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Cardiovascular DiseaseNCT01541826

Study of Chokeberry to Reduce Cardiovascular Disease Risk in Former Smokers

A study testing Chokeberry Extract and Chokeberry extract capsule, acute in people with Cardiovascular Disease and Oxidative Stress, run by University of Connecticut at 1 site in United States.

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

The purpose of this project is to determine whether chokeberry polyphenols mitigate cardiovascular disease risk in former smokers. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Cardiovascular Disease, Oxidative Stress
What is being tested?
Chokeberry Extract and Chokeberry extract capsule, acute
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
62 participants
Where
1 siteUnited States
Study dates
Feb 2012to Dec 2016
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Former smoker (previously smoked ≥3 cigarettes/day for at least 1 year, cessation for at least 6 months
  • Healthy male or female between 18-65 y
  • Serum clinical ranges no more than mildly elevated (serum cholesterol <240 mg/dL) and serum triglyceride (<150 mg/dL)
  • Resting blood pressure <140/90 mm Hg
  • Stable body weight (±5 lb) for last 2 months
  • BMI ranges within normal and overweight (18.5-39 kg/m2)
Show all 9Show fewer
  • Willing to maintain normal exercise level (<7 h/wk)
  • Willing to avoid exercise 24 h prior to blood sampling
  • Willing to ingest a dietary chokeberry supplement or placebo (500 mg/d) daily for 12 wks.

Who cannot join

  • Previous diagnoses of CVD, diabetes, or arthritis (except for osteo-arthritis)
  • Currently being treated for cancer (i.e., chemotherapy, radiation therapy)
  • Women with prescribed estrogen replacement therapy
  • Practicing slimming diet
  • Practicing vegetarian diet
  • Currently taking vitamin or mineral supplements or plant pills
  • Alcohol consumption exceeding the definition of moderate drinking (2 drinks/day or a total of 12/week for men or 1 drink/day or a total of 7/week for women)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Roy E. Jones Building

    Storrs, Connecticut, 06269

Other trials in United States

About this study

Official title: The Effect of Chokeberry Polyphenols on Biomarkers of Cardiovascular Disease and Antioxidant Defenses in Former Smokers

The purpose of this project is to determine whether chokeberry polyphenols mitigate cardiovascular disease risk in former smokers.

Read the detailed description

More than 31% of Connecticut adults are former smokers, which may contribute to the high cardiovascular disease (CVD) risk in this state. Atherosclerosis, a hallmark of CVD, is a progressive life-long process. Chronic cigarette smoking increases atherosclerosis and CVD risk. While smoking cessation may lower CVD risk, former smokers still are at high CVD risk. The mechanisms by which smoking accelerates atherosclerosis formation are not fully understood. This knowledge gap prevents development of informed interventions to reduce CVD risk in former smokers.

Previous work suggests smoking increases oxidative stress and leads to elevated CVD risk. Former smokers also have decreased antioxidants and markers of vascular function in the circulation, suggesting that despite cessation, smoking has a lingering adverse effect on CVD protective mechanisms. Chokeberry (Aronia melanocarpa) is a native Connecticut plant rich in polyphenol antioxidants and is a promising intervention for reducing CVD risk in former smokers. Chokeberries have diverse polyphenols such as anthocyanins, proanthocyanidins, resveratrol, quercetin, and chlorogenic acid. Chokeberry consumption improves dyslipidemia, inhibits inflammation, and reduces oxidative stress in humans and animals, all of which could contribute to the prevention of CVD in former smokers. Therefore, our central hypothesis is that dietary chokeberry polyphenols reduce CVD risk in former smokers by improving lipid profiles and inhibiting inflammation and oxidative stress. Our long-term goal is to define the mechanisms by which polyphenol antioxidants mitigate CVD risk. The overall goal of this project is to conduct a randomized placebo-controlled clinical trial to evaluate the cardio-protective effects of dietary chokeberry polyphenols in former smokers.

Our objectives are to determine 1) the effect of chokeberry polyphenols on plasma cholesterol and triglyceride levels and on gene expression involved in cholesterol metabolism; 2) the extent to which chokeberry improves antioxidant and vascular function in former smokers; and 3) the association of bioavailability of chokeberry polyphenols to changes in biomarkers of CVD risk.

Successful completion of this work will result in improved understanding of the role of dietary berry polyphenols to regulate lipid metabolism, inflammation and oxidative stress. Thus, this study will be an important step to developing dietary recommendations for individuals predisposed to CVD risk, particularly former smokers.

Being tested
Chokeberry Extract, Placebo capsule, Chokeberry extract capsule, acute
Keywords
aronia, LDL cholesterol, polyphenols, bioavailability, oxidative stress
Medical subject headings
Cardiovascular Diseases

What participants receive

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

  • Chokeberry ExtractDietary supplement

    Consumption of 2 x 250 mg chokeberry extract capsules daily for 12 weeks.

  • Placebo capsuleDietary supplement

    Color-matched rice powder pill, 2 x 250 mg/day for 12 weeks

  • Chokeberry extract capsule, acuteDietary supplement

    Chokeberry extract capsule, 2 x 250 mg, one-time dose.

