The Effects of Consumption of Pomegranate Juice on Carotid Intima-Media Thickness
Primary Purpose
Coronary Artery Disease
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
PomWonderful Juice
Placebo juice
Sponsored by
About this trial
This is an interventional prevention trial for Coronary Artery Disease focused on measuring Coronary artery disease, carotid intima-media thickness
Eligibility Criteria
Inclusion Criteria:
- Males between the ages of 45 and 74 and females between the ages of 55 and 74 years.
Subject has ≥ 1 of the following risk factors at Visit 1 (week -4 to -1):
- current cigarette smoking (defined as any cigarette smoking within the past month)
- hypertension (blood pressure ≥ 140/90 mm Hg or using an antihypertensive medication)
- low HDL cholesterol (< 40 mg/dL)
- high LDL cholesterol (≥ 130 mg/dL and < 190 mg/dL), on statin therapy or not
- Posterior wall common carotid IMT > 0.7 mm and < 2.0 mm at Visit 2 (week 0) with an adequate image on at least one side.
- Subject understands the study procedures and signs an informed consent form.
- Normally active and judged to be in good health on the basis of medical history, physical examination, and routine laboratory tests.
Exclusion Criteria:
- Use of any pharmacologic lipid-altering medications, besides statins (e.g., fibrate derivatives, bile acid binding resins, and niacin or its analogues at doses > 400 mg/d) six weeks prior to Visit 1
- Body mass index > 40 kg/m2.
- Unstable use (< 2 months prior to Visit 1) of any supplement known to alter lipid metabolism, including but not limited to: dietary fiber supplements (including > 2 teaspoons Metamucil® or psyllium-containing supplement per day), omega-3 fatty acid supplements, sterol/stanol products, red rice yeast supplements, garlic supplements, soy isoflavone supplements or others at the discretion of the Investigator).
- History of pomegranate consumption (either eating pomegranates or drinking pomegranate juice) within the past 6 months.
Clinical evidence or history of coronary heart disease (CHD) or CHD equivalents including:
- diabetes mellitus,
- angina,
- myocardial infarction,
- transient ischemic attack,
- symptomatic carotid artery disease,
- cerebrovascular accident,
- coronary artery bypass grafting,
- percutaneous transluminal coronary angioplasty,
- peripheral arterial disease,
- abdominal aortic aneurysm,
- ankle brachial index < 0.90,
- and/or a Framingham Risk Score ≥ 16 points for men and ≥ 23 points for women (10-year CHD risk > 20%)
- Active cancer, other than non-melanoma skin cancer, within the previous two years.
- Prior diagnosis of human immunodeficiency virus (HIV) or hepatitis B or hepatitis C.
- Uncontrolled hypertension (average systolic blood pressure ≥ 160 mm Hg and/or average diastolic blood pressure ≥ 100 mm Hg).
- Untreated or unstable hypothyroidism (receiving stable dose therapy for < 4.0 months).
- Concomitant use of beta-adrenergic blockers or immunosuppressants
- Concomitant use of estrogen or progestin therapy.
- Allergy to pomegranates or pomegranate juice.
- Known allergy to blood products.
- Non-English speaking.
- Active liver disease or hepatic dysfunction as defined by elevations of ≥ 2.0 x ULN at Visit 1 in any of the following liver function tests: ALT, AST or bilirubin.
- Serum creatinine > 2.0 mg/dL recorded during screening period.
- Recent history of (within past 12 months) or strong potential for alcohol or substance abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz beer, 4 oz wine, or 1 ½ oz distilled spirits).
- Participation in another clinical study within 30 days prior to screening visit 1 (week -4 to -1).
- Has a condition the Investigator believes would interfere with evaluation of the subject, or may put subject at undue risk.
- Posterior wall common carotid IMT ≥ 2.0 mm on either side at Visit 2 (week 0).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
1
2
Arm Description
Outcomes
Primary Outcome Measures
Difference in posterior wall common carotid intima-media thickness (IMT) progression rate in mm/yr between PomWonderful juice and placebo, utilizing non-contrast images
Secondary Outcome Measures
Difference between placebo and PomWonderful juice in internal carotid artery IMT progression rate in mm/yr
Difference between placebo and PomWonderful juice in the carotid bifurcation IMT progression rate in mm/yr
Difference between placebo and PomWonderful juice in the anterior wall common carotid IMT progression rate in mm/yr, without contrast agent
Difference between placebo and PomWonderful juice in the anterior wall common carotid IMT progression rate in mm/yr, with contrast agent
Difference between placebo and PomWonderful juice in the posterior wall common carotid IMT progression rate in mm/yr, with contrast agent
Difference between placebo and PomWonderful juice in the composite IMT measure, which combines the measurements of the common and internal carotid and the carotid bifurcation in mm/yr
Change from baseline to 13 weeks in hs-CRP concentration
Full Information
NCT ID
NCT00728299
First Posted
July 31, 2008
Last Updated
August 4, 2008
Sponsor
Radiant Research
Collaborators
Roll International Corporation
1. Study Identification
Unique Protocol Identification Number
NCT00728299
Brief Title
The Effects of Consumption of Pomegranate Juice on Carotid Intima-Media Thickness
Official Title
The Effects of Consumption of Pomegranate Juice on Carotid Intima-Media Thickness
Study Type
Interventional
2. Study Status
Record Verification Date
August 2008
Overall Recruitment Status
Completed
Study Start Date
September 2003 (undefined)
Primary Completion Date
September 2005 (Actual)
Study Completion Date
September 2005 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Radiant Research
Collaborators
Roll International Corporation
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Increases in carotid artery intima-media thickness (IMT) are correlated with increased risk of stroke and myocardial infarction. The purpose of this study is to assess if pomegranate juice will retard the carotid (IMT) progression rate in men and women who have one or more existing cardiovascular risk factors (current cigarette smoking, hypertension, low HDL-cholesterol, and/or high LDL-cholesterol) upon entrance into the study.
