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Effect of Plant Sterols Esterified to Fish Oil Fatty Acids on Plasma Lipid Levels
This study is currently recruiting participants.
Verified by Enzymotec, March 2008
Sponsored by: Enzymotec
Information provided by: Enzymotec
ClinicalTrials.gov Identifier: NCT00441480
  Purpose

The purpose of this study is to determine whether plant sterols esterified to fish oil fatty acids in a fish oil matrix improve the lipid profile, predominantly LDL-cholesterol and TG concentrations in healthy hyperlipidemic subjects.


Condition Intervention Phase
Dyslipidemia
Dietary Supplement: Plant sterols esterified to fish oil fatty acids
Phase IV

Genetics Home Reference related topics: hypercholesterolemia
MedlinePlus related topics: Cholesterol
Drug Information available for: Cholest-5-en-3-ol (3beta)- Fish oil Lipids
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Effect of Plant Sterols Esterified to Fish Oil Fatty Acids on Plasma Lipid Levels in Healthy, Hyperlipidemic Subjects

Further study details as provided by Enzymotec:

Primary Outcome Measures:
  • LDL cholesterol [ Time Frame: On day -10, 0, week 6 and week 12 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Triglyceride [ Time Frame: On day -10, 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • Total cholesterol [ Time Frame: On day -10, 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • HDL cholesterol [ Time Frame: On day -10, 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • High sensitivity C Reactive Protein [ Time Frame: On day 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • Oxidative stress [ Time Frame: On day 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • Apolipoprotein A-I [ Time Frame: On day 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • Apolipoprotein B100 [ Time Frame: On day 0, week 6 and week 12 ] [ Designated as safety issue: No ]
  • Apolipoprotein C-II and C-III [ Time Frame: On day 0, week 6 and week 12 ] [ Designated as safety issue: No ]

Estimated Enrollment: 130
Study Start Date: March 2007
Estimated Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
plant sterols esterified to fish oil fatty acids
Dietary Supplement: Plant sterols esterified to fish oil fatty acids
1.6g phytosterols and 1.3g omega-3 fatty acids per day
2: Placebo Comparator
Corn oil
Dietary Supplement: Plant sterols esterified to fish oil fatty acids
1.6g phytosterols and 1.3g omega-3 fatty acids per day

Detailed Description:

Phytosterols and omega-3 fatty acids (n-3) are natural food ingredients with potential cardiovascular (CVD) benefits. Phytosterols inhibit dietary cholesterol absorption and biliary cholesterol re-absorption, thereby reducing blood cholesterol levels, while consumption of n-3 is associated with a significant reduction in plasma triglyceride concentrations. Furthermore, n-3 may also beneficially modify a number of other risk factors of CHD, like anti-inflammatory and anti-thrombotic.

The primary objective of this study is to determine whether plant sterols esterified to fish oil fatty acids in a fish oil matrix improve the lipid profile, predominantly LDL-cholesterol and TG concentrations in healthy hyperlipidemic subjects. In addition the supplement efficacy to lower other CVD-related risk factors of healthy will be evaluated.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Male or female, >18 years old and ≤ 70 years old, capable and willing to give written informed consent.
  • Subject must have hyperlipidemia at the screening visit and at the end of the run-in period, defined as: fasting plasma triglycerides > 150 mg/dl and < 500 mg/dl, LDL-cholesterol > 130 mg/dl and < 190 mg/dl.
  • Fasting plasma glucose (FPG) levels at the screening visit < 110 mg/dl.
  • Female patient who is of reproductive potential agree to use acceptable methods of birth control
  • Female patient who is currently receiving hormone replacement therapy continuously 12 weeks before visit 1 (on stable dose) and will agree to do so during the study.

Exclusion Criteria:

  • Receiving medications or supplements known to affect lipid metabolism.
  • Uncontrolled hypertension or thyroid disease.
  • Consume unusual diets - will be determined at the discretion of the investigator.
  • Gained or lost more than 3 kg during the run-in period.
  • Patient has history of malignancy ≤ 5 years.
  • Patients with clinical ischemic CV disease on treatment
  • Consume 200 grams fish x 2 a week.
  • Gastrointestinal disease or any disease that the investigator feels would compromise the patient safety or limit his/her successful participation to the study.
  • Patient has type 1 or type 2 diabetes mellitus.
  • Patient has uncontrolled endocrine or metabolic disease known to influence serum lipids or lipoproteins
  • Patient has had active peptic ulcer disease within 3 months of visit 1.
  • Woman patient is pregnant or breast-feeding or expecting to conceive during the study.
  • Patient has a history of hypersensitivity or allergy to fish, fish oil, corn oil or soy.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00441480

Contacts
Contact: Tamar Luvish 972-3-5302940 tamar.luvish@sheba.health.gov.il

Locations
Israel
Sheba medical center Recruiting
Tel-HaShomer, Israel, 52621
Contact: Tamar Luvish     03-5302940     tamar.luvish@sheba.health.gov.il    
Principal Investigator: Dror Harats, M.D.            
Sponsors and Collaborators
Enzymotec
Investigators
Principal Investigator: Dror Harats, M.D. Sheba Medical Center
  More Information

Responsible Party: Enzymotec LTD ( Yael Herzog )
Study ID Numbers: CardiaBeat_003
Study First Received: February 28, 2007
Last Updated: March 13, 2008
ClinicalTrials.gov Identifier: NCT00441480  
Health Authority: Israel: Ethics Commission

Keywords provided by Enzymotec:
Hypercholesterolemia
Hypertriglyceridemia
Plant sterol
Cholesterol
Fish oil

Study placed in the following topic categories:
Metabolic Diseases
Hypertriglyceridemia
Healthy
Metabolic disorder
Hypercholesterolemia
Dyslipidemias
Lipid Metabolism Disorders

ClinicalTrials.gov processed this record on January 14, 2009