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Extracts of Amla, Walnut Leaf, Red Yeast Rice and Olive in Cardiovascular Prevention

Phase 4
Completed
Conditions
Low-Density-Lipoprotein-Type [LDL] Hyperlipoproteinemia
Interventions
Dietary Supplement: Cholesfytol NG
Other: Placebo
Registration Number
NCT06333158
Lead Sponsor
Nina Hermans
Brief Summary

The aim of this study is to evaluate whether the use of a commercially available standardized combination preparation (Cholesfytol NG®), containing extracts of amla, walnut leaf, red yeast rice and olive, in individuals with hypercholesterolemia

1. Leads to a clinically relevant reduction of cholesterol levels, especially LDL,

2. Leads to a clinically relevant reduction of blood pressure on the short term,

3. Leads to a change in oxidative stress biomarkers.

Participants will be stratified by sex before randomization to one of the two treatments for 8 weeks:

* Cholesfytol NG: 500 mg Amla dry extract, 50 mg Walnut leaf dry extract, 33.6 mg Red yeast rice powder (equivalent to 1.45 mg monacolins), 25 mg Olive dry extract (equivalent to 5 mg of hydroxytyrosol) per day

* Placebo All treatments have an identical shape and color and should be used in the same way (oral intake; 3 capsules/day during dinner). No dietary instructions are given and participants are asked not to change their dietary habits, not to start other therapies (medication, supplements, slimming diets, extra physical activity, etc.) during their study period. Standardized questionnaires are used to obtain information on demographics, dietary habits and side effects. At baseline and after 8 weeks, 27 ml blood is drawn for various biological analyses, and blood pressure, BMI and waist circumference are measured.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • LDL ≥ 130 mg/dL
Exclusion Criteria
  • <18 jaar
  • >76 jaar
  • Smoking
  • Use of nutritional supplements or (chronic) medication*
  • Triglycerides > 400 mg/dL
  • > 14 alcoholic consumptions/week
  • Chronic illness (e.g. diabetes, atherosclerosis, reumatoid arthritis)
  • Acute infection
  • Current pregnancy or pregnancy wish during the study period
  • Breast feeding
  • When nutritional supplements were used regularly, participation is allowed after a 10-day wash out period. Use of medication will be individually assessed and is permitted if it does not interfere with the used treatments and the patient is stable on the medication. Use of lipid lowering medication of food supplements is only permitted after a wash out period of at least 6 weeks.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cholesfytol NGCholesfytol NG-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change from baseline LDL cholesterol at 8 weeksBaseline, 8 weeks

Calculated from Total Cholesterol, HDL Cholesterol and Triglycerides

Secondary Outcome Measures
NameTimeMethod
Change from baseline Blood Pressure, Systolic at 8 weeksBaseline, 8 weeks

average of 3 measurements during 15 minutes

Change from baseline Blood Pressure, diastolic at 8 weeksBaseline, 8 weeks

average of 3 measurements during 15 minutes

Change from baseline triglycerides level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Change from baseline lipoprotein A (LP(a)) level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Change from baseline Apo A1 level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Change from baseline total cholesterol level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Frequency of side effects (+ their burden) as reported in the final questionnaire8 weeks

Unvalidated but standardized questionnaire on typical statin-related side effects

Change from baseline HDL cholesterol level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Change from baseline Apo B level at 8 weeksBaseline, 8 weeks

Measurement in Serum

Change from baseline OxLDL level at 8 weeksBaseline, 8 weeks

Measurement with ELISA

Change from baseline malondialdehyde (MDA) level at 8 weeksBaseline, 8 weeks

Measurement with ELISA

Change from baseline glutathion (GSH) level at 8 weeksBaseline, 8 weeks

Measurement with in house HPLC method

Change from baseline non-HDL cholesterol level at 8 weeksBaseline, 8 weeks

Calculated from HDL and total cholesterol

Change from baseline Remnant Cholesterol at 8 weeksBaseline, 8 weeks

Calculated from total, HDL and LDL cholesterol

Trial Locations

Locations (1)

UAntwerp, NatuRAPT

🇧🇪

Wilrijk, Antwerp, Belgium

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