Detailed Description
Previous studies in atherosclerotic mice have shown that pomegranate supplementation reduced their macrophage oxidative stress and attenuated the development of their atherosclerosis. Further research in hypertensive humans demonstrated that pomegranate juice had an angiotensin converting enzyme (ACE)-inhibitory effect and significantly decreased systolic blood pressure.
This study will use a randomized, double-blind, placebo-controlled design with eight clinic visits (one screening visit [week -4 to -1], one baseline visit [week 0], and six treatment visits [weeks 13, 26, 38, 52, 65, and 78]).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
Coronary artery disease, carotid intima-media thickness
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
384 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
PomWonderful Juice
Intervention Description
8 oz per day each day for 78 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo juice
Intervention Description
8 oz per day for 78 weeks
Primary Outcome Measure Information:
Title
Difference in posterior wall common carotid intima-media thickness (IMT) progression rate in mm/yr between PomWonderful juice and placebo, utilizing non-contrast images
Time Frame
78-90 weeks
Secondary Outcome Measure Information:
Title
Difference between placebo and PomWonderful juice in internal carotid artery IMT progression rate in mm/yr
Time Frame
78-90 weeks
Title
Difference between placebo and PomWonderful juice in the carotid bifurcation IMT progression rate in mm/yr
Time Frame
78-90 weeks
Title
Difference between placebo and PomWonderful juice in the anterior wall common carotid IMT progression rate in mm/yr, without contrast agent
Time Frame
78-90 weeks
Title
Difference between placebo and PomWonderful juice in the anterior wall common carotid IMT progression rate in mm/yr, with contrast agent
Time Frame
78-90 weeks
Title
Difference between placebo and PomWonderful juice in the posterior wall common carotid IMT progression rate in mm/yr, with contrast agent
Time Frame
78-90 weeks
Title
Difference between placebo and PomWonderful juice in the composite IMT measure, which combines the measurements of the common and internal carotid and the carotid bifurcation in mm/yr
Time Frame
78-90 weeks
Title
Change from baseline to 13 weeks in hs-CRP concentration
Time Frame
13 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Males between the ages of 45 and 74 and females between the ages of 55 and 74 years.
Subject has ≥ 1 of the following risk factors at Visit 1 (week -4 to -1):
current cigarette smoking (defined as any cigarette smoking within the past month)
hypertension (blood pressure ≥ 140/90 mm Hg or using an antihypertensive medication)
low HDL cholesterol (< 40 mg/dL)
high LDL cholesterol (≥ 130 mg/dL and < 190 mg/dL), on statin therapy or not
Posterior wall common carotid IMT > 0.7 mm and < 2.0 mm at Visit 2 (week 0) with an adequate image on at least one side.
Subject understands the study procedures and signs an informed consent form.
Normally active and judged to be in good health on the basis of medical history, physical examination, and routine laboratory tests.
Exclusion Criteria:
Use of any pharmacologic lipid-altering medications, besides statins (e.g., fibrate derivatives, bile acid binding resins, and niacin or its analogues at doses > 400 mg/d) six weeks prior to Visit 1
Body mass index > 40 kg/m2.
Unstable use (< 2 months prior to Visit 1) of any supplement known to alter lipid metabolism, including but not limited to: dietary fiber supplements (including > 2 teaspoons Metamucil® or psyllium-containing supplement per day), omega-3 fatty acid supplements, sterol/stanol products, red rice yeast supplements, garlic supplements, soy isoflavone supplements or others at the discretion of the Investigator).
History of pomegranate consumption (either eating pomegranates or drinking pomegranate juice) within the past 6 months.
Clinical evidence or history of coronary heart disease (CHD) or CHD equivalents including:
diabetes mellitus,
angina,
myocardial infarction,
transient ischemic attack,
symptomatic carotid artery disease,
cerebrovascular accident,
coronary artery bypass grafting,
percutaneous transluminal coronary angioplasty,
peripheral arterial disease,
abdominal aortic aneurysm,
ankle brachial index < 0.90,
and/or a Framingham Risk Score ≥ 16 points for men and ≥ 23 points for women (10-year CHD risk > 20%)
Active cancer, other than non-melanoma skin cancer, within the previous two years.
Prior diagnosis of human immunodeficiency virus (HIV) or hepatitis B or hepatitis C.
Uncontrolled hypertension (average systolic blood pressure ≥ 160 mm Hg and/or average diastolic blood pressure ≥ 100 mm Hg).
Untreated or unstable hypothyroidism (receiving stable dose therapy for < 4.0 months).
Concomitant use of beta-adrenergic blockers or immunosuppressants
Concomitant use of estrogen or progestin therapy.
Allergy to pomegranates or pomegranate juice.
Known allergy to blood products.
Non-English speaking.
Active liver disease or hepatic dysfunction as defined by elevations of ≥ 2.0 x ULN at Visit 1 in any of the following liver function tests: ALT, AST or bilirubin.
Serum creatinine > 2.0 mg/dL recorded during screening period.
Recent history of (within past 12 months) or strong potential for alcohol or substance abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz beer, 4 oz wine, or 1 ½ oz distilled spirits).
Participation in another clinical study within 30 days prior to screening visit 1 (week -4 to -1).
Has a condition the Investigator believes would interfere with evaluation of the subject, or may put subject at undue risk.
Posterior wall common carotid IMT ≥ 2.0 mm on either side at Visit 2 (week 0).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael H Davidson, MD
Organizational Affiliation
FACC
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
The Effects of Consumption of Pomegranate Juice on Carotid Intima-Media Thickness
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