Nutraceutical Combination in Patients With Low-grade Systemic Inflammation
Primary Purpose
Atherosclerosis, Inflammation, Hypercholesterolemia
Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Nutraceutical Combination
Standard of Care
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Atherosclerosis focused on measuring C-Reactive Protein, Endothelial Microparticles, Endothelium, Nutraceutical, Cholesterol
Eligibility Criteria
Inclusion Criteria:
- LDL cholesterol <160 mg/dl (4,14 mmol/l);
- hsCRP >2 mg/L;
Exclusion Criteria:
- triglycerides >500 mg/dL (5.6 mmol/L);
- current or previous treatment with lipid-lowering drugs or with other drugs supposed to modify vascular damage and/or repair (antiplatelet, anti-hypertensive and antioxidant drugs);
- current or previous treatment with hormone replacement therapy for menopause vasomotor symptoms;
- evidence of liver dysfunction or alanine-aminotransferase (ALT) levels twice above the upper normal limit;
- creatin-kinase (CK) levels thrice above the upper normal limit
- history or clinical evidence of previous or current cardiovascular disease;
- presence of strong cardiovascular risk factors such as: serum creatinine levels >2 mg/dL, diabetes mellitus, uncontrolled systemic arterial hypertension (systolic blood pressure >190 mg/dL or diastolic blood pressure >100 mg/dL); history of cancer in the former 5 years before recruitment; not adequately treated hypothyroidism (TSH levels >1,5 times the upper normal limit);
- history of malignancy in the previous 5 years before screening;
- not adequately treated hypothyroidism (TSH levels >1,5 times the upper normal limit);
- previous or current alcohol or drugs abuse;
- history or clinical evidence of chronic inflammatory disease such as severe arthritis, systemic lupus erythematosus or chronic inflammatory bowel disease;
- current or previous use of immunosuppressant agents or long term glucocorticoids
- history or clinical evidence of any severe concomitant disease which may compromise subject's safety or its possibility to carry out the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Active Comparator
Arm Label
Standard of Care + Placebo
Nutraceutical combination
Arm Description
low-cholesterol/low-saturated fat diet and a regular aerobic physical activity schedule + once daily placebo
low-cholesterol/low-saturated fat diet and a regular aerobic physical activity schedule + Nutraceutical combination
Outcomes
Primary Outcome Measures
Change from Baseline in LDL cholesterol at 3 months
Secondary Outcome Measures
Change from Baseline in Circulating endothelial microparticles at 3 months
Change from Baseline in C-reactive protein at 3 months
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02422927
Brief Title
Nutraceutical Combination in Patients With Low-grade Systemic Inflammation
Official Title
Effect of a Nutraceutical Combination on Endothelial Injury and C-reactive Protein in Patients With Low-grade Systemic Inflammation
Study Type
Interventional
2. Study Status
Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
February 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Of Perugia
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The investigators tested if a nutraceutical combination with red yeast rice, berberine and policosanol (NC) can significantly modify inflammation, lipid profile and markers of endothelial injury (endothelial microparticles) in subjects with elevated levels of high-sensitivity C-reactive protein (hsCRP).
Detailed Description
Will be included in the study 100 subjects with suboptimal LDL cholesterol levels (LDL 100-160 mg / dL) and hsCRP levels> 2 mg / L, divided into two groups of equal numbers, matched by by sex and age, randomized to receive a nutraceutical combination containing red yeast 200 mg, berberine 500 mg and policosanol 10 mg (NC) in combination with a low-cholesterol diet (<200 mg / day) or a low-cholesterol diet only (Standard of Care - SOC).
All subjects at the time of inclusion in the study protocol will be prescribed the SOC for a period of 30 days (Lipid Stabilization Period: LSP); After 30 days LSP it will be performed randomization in the two intervention arms: NC + SOC or SOC.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis, Inflammation, Hypercholesterolemia
Keywords
C-Reactive Protein, Endothelial Microparticles, Endothelium, Nutraceutical, Cholesterol
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Standard of Care + Placebo
Arm Type
Placebo Comparator
Arm Description
low-cholesterol/low-saturated fat diet and a regular aerobic physical activity schedule + once daily placebo
Arm Title
Nutraceutical combination
Arm Type
Active Comparator
Arm Description
low-cholesterol/low-saturated fat diet and a regular aerobic physical activity schedule + Nutraceutical combination
Intervention Type
Dietary Supplement
Intervention Name(s)
Nutraceutical Combination
Other Intervention Name(s)
Armolipid Plus, Rottapharm-Madaus
Intervention Description
red yeast rice extract 200 mg (equivalent to 3 mg monacolins), policosanol 10 mg, berberine 500 mg, 0.2 mg folic acid, coenzyme Q10 2 mg, and astaxanthin 0.5 mg once daily
Intervention Type
Other
Intervention Name(s)
Standard of Care
Intervention Description
low-cholesterol/low-saturated fat diet and regular aerobic physical activity schedule
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
placebo
Primary Outcome Measure Information:
Title
Change from Baseline in LDL cholesterol at 3 months
Time Frame
3 months after treatment randomization
Secondary Outcome Measure Information:
Title
Change from Baseline in Circulating endothelial microparticles at 3 months
Time Frame
