Effect of Betaine, Serine and Folic Acid on Vascular Function in Healthy Volunteers

Healthy Clinical Trial

Official title:

Effect of Lowering of Plasma Homocysteine Concentrations After an Oral Methionine Load on Vascular Function in Healthy Volunteers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00126347
• Other study ID #: P02.0470L
• Status: Completed
• Phase: N/A
• First received: August 2, 2005
• Last updated: August 17, 2005
• Start date: August 2002
• Est. completion date: July 2003

Study information

• Verified date: August 2005
• Source: Wageningen Centre for Food Sciences
• Contact: n/a
• Is FDA regulated: No
• Health authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether reducing the increase in plasma homocysteine concentrations following an oral methionine load affects vascular function in healthy volunteers, irrespective of the homocysteine-lowering agent.

Description:

A high plasma homocysteine is a potential risk factor for cardiovascular disease and death. However, it remains uncertain whether homocysteine per se, low status of folate, or other factors related to methionine metabolism are involved in the pathogenesis of cardiovascular disease. Previous studies have shown that a high concentration of homocysteine in blood is related to an impaired vascular function in the arteries, an indicator of cardiovascular disease risk. Virtually all intervention trials used folic acid as a homocysteine-lowering agent, which may however affect vascular function through mechanisms not related to homocysteine. The researchers investigated whether reduction in homocysteine concentrations following a methionine load, via supplementation with serine, betaine or folic acid improves vascular function in healthy volunteers, in order to distinguish between effects of folic acid and of homocysteine-lowering per se.

Comparison: The effects of supplementation with serine, folic acid and betaine (all together with an oral methionine load) were compared to the effects of a placebo (together with a methionine load) on plasma homocysteine concentrations and on vascular function following methionine loading in healthy volunteers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: July 2003
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 50 Years to 70 Years

Eligibility

Inclusion Criteria:

• Apparently healthy

• Women postmenopausal: two or more years after last menstruation. If the uterus was surgically removed, the women must be 55 years or older

• Normal blood values for: hematology, total homocysteine, lipids, vitamin B6, vitamin B12, folic acid, liver enzymes, creatinine

• Absence of protein and glucose in urine sample

• Body mass index (BMI) between 18 and 30 kg/m2

• Good ultrasound visibility of the brachial artery, judged by a sonographer.

• Willing not to use supplements containing B-vitamins, antioxidant vitamins (A, beta-carotene, C and E) or n-3 fatty acids/fish oil supplements from screening day (>2 months before start of the study) until end of study

• Willing not to be blood or plasmapherese donor from 4 weeks before the screening day, and 4 weeks before the start of the study until the end of study

Exclusion Criteria:

• Any chronic or acute disease (e.g. diabetes, renal disease, inflammation)

• Current, or history of cardiovascular disease

• Hypertension

• Medical history or surgical events know to interfere with the study

• Fasting plasma total homocysteine > 26 micromol/L

• Alcohol consumption: women >21 consumptions/week; men >28 consumptions/week

• Weight loss or gain > 2 kg in the month prior to screening

• Any special diet (prescribed, slimming, macrobiotic or total vegetarian. Sole exclusion of meat and fish from a otherwise ‘normal’ western diet is allowed).

• Lactose intolerance

• Use of supplements containing B-vitamins more than once weekly in the period from 3 months before the screening day

• Participation in any other trial up to 3 months before this study

• Use of medication known to interfere with the study outcome.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double-Blind, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Cardiovascular Diseases
• Healthy

Intervention

Procedure:
• supplementation with betaine, serine, and folic acid

Locations

Country	Name	City	State
Netherlands	Wageningen Centre for Food Sciences	Wageningen

Sponsors (1)

Lead Sponsor	Collaborator
Wageningen Centre for Food Sciences

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	concentrations of plasma homocysteine before and following an oral methionine load
Primary	vascular function, measured as flow mediated vasodilation before and following an oral methionine load
Secondary	B-vitamins
Secondary	blood pressure