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Health Effects of Cetoleic Acid (A Randomized Double Blinded Controlled Trial)

Not Applicable
Conditions
Healthy Diet
Interventions
Dietary Supplement: Control Oil
Dietary Supplement: Cetoleic acid
Registration Number
NCT04841044
Lead Sponsor
University of Oslo
Brief Summary

In this Randomized Controlled Trial (RCT) we want to study how supplements of cetoleic acid ( C22:n1-11) (intervention) affect the conversion of alpha-linolenic acid (ALA) to EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) in healthy subjects, compared to supplements with a low concentration of cetoleic acid (control).

Our primary endpoints are changes in the concentration of EPA and DHA in plasma and red blood cells.

Detailed Description

This is a randomized double-blinded controlled trial ( randomized 1:1). Study population: healthy men and women 20-70 years, BMI 20-35 kg/m2.

Study design:

* 3 weeks run-in-period where all participants consume control capsules every morning.

* Randomization intervention: control (1:1). All participants consume their capsules (control or intervention) for 4 weeks.

The intervention oil consists of a fish oil high in cetoleic acid and the control oil is a mix of different oils and low in cetoleic acid.

Power calculation and sample size:

It was expected a difference of 15% in n-3 between the groups after the intervention (Østbye et al. 2019, doi:10.1017/S0007114519001478).

The level of significance was set to 5% (two-sided) and the power to 80%. A total of thirty-eight subjects were required to participate in the study, but a high dropout rate was expected (20%) and it was considered necessary to include a total of seventy (n=70) subjects (thirty-five per arm).

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
60
Inclusion Criteria
  • BMI 20-35kg/m2
  • opportunity to meet for 3 visits at the Department of Nutrition, University of Oslo, during the study period.
Exclusion Criteria
  • Chronic disease (liver/kidney/metabolism)
  • Alcohol overconsumption (>40g/day)
  • Diabetes and high fasting blood glucose
  • Pregnant/ breastfeeding or planning pregnancy during the study period
  • High fish intake (>3 meals/week).
  • Blood donation during the study period
  • Difficulty following the study protocol.
  • Smoking/snuffing
  • Regularly use of anti-inflammatory drugs
  • Regularly use of omega-3 supplements /cod liver oil.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control oilControl Oil6x capsules control oil (Control oil= mix of anchovy oil, olive oil, high-oleic sunflower oil, rapeseed oil (cetoleic acid: 0,7 A% estimated: 6 mg/g (FFA)) every morning for 4 weeks (A%= area percent)
Intervention ( Cetoleic acid)Cetoleic acid6x mackerel oil (cetoleic acid: 16A%, estimated: 135 mg/g (FFA)) capsules every morning for 4 weeks (A%= area percent)
Primary Outcome Measures
NameTimeMethod
EPA and DHA in plasma4 weeks intervention

EPA and DHA concentration in plasma measured at baseline and and after 4 week intervention (and as a "control measurement" at the screening visit)

EPA and DHA in red blood cells4 weeks

EPA and DHA concentration and omega 3 index (EPA+DHA/total fatty acids) in red blood cells measured at baseline and and after 4 week intervention (and as a "control measurement" at the screening visit)

Secondary Outcome Measures
NameTimeMethod
Lipid profile- Lipoproteins4 weeks

Plasma levels of Lp(a) and lipoprotein subclasses measured at baseline and after 4 weeks intervention (and as a "control measurement" at the screening visit)

Gene expression4 weeks

Changes in PBMC (peripheral blood mononuclear cell) gene expression profile measured at baseline and after 4 week of intervention

Resolvins4 weeks

Blood levels of resolvins (omega- 3 derivates) concentrations measured at baseline and after 4 week of intervention ( and as a control measurement at screening)

Metabolome4 weeks

Changes in metabolome measured at baseline and after 4 week of intervention

Lipid profile- Triglycerides4 weeks

Plasma levels of triglycerides measured at baseline and after 4 weeks intervention (and as a "control measurement" at the screening visit)

Lipid profile- Cholesterol4 weeks

Plasma levels of cholesterol (total cholesterol, LDL-cholesterol and HDL-cholesterol) measured at baseline and after 4 weeks intervention (and as a "control measurement" at the screening visit)

Lipid profile- Apolipoproteins4 weeks

Plasma levels of apolipoproteins (apoB and apoA) measured at baseline and after 4 weeks intervention (and as a "control measurement" at the screening visit)

Inflammatory markers4 weeks

The concentration of circulating levels of inflammatory markers measured at baseline and after 4 weeks intervention ( and as a "control measurement" at screening)

Pain sensitivity4 weeks

Measured by cold pressure tests at baseline and after 4 week of intervention ( and as a control measurement at screening)

Trial Locations

Locations (1)

University of Oslo

🇳🇴

Oslo, Norway

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