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Equol Supplementation on Blood Pressure and Vascular Function

Primary Purpose

Hypertension

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
High equol group
Low equol group
Placebo
Sponsored by
Chinese University of Hong Kong
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hypertension

Eligibility Criteria

48 Years - 65 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Hong Kong Chinese women aged 45-65 y with 2~8 years menopausal;
  2. mean SBP above 130 mmHg or DBP above 80 mmHg or both based on an average of 6 BP readings on two different occasions measured by sphygmomanometer.
  3. Equol non-producer is defined as 24-hour urinary log10 S-equol:daidzein ratio less than -1.75 after daidzein challenge (60mg daidzein daily for 7 consecutive days).
  4. Written informed consent will be obtained from all the participants prior to enrolment.

Exclusion Criteria:

  1. Subjects on anti-hypertensive medication or with average SBP≥160 or DBP≥100 or both;
  2. use of medications known to affect BP within past 6 months (hormone therapy, hypoglycemic or weight reduction agents);
  3. medical history or presence of certain chronic diseases (stroke, cardiac infarction, severe liver and renal disease etc.) that could affect BP or limit the individual's ability to participate in the study;
  4. present or history of breast cancer, endometrial cancer, ovarian cancer, thyroid disorder, abnormal uterine bleeding after menopause;
  5. regular smoker or alcohol consumption more than 30 g/day;
  6. known soy allergy.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Active Comparator

    Placebo Comparator

    Arm Label

    High equol

    Low equol

    Placebo

    Arm Description

    High equol group will be given natural S-equol supplementation 20mg per day for 24 week.

    Low equol group will be given natural S-equol supplementation 10mg/d (+10mg starch) for 24 weeks

    Placebo group will be given placebo control (made from starch) 20 mg per day for 24 weeks.

    Outcomes

    Primary Outcome Measures

    Ambulatory blood pressure

    Secondary Outcome Measures

    Full Information

    First Posted
    July 31, 2015
    Last Updated
    August 3, 2015
    Sponsor
    Chinese University of Hong Kong
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02515682
    Brief Title
    Equol Supplementation on Blood Pressure and Vascular Function
    Official Title
    Effect of Natural S-equol on Blood Pressure and Vascular funtion-a Six-month Randomized, Double-blind and Placebo-controlled Trial Among Equol Non-producers of Postmenopausal Women With Prehypertension or Untreated Stage 1 Hypertension
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2015
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 2015 (undefined)
    Primary Completion Date
    July 2018 (Anticipated)
    Study Completion Date
    December 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Chinese University of Hong Kong

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    We propose to perform a 24-week randomized, double-blind a placebo-controlled trial among 207 non-equol producing postmenopausal women with prehypertension to examine the effectiveness of equol (10mg and 20mg/d) on 24h ambulatory blood pressure, vascular function and other cardiovascular risks (lipid profile, glycemic control and inflammatory biomarkers) and explore the optimal dosage of equol.
    Detailed Description
    Inclusion criteria Hong Kong Chinese women aged 45-65 y with 2~8 years menopausal; Mean SBP above 130 mmHg or DBP above 80 mmHg or both based on an average of 6 BP readings on two different occasions measured by sphygmomanometer. Equol non-producer is defined as 24-hour urinary log10 S-equol:daidzein ratio less than -1.75 after daidzein challenge (60mg daidzein daily for 7 consecutive days). Exclusion criteria Subjects on anti-hypertensive medication or with average SBP≥160 or DBP≥100 or both; Use of medications known to affect BP within past 6 months; Medical history or presence of certain chronic diseases that could affect BP or limit the individual's ability to participate in the study; Present or history of certain cancers; Regular smoker or alcohol consumption more than 30 g/day; Known soy allergy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypertension

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    207 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    High equol
    Arm Type
    Active Comparator
    Arm Description
    High equol group will be given natural S-equol supplementation 20mg per day for 24 week.
    Arm Title
    Low equol
    Arm Type
    Active Comparator
    Arm Description
    Low equol group will be given natural S-equol supplementation 10mg/d (+10mg starch) for 24 weeks
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo group will be given placebo control (made from starch) 20 mg per day for 24 weeks.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    High equol group
    Intervention Description
    Participants will be give natural S-equol 20mg/d for 24 weeks.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Low equol group
    Intervention Description
    Participants will be give natural S-equol 10mg/d for 24 weeks.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Placebo
    Intervention Description
    Participants will be give placebo for 24 weeks.
    Primary Outcome Measure Information:
    Title
    Ambulatory blood pressure
    Time Frame
    24 weeks

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    48 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Hong Kong Chinese women aged 45-65 y with 2~8 years menopausal; mean SBP above 130 mmHg or DBP above 80 mmHg or both based on an average of 6 BP readings on two different occasions measured by sphygmomanometer. Equol non-producer is defined as 24-hour urinary log10 S-equol:daidzein ratio less than -1.75 after daidzein challenge (60mg daidzein daily for 7 consecutive days). Written informed consent will be obtained from all the participants prior to enrolment. Exclusion Criteria: Subjects on anti-hypertensive medication or with average SBP≥160 or DBP≥100 or both; use of medications known to affect BP within past 6 months (hormone therapy, hypoglycemic or weight reduction agents); medical history or presence of certain chronic diseases (stroke, cardiac infarction, severe liver and renal disease etc.) that could affect BP or limit the individual's ability to participate in the study; present or history of breast cancer, endometrial cancer, ovarian cancer, thyroid disorder, abnormal uterine bleeding after menopause; regular smoker or alcohol consumption more than 30 g/day; known soy allergy.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    26928904
    Citation
    Liu ZM, Ho SC, Chen YM, Xie YJ, Huang ZG, Ling WH. Research protocol: effect of natural S-equol on blood pressure and vascular function--a six-month randomized controlled trial among equol non-producers of postmenopausal women with prehypertension or untreated stage 1 hypertension. BMC Complement Altern Med. 2016 Mar 1;16:89. doi: 10.1186/s12906-016-1065-5.
    Results Reference
    derived

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    Equol Supplementation on Blood Pressure and Vascular Function

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