The Effect of Cocoa Flavanol on the BOLD Response and Cognitive Function in Type 1 Diabetes
Primary Purpose
Type 1 Diabetes Mellitus
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
cocoa flavanol supplementation
Sponsored by
About this trial
This is an interventional prevention trial for Type 1 Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- non-smoking T1D patients or matched healthy controls
- having diabetes for more than 1 year
- males and females older than 18 years
- stable medications for more than 6 months (no use of cholinesterase inhibitors or prior use of multivitamins was allowed)
- adequate visual and auditory acuity to allow neuropsychological testing.
Exclusion Criteria:
- participant enrolled in any investigational drug study within 2 months or longer, depending on the investigational drug half-life
- history in the past 2 years of epileptic seizures or any major psychiatric disorder
- history or MRI evidence of brain damage, including significant trauma, stroke, hydrocephalus, mental retardation, or serious neurological disorder,
- significant history of alcoholism or drug abuse
- unstable cardiac, renal, lung, liver, or other severe chronic disease
- hypertension (systolic blood pressure ≥160 mmHg, diastolic blood pres-sure ≥100 mmHg) or hypotension (systolic blood pressure <100 mmHg)
- pacemaker or other medical metal devices that precludes performing MRI,
- chronic inflammatory diseases, including lupus, rheumatoid arthritis, or polymyalgia rheumatic
- macrovascular complications
- retinopathy, nephropathy or neuropathy (microvascular complications)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
high cocoa flavanol drink
low cocoa flavanol drink
Arm Description
high cocoa flavanol drink (900 mg cocoa flavanol dissolved in 300 ml skimmed milk) 2h pre-fMRI
low cocoa flavanol drink (30 mg cocoa flavanol dissolved in 300 ml skimmed milk), matched for theobromine, caffeine and macronutrients with the high cocoa flavanol drink 2h-pre fMRI
Outcomes
Primary Outcome Measures
cognitive function
reaction time (milliseconds) on the flanker task
BOLD fmri response
blood oxygenation level dependent response during flanker test
Secondary Outcome Measures
Full Information
NCT ID
NCT03452605
First Posted
February 23, 2018
Last Updated
March 1, 2018
Sponsor
Vrije Universiteit Brussel
1. Study Identification
Unique Protocol Identification Number
NCT03452605
Brief Title
The Effect of Cocoa Flavanol on the BOLD Response and Cognitive Function in Type 1 Diabetes
Official Title
Effect of Acute Cocoa Flavanol Intake on the BOLD Response and Cognitive Function in Patients With Type 1 Diabetes
Study Type
Interventional
2. Study Status
Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
November 20, 2015 (Actual)
Primary Completion Date
March 15, 2017 (Actual)
Study Completion Date
March 15, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Vrije Universiteit Brussel
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Type 1 Diabetes (T1D) is associated with microvascular changes in the brain, which can cause cognitive dysfunction. Cocoa flavanols (CF) can stimulate vasodilation, resulting in enhanced cerebral blood flow and better cognitive function. This study aimed to investigate whether acute CF supplementation can improve cognitive function and the hemodynamic (BOLD) response in T1D patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
high cocoa flavanol drink
Arm Type
Experimental
Arm Description
high cocoa flavanol drink (900 mg cocoa flavanol dissolved in 300 ml skimmed milk) 2h pre-fMRI
Arm Title
low cocoa flavanol drink
Arm Type
Placebo Comparator
Arm Description
low cocoa flavanol drink (30 mg cocoa flavanol dissolved in 300 ml skimmed milk), matched for theobromine, caffeine and macronutrients with the high cocoa flavanol drink 2h-pre fMRI
Intervention Type
Dietary Supplement
Intervention Name(s)
cocoa flavanol supplementation
Intervention Description
cocoa flavanols (containing 196 mg epicatechin)
Primary Outcome Measure Information:
Title
cognitive function
Description
reaction time (milliseconds) on the flanker task
Time Frame
5 min
Title
BOLD fmri response
Description
blood oxygenation level dependent response during flanker test
Time Frame
5 min
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
non-smoking T1D patients or matched healthy controls
having diabetes for more than 1 year
males and females older than 18 years
stable medications for more than 6 months (no use of cholinesterase inhibitors or prior use of multivitamins was allowed)
adequate visual and auditory acuity to allow neuropsychological testing.
Exclusion Criteria:
participant enrolled in any investigational drug study within 2 months or longer, depending on the investigational drug half-life
history in the past 2 years of epileptic seizures or any major psychiatric disorder
history or MRI evidence of brain damage, including significant trauma, stroke, hydrocephalus, mental retardation, or serious neurological disorder,
significant history of alcoholism or drug abuse
unstable cardiac, renal, lung, liver, or other severe chronic disease
hypertension (systolic blood pressure ≥160 mmHg, diastolic blood pres-sure ≥100 mmHg) or hypotension (systolic blood pressure <100 mmHg)
pacemaker or other medical metal devices that precludes performing MRI,
chronic inflammatory diseases, including lupus, rheumatoid arthritis, or polymyalgia rheumatic
macrovascular complications
retinopathy, nephropathy or neuropathy (microvascular complications)
12. IPD Sharing Statement
Learn more about this trial
The Effect of Cocoa Flavanol on the BOLD Response and Cognitive Function in Type 1 Diabetes
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