322850
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0
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Normal musculoskeletal and cartilage development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single blind, placebo controlled study will be conducted in which male and female subjects who actively participate in AFL football, will supplement their normal daily lives with either Modex (100ml containing 260mg Pycnogenol, 240mg Papin, 300mg Sodium chloride, 175mg Aloe Vera, 169mg Procyanidins, once daily), or placebo (100ml of Modex formula containing everything but Pycnogenol, once daily), oral drink for 4 weeks.
Prior to and after the 4-week supplement period, participants will under go a graded exercise test (VO2 max), isometric mid-thigh pull, and a 3km treadmill time trial conducted at La Trobe University strength and conditioning gym (Bundoora campus), supervised by qualified exercise physiologists. These 4 sessions will involve a health screen, and the taking of blood samples. This will require a session time for each participant of 60 min, a total of 4 hours.
To monitor adherence, we will be monitoring returned empty bottle counts.
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Intervention code [1]
323001
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Treatment: Other
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Comparator / control treatment
During the placebo/control treatment participants will receive a daily dose of 100ml of Modex, containing 240mg Papin, 300mg Sodium chloride, 175mg Aloe Vera, and 169mg Procyanidins (Modex formula minus Pycnogenol) for 4 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Changes in exercise performance as determined by speed (mm:ss) performed in a 3km treadmill time trial.
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Assessment method [1]
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Timepoint [1]
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1) Pre-supplementation (visit 2)
2) 4-weeks post-supplement (visit 4)
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Primary outcome [2]
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Changes in the volume of oxygen consumption (ml/kg/min) as determined by a Vo2 max test performed running on a treadmill.
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Assessment method [2]
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Timepoint [2]
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1) Pre-supplementation (visit 1)
2) 4-weeks post-supplement (visit 1)
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Secondary outcome [1]
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Changes in anaerobic performance as determined by blood lactate levels (mmol/L) post 3km treadmill time trial.
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Assessment method [1]
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Timepoint [1]
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1) Pre-supplementation (visit 2)
2) 4-weeks post-supplement (visit 4)
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Secondary outcome [2]
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Changes in C-reactive protein (mg/L) as determine by blood analysis following 3km treadmill time trial.
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Assessment method [2]
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Timepoint [2]
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1) Pre-supplementation (visit 2)
2) 4-weeks post-supplement (visit 4)
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Eligibility
Key inclusion criteria
1. Adults between the ages of 18-45
2. Actively participate in AFL football
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Minimum age
18
Years
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Maximum age
45
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
1) Are pregnant and/or breastfeeding.
2) Present with a history of treatment for metabolic disease (e.g., diabetes or cardiovascular disease).
3) Are currently using any prescription medication which could impact on inflammatory pathways (e.g., Warfarin, aspirin, ibuprofen [nurofen]).
4) Have any medical contraindications to exercise.
5) Are currently injured.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Numbers 1-40 will be placed in an envelope. Upon enrolment in the trial, an envelope will be randomly selected and given to the individual. Prior to this, a random sequence of the numbers 1-40 will be generated, with odd numbers (in the sequence) being placebo and even numbers (in the sequence) being Modex
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. https://www.random.org/sequences/)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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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
A linear mixed model using restricted estimate maximum likelihood estimation (REML) will analyse the effect of the treatment (factor with 2 levels: pycnogenol, placebo) over time (factor with 4 levels: visit 1-4).
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
18/05/2023
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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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
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Arborvitae Health & Wellbeing Pty Ltd
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Address [1]
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10 Gordon St, Bankstown, NSW 2200
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Country [1]
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Australia
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Primary sponsor type
University
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Name
La Trobe University
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Address
Plenty Rd & Kingsbury Drive,
Bundoora
Melbourne Victoria 3086
Australia
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Arborvitae Health & Wellbeing Pty Ltd
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Address [1]
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10 Gordon St, Bankstown, NSW 2200
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Country [1]
312190
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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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La Trobe University
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Ethics committee address [1]
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Plenty Rd & Kingsbury Drive, Bundoora Melbourne Victoria 3086 Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/03/2022
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Approval date [1]
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07/06/2022
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Ethics approval number [1]
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HEC22087
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Summary
Brief summary
Nutritional supplements are routinely ingested throughout a training period to maximise exercise-based adaptations. While the mechanisms for adaptations can be varied and can include increased energy expenditure, reduced catabolism, and increased protein synthesis, the intended outcome is an increase in the intended adaptations to training. Pycnogenol, a herbal dietary supplement extracted from French maritime pine bark, is widely marketed for its antioxidant effects. Health benefits purported for Pycnogenol include improved cognitive function, endothelial function, and blood pressure regulation. However, the effect of Pycnogenol on exercise performance, or exercise-induced oxidative stress and inflammatory responses is less clear. Consumption of Pycnogenol has been shown to increase serum NAD+ levels and more recently a study demonstrated that French maritime pine bark extract reduced markers of oxidative stress 48 hours post exercise. Substantially more investigation into the influence of Pycnogenol on exercise performance is required to confirm these results, to examine the optimal timing and dose amount of this supplement, as well as to establish the physiological mechanisms that explain the increased time to exhaustion during intense endurance exercise. Therefore, we hypothesize that Pycnogenol, could be a supplement that increases endurance and with greater adaptations when consumed in addition to training. Here we propose a study designed to establish whether Pycnogenol can improve endurance in highly trained AFL footballers.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Chris van der Poel
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Address
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Department of Microbiology, Anatomy, Physiology & Pharmacology
Health Sciences 2
La Trobe University
Plenty Rd & Kingsbury Dr,
Bundoora
Melbourne Victoria 3086
Australia
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Country
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Australia
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Phone
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+61 3 9479 5166
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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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Chris van der Poel
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Address
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Department of Microbiology, Anatomy, Physiology & Pharmacology
Health Sciences 2
La Trobe University
Plenty Rd & Kingsbury Dr,
Bundoora
Melbourne Victoria 3086
Australia
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Country
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Australia
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Phone
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+61 3 9479 5166
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Fax
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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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Chris van der Poel
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Address
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Department of Microbiology, Anatomy, Physiology & Pharmacology
Health Sciences 2
La Trobe University
Plenty Rd & Kingsbury Dr,
Bundoora
Melbourne Victoria 3086
Australia
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Country
117768
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Australia
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Phone
117768
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+61 3 9479 5166
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Fax
117768
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
After de-identification, all of the individual participant data collected during the trial will be shared
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When will data be available (start and end dates)?
Immediately following publication with no end date
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Available to whom?
Case by case basis at the discretion of the primary sponsor
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Available for what types of analyses?
any purpose
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How or where can data be obtained?
access is subject to approval by principal investigator which can be requested by email (
[email protected]
)
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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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