Vegan vs AHA Diet on Inflammation and Glucometabolic Profile in Patients With CAD
Primary Purpose
Coronary Artery Disease, Inflammation
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Diet
Sponsored by
About this trial
This is an interventional treatment trial for Coronary Artery Disease
Eligibility Criteria
Inclusion Criteria:
- Subjects on stable medical therapy for at least 7-10 days post-coronary angiography and found to have CAD (defined as >50% lesion in an artery with >2mm caliber) .
Exclusion Criteria:
- Failure of the Treatment Self-Regulation Questionnaire
- Use of steroids or non-steroidal anti-inflammatory medications other than aspirin
- Use of probiotics or over the counter supplements other than standard vitamins
- Have a history of myocardial infarction or active infection within the preceding 3 months
- Have a history of an eating disorder or colon cleansing or are already on a whole-food plant-based vegan diet
- Have a planned PCI during the study period
- Are participating in a competing study
- Have any condition or situation that, in the investigator's opinion, may confound the study results, or may interfere significantly with the patient's ability to adhere with study procedures
Sites / Locations
- NYUMC Tisch Hospital, HCC 14
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
American Heart Association diet
Whole-food plant-based vegan diet
Arm Description
Participants randomized into this arm will follow an American Heart Association diet plan for 8 weeks.
Participants randomized into this arm will be asked to follow a whole-food plant-based vegan diet plan for 8 weeks.
Outcomes
Primary Outcome Measures
change in hsCRP from baseline
Secondary Outcome Measures
change in L-selectin from baseline
change in body mass index from baseline
change in Abdominal Circumference from baseline
change in Blood Pressure from baseline
change in CD11b from baseline
change in Stool microbiome from baseline
change in EndPAT score from baseline
change in Serum amyloid A from baseline
soluble inflammatory marker
change in TNF-α from baseline
change in pentraxin-3 from baseline
change in MMP-9 from baseline
change in lipid panel from baseline
change in apolipoprotein B from baseline
change in fasting blood glucose from baseline
change in blood insulin from baseline
change in Hemoglobin a1c from baseline
change in cell adhesion molecule from baseline
change in monocyte subtype from baseline
change in interleukin from baseline
change in chemokine from baseline
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02135939
Brief Title
Vegan vs AHA Diet on Inflammation and Glucometabolic Profile in Patients With CAD
Official Title
Effects of a Whole-food Plant-based Vegan Diet on Markers of Inflammation and Glucometabolic Profile in Patients With Coronary Artery Disease
Study Type
Interventional
2. Study Status
Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
March 11, 2014 (Actual)
Primary Completion Date
March 29, 2017 (Actual)
Study Completion Date
March 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NYU Langone Health
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
In this randomized study the investigators aim to determine the effects of a whole-food plant-based vegan diet on markers of inflammation and glucometabolic profile in patients with cardiovascular disease. The investigators hypothesize that a whole-food plant-based vegan diet will reduce markers of inflammation and improve glucometabolic profile compared with the American Heart Association (AHA)- recommended diet at 2 months follow-up in patients with coronary artery disease (CAD). The investigators are also evaluating endothelial function using the EndoPAT device and stool microbiome.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease, Inflammation
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
American Heart Association diet
Arm Type
Active Comparator
Arm Description
Participants randomized into this arm will follow an American Heart Association diet plan for 8 weeks.
Arm Title
Whole-food plant-based vegan diet
Arm Type
Experimental
Arm Description
Participants randomized into this arm will be asked to follow a whole-food plant-based vegan diet plan for 8 weeks.
Intervention Type
Behavioral
Intervention Name(s)
Diet
Other Intervention Name(s)
Vegan vs AHA-recommended diet
Intervention Description
Whole foods plant based vegan diet vs the American Heart Association-recommended diet
Primary Outcome Measure Information:
Title
change in hsCRP from baseline
Time Frame
At 8 weeks follow-up
Secondary Outcome Measure Information:
Title
change in L-selectin from baseline
Time Frame
4 week and 8 week follow-up
Title
change in body mass index from baseline
Time Frame
4 week and 8 week follow-up
Title
change in Abdominal Circumference from baseline
Time Frame
4 week and 8 week follow-up
Title
change in Blood Pressure from baseline
Time Frame
4 week and 8 week follow-up
Title
change in CD11b from baseline
Time Frame
4 week and 8 week follow-up
Title
change in Stool microbiome from baseline
Time Frame
4 and 8 week follow-up
Title
change in EndPAT score from baseline
Time Frame
4 and 8 week follow-up
Title
change in Serum amyloid A from baseline
Description
soluble inflammatory marker
Time Frame
4 week and 8 week follow-up
Title
change in TNF-α from baseline
Time Frame
4 week and 8 week follow-up
Title
change in pentraxin-3 from baseline
Time Frame
4 week and 8 week follow-up
Title
change in MMP-9 from baseline
Time Frame
4 week and 8 week follow-up
Title
change in lipid panel from baseline
Time Frame
4 week and 8 week follow-up
Title
change in apolipoprotein B from baseline
Time Frame
4 week and 8 week follow-up
Title
change in fasting blood glucose from baseline
Time Frame
4 week and 8 week follow-up
Title
change in blood insulin from baseline
Time Frame
4 week and 8 week follow-up
Title
change in Hemoglobin a1c from baseline
Time Frame
4 week and 8 week follow-up
Title
change in cell adhesion molecule from baseline
Time Frame
4 week and 8 week follow-up
Title
change in monocyte subtype from baseline
Time Frame
4 week and 8 week follow-up
Title
change in interleukin from baseline
Time Frame
4 week and 8 week follow-up
Title
change in chemokine from baseline
Time Frame
4 week and 8 week follow-up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects on stable medical therapy for at least 7-10 days post-coronary angiography and found to have CAD (defined as >50% lesion in an artery with >2mm caliber) .
Exclusion Criteria:
Failure of the Treatment Self-Regulation Questionnaire
Use of steroids or non-steroidal anti-inflammatory medications other than aspirin
Use of probiotics or over the counter supplements other than standard vitamins
Have a history of myocardial infarction or active infection within the preceding 3 months
Have a history of an eating disorder or colon cleansing or are already on a whole-food plant-based vegan diet
Have a planned PCI during the study period
Are participating in a competing study
Have any condition or situation that, in the investigator's opinion, may confound the study results, or may interfere significantly with the patient's ability to adhere with study procedures
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Binita Shah, MD, MS
Organizational Affiliation
NYU SOM
Official's Role
Principal Investigator
Facility Information:
Facility Name
NYUMC Tisch Hospital, HCC 14
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Vegan vs AHA Diet on Inflammation and Glucometabolic Profile in Patients With CAD
We'll reach out to this number within 24 hrs