Stroke Clinical Trial
— TomVascOfficial title:
Vascular Effects of Nutritional Supplementation With a Standardised Preparation of Tomato Extract (Ateronon) in Vivo in Man
Does tomato extract improve blood vessel function in healthy people and people with
cardiovascular disease?
Atherosclerosis ('furring' of the arteries) affects the functioning of blood vessels,
narrowing and eventually blocking them, causing conditions like heart attack and stroke. The
Mediterranean diet, which is rich in tomatoes and tomato-based products, has been shown to
be associated with a reduced risk of blood vessel damage. In this double blind,
placebo-controlled randomised study, the investigators will investigate whether a food
supplement containing a standardised extract of tomato improves blood vessel function in
both healthy people (aged 40-80), and people with a history of cardiovascular disease. The
food supplement is on sale to the public, and the investigators are testing the standard
dose. Approximately 72 people will take part at the Clinical Pharmacology Unit at the ACCI
Building, Cambridge University Hospitals NHS Trust.
After they have passed screening tests, participants will be allocated by chance to receive
either the tomato extract product (Ateronon), or a matching placebo (a dummy capsule with no
active ingredients), which they will take once a day for 8 weeks. At the beginning and end
of the treatment period, the investigators will test blood vessel stiffness using an ECG
machine and external probe. The investigators will also measure forearm blood flow, which
involves infusing 3 separate agents that affect how the lining of the blood vessel wall
works, and helps to assess whether this is affected by the study treatment. Blood tests will
also be used to look at how the food supplement is working and its effects on cholesterol
and markers of inflammation. Including the screening period, and a follow-up telephone call
two weeks after the end of treatment, participants will be in the study for 14 weeks.
Status | Completed |
Enrollment | 72 |
Est. completion date | May 2012 |
Est. primary completion date | May 2012 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 40 Years to 80 Years |
Eligibility |
HEALTHY GROUP Inclusion Criteria: - Aged between 30 and 80 years - Non-smoking Exclusion Criteria: - Hypertension or other cardiovascular disease - Significant renal, respiratory or neurological disease - Diabetes mellitus - BMI>32, BMI<18 - Use of vasoactive medication - Use of heparin or warfarin - Allergy/intolerance to study substance ingredients STABLE CARDIOVASCULAR DISEASE GROUP Inclusion Criteria: - Aged between 40 and 80 years - Previous ischaemic heart disease (any of previous myocardial infarction, coronary stent, angina), transient ischaemic attack or stroke disease or peripheral vascular disease - If taking a statin, dose must have been stable over preceding 2 months Exclusion Criteria: - Uncontrolled hypertension - BMI>33 - Use of heparin or warfarin - Allergy/intolerance to study substance ingredients |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator)
Country | Name | City | State |
---|---|---|---|
United Kingdom | Addenbrooke's Hospital | Cambridge | Cambridgeshire |
Lead Sponsor | Collaborator |
---|---|
Cambridge University Hospitals NHS Foundation Trust | Cambridge Theranostics Ltd |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Forearm blood flow ratio and/or absolute flow in the infused arm (and % change), as measured by venous occlusion plethysmography, in response to intra-arterial acetylcholine infusion. | 8 weeks | No | |
Secondary | Forearm blood flow ratio and/or absolute flow in the infused arm (& % change), as measured by venous occlusion plethysmography, in response to intra-arterial sodium nitroprusside and L-NMMA infusion. | 8 weeks | No | |
Secondary | Evaluation of pulse wave velocity and pulse wave analysis | 8 weeks | No | |
Secondary | Pulse wave velocity measured between carotid and femoral artery. | 8 weeks | No | |
Secondary | Analysis of Lipoprotein oxidation/circulating markers. | 8 weeks | No | |
Secondary | Safety and tolerability parameters, including physical examination, blood pressure, heart rate, 12-lead electrocardiograms (ECGs), clinical laboratory tests and adverse event reporting. | 8 weeks | No |
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