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Cardiovascular DiseaseCLASSNCT01234636

Conjugated Linoleic Acid Supplementation Study

A study of Cardiovascular Disease, run by University of Aberdeen at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Cardiovascular disease is a major cause of mortality worldwide resulting in one out of three global deaths. One of the main characteristics of cardiovascular disease is impaired blood flow and increased formation of clots. Platelets are clot-forming cells responsible for prevention of bleeding. Read more about this study

Who is it for?
Ages 30 to 74 yearsHealthy volunteers can take part
Conditions the study is for
Cardiovascular Disease
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
1 siteUnited Kingdom
Study dates
Nov 2010to Nov 2012
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 30 to 74 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • blood pressure below 160/90 mmHg;
  • fasting plasma glucose < 7 mmol/L;
  • total cholesterol < 8 mmol/L,with cholesterol/HDL ratio < 6 and/or ASSIGN score < 20%)
  • platelet count > 170x109/L
  • haematocrit above 40 % for males and above 35 % for females
  • haemoglobin above 130 g/L for males and above 115 g/L for females
Show all 16Show fewer
  • having a 10-20% risk for developing cardiovascular disease within the next 10 years based on the ASSIGN calculation (http://cvrisk.mvm.ed.ac.uk/index.htm) including the following factors: age, gender, number of cigarettes smoked per day, Scottish Index of Multiple Deprivation (SIMD)/postcode, systolic blood pressure, levels of total and HDL cholesterol and family history of cardiovascular disease or having at least one additional risk factor such as being over 50 years old, BMI above 25 kg/m2, elevated triglyceride levels (> 1.7 mmol/L) or elevated glucose levels (> 5.6 mmol/L);
  • Exclusion Criteria:Exclusion criteria Subjects are excluded if
  • They are regularly taking aspirin or aspirin-containing drugs, or other anti-inflammatory drugs;
  • They are taking drugs or herbal medicines known to alter platelet function or the haemostatic system in general;
  • They are diagnosed with diabetes, hypertension, renal, hepatic, haematological disease or coronary heart disease;
  • They are undertaking more than 6 hours vigorous exercise per week
  • They are pregnant (or planning to become pregnant) or lactating;
  • They have given a pint of blood for transfusion purposes within the last month;
  • They have unsuitable veins for blood sampling;
  • They are inability to understand the participant information sheet or inability to speak, read and understand the English language.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Rowett Institute of Nutrition and Health

    Aberdeen, Scotland, AB21 9SB

Other trials in United Kingdom

About this study

Official title: Effects of cis9,trans11 Conjugated Linoleic Acid on Platelet Function, Markers of Haemostasis and Inflammation on Humans

Cardiovascular disease is a major cause of mortality worldwide resulting in one out of three global deaths. One of the main characteristics of cardiovascular disease is impaired blood flow and increased formation of clots. Platelets are clot-forming cells responsible for prevention of bleeding. However, in disease state they may be overly activated and tend to stick to each other, promoting blood clots and blockage of vessels.

Conjugated linoleic acids (CLA) are unique fatty acids present in dairy food products and beef which would help to prevent platelets from clotting and thus help to prevent cardiovascular disease. However, the mechanisms by which those fatty acids affect platelet function are not yet fully understood. We designed a human intervention study assessing the mechanisms by which CLA beneficially affect platelet function and markers of haemostasis and inflammation in humans.

Read the detailed description

Despite being trans fatty acids, dietary conjugated linoleic acids( CLA) have been associated with decreased atherogenesis, beneficial effects on insulin sensitivity , glucose and lipid profile and body composition in animal studies.Todate only few studies have studied the effects of the two individual CLA isomers on body composition , lipoprotein metabolism immune function , inflammation , insulin sensitivity and oxidative stress in humans.

A previous study revealed that both cis9,trans11 and trans10,cis12 CLA, as well as CLA mix, significantly decreased agonist-induced platelet aggregation and TxB2 production ex vivo compared with linoleic acid. No effect on agonist-induced platelet aggregation or other blood clotting parameters in healthy female volunteers was observed upon supplementation with 3.9 g/d CLA, compared with sunflower oil, but this may have been due to the low number of subjects participating in this study.

Indeed, supplementation with 13.0 g/day of CLA mix - 50:50 blend, compared with placebo oil, significantly decreased fibrinogen levels in type 2 diabetes patients, and fibrinogen and plasminogen activator inhibitor-1 levels were significantly lower upon intervention with CLA milk (4.7 g/d cis9,trans11 CLA and 0.4 g/d trans10,cis12 CLA), compared with CLA mix (2.3 g/d cis9,trans11 CLA and 2.2 g/d trans10,cis12 CLA), and lower compared with olive oil, in postmenopausal women.Thus overall evidence indicates that especially the cis9,trans11 CLA isomer may prevent platelet activation and aggregation, and possibly display anticoagulant properties. However, so far this has not been assessed in detail.