3 months after treatment randomization
Title
Change from Baseline in C-reactive protein at 3 months
Time Frame
3 months after treatment randomization
10. Eligibility
Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
LDL cholesterol <160 mg/dl (4,14 mmol/l);
hsCRP >2 mg/L;
Exclusion Criteria:
triglycerides >500 mg/dL (5.6 mmol/L);
current or previous treatment with lipid-lowering drugs or with other drugs supposed to modify vascular damage and/or repair (antiplatelet, anti-hypertensive and antioxidant drugs);
current or previous treatment with hormone replacement therapy for menopause vasomotor symptoms;
evidence of liver dysfunction or alanine-aminotransferase (ALT) levels twice above the upper normal limit;
creatin-kinase (CK) levels thrice above the upper normal limit
history or clinical evidence of previous or current cardiovascular disease;
presence of strong cardiovascular risk factors such as: serum creatinine levels >2 mg/dL, diabetes mellitus, uncontrolled systemic arterial hypertension (systolic blood pressure >190 mg/dL or diastolic blood pressure >100 mg/dL); history of cancer in the former 5 years before recruitment; not adequately treated hypothyroidism (TSH levels >1,5 times the upper normal limit);
history of malignancy in the previous 5 years before screening;
not adequately treated hypothyroidism (TSH levels >1,5 times the upper normal limit);
previous or current alcohol or drugs abuse;
history or clinical evidence of chronic inflammatory disease such as severe arthritis, systemic lupus erythematosus or chronic inflammatory bowel disease;
current or previous use of immunosuppressant agents or long term glucocorticoids
history or clinical evidence of any severe concomitant disease which may compromise subject's safety or its possibility to carry out the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matteo Pirro, MD, PhD
Organizational Affiliation
University Of Perugia
Official's Role
Principal Investigator
12. IPD Sharing Statement
Citations:
PubMed Identifier
21177699
Citation
McGorrian C, Yusuf S, Islam S, Jung H, Rangarajan S, Avezum A, Prabhakaran D, Almahmeed W, Rumboldt Z, Budaj A, Dans AL, Gerstein HC, Teo K, Anand SS; INTERHEART Investigators. Estimating modifiable coronary heart disease risk in multiple regions of the world: the INTERHEART Modifiable Risk Score. Eur Heart J. 2011 Mar;32(5):581-9. doi: 10.1093/eurheartj/ehq448. Epub 2010 Dec 22.
Results Reference
background
PubMed Identifier
11700160
Citation
Pirro M, Bergeron J, Dagenais GR, Bernard PM, Cantin B, Despres JP, Lamarche B. Age and duration of follow-up as modulators of the risk for ischemic heart disease associated with high plasma C-reactive protein levels in men. Arch Intern Med. 2001 Nov 12;161(20):2474-80. doi: 10.1001/archinte.161.20.2474.
Results Reference
background
PubMed Identifier
16126969
Citation
Gerli R, Sherer Y, Vaudo G, Schillaci G, Gilburd B, Giordano A, Bocci EB, Allegrucci R, Marchesi S, Mannarino E, Shoenfeld Y. Early atherosclerosis in rheumatoid arthritis: effects of smoking on thickness of the carotid artery intima media. Ann N Y Acad Sci. 2005 Jun;1051:281-90. doi: 10.1196/annals.1361.069.
Results Reference
background
PubMed Identifier
20191479
Citation
Gerli R, Vaudo G, Bocci EB, Schillaci G, Alunno A, Luccioli F, Hijazi R, Mannarino E, Shoenfeld Y. Functional impairment of the arterial wall in primary Sjogren's syndrome: combined action of immunologic and inflammatory factors. Arthritis Care Res (Hoboken). 2010 May;62(5):712-8. doi: 10.1002/acr.20117.
Results Reference
background
PubMed Identifier
16159604
Citation
St-Pierre AC, Cantin B, Bergeron J, Pirro M, Dagenais GR, Despres JP, Lamarche B. Inflammatory markers and long-term risk of ischemic heart disease in men A 13-year follow-up of the Quebec Cardiovascular Study. Atherosclerosis. 2005 Oct;182(2):315-21. doi: 10.1016/j.atherosclerosis.2005.02.009.
Results Reference
background
PubMed Identifier
11430324
Citation
Ridker PM, Rifai N, Clearfield M, Downs JR, Weis SE, Miles JS, Gotto AM Jr; Air Force/Texas Coronary Atherosclerosis Prevention Study Investigators. Measurement of C-reactive protein for the targeting of statin therapy in the primary prevention of acute coronary events. N Engl J Med. 2001 Jun 28;344(26):1959-65. doi: 10.1056/NEJM200106283442601.
Results Reference
background
PubMed Identifier
16946129
Citation
Pirro M, Schillaci G, Paltriccia R, Bagaglia F, Menecali C, Mannarino MR, Capanni M, Velardi A, Mannarino E. Increased ratio of CD31+/CD42- microparticles to endothelial progenitors as a novel marker of atherosclerosis in hypercholesterolemia. Arterioscler Thromb Vasc Biol. 2006 Nov;26(11):2530-5. doi: 10.1161/01.ATV.0000243941.72375.15. Epub 2006 Aug 31.
Results Reference
background
PubMed Identifier
17720166
Citation
Pirro M, Schillaci G, Bagaglia F, Menecali C, Paltriccia R, Mannarino MR, Capanni M, Velardi A, Mannarino E. Microparticles derived from endothelial progenitor cells in patients at different cardiovascular risk. Atherosclerosis. 2008 Apr;197(2):757-67. doi: 10.1016/j.atherosclerosis.2007.07.012. Epub 2007 Aug 27.
Results Reference
background
PubMed Identifier
19699071
Citation
Affuso F, Ruvolo A, Micillo F, Sacca L, Fazio S. Effects of a nutraceutical combination (berberine, red yeast rice and policosanols) on lipid levels and endothelial function randomized, double-blind, placebo-controlled study. Nutr Metab Cardiovasc Dis. 2010 Nov;20(9):656-61. doi: 10.1016/j.numecd.2009.05.017. Epub 2009 Aug 20.
Results Reference
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Nutraceutical Combination in Patients With Low-grade Systemic Inflammation
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