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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
NYU Langone Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

First Posted
May 7, 2014
Last Updated
April 23, 2018
Sponsor
NYU Langone Health
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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

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Vegan vs AHA Diet on Inflammation and Glucometabolic Profile in Patients With CAD

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