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Trial registered on ANZCTR
Registration number
ACTRN12609000292279
Ethics application status
Approved
Date submitted
11/05/2009
Date registered
18/05/2009
Date last updated
18/05/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
The impact of dietary salt intake on arterial wall function and blood pressure in healthy subjects.
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Scientific title
The impact of dietary sodium chloride intake on arterial wall function in normotensive subjects: a randomised controlled cross-over intervention study.
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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:
Hypertension
4537
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Condition category
Condition code
Cardiovascular
4825
4825
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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
Following a 2 week run-in phase on a low sodium (60mmol/day) diet participants will be randomised to receive in a sequential fashion 3 interventions A: 500mls tomato juice with no added salt/day, B: 500mls tomato juice with 90mmol sodium per day or C: 500mls tomato juice plus 140 mmol sodium per day, each for 4 weeks followed by a 2 week wash out period on the low sodium diet alone between each intervention.
Individuals will remain on their low sodium diet for the duration of the study.
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Intervention code [1]
4296
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Lifestyle
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Comparator / control treatment
Low dietary sodium (60mmol/day) intake plus 500 mls tomato juice with no added salt orally per day for 4 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Arterial wall function measured by pulse wave velocity
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Assessment method [1]
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Timepoint [1]
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Baseline, week 1, week 2 and week 4
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Secondary outcome [1]
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Blood pressure measured by sphygmomanometer
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Assessment method [1]
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Timepoint [1]
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Baseline, week 1, week 2, week4.
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Secondary outcome [2]
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Markers of plasma oxidative stress (highly sensitive-C reactive protein (hs-CRP), nitrate and nitrite concentrations, lipid peroxides, lipofuscin-like flurophores) using standard laboratory measurements.
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Assessment method [2]
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Timepoint [2]
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Baseline, week 1, week 2, week 4
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Secondary outcome [3]
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Plasma concentrations of Vasoactive hormones (renin, aldosterone, atrial natriuretic peptide (ANP), brain natriuretic peptide (BNP), N terminal C-natriuretic peptide (CNP), insulin, endothelin 1) using standard laboratory measurements
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Assessment method [3]
241589
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Timepoint [3]
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baseline, week 1 week 2, week 4
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Eligibility
Key inclusion criteria
Normotensive, blood pressure < 130/85
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Minimum age
20
Years
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Maximum age
65
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, body mass index > 30, history of cardiovascular disease, renal disease (estimated glomerular filtration rate (eGFR) <85 -[age-30]ml/min) diabetes
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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)
The holder of the allocation schedule is 'off-site' and sends notification to pharmacy (sealed opaque envelopes). for the order of salt addition to tomato juice
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation by www.randomisation.com
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Three way cross-over design with each subject acting as their own control. 2 week run in phase on low dietary sodium (60mmol/day), then random allocation to differing sequence of intervention A (tomato juice no added salt) intervention B (tomato juice plus 90mmol sodium) intervention C (tomato juice plus 140mmol sodium) There was a 4 week wash out period (no tomato juice low sodium diet 60mmol/day) between each intervention.
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Phase
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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
1/08/2006
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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
25
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
1704
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation of New Zealand
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Address [1]
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National Heart Foundation of NZ
PO Box17-160 Greenlane
Auckland 1546
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Great King Street
PO Box 913
Dunedin 9015
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Dunedin Hospital
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Address [1]
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Great King Street
Private Bag 1970
Dunedin 9015
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Lower South Region Ethics Committee
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Ethics committee address [1]
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229 Moray Place PO Box 5849 Dunedin 9015
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
7040
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Approval date [1]
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06/06/2006
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Ethics approval number [1]
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LRS/06/06/026
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Summary
Brief summary
Epidemiological studies have demonstrated the association between dietary NaCl (sodium chloiride or salt) intake and hypertension and the risk of cardiovascular disease. Reduction in dietary NaCl intake lowers blood pressure significantly, with a subsequent reduction in cardiovascular events. Reducing dietary NaCl increases arterial compliance and reduces arterial stiffness in older people with systolic hypertension. Experimentally, NaCl affects arterial stiffness by altering vascular structure along with smooth muscle cell and endothelial cell function through a variety of mechanisms. There are only a limited number of studies which have examined the effects of dietary NaCl on arterial wall function in vivo in humans. These studies have focused predominantly on large artery compliance. This study proposes to examine the impact of low, normal and high dietary NaCl on arterial function in normal healthy volunteers. Arterial function can be measured non-invasively by pulse wave analysis, pulse wave velocity and markers of endothelial function. Using these different techniques collectively, we will be able to document the impact of dietary NaCl on arterial compliance in normotensive individuals. This will then allow for subsequent studies investigating the impact of dietary NaCl in at risk populations of hypertensive individuals and those with chronic kidney disease.
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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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Prof Rob Walker
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Address
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Department of Medical & Surgical Sciences
Dunedin SChool of Medicine
PO Box 913 Dunedin 9015
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Country
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New Zealand
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Phone
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64 3 474 0999
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Fax
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64 3 474 7641
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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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Prof Rob Walker
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Address
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Department of Medical & Surgical Sciences
Dunedin SChool of Medicine
PO Box 913 Dunedin 9015
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Country
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New Zealand
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Phone
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64 3 4740999
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Fax
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64 3 4747641
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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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