In this study we assess effects of supplementation of cis9,trans11 CLA-rich oil on platelet function by measuring not only platelet aggregation but also in vitro coagulation and platelet activation in healthy overweight humans. In addition, we examine the effects of CLA supplementation on plasma and cellular marker of inflammation and oxidative stress.

Being tested
Placebo oil
Keywords
Platelets, Platelet aggregation, Platelet activation, Platelet function, Light transmission aggregometry, Flow cytometry, Platelet function analyzer-100 (PFA-100), Linoleic acid, conjugated, cis9, trans11 conjugated linoleic acid, dietary supplement, short-term intervention
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Placebo oilDietary supplement

    Placebo oil of 4g/day

Study groups in NCT01234636
Study groupRoleWhat they receive
cis9,trans 11 CLA oilActive comparator50 volunteers on cross over design , receiving 4g/day of cis9,trans11 CLA
Receives: Dietary Supplement: Placebo oil
Placebo oilPlacebo comparator50 volunteers cross over design, placebo oil 4g/day
Receives: Dietary Supplement: Placebo oil

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change of expression of P-selectin and fibrinogen receptor activation on platelets by flow cytometry

    Using fluorescently-conjugated monoclonal antibodies and whole blood flow cytometry after ex vivo stimulation with adenosine diphosphate (ADP), thrombin receptor-activating peptide (TRAP) P-selectin expression as early marker of platelet activation Activated fibrinogen receptor as late marker of platelet activation

    Measured: At 2 weeks

  2. Change of in vitro bleeding time using the Platelet Function Analyzer (PFA-100)

    Using collagen-epinephrine coated cartridges Using collagen-adenosine diphosphate coated cartridges

    Measured: At 2 weeks supplementation

  3. Change of coagulation marker assessed as fibrinogen levels in plasma

    Using semi-automated coagulometer using fibrinogen assay according to Clauss method

    Measured: At 2 weeks supplementation

Secondary outcomes (2)
  1. Change in light transmission aggregometry of platelet rich plasma induced by collagen and arachidonic acid

    Using a Helena Platelet Aggregation Chromogenic Kinetics System-4 (PACKS-4) light transmission aggregometer

    Measured: At 2 weeks supplementation

  2. Change in plasma levels of von Willebrand factor (vWF), soluble ICAM (s-ICAM) and soluble P-selectin (sP-selectin) as markers of endothelial activation

    Using enzyme-linked immunoabsorbent assay (ELISA) in plasma

    Measured: At 2 weeks supplementation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Nov 2010 (estimated)
  2. Study startNov 2010
  3. Primary completionNov 2012
  4. Study completionNov 2012

Resources

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
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01234636
Sponsor's protocol ID
RINH_1000
Acronym
CLASS
Status last verified
Nov 2015
First submitted
2 Nov 2010
Last updated
13 Nov 2015
Results posted
No
Data monitoring committee
No

Publications

  • Benito P, Nelson GJ, Kelley DS, Bartolini G, Schmidt PC, Simon V. The effect of conjugated linoleic acid on platelet function, platelet fatty acid composition, and blood coagulation in humans. Lipids. 2001 Mar;36(3):221-7. doi: 10.1007/s11745-001-0711-y.

    PubMed 11337976
  • Bhattacharya A, Banu J, Rahman M, Causey J, Fernandes G. Biological effects of conjugated linoleic acids in health and disease. J Nutr Biochem. 2006 Dec;17(12):789-810. doi: 10.1016/j.jnutbio.2006.02.009. Epub 2006 May 2.

    PubMed 16650752
  • Malpuech-Brugere C, Verboeket-van de Venne WP, Mensink RP, Arnal MA, Morio B, Brandolini M, Saebo A, Lassel TS, Chardigny JM, Sebedio JL, Beaufrere B. Effects of two conjugated linoleic Acid isomers on body fat mass in overweight humans. Obes Res. 2004 Apr;12(4):591-8. doi: 10.1038/oby.2004.68.

    PubMed 15090626
  • Zhila VV, Shodmonova ZR, Rublevskii VP, Chernenko PS. [High resection of the left testicular vein and ligation of the internal iliac artery using a retroperitoneoscope]. Klin Khir (1962). 1991;(5):49-51. Russian.

