Cholesterol, LDLMYDICLINNCT03528252
Effectiveness of Written Dietary Advice on Lipoproteins - a Pragmatic Randomized Controlled Trial
A study testing Written advice LDL Cholesterol and Written advice Triglycerides in people with Cholesterol, LDL, run by Uppsala University at 1 site in Sweden.
Trial summary
This study investigates the effect of detailed, written dietary advice for improving blood lipids, in a primary care setting. n=222 participants will be randomized to Active Intervention or Control Group. After 3 weeks' intervention, participants will receive written feedback on the effect on their blood lipids. Read more about this study
- Who is it for?
- Ages 18 to 99 yearsHealthy volunteers can take part
- Conditions the study is for
- Cholesterol, LDL
- What is being tested?
- Written advice LDL Cholesterol and Written advice Triglycerides
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 113 participants
- Where
- 1 siteSweden
- Study dates
- 16 May 2018to 18 Apr 2019
- 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 99 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Listed patient at Svärdsjö Primary Health Care Centre
- Willing to reduce blood lipids
Who cannot join
- Drugs affecting blood lipids (statins, ezetimibe, fibrates, PCSK9-inhibitors, neuroleptic drugs, cortisone, amiodarone, estrogen, progesterone, testosterone, cyclosporin, tacrolimus, loop diuretics, protease inhibitors and anti-convulsants; whereas beta blockers, thiazide diuretics, and SGLT2-inhibitors are allowed under established medication
- Current malignant disease
- Extreme diet
- Abnormal metabolism e.g. uncontrolled hypothyroidism
- Dementia
- Unability to comprehend written information in Swedish
- Other participant from same household
- Current employment on Svärdsjö Primary Health Care Centre
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effectiveness of Written Dietary Advice on Lipoproteins - a Pragmatic Randomized Controlled Trial (MYDICLIN)
This study investigates the effect of detailed, written dietary advice for improving blood lipids, in a primary care setting. n=222 participants will be randomized to Active Intervention or Control Group. After 3 weeks' intervention, participants will receive written feedback on the effect on their blood lipids. After 6 months, another blood sample is drawn and participants will receive further written feedback.
Read the detailed description
The Active Intervention Group will receive detailed dietary advice based on current evidence for food choices that improve LDL cholesterol levels. The information will contain motivational strategies, e.g. "It's great that you want to improve your blood lipids! What are your three main reasons that you want to improve your blood lipids? What food choices suit you? How low can you go?" Participants will receive a table of ten suggested healthy food choices and be instructed to mark for each day a certain food change has been made.
The Control Group will receive similar advice and motivational strategies, with the one difference being the dietary advice, that will focus on Triglycerides instead of LDL cholesterol.
- Conditions
- Cholesterol, LDL
- Being tested
- Written advice LDL Cholesterol, Written advice Triglycerides
- Keywords
- cholesterol, LDL cholesterol, Triglycerides, Diet, Food, Lipoproteins
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Written advice LDL CholesterolOther
Also called Active Intervention
One A4 paper with written information on both sides
Written advice TriglyceridesOther
Also called Control Group
One A4 paper with written information on both sides
| Study group | Role | What they receive |
|---|---|---|
| LDL Cholesterol | Active comparator | Will receive dietary advice effective for reducing LDL cholesterol. Receives: Other: Written advice LDL Cholesterol |
| Triglycerides | Sham comparator | Will not be aware that they are in fact Control Group. Will receive dietary advice effective for reducing Triglycerides, but neutral for LDL cholesterol. Receives: Other: Written advice Triglycerides |
What is being measured
The primary outcome is the main question the study is designed to answer.
