HyperlipidemiaPhase 2/3GSENCT00713167
The Efficacy of Red Grape Seed Extract on Lipid Profile and Oxidized Low-Density Lipoprotein (OX-LDL)
A Phase 2/3 study testing Grape Seed Extract (Vitagrape) in people with Hyperlipidemia, run by Shahid Beheshti University of Medical Sciences at 2 sites in Iran.
Trial summary
Antioxidants are potent scavengers of free radicals and serve as inhibitors of neoplastic processes. A large number of synthetic and natural antioxidants are known to induce beneficial effects on human health and disease prevention. Read more about this study
- Who is it for?
- Ages 21 to 64 years
- Conditions the study is for
- Hyperlipidemia
- What is being tested?
- Grape Seed Extract (Vitagrape)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 55 participants
- Where
- 2 sitesIran
- Study dates
- Jul 2008to Feb 2009
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Triglyceride > 150 mg/dl
- Total Cholesterol > 200 mg/dl
Who cannot join
- Severe hyperlipidemia (Triglyceride > 300 mg/dl,Total Cholesterol > 250 mg/dl)
- Usage of antilipid drugs
- Herbivore Diet
- Alcoholism
- Heart failure
- Known cases of any malignancy
Show all 10Show fewer
- BMI > 30 kg/M2
- Chronic Hepatic Diseases
- Smoking
- Chronic Renal Failure
Trial locations and contacts
2 sites in 1 country.
Iran2 sites
Ghorbanihaghjo
Tabriz, East Azarbayejan
Maryam
Tehran, Tehran Province, 19814
About this study
Official title: Randomized, Cross-Over, Double Blind, Placebo-Controlled Study of Grape Seed Extract in Treating Patients With Mild Hyperlipidemia
Antioxidants are potent scavengers of free radicals and serve as inhibitors of neoplastic processes. A large number of synthetic and natural antioxidants are known to induce beneficial effects on human health and disease prevention. Cardioprotective ability of grape seed extract polyphenols (GSEP) was studied in animals and humans. It has been suggested that grape seed proanthocyanidins have cardioprotective effects against reperfusion-induced injury of free radicals after ischemia. In another study, it is suggested that proanthocyanidins, the major polyphenols in red wine, might trap reactive oxygen species in aqueous series such as plasma and interstitial fluid of the arterial wall; thereby inhibiting oxidation of low-density lipoprotein (LDL) and showing an antiatherosclerotic activity. The only human model study designed to evaluate the effect of a standardized formulation of a GSEP (leucoselect-phytosome [LP]) on the susceptibility of LDL to oxidation in a group of heavy smokers, revealed that the antioxidant potential of GSEP may be effective in oxidative stress (smoking); however more investigational data are needed before wider use in clinical settings. Based on these observations, the investigators decided to evaluate the effect of GSEP in reducing OX-LDL in patients diagnosed with mild hyperlipidemia.
- Conditions
- Hyperlipidemia
- Being tested
- Grape Seed Extract (Vitagrape), Placebo of Grape Seed Extract
- Keywords
- Grape Seed Extract, Hyperlipidemia
- Medical subject headings
- Hyperlipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Grape Seed Extract (Vitagrape)Drug
Also called Vitagrape, Iran Ministry of Health Registration Number: 5/92/43198
Drug {Each Containing: Grape Seed Extract100 mg +...}
1 capsule twice daily for 2 months
Placebo of Grape Seed ExtractDrug
Placebo {Each Containing: Gelatin 17mg + Cellulose Microcrystalline (Avicel) 67 mg + Dicalcium Phosphate 216mg}
1 capsule twice daily for 2 months
| Study group | Role | What they receive |
|---|---|---|
| Grape Seed Extract | Experimental | Enrolled patients who are randomly assigned to receive Grape Seed Extract capsules Receives: Drug: Grape Seed Extract (Vitagrape) |
| Placebo | Placebo comparator | Placebo enrolled patients who are randomly assigned to receive placebo of Grape Seed Extract Receives: Drug: Placebo of Grape Seed Extract |
What is being measured
The primary outcome is the main question the study is designed to answer.
