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Acute Assessment of Platelet Reactivity After the Intake of Oleocanthal

Not Applicable
Completed
Conditions
Platelet Aggregation
Cardiovascular Diseases
Nutritional and Metabolic Disease
Interventions
Other: Oleocanthal-Rich Extra Virgin Olive Oil
Other: Oleocanthal-low Extra Virgin Olive Oil
Registration Number
NCT03528603
Lead Sponsor
University of California, Davis
Brief Summary

The investigators have previously observed a reduced level of platelet aggregation 2 hours after healthy male individuals were asked to drink extra virgin olive oil (EVOO) that provided a higher level of one specific phenolic known as oleocanthal. This study will help the investigators further determine the effects of oleocanthal-rich EVOO intake on platelet function at 2, 4 and 6 hours after intake with food compared to platelet function in the morning after an overnight fast.

Detailed Description

Fifty adult male volunteers will be asked to participate in one of two study trials that will be randomized double-blind controlled crossover trials with 2 study visits. The participants will arrive to the facility after an overnight fast, and will be asked to consume their assigned EVOO either without (trial 1) or with (trial 2) a standardized low-phenolic food (such as rice, pasta or mashed potatoes) with 40 mL of one of 2 EVOOs that are matched for their total phenolic content, but with one oil containing oleocanthal, and one with very low levels of oleocanthal. At zero, two, 4 and 6 hours after EVOO intake a blood sample will be collected for the assessment of collagen- ADP-, and AA-induced platelet aggregation, as well as an untargeted metabolomics profile.

As an assessment of phenotypic stability, a subset of individuals (n=5 per trial) that have exhibit either low or high platelet responses, will be asked to repeat the above study.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
26
Inclusion Criteria
  • Trials 1 and 2: Male; Trial 3: Male and Female
  • 20-45 years old
  • For females, a regular 25-30-day menstrual cycle
  • Subject is willing and able to comply with the study protocols
  • Subject is willing to drink 40 mL (approximately 2 tablespoons) of olive oil
  • BMI 18.5 - 30 kg/m2
  • Weight ≥ 110 pounds
Exclusion Criteria
  • Adults who are not able to consent
  • BMI ≥ 31 kg/m2
  • Under current medical supervision
  • 1 ug/ml and 3 ug/ml collagen screening maximal platelet aggregatory response of < 65%.
  • Platelet number or mean platelet values that are outside of the normal reference range as indicated on a complete blood cell count report from the UCD Med Center
  • Current diagnosis of anemia; or a screening hemoglobin and hematocrit that is less than the normal reference range.
  • Self-reported daily use of drugs that are known to affect platelet function, such as aspirin, Excedrin, and NSAIDS
  • Females using hormonal contraception
  • Ibuprofen intolerance or allergy
  • Those with a bleeding disorder
  • Non-English speaking
  • Allergy to olives or olive oil
  • Vegetarian, Vegan, food faddists, individuals using non-traditional diets, or on a weight loss diet.
  • A history of cardiovascular disease, stroke, cancer, renal, hepatic, or thyroid disease, GI tract disorders, previous GI surgery
  • Currently taking prescription drugs or supplements
  • Indications of substance or alcohol abuse within the last 3 years
  • Not willing to stop any supplement use, including herbal, plant or botanical, fish oil, oil supplements for six weeks prior to study enrollment.
  • Not willing to refrain from olive oil consumption for 4 weeks prior to study enrollment, and throughout study enrollment
  • Self-reported malabsorption (e.g. difficulty digesting or absorbing nutrients from food, potentially leading to bloating, cramping or gas)
  • Current enrollee in a clinical research study.
  • Individuals with blood clotting or platelet defect disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Oleocanthal-Rich Extra Virgin Olive OilOleocanthal-Rich Extra Virgin Olive OilExtra Virgin Olive Oil that is high in the phenolic oleocanthal, but contains similar amounts of total phenolics as the Oleocanthal-Low Extra Virgin Olive Oil
Oleocanthal-Low Extra Virgin Olive OilOleocanthal-low Extra Virgin Olive OilExtra Virgin Olive Oil that is low in the phenolic oleocanthal, but contains similar amounts of total phenolics as the Oleocanthal-Rich Extra Virgin Olive Oil
Oleocanthal-Low Extra Virgin Olive OilOleocanthal-Rich Extra Virgin Olive OilExtra Virgin Olive Oil that is low in the phenolic oleocanthal, but contains similar amounts of total phenolics as the Oleocanthal-Rich Extra Virgin Olive Oil
Oleocanthal-Rich Extra Virgin Olive OilOleocanthal-low Extra Virgin Olive OilExtra Virgin Olive Oil that is high in the phenolic oleocanthal, but contains similar amounts of total phenolics as the Oleocanthal-Low Extra Virgin Olive Oil
Primary Outcome Measures
NameTimeMethod
Influence of Oleocanthal-rich EVOO intake on Collagen-induced platelet aggregometrybaseline, 2, 4 and 6 hours

Optical platelet aggregometry will be used to measure platelet aggregation. The percent maximal platelet aggregation will be measured. A reduction in maximal aggregation 2, 4 or 6 hours post EVOO intake compared to baseline will represent a reduction in platelet aggregation.

Secondary Outcome Measures
NameTimeMethod
Influence of Oleocanthal-rich EVOO intake on Arachidonic Acid-induced platelet aggregometrybaseline, 2, 4 and 6 hours

Optical platelet aggregometry will be used to measure platelet aggregation. The percent maximal platelet aggregation will be measured. A reduction in maximal aggregation 2, 4 or 6 hours post EVOO intake compared to baseline will represent a reduction in platelet aggregation.

Influence of Oleocanthal-rich EVOO intake on Platelet-derived oxylipinsbaseline, 2, 4 and 6 hours

Oxylipin profile will be conducted from the activated platelet supernatant ultra high-performance liquid chromatography-mass spectrometry (HPLC) is used to measure levels of oxylipin. HPLC area under the peak will be measured.

Influence of Oleocanthal-rich EVOO intake on Metabolomicsbaseline, 2, 4 and 6 hours

Untargeted metabolomics will be performed to assess the relationship between platelet response and the presence of circulating plasma metabolites.

Influence of Oleocanthal-rich EVOO intake on Adenosine Diphosphate-induced platelet aggregometrybaseline, 2, 4 and 6 hours

Optical platelet aggregometry will be used to measure platelet aggregation. The percent maximal platelet aggregation will be measured. A reduction in maximal aggregation 2, 4 or 6 hours post EVOO intake compared to baseline will represent a reduction in platelet aggregation.

Trial Locations

Locations (1)

Department of Nutrition

🇺🇸

Davis, California, United States

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