    PubMed 1875623
  • Moloney F, Yeow TP, Mullen A, Nolan JJ, Roche HM. Conjugated linoleic acid supplementation, insulin sensitivity, and lipoprotein metabolism in patients with type 2 diabetes mellitus. Am J Clin Nutr. 2004 Oct;80(4):887-95. doi: 10.1093/ajcn/80.4.887.

    PubMed 15447895
  • Brewerton TD, Murphy DL, Lesem MD, Brandt HA, Jimerson DC. Headache responses following m-chlorophenylpiperazine in bulimics and controls. Headache. 1992 May;32(5):217-22. doi: 10.1111/j.1526-4610.1992.hed3205217.x.

    PubMed 1628957
  • Noone EJ, Roche HM, Nugent AP, Gibney MJ. The effect of dietary supplementation using isomeric blends of conjugated linoleic acid on lipid metabolism in healthy human subjects. Br J Nutr. 2002 Sep;88(3):243-51. doi: 10.1079/BJN2002615.

    PubMed 12207834
  • Riserus U, Vessby B, Arnlov J, Basu S. Effects of cis-9,trans-11 conjugated linoleic acid supplementation on insulin sensitivity, lipid peroxidation, and proinflammatory markers in obese men. Am J Clin Nutr. 2004 Aug;80(2):279-83. doi: 10.1093/ajcn/80.2.279.

    PubMed 15277146
  • Riserus U, Vessby B, Arner P, Zethelius B. Supplementation with trans10cis12-conjugated linoleic acid induces hyperproinsulinaemia in obese men: close association with impaired insulin sensitivity. Diabetologia. 2004 Jun;47(6):1016-9. doi: 10.1007/s00125-004-1421-8. Epub 2004 May 28.

    PubMed 15168020
  • Riserus U, Basu S, Jovinge S, Fredrikson GN, Arnlov J, Vessby B. Supplementation with conjugated linoleic acid causes isomer-dependent oxidative stress and elevated C-reactive protein: a potential link to fatty acid-induced insulin resistance. Circulation. 2002 Oct 8;106(15):1925-9. doi: 10.1161/01.cir.0000033589.15413.48.

    PubMed 12370214
  • Riserus U, Arner P, Brismar K, Vessby B. Treatment with dietary trans10cis12 conjugated linoleic acid causes isomer-specific insulin resistance in obese men with the metabolic syndrome. Diabetes Care. 2002 Sep;25(9):1516-21. doi: 10.2337/diacare.25.9.1516.

    PubMed 12196420
  • Tholstrup T, Raff M, Straarup EM, Lund P, Basu S, Bruun JM. An oil mixture with trans-10, cis-12 conjugated linoleic acid increases markers of inflammation and in vivo lipid peroxidation compared with cis-9, trans-11 conjugated linoleic acid in postmenopausal women. J Nutr. 2008 Aug;138(8):1445-51. doi: 10.1093/jn/138.8.1445.

    PubMed 18641189
  • Tricon S, Burdge GC, Kew S, Banerjee T, Russell JJ, Jones EL, Grimble RF, Williams CM, Yaqoob P, Calder PC. Opposing effects of cis-9,trans-11 and trans-10,cis-12 conjugated linoleic acid on blood lipids in healthy humans. Am J Clin Nutr. 2004 Sep;80(3):614-20. doi: 10.1093/ajcn/80.3.614.

    PubMed 15321800
  • Truitt A, McNeill G, Vanderhoek JY. Antiplatelet effects of conjugated linoleic acid isomers. Biochim Biophys Acta. 1999 May 18;1438(2):239-46. doi: 10.1016/s1388-1981(99)00055-4.

    PubMed 10320806
  • Bachmair EM, Wood SG, Keizer HG, Horgan GW, Ford I, de Roos B. Supplementation with a 9c,11t-rich conjugated linoleic acid blend shows no clear inhibitory effects on platelet function in healthy subjects at low and moderate cardiovascular risk: a randomized controlled trial. Mol Nutr Food Res. 2015 Apr;59(4):741-50. doi: 10.1002/mnfr.201400495. Epub 2015 Feb 23.

    PubMed 25641922

Questions about this trial

What is this clinical trial studying?

A study of Cardiovascular Disease, run by University of Aberdeen at 1 site in United Kingdom.

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 16 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 13 Nov 2015. 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 United Kingdom. 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.

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?

Change of expression of P-selectin and fibrinogen receptor activation on platelets by flow cytometry (time frame: At 2 weeks). The study lists 3 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 NCT01234636, which also lists 15 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 13 Nov 2015.

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