Study groups in NCT01541826
Study groupRoleWhat they receive
Color-matched rice powder pillPlacebo comparatorColor-matched rice powder pill
Receives: Dietary Supplement: Placebo capsule
Chokeberry extract capsuleActive comparatorChokeberry extract capsule
Receives: Dietary Supplement: Chokeberry Extract
Chokeberry extract capsule (acute)ExperimentalChokeberry extract capsule pharmacokinetics
Receives: Dietary Supplement: Chokeberry extract capsule, acute

What is being measured

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

  1. LDL Cholesterol

    Change in LDL cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks of intervention

Secondary outcomes (31)
  1. Total Cholesterol

    Change in fasting total cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: 6 and 12 weeks after supplementation

  2. HDL-cholesterol

    Change in fasting plasma cholesterol from baseline after chronic supplemenation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: 6 and 12 weeks after supplementation

  3. Triglycerides

    Change in fasting plasma triglycerides from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: 6 and 12 weeks after supplementation

  4. Resting Systolic Blood Pressure

    Change in resting systolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, and 12 weeks following intervention

  5. Resting Diastolic Blood Pressure

    Change in resting diastolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, and 12 weeks following intervention

  6. Urinary F2-isoprostanes

    Change in resting urinary F2-isoprostanes after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline and 12 weeks following intervention

  7. 3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)

    Monocyte messenger ribonucleic acid (mRNA) expression normalized to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 wk

  8. LDL Receptor (LDLR)

    Monocyte LDL receptor mRNA normalized to glyceraldehyde-3-phosphate dehydrogenase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Change from baseline at 12 weeks

  9. LDL Receptor (LDLR) Protein

    Monocyte LDL receptor protein by Western blot, normalized to β-actin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  10. Plasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.

    Plasma area under the curve of chokeberry polyphenols and their metabolites. Measurement (time 0) began at study baseline. Not determined in chronic arms (Color-matched Rice Powder Pill or Chokeberry Extract Capsule).

    Measured: 0, 0.5, 1, 2, 4, 6, 9, 12, and 24 hours following dose

  11. Urinary Excretion of Polyphenols

    Urinary excretion of polyphenols, from 0 to 24 h after consumption of extract, area under the curve (AUC) in Chokeberry Extract Capsule (acute) arm only.

    Measured: 0 to 24 h after consumption of extract

  12. Adiponectin

    Fasting plasma adiponectin after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  13. Interleukin-1 Beta

    Fasting plasma interleukin-1 beta after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  14. Interleukin-6

    Fasting plasma interleukin-6 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  15. Monocyte Chemoattractant Protein-1

    Fasting plasma monocyte chemoattractant protein-1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  16. Tumor Necrosis Factor-alpha

    Fasting plasma Tumor necrosis factor-alpha after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  17. C-reactive Protein

    Fasting plasma C-reactive protein after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  18. Intercellular Adhesion Molecule 1

    Fasting plasma intercellular adhesion molecule 1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  19. Soluble Vascular Cell Adhesion Molecule 1

    Fasting plasma soluble vascular cell adhesion molecule 1 after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  20. P-selectin

    Fasting plasma P-selectin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  21. Total Antioxidant Capacity

    Fasting plasma total antioxidant capacity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  22. Catalase Activity

    Catalase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  23. Glutathione Peroxidase Activity

    Fasting plasma glutathione peroxidase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  24. Superoxide Dismutase Activity

    Fasting plasma superoxide dismutase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 6 weeks, 12 weeks

  25. Urinary Polyphenol Excretion

    Overnight urinary polyphenol excretion after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: 12 weeks

  26. Energy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, Fiber

    Energy-adjusted intake based on 3-day dietary recalls, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  27. Energy Intake

    Energy intake reported from 3-day dietary recalls at baseline and 12 weeks, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  28. Energy-adjusted Micronutrient Intake

    Energy-adjusted micronutrient intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  29. Polyphenol Intake

    Energy-adjusted polyphenol intake assessed by 3-day dietary recalls at baseline and 12 weeks, values determined by average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  30. Intake of Dietary Antioxidant Capacity

    Energy-adjusted intake of dietary antioxidant capacity determined by 3-day dietary recalls at baseline and 12 weeks. Values reported as average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

  31. Energy-adjusted Vitamin A Intake

    Energy-adjusted vitamin A intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

    Measured: Baseline, 12 weeks

Timeline

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

  1. First posted1 Mar 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionAug 2015
  4. Study completionDec 2016

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01541826
Sponsor's protocol ID
H11-311
Other IDs
120068
Status last verified
Apr 2017
First submitted
24 Feb 2012
Last updated
11 Jul 2017
Data monitoring committee
No

Publications

  • Xie L, Lee SG, Vance TM, Wang Y, Kim B, Lee JY, Chun OK, Bolling BW. Bioavailability of anthocyanins and colonic polyphenol metabolites following consumption of aronia berry extract. Food Chem. 2016 Nov 15;211:860-8. doi: 10.1016/j.foodchem.2016.05.122. Epub 2016 May 19.

    PubMed 27283706
  • Xie L, Vance T, Kim B, Lee SG, Caceres C, Wang Y, Hubert PA, Lee JY, Chun OK, Bolling BW. Aronia berry polyphenol consumption reduces plasma total and low-density lipoprotein cholesterol in former smokers without lowering biomarkers of inflammation and oxidative stress: a randomized controlled trial. Nutr Res. 2017 Jan;37:67-77. doi: 10.1016/j.nutres.2016.12.007. Epub 2016 Dec 10.

    PubMed 28215316

Questions about this trial

What is this clinical trial studying?

A study testing Chokeberry Extract and Chokeberry extract capsule, acute in people with Cardiovascular Disease and Oxidative Stress, run by University of Connecticut at 1 site in United States.

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 9 inclusion and 7 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 11 Jul 2017. 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 States. 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?

Yes. Results are posted in the registry (first posted 11 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

LDL Cholesterol (time frame: Baseline, 6 weeks, 12 weeks of intervention). 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 NCT01541826, which also lists 2 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 11 Jul 2017; AzTrials last refreshed its copy on 8 Nov 2026.

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