OX-LDL
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Secondary outcomes (7)
LDL
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
HDL
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Blood Pressure
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Triglyceride
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Total Cholesterol
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Body Mass Index
Measured: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
LDL/HDL
Measured: 8 weeks- {45 days wash out, crossed }- 8 weeks after crossed
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2008 (estimated)
- Study startJul 2008
- Primary completionDec 2008
- Study completionFeb 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for HyperlipidemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shahid Beheshti University of Medical Sciences
- Sponsor type
- University, hospital or other
- Collaborators
- Tabriz University
- Investigators
- Maryam Keshtkar-Jahromi, MD,, Study director, Shahid Beheshti University (MC)Hassan Argani, MD, Study chair, Shahid Beheshti University (MC)Abbas Delazar, PhD, Principal investigator, Tabriz UniversityAli Eskandari, MD, Principal investigator, Shahid Beheshti University (MC)Sharareh Gholamin, MD, Principal investigator, Shahid Beheshti University (MC)Seyed Mostafa Razavi, MD, Principal investigator, Shahid Beheshti University (MC)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00713167
- Sponsor's protocol ID
- SBMU 87-01-106-5694
- Acronym
- GSE
- Status last verified
- May 2009
- First submitted
- 8 Jul 2008
- Last updated
- 21 May 2009
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Bagchi D, Bagchi M, Stohs SJ, Das DK, Ray SD, Kuszynski CA, Joshi SS, Pruess HG. Free radicals and grape seed proanthocyanidin extract: importance in human health and disease prevention. Toxicology. 2000 Aug 7;148(2-3):187-97. doi: 10.1016/s0300-483x(00)00210-9.
PubMed 10962138Bagchi D, Sen CK, Ray SD, Das DK, Bagchi M, Preuss HG, Vinson JA. Molecular mechanisms of cardioprotection by a novel grape seed proanthocyanidin extract. Mutat Res. 2003 Feb-Mar;523-524:87-97. doi: 10.1016/s0027-5107(02)00324-x.
PubMed 12628506Pataki T, Bak I, Kovacs P, Bagchi D, Das DK, Tosaki A. Grape seed proanthocyanidins improved cardiac recovery during reperfusion after ischemia in isolated rat hearts. Am J Clin Nutr. 2002 May;75(5):894-9. doi: 10.1093/ajcn/75.5.894.
PubMed 11976164Joshi SS, Kuszynski CA, Bagchi D. The cellular and molecular basis of health benefits of grape seed proanthocyanidin extract. Curr Pharm Biotechnol. 2001 Jun;2(2):187-200. doi: 10.2174/1389201013378725.
PubMed 11480422Bagchi D, Garg A, Krohn RL, Bagchi M, Bagchi DJ, Balmoori J, Stohs SJ. Protective effects of grape seed proanthocyanidins and selected antioxidants against TPA-induced hepatic and brain lipid peroxidation and DNA fragmentation, and peritoneal macrophage activation in mice. Gen Pharmacol. 1998 May;30(5):771-6. doi: 10.1016/s0306-3623(97)00332-7.
PubMed 9559333Yamakoshi J, Kataoka S, Koga T, Ariga T. Proanthocyanidin-rich extract from grape seeds attenuates the development of aortic atherosclerosis in cholesterol-fed rabbits. Atherosclerosis. 1999 Jan;142(1):139-49. doi: 10.1016/s0021-9150(98)00230-5.
PubMed 9920515Zhang FL, Gao HQ, Wu JM, Ma YB, You BA, Li BY, Xuan JH. Selective inhibition by grape seed proanthocyanidin extracts of cell adhesion molecule expression induced by advanced glycation end products in endothelial cells. J Cardiovasc Pharmacol. 2006 Aug;48(2):47-53. doi: 10.1097/01.fjc.0000242058.72471.0c.
