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Trial registered on ANZCTR
Registration number
ACTRN12611000996965
Ethics application status
Approved
Date submitted
17/09/2011
Date registered
19/09/2011
Date last updated
19/09/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Can fish oil supplementation improve endothelial function in asymptomatic offspring of patients with peripheral arterial disease?
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Scientific title
Can fish oil supplementation improve endothelial function in asymptomatic offspring of patients with peripheral arterial disease?
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Secondary ID [1]
263049
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Nil known.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peripheral Arterial Disease
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Condition category
Condition code
Cardiovascular
270970
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Alternative and Complementary Medicine
270984
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Melrose Omega 18/12 liquid fish oil - AustL93186: ~1.5g EPA and ~1g DHA per 10ml oral daily dose for 12 weeks.
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Intervention code [1]
269396
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Prevention
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Intervention code [2]
269404
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Treatment: Other
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Comparator / control treatment
Melrose Omega 18/12 liquid fish oil - AustL93186: ~0.15g EPA and ~0.1g DHA per 10ml oral daily dose for 12 weeks.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Endothelium-mediated changes in vascular tone as measured by brachial artery flow-mediated dilatation.
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 and 12 weeks.
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Secondary outcome [1]
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Inflammation as measured by CRP, absolute neutrophil and lymphocyte values, TNF-alpha, IL-1 and IL-6.
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 and 12 weeks.
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Eligibility
Key inclusion criteria
To be included in the study, participants must have a parent with PAD, be aged 18 years and above, have impaired endothelial function and normal ABPI’s.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded if they (1) ingest 2g or more of total omega 3 daily as per Fish Food Frequency Questionnaire, (2) have a seafood allergy, (3) life expectancy less than 12 weeks, (4) are unable to communicate effectively to provide informed consent, (5) are receiving treatment doses of any antithrombotic agent or (6) receiving dual anti-platelet function drugs (such as aspirin plus clopidogrel or prasugrel or ticlopidine), or (7) are diagnosed with a bleeding disorder such as von Willebrand disease or haemophilia.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed envelopes with allocation concealed in aluminium foil will be held by someone not involved in the assessment of eligibility.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation to groups will be managed by the Flinders University statistician who provides a randomisation service using computerised randomisation software. Allocation will be stratified by PAD of parent (intermittent claudication vs critical limb ischaemia), by fish intake (>2 oily fish meals/week; <2 oily fish meals/week), presence of type 2 diabetes and according to whether the participant is taking anti-hypertensive medication.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
12/09/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
4512
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5042
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Flinders University
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Address [1]
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GPO Box 2100
Adelaide South Australia 5001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
GPO Box 2100
Adelaide South Australia 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
268883
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Adelaide Clinical Human Research Ethics Committee
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Ethics committee address [1]
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Level 2 Flinders Medical Centre Flinders Drive Bedford Park South Australia 5042
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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29/08/2011
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Ethics approval number [1]
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HREC 0351.11
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Summary
Brief summary
Peripheral Arterial Disease (PAD) is a major public health problem in Australia. The incidence increases with age and an estimated 10-25% of men and women over the age of 55 years are affected. The ageing Australian population will see an increase in the prevalence of PAD and consequently the national annual health expenditure on cardiovascular disease is likely to increase, greatly exceeding the 5.4 billion dollars spent in 2000-01. PAD is preceded by endothelial dysfunction, show an increase in inflammatory markers and failing of the circulation in affected limbs. EPA and DHA have been demonstrated to exert anti-inflammatory effects within the blood vessel wall thus reducing the amount of potent inflammatory markers produced. They also exert anti-thrombotic effects thus increasing the flow of blood within vessels. Dietary supplementation with fish oil rich in n-3 PUFA has been shown to positively impact on vascular function in the setting of atherosclerosis. It is known that there is a heritable basis to PAD, however, little is known whether improvements in endothelial function can be achieved in asymptomatic children of those with established PAD using n-3 PUFA. Early detection and intervention using a non-invasive, readily available, affordable and acceptable supplement such as fish oil has the potential to improve clinical management and prevent or delay the onset of those at high risk of developing symptomatic PAD. The aim of this study is to implement a 12 week, moderate dose fish oil intervention (10ml/day containing ~1.5g EPA and ~1g DHA), that will result in clinically and statistically significant improvements in terms of: a) Endothelial function; b) Inflammation; c) Lipid status (Total cholesterol, LDL, