Dyslipidemia Clinical Trial
Official title:
Effect of Omega -3 Fatty Acids Supplements and Plant Sterol Enriched Drink/Food on the Composite Risk Profile of Dyslipidemic Adults
The incidence of chronic degenerative diseases, especially cardiovascular disease (CVD), is
high world over and especially in India. High blood cholesterol and triglyceride levels are
known to be important risk factors for CVD. There is a strong body of evidence for the
beneficial effects of plant sterols on blood total and LDL-cholesterol and omega-3 fatty
acids from fish on blood triglycerides. However, the combined benefits of consuming both
plant sterols and omega-3 fatty acids from fish oil on blood cholesterol and triglycerides
has not been investigated previously, except in one study where the methodology used was not
the most appropriate for testing such a combination. In addition, most studies on plant
sterol efficacy realised so far were done in Western countries. The present study will
investigate the efficacy of plant sterols and omega-3 fatty acids from fish oil on improving
the cardiovascular risk profile of Indian adults with dyslipidemia.
It is expected that, after 4 weeks of intervention, men consuming both plant sterols and
omega-3 fatty acids from fish oil will have a lower cardiovascular risk profile than men
receiving only plant sterols or only fish oil or none of these dietary supplements.
This study has a double-blind, placebo-controlled, randomized parallel (2 x 2 factorial)
design with 3 experimental treatments and one control treatment. A two week run-in period
will be observed during which all subjects will be given placebos for plant sterols.
Thereafter the subjects will be randomly allocated to the 4 treatment groups for the
intervention period of 4 weeks and will undergo baseline assessment of blood lipids,
inflammatory and coagulation markers, anthropometry, lifestyle and dietary habits. The
intervention period will be closed by repeating measurements of lipids, inflammatory and
coagulation markers, anthropometry, lifestyle and diet. Participants are mildly
hypercholesterolemic adult males (TC between 5.0-8.0 mmol/L), aged between 35-55 years who
are employees of NTPC, Badarpur, New Delhi will be enrolled in the study.
The subjects will be randomly allocated to the four treatment groups (1 control and 3
experimental, 50 subjects per group) with the help of computer generated random number
tables. In case of a surplus of volunteers, a lottery method of selection will be applied.
The active and control products will be almost identical with respect to taste and
appearance and will only differ in coding. During the study, the treatment code of the
products will be blinded and only known by a person not directly involved in the study. The
subjects will only be identified by a unique identification code given to them at the time
of filling their interview-schedules. All the information obtained from the subjects will be
coded using this unique identification code. During the intervention period the key linking
subject's names and codes will only be accessible to authorized staff.
For each subject the Investigator and Sponsor will each receive a blinded code envelope with
details of treatment. In case of an emergency (e.g. Serious Adverse Event possibly related
to treatments, or unexpected Adverse Events), the envelope can be opened to identify the
treatment given to a subject. The Investigator and Sponsor will immediately inform each
other about such de-blinding.
Randomization data are kept strictly confidential until the time of unblinding. Only after
the blind review meeting of PI, Investigator and Sponsor, the randomization codes will be
broken and made available for data analysis.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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