LDL Cholesterol
Change in plasma LDL Cholesterol levels
Measured: 3 weeks and 6 months
Secondary outcomes (11)
Total Cholesterol
Change in plasma Total Cholesterol levels
Measured: 3 weeks and 6 months
HDL Cholesterol
Change in plasma HDL Cholesterol levels
Measured: 3 weeks and 6 months
Apolipoproteins
Change in plasma Apolipoprotein levels
Measured: 3 weeks and 6 months
Success rate
Percentage of participants that reduce LDL Cholesterol at least 10%
Measured: 3 weeks and 6 months
Responder effect
Change in plasma LDL cholesterol after 6 months in participants that reduce LDL Cholesterol at least 10% at 3 weeks
Measured: 6 months and 3 weeks, respectively
Double sampling requirement
Number of participants that would have been misclassified if not double sampling hade been performed for LDL cholesterol
Measured: 3 weeks and 6 months
Cost of intervention
Cost of intervention, in comparison to possible health gains
Measured: 3 weeks and 6 months
Effective food choices
Food choices that are in practice effective for lowering LDL cholesterol
Measured: 3 weeks and 6 months
Stated reasons
Stated reasons for wanting to improve blood lipid profile and associations with effect on LDL Cholesterol
Measured: 3 weeks and 6 months
PSCK9
Change in serum PCSK9 levels
Measured: 3 weeks and 6 months
Lipoprotein(a)
Change in plasma lipoprotein(a) levels
Measured: 3 weeks and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2018
- Study start16 May 2018
- Primary completion18 Apr 2019
- Study completion18 Apr 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cholesterol, LDLStudies of the same condition, open and under way.
- More trials run by Uppsala UniversityThe sponsor's other registered studies.
- 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
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Two identical parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Uppsala University
- Sponsor type
- University, hospital or other
- Collaborators
- Dalarna County Council, Sweden
- Responsible party
- Principal investigator, David Iggman, Uppsala University
- Investigators
- David Iggman, M.D. Ph.D, Principal investigator, Uppsala University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03528252
- Sponsor's protocol ID
- MYDICLIN
- Other IDs
- Dnr 2018/119
- Acronym
- MYDICLIN
- Status last verified
- Apr 2019
- First submitted
- 19 Apr 2018
- Last updated
- 26 Apr 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: N/A, data sharing is not included in Ethics application. Further consent from participants may be required.
Study at a glance
From the registry record, last updated by the sponsor on 26 Apr 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Written Dietary Advice on Lipoproteins - a Pragmatic Randomized Controlled Trial (MYDICLIN)
- ClinicalTrials.gov ID
- NCT03528252
- Acronym / sponsor ID
- MYDICLIN / MYDICLIN
- Conditions
- Cholesterol, LDL
- Keywords
- cholesterol, LDL cholesterol, Triglycerides, Diet, Food, Lipoproteins
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- Uppsala UniversityUniversity, hospital or other
- Collaborators
- Dalarna County Council, Sweden
- Study start
- 16 May 2018 (actual)
- Primary completion
- 18 Apr 2019 (actual)
- Study completion
- 18 Apr 2019 (actual)
- First posted
- 17 May 2018 (actual)
- 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.
This study investigates the effect of detailed, written dietary advice for improving blood lipids, in a primary care setting. n=222 participants will be randomized to Active Intervention or Control Group. After 3 weeks' intervention, participants will receive written feedback on the effect on their blood lipids. After 6 months, another blood sample is drawn and participants will receive further written feedback.
Detailed description
The Active Intervention Group will receive detailed dietary advice based on current evidence for food choices that improve LDL cholesterol levels. The information will contain motivational strategies, e.g. "It's great that you want to improve your blood lipids! What are your three main reasons that you want to improve your blood lipids? What food choices suit you? How low can you go?" Participants will receive a table of ten suggested healthy food choices and be instructed to mark for each day a certain food change has been made.