PubMed 16954821Vigna GB, Costantini F, Aldini G, Carini M, Catapano A, Schena F, Tangerini A, Zanca R, Bombardelli E, Morazzoni P, Mezzetti A, Fellin R, Maffei Facino R. Effect of a standardized grape seed extract on low-density lipoprotein susceptibility to oxidation in heavy smokers. Metabolism. 2003 Oct;52(10):1250-7. doi: 10.1016/s0026-0495(03)00192-6.
PubMed 14564675
Study at a glance
From the registry record, last updated by the sponsor on 21 May 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Cross-Over, Double Blind, Placebo-Controlled Study of Grape Seed Extract in Treating Patients With Mild Hyperlipidemia
- ClinicalTrials.gov ID
- NCT00713167
- Acronym / sponsor ID
- GSE / SBMU 87-01-106-5694
- Conditions
- Hyperlipidemia
- Keywords
- Grape Seed Extract, Hyperlipidemia
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- Shahid Beheshti University of Medical SciencesUniversity, hospital or other
- Collaborators
- Tabriz University
- Study start
- Jul 2008
- Primary completion
- Dec 2008 (actual)
- Study completion
- Feb 2009 (actual)
- First posted
- 11 Jul 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Antioxidants are potent scavengers of free radicals and serve as inhibitors of neoplastic processes. A large number of synthetic and natural antioxidants are known to induce beneficial effects on human health and disease prevention. Cardioprotective ability of grape seed extract polyphenols (GSEP) was studied in animals and humans. It has been suggested that grape seed proanthocyanidins have cardioprotective effects against reperfusion-induced injury of free radicals after ischemia. In another study, it is suggested that proanthocyanidins, the major polyphenols in red wine, might trap reactive oxygen species in aqueous series such as plasma and interstitial fluid of the arterial wall; thereby inhibiting oxidation of low-density lipoprotein (LDL) and showing an antiatherosclerotic activity. The only human model study designed to evaluate the effect of a standardized formulation of a GSEP (leucoselect-phytosome [LP]) on the susceptibility of LDL to oxidation in a group of heavy smokers, revealed that the antioxidant potential of GSEP may be effective in oxidative stress (smoking); however more investigational data are needed before wider use in clinical settings. Based on these observations, the investigators decided to evaluate the effect of GSEP in reducing OX-LDL in patients diagnosed with mild hyperlipidemia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Grape Seed Extract | Experimental | Drug: Grape Seed Extract (Vitagrape)Enrolled patients who are randomly assigned to receive Grape Seed Extract capsules |
| Placebo | Placebo comparator | Drug: Placebo of Grape Seed ExtractPlacebo enrolled patients who are randomly assigned to receive placebo of Grape Seed Extract |
Who may qualify
- Ages
- 21 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Triglyceride > 150 mg/dl
- Total Cholesterol > 200 mg/dl
Key exclusion criteria (10 listed)
- Severe hyperlipidemia (Triglyceride > 300 mg/dl,Total Cholesterol > 250 mg/dl)
- Usage of antilipid drugs
- Herbivore Diet
- Alcoholism
- Heart failure
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Grape Seed Extract (Vitagrape)Also: Vitagrape, Iran Ministry of Health Registration Number: 5/92/43198Drug {Each Containing: Grape Seed Extract100 mg +...} 1 capsule twice daily for 2 months | Drug | Grape Seed Extract |
| Placebo of Grape Seed ExtractPlacebo {Each Containing: Gelatin 17mg + Cellulose Microcrystalline (Avicel) 67 mg + Dicalcium Phosphate 216mg} 1 capsule twice daily for 2 months | Drug | Placebo |
Primary outcome
OX-LDL
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
7 secondary outcomes
LDL
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
HDL
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Blood Pressure
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Triglyceride
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Total Cholesterol
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
Body Mass Index
Time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed
LDL/HDL
Time frame: 8 weeks- {45 days wash out, crossed }- 8 weeks after crossed
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 May 2009.
