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Trial registered on ANZCTR
Registration number
ACTRN12609000464268
Ethics application status
Approved
Date submitted
13/11/2008
Date registered
16/06/2009
Date last updated
6/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Influence of dietary omega-6/omega-3 fatty acid ratio on vascular health in patients treated with statins
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Scientific title
Randomised crossover trial of high and low dietary omega-6/omega-3 fatty acid ratios on arterial compliance, and CD11b expression in patients treated with statins
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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:
Cardiovascular disease
236980
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Condition category
Condition code
Cardiovascular
4129
4129
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
a) Consumption of a diet with a low omega-6/omega-3 fatty acid ratio.
b) The diet is given for 4 weeks. Observations/measures are made on day 0 and day 28.
c) Dietary intake, consumed as 5 meals per day plus snacks, every day for a 4-week period; dietary ratio of omega-6/omega-3 fatty acids is 1.7:1.
d) Oral (diet)
2. There is an 8-week washout period between the dietary interventions.
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Intervention code [1]
3648
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Lifestyle
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Intervention code [2]
3649
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Treatment: Other
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Intervention code [3]
3650
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Prevention
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Comparator / control treatment
a) Consumption of a diet with a high omega-6/omega-3 fatty acid ratio.
b) The diet is given for 4 weeks. Observations/measures are made on day 0 and day 28.
c) Dietary intake, consumed as 5 meals per day plus snacks, every day for a 4-week period; dietary ratio of omega-6/omega-3 fatty acids is 30:1.
d) Oral (diet)
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Vascular stiffness (compliance & distensibility).
Assessment of brachial artery elasticity (compliance & distensibility) using high-resolution ultrasound.
Assessment of systemic compliance/stiffness using pulse wave analysis derived from applanation tonometry.
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Assessment method [1]
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Timepoint [1]
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All measures are assessed on day 0 and day 28 (after 4 weeks dietary intervention). The trial has a randomised crossover design, with an 8-week washout phase. The measures are repeated for the second diet.
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Primary outcome [2]
5020
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CD11b expression on monocytes is a measure of inflammation. CD11b expression is assessed via flow cytometry.
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Assessment method [2]
5020
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Timepoint [2]
5020
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All measures are assessed on day 0 and day 28 (after 4 weeks dietary intervention). The trial has a randomised crossover design, with an 8-week washout phase. The measures are repeated for the second diet.
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Secondary outcome [1]
8467
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Heart rate variability. Measured using a 5-minute 12-lead electrocardiogram (ECG).
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Assessment method [1]
8467
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Timepoint [1]
8467
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All measures are assessed on day 0 and day 28 (after 4 weeks dietary intervention). The trial has a randomised crossover design, with an 8-week washout phase. The measures are repeated for the second diet.
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Eligibility
Key inclusion criteria
Treated with statins
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Prior history of clinically relevant atheroma, current smokers, diabetes, obesity.
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Study design
Purpose of the study
Prevention
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
21/11/2007
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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
15
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Other Collaborative groups
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Name
Baker IDI Heart & Diabetes Institute
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Address
PO Box 6492
St Kilda Road Central
VIC 8008
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
3733
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Country [1]
3733
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Patients with high blood lipid levels are currently treated with dietary modification and lifestyle treatment with the addition of statins in cases where lipid levels remain elevated. Statins are the best lipid-lowering pharmaceuticals currently available; however patients treated with statins remain at high risk of cardiac events despite a marked reduction in low-density lipoprotein (LDL) cholesterol, and modest effects on triglycerides and high-density lipoprotein (HDL) cholesterol. In contrast, fish oils increase HDL-cholesterol and markedly reduce triglycerides, with little effect on LDL-cholesterol. They may therefore be ideal for combination therapy with statins to improve vascular health and reduce cardiovascular mortality. Omega-3 polyunsaturated fatty acids (PUFA) are the active ingredient in fish oil. Previous studies have demonstrated that fish oils can have beneficial effects on the vasculature and decrease the risk of coronary heart disease. The cardiac and vascular benefits of dietary omega-3 PUFA could be due to their effects on lipids, blood pressure, thrombosis, endothelial function and/or anti-arrhythmic & anti-inflammatory effects. Omega-6 PUFA are known to compete with omega-3 PUFA for many common metabolic enzymes and during incorporation into lipid fractions and membranes. This has highlighted the potential importance of the dietary ratio of omega-6 to omega-3 PUFA. This ratio may be of more importance than assessing dietary omega-3 PUFA alone. The average dietary omega-6/omega-3 ratio is between 10:1 and 17:1 in Western countries, and as high as 30:1 in certain populations. It has been estimated that the optimal dietary ratio of omega-6/omega-3 PUFA is ~1.7:1. Despite this, there is little evidence regarding the effects of the omega-6/omega-3 PUFA ratio on measures of cardiovascular health. It is important to establish whether decreasing the ratio of dietary omega-6 to omega-3 fatty acids can further improve the cardiovascular profile of patients on statins. Hypothesis That altering the dietary ratio of omega-6/omega-3 polyunsaturated fatty acids will influence vascular health – consistent with a low omega-6/omega-3 polyunsaturated fatty acid ratio diet being cardio-protective.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sabrina Lee
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Address
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Baker IDI Heart and Diabetes Institute
PO Box 6492, St Kilda Road Central
Victoria 8008
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Country
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Australia
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Phone
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+61 3 85321429
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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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Michael Skilton
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Address
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Baker IDI Heart and Diabetes Institute
PO Box 6492, St Kilda Road Central
Victoria 8008
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Country
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Australia
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Phone
3184
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+61 3 85321539
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Fax
3184
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Email
3184
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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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