The Control Group will receive similar advice and motivational strategies, with the one difference being the dietary advice, that will focus on Triglycerides instead of LDL cholesterol.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- Two identical parallel groups
| Arm | Type | Receives |
|---|---|---|
| LDL Cholesterol | Active comparator | Other: Written advice LDL CholesterolWill receive dietary advice effective for reducing LDL cholesterol. |
| Triglycerides | Sham comparator | Other: Written advice TriglyceridesWill not be aware that they are in fact Control Group. Will receive dietary advice effective for reducing Triglycerides, but neutral for LDL cholesterol. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Listed patient at Svärdsjö Primary Health Care Centre
- Willing to reduce blood lipids
Key exclusion criteria (8 listed)
- Drugs affecting blood lipids (statins, ezetimibe, fibrates, PCSK9-inhibitors, neuroleptic drugs, cortisone, amiodarone, estrogen, progesterone, testosterone, cyclosporin, tacrolimus, loop diuretics, protease inhibitors and anti-convulsants; whereas beta blockers, thiazide diuretics, and SGLT2-inhibitors are allowed under established medication
- Current malignant disease
- Extreme diet
- Abnormal metabolism e.g. uncontrolled hypothyroidism
- Dementia
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 |
|---|---|---|
| Written advice LDL CholesterolAlso: Active InterventionOne A4 paper with written information on both sides | Other | LDL Cholesterol |
| Written advice TriglyceridesAlso: Control GroupOne A4 paper with written information on both sides | Other | Triglycerides |
Primary outcome
LDL Cholesterol
Time frame: 3 weeks and 6 months
Change in plasma LDL Cholesterol levels
11 secondary outcomes
Total Cholesterol
Time frame: 3 weeks and 6 months
HDL Cholesterol
Time frame: 3 weeks and 6 months
Apolipoproteins
Time frame: 3 weeks and 6 months
Success rate
Time frame: 3 weeks and 6 months
Responder effect
Time frame: 6 months and 3 weeks, respectively
Double sampling requirement
Time frame: 3 weeks and 6 months
Cost of intervention
Time frame: 3 weeks and 6 months
Effective food choices
Time frame: 3 weeks and 6 months
Stated reasons
Time frame: 3 weeks and 6 months
PSCK9
Time frame: 3 weeks and 6 months
Lipoprotein(a)
Time frame: 3 weeks and 6 months
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 26 Apr 2019.
- Individual participant dataSharing planned: No. N/A, data sharing is not included in Ethics application. Further consent from participants may be required.
Related trials for Cholesterol, LDL
Active, not recruitingPhase 3
A Study of Inclisiran to Prevent Cardiovascular Events in High-risk Primary Prevention Patients.
Primary Prevention of Atherosclerotic Cardiovascular Disease
Not yet recruitingObservational study
An Observational Study to Evaluate Treatment Patterns in High, Very High and Extreme Cardiovascular Risk Patients With Hypercholesterolemia, Including Familial Hypercholesterolemia
Hypercholesterolaemia, Familial Hypercholesterolaemia
Active, not recruitingObservational study
Evaluation of the Effect of Lomitapide Treatment on Major Adverse Cardiovascular Events (MACE) in Patients With Homozygous Familial Hypercholesterolemia
Homozygous Familial Hypercholesterolemia (HoFH), Major Adverse Cardiovascular Events (MACE)
Recruiting
Effects of Concurrent Training on Serum PCSK9 Levels in Adults With Overweight
Overweight, Lipid Metabolism
RecruitingPhase 1
A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD4954 in Healthy Adult Participants With or Without Elevated Lipoprotein (a) (Lp[a]) Levels, and Participants With Dyslipidemia
Healthy Participants, Dyslipidemia
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.
David Iggman, M.D. Ph.D principal investigator
Uppsala 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 Written advice LDL Cholesterol and Written advice Triglycerides in people with Cholesterol, LDL, run by Uppsala University at 1 site in Sweden.
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 8 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 26 Apr 2019. 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 Sweden. 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?
LDL Cholesterol (time frame: 3 weeks and 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 26 Apr 2019.