- Background: PubMed 10962138Bagchi D, Bagchi M, Stohs SJ, Das DK, Ray SD, Kuszynski CA, Joshi SS, Pruess HG. Free radicals and grape seed proanthocyanidin extract: importance in human health and disease prevention. Toxicology. 2000 Aug 7;148(2-3):187-97. doi: 10.1016/s0300-483x(00)00210-9.
- Background: PubMed 12628506Bagchi D, Sen CK, Ray SD, Das DK, Bagchi M, Preuss HG, Vinson JA. Molecular mechanisms of cardioprotection by a novel grape seed proanthocyanidin extract. Mutat Res. 2003 Feb-Mar;523-524:87-97. doi: 10.1016/s0027-5107(02)00324-x.
- Background: PubMed 11976164Pataki T, Bak I, Kovacs P, Bagchi D, Das DK, Tosaki A. Grape seed proanthocyanidins improved cardiac recovery during reperfusion after ischemia in isolated rat hearts. Am J Clin Nutr. 2002 May;75(5):894-9. doi: 10.1093/ajcn/75.5.894.
- Background: PubMed 11480422Joshi SS, Kuszynski CA, Bagchi D. The cellular and molecular basis of health benefits of grape seed proanthocyanidin extract. Curr Pharm Biotechnol. 2001 Jun;2(2):187-200. doi: 10.2174/1389201013378725.
- Background: PubMed 9559333Bagchi D, Garg A, Krohn RL, Bagchi M, Bagchi DJ, Balmoori J, Stohs SJ. Protective effects of grape seed proanthocyanidins and selected antioxidants against TPA-induced hepatic and brain lipid peroxidation and DNA fragmentation, and peritoneal macrophage activation in mice. Gen Pharmacol. 1998 May;30(5):771-6. doi: 10.1016/s0306-3623(97)00332-7.
- Background: PubMed 9920515Yamakoshi J, Kataoka S, Koga T, Ariga T. Proanthocyanidin-rich extract from grape seeds attenuates the development of aortic atherosclerosis in cholesterol-fed rabbits. Atherosclerosis. 1999 Jan;142(1):139-49. doi: 10.1016/s0021-9150(98)00230-5.
- Background: PubMed 16954821Zhang FL, Gao HQ, Wu JM, Ma YB, You BA, Li BY, Xuan JH. Selective inhibition by grape seed proanthocyanidin extracts of cell adhesion molecule expression induced by advanced glycation end products in endothelial cells. J Cardiovasc Pharmacol. 2006 Aug;48(2):47-53. doi: 10.1097/01.fjc.0000242058.72471.0c.
- Background: PubMed 14564675Vigna GB, Costantini F, Aldini G, Carini M, Catapano A, Schena F, Tangerini A, Zanca R, Bombardelli E, Morazzoni P, Mezzetti A, Fellin R, Maffei Facino R. Effect of a standardized grape seed extract on low-density lipoprotein susceptibility to oxidation in heavy smokers. Metabolism. 2003 Oct;52(10):1250-7. doi: 10.1016/s0026-0495(03)00192-6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Maryam Keshtkar-Jahromi, MD, study director
Shahid Beheshti University (MC)
Hassan Argani, MD study chair
Shahid Beheshti University (MC)
Abbas Delazar, PhD principal investigator
Tabriz University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Grape Seed Extract (Vitagrape) in people with Hyperlipidemia, run by Shahid Beheshti University of Medical Sciences at 2 sites in Iran.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 May 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Iran. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
OX-LDL (time frame: 8 weeks -{45 days wash out, crossed }- 8 weeks after crossed). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00713167, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2009.