Cardiovascular DiseaseEMPEFNCT00766623
Elucidation and Monitoring Postprandial Endothelial Function
A study testing high fat meal in people with Cardiovascular Disease and Endothelial Dysfunction, run by Wageningen University at 1 site in Netherlands.
Trial summary
The primary aim of this study is to evaluate the effect of a high fat challenge on several measures of endothelial function. The secondary aim of this study is to elucidate the mechanism of postprandial endothelial dysfunction and to identify early biomarkers Read more about this study
- Who is it for?
- Ages 18 to 30 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Cardiovascular Disease, Endothelial Dysfunction
- What is being tested?
- high fat meal
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteNetherlands
- Study dates
- Oct 2008to Mar 2009
- Phase
- Interventional
- 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 18 to 30 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- male, caucasian
- Exclusion Criteria: • Allergic to cow milk or dairy products
- Body mass index (BMI) < 18 or > 25 kg/m2
- Urine glucose concentrations outside normal ranges (>0,25 g/l)
- Fasting blood glucose outside the normal range (3 - 5.5 mmol/L)
- Tobacco smoking
Show all 12Show fewer
- Taking medication or food supplements.
- Received inoculations within 2 months of starting the study or planned to during the study
- Donated or intended to donate blood from 2 months before the study till two months after the study
- Blood Hb values below 8.4 mmol/L
- Diagnosed with any long-term medical condition (e.g., diabetes, hemophilia, cardiovascular disease, anemia, gastrointestinal disease, renal failure)
- High blood pressure (systolic BP> 140 mmHg and/or diastolic BP>90 mmHg)
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
Netherlands1 site
Wageningen universiteit division of human
Wageningen, Gelderland, 6703HD
About this study
The primary aim of this study is to evaluate the effect of a high fat challenge on several measures of endothelial function. The secondary aim of this study is to elucidate the mechanism of postprandial endothelial dysfunction and to identify early biomarkers
Read the detailed description
Endothelial dysfunction (ED) is a hallmark for the initial stage of vascular dysfunction and has been associated with diet-related disorders such as cardiovascular disease. This makes prevention of ED an important health target. From previous studies we know that a high-fat (HF) meal (challenge) impairs postprandial endothelial function (EF). Current studies only evaluated the effect of a HF meal on Flow Mediated Dilatation (FMD), a measure of macro vascular EF. This methodology (FMD) however, is time consuming and large variations in reproducibility are reported in literature. The question remains whether other types of macro- and micro vascular EF measurements can be used to observe ED after a HF meal that are more accurate, faster and easier to perform. In addition, it is know that the postprandial phase results in activation of leukocytes. This activation of leukocytes is likely to contribute to ED, but the exact underling mechanism remains unclear.
- Conditions
- Cardiovascular Disease, Endothelial Dysfunction
- Being tested
- high fat meal, control meal
- Keywords
- endothelium,, postprandial, microvascular, macrovascular
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
high fat mealDietary supplement
milkshake containing 95g fat
control mealDietary supplement
milkshake comparable with a normal breakfast
| Study group | Role | What they receive |
|---|---|---|
| High fat meal | Experimental | A high fat milkshake containing 95g of fat Receives: Dietary Supplement: high fat meal |
| Control meal | Experimental | Milkshake comparable with a normal breakfast Receives: Dietary Supplement: control meal |
| High fat meal 2 | Experimental | A high fat milkshake containing 95g of fat Receives: Dietary Supplement: high fat meal |
| High fat meal 3 | Experimental | A high fat milkshake containing 95g of fat Receives: Dietary Supplement: high fat meal |
| Control meal 2 | Experimental | Milkshake comparable with a normal breakfast Receives: Dietary Supplement: control meal |
| Control meal 3 | Experimental | Milkshake comparable with a normal breakfast Receives: Dietary Supplement: control meal |
What is being measured
The primary outcome is the main question the study is designed to answer.
Macrovascular local arterial stiffness by echo-tracking
Measured: 0, 3, 6 hours
Macrovascular regional arterial stiffness by tonometry
Measured: 0, 3, 6 h
Macrovascular circulation by flow mediated dilatation
Measured: 0, 3, 6h
Microvascular circulation by iontophoresis/laser doppler
Measured: 0, 3, 6h
Secondary outcomes (4)
PBMC gene expression profiles
Measured: 0, 1, 2, 3, 5, 6 hours
Leukocyte activation markers
Measured: 0, 3, 6h
cytokine profiles
Measured: 0, 1, 2, 3, 5, 6 hours
known plasma markers of ED
Measured: 0, 1, 2, 3, 5, 6 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2008 (estimated)
- Study startOct 2008
- Primary completionFeb 2009
- Study completionMar 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cardiovascular DiseaseStudies 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 N/A
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Wageningen University
- Sponsor type
- University, hospital or other
- Collaborators
- Top Institute Food and Nutrition
- Investigators
- Michael Müller, Prof.Dr, Study chair, Chair Department of human nutrition NMG groupLydia A Afman, PhD, Study director, Senior scientist department Human Nutrition Wageningen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00766623
- Sponsor's protocol ID
- NL23651.081.08
- Other IDs
- empef, abr23651, 08/10 EMPEF
- Acronym
- EMPEF
- Status last verified
- Sep 2009
- First submitted
- 3 Oct 2008
- Last updated
- 29 Sep 2009
- Results posted
- No
- Data monitoring committee
- No
Publications
Esser D, Oosterink E, op 't Roodt J, Henry RM, Stehouwer CD, Muller M, Afman LA. Vascular and inflammatory high fat meal responses in young healthy men; a discriminative role of IL-8 observed in a randomized trial. PLoS One. 2013;8(2):e53474. doi: 10.1371/journal.pone.0053474. Epub 2013 Feb 6.
