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Trial registered on ANZCTR
Registration number
ACTRN12609000382279
Ethics application status
Approved
Date submitted
12/05/2009
Date registered
29/05/2009
Date last updated
8/06/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Regulation of blood fat transport following a fatty test meal in lean men and men with the metabolic syndrome
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Scientific title
Novel studies of postparandial lipoprotein metabolism in lean men and men with the metabolic syndrome
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Secondary ID [1]
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EC2009/014 Royal Perth Hospital Ethics Committee
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Universal Trial Number (UTN)
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Trial acronym
4P
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic syndrome and healthy lean control subjects
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Condition category
Condition code
Metabolic and Endocrine
237097
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0
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Metabolic disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Observational study. Imediately following a high fat test meal, intravenous D3-leucine stable isotope and two oral vitamin A capsules (50,000U each) will be used as kinetic tracers of lipoprotein metabolism. This wil be given only once and on one day only.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
Age matched lean healty control subjects.
15 age-matched normolipidaemic men with a body mass index (BMI) <25kg/m2, waist circumference <102cm, triglycerides <1.0mmol/L, high density lipoprotein (HDL)-cholesterol =1.2 mmol/L, will also be recruited. All outcome measures will be compared with the metabolic syndrome groups.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Area under the curve (AUC) for triglycerides will be used as an assessment tool for triglyceride metabolism. Plasma will be taken at all time points (baseline, 5, 10, 20, 30, 40, 60mins, 1, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 6.0, 8.0, 10.0, 24, 48, 72, 96 hours) and AUC for triglycerides will be determined and compared between groups. All analyses will be carried out using SPSS (SPSS, Inc., Chicago, USA). Group characteristics will be compared by t-tests and general linear modelling after logarithmmic transformation of skewed variables where appropriate. Associations will be examined by simple and multivariate linear regression method. Compartmental analysis will be used to develop and fit models to lipid and lipoprotein tracer data.
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Assessment method [1]
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Timepoint [1]
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AUC time points are baseline, 5, 10, 20, 30, 40, 60mins, 1, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 6.0, 8.0, 10.0, 24, 48, 72, 96 hours
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Secondary outcome [1]
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AUC for vitamin A will be used as an assessment tool for triglyceride concentrations. Plasma will be taken at all time points (baseline, 5, 10, 20, 30, 40, 60mins, 1, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 6.0, 8.0, 10.0, 24, 48, 72, 96 hours) and AUC for vitamin A will be determined and compared between groups. All analyses will be carried out using SPSS (SPSS, Inc., Chicago, USA). Group characteristics will be compared by t-tests and general linear modelling after logarithmmic transformation of skewed variables where appropriate. Associations will be examined by simple and multivariate linear regression method. Compartmental analysis will be used to develop and fit models to lipid and lipoprotein tracer data.
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Assessment method [1]
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Timepoint [1]
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AUC time points are baseline, 5, 10, 20, 30, 40, 60mins, 1, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 6.0, 8.0, 10.0, 24, 48, 72, 96 hours
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Eligibility
Key inclusion criteria
All men will be aged 20-75yr and be non-smoking. 30 metabolic syndrome (MetS) men with a body mass index (BMI) <40kg/m will be recruited. The metabolic syndrome (MetS) will be defined by National Cholesterol Education Programme (NCEP) criteria as the presence of at least three of the following: waist circumference >102cm, triglycerides >1.7mmol/L, high densily lipoprotein (HDL)-cholesterol <1.05mmol/L, blood pressure >130/>85mm, and fasting glucose >6.1mmol/L. The 15 metabolic syndrome (MetS) men treated with Crestor will have a low density lipoprotein (LDL)-cholesterol <2.5mmol/L.
15 age-matched normolipidaemic men with a body mass index (BMI) <25kg/m2, waist circumference <102cm, triglycerides <1.0mmol/L, high density lipoprotein (HDL)-cholesterol =1.2 mmol/L, will also be recruited.
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Minimum age
20
Years
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Maximum age
75
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Subjects with plasma LDL-cholesterol >5mmo/L, diabetes mellitus, genetic hyperlipidaemia (e.g. familial hypercholesterolaemia (FH), consumption of >30g alcohol/day, apolipoprotein E2/E2 genotype, macroproteinuria, creatinaemia (>120?mol/L), hypothyroidism, and hepatic dysfunction (aspartate transaminase (AST) or alanine transaminase (ALT) >2x upper limit of normal (ULN), Creatine kinase >3x upper limit of normal (ULN) in Crestor treated subjects, major systemic illness and use of steroids or other agents that may influence lipid metabolism, cardiovascular event within past 6 months, subjects on hypocaloric diets, lactose intolerance or intolerance to cream or eggs, anaemia; any significant illness that in the opinion of reviewing physician would bear on the study (e.g. heart murmur or psychiatric conditions)
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Case control
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Timing
Prospective
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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
1/06/2009
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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
45
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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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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC) grant, Universtiy of Western Australia
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Address [1]
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35 Stirling Highway, Crawley, Perth, WA 6009
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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 Gerald Watts
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Address
School of Medicine and Pharmacology, Royal Perth Hospital, Rear 50 Murray Street, PO Box X2213, Perth, WA 6847
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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]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Hugh Barrett
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Address [1]
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School of Medicine and Pharmacology, Royal Perth Hospital, Rear 50 Murray Street, PO Box X2213, Perth, WA 6847
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Country [1]
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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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Royal Perth Hospital Ethics Commitee
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Ethics committee address [1]
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Royal Perth Hospital, Rear 50 Murray Street, PO Box X2213, Perth, WA 6847
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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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03/02/2009
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Approval date [1]
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03/03/2009
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Ethics approval number [1]
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EC2009/014
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Summary
Brief summary
The aim is to carry out a case-control study to demonstrate abnormalities in postprandial lipoprotein metabolism, in men with the metabolic syndrome (MetS) compared with lean men. A further aim is to demonstrate that postprandial lipoprotein metabolism is improved, but not normalized, in men with MetS treated with a statin.
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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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Sandra Hamilton
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Address
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School of Medicine and Pharmacology, Royal Perth Hospital, Rear 50 Murray Street, PO Box X2213, Perth, WA 6847
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Country
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Australia
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Phone
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+61 8 9224 0318
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Fax
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+61 8 9224 0243
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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 Hugh Barrett
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Address
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School of Medicine and Pharmacology, Royal Perth Hospital, Rear 50 Murray Street, PO Box X2213, Perth, WA 6847
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Country
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Australia
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Phone
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+ 61 8 9224 0249
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Fax
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+61 8 9224 0246
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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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