PubMed 23405070
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Elucidation and Monitoring Postprandial Endothelial Function
- ClinicalTrials.gov ID
- NCT00766623
- Acronym / sponsor ID
- EMPEF / NL23651.081.08
- Conditions
- Cardiovascular Disease, Endothelial Dysfunction
- Keywords
- endothelium,, postprandial, microvascular, macrovascular
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Wageningen UniversityUniversity, hospital or other
- Collaborators
- Top Institute Food and Nutrition
- Study start
- Oct 2008
- Primary completion
- Feb 2009 (actual)
- Study completion
- Mar 2009 (actual)
- First posted
- 6 Oct 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.
The primary aim of this study is to evaluate the effect of a high fat challenge on several measures of endothelial function. The secondary aim of this study is to elucidate the mechanism of postprandial endothelial dysfunction and to identify early biomarkers
Detailed description
Endothelial dysfunction (ED) is a hallmark for the initial stage of vascular dysfunction and has been associated with diet-related disorders such as cardiovascular disease. This makes prevention of ED an important health target. From previous studies we know that a high-fat (HF) meal (challenge) impairs postprandial endothelial function (EF). Current studies only evaluated the effect of a HF meal on Flow Mediated Dilatation (FMD), a measure of macro vascular EF. This methodology (FMD) however, is time consuming and large variations in reproducibility are reported in literature. The question remains whether other types of macro- and micro vascular EF measurements can be used to observe ED after a HF meal that are more accurate, faster and easier to perform. In addition, it is know that the postprandial phase results in activation of leukocytes. This activation of leukocytes is likely to contribute to ED, but the exact underling mechanism remains unclear.
Study design
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| High fat meal | Experimental | Dietary Supplement: high fat mealA high fat milkshake containing 95g of fat |
| Control meal | Experimental | Dietary Supplement: control mealMilkshake comparable with a normal breakfast |
| High fat meal 2 | Experimental | Dietary Supplement: high fat mealA high fat milkshake containing 95g of fat |
| High fat meal 3 | Experimental | Dietary Supplement: high fat mealA high fat milkshake containing 95g of fat |
| Control meal 2 | Experimental | Dietary Supplement: control mealMilkshake comparable with a normal breakfast |
| Control meal 3 | Experimental | Dietary Supplement: control mealMilkshake comparable with a normal breakfast |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (12 listed)
- male, caucasian
- Exclusion Criteria: • Allergic to cow milk or dairy products
- Body mass index (BMI) < 18 or > 25 kg/m2
- Urine glucose concentrations outside normal ranges (>0,25 g/l)
- Fasting blood glucose outside the normal range (3 - 5.5 mmol/L)
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| high fat mealmilkshake containing 95g fat | Dietary supplement | High fat meal, High fat meal 2, High fat meal 3 |
| control mealmilkshake comparable with a normal breakfast | Dietary supplement | Control meal, Control meal 2, Control meal 3 |
Primary outcome
Macrovascular local arterial stiffness by echo-tracking
Time frame: 0, 3, 6 hours
Macrovascular regional arterial stiffness by tonometry
Time frame: 0, 3, 6 h
Macrovascular circulation by flow mediated dilatation
Time frame: 0, 3, 6h
Microvascular circulation by iontophoresis/laser doppler
Time frame: 0, 3, 6h
4 secondary outcomes
PBMC gene expression profiles
Time frame: 0, 1, 2, 3, 5, 6 hours
Leukocyte activation markers
Time frame: 0, 3, 6h
cytokine profiles
Time frame: 0, 1, 2, 3, 5, 6 hours
known plasma markers of ED
Time frame: 0, 1, 2, 3, 5, 6 hours
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 29 Sep 2009.
- Derived from this study: PubMed 23405070Esser D, Oosterink E, op 't Roodt J, Henry RM, Stehouwer CD, Muller M, Afman LA. Vascular and inflammatory high fat meal responses in young healthy men; a discriminative role of IL-8 observed in a randomized trial. PLoS One. 2013;8(2):e53474. doi: 10.1371/journal.pone.0053474. Epub 2013 Feb 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.
Michael Müller, Prof.Dr study chair
Chair Department of human nutrition NMG group
Lydia A Afman, PhD study director
Senior scientist department Human Nutrition Wageningen University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing high fat meal in people with Cardiovascular Disease and Endothelial Dysfunction, run by Wageningen University at 1 site in Netherlands.
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 12 inclusion and 0 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 29 Sep 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
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?
Macrovascular local arterial stiffness by echo-tracking (time frame: 0, 3, 6 hours). The study lists 4 primary outcomes in all. 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 NCT00766623, which also lists 1 linked publication.
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 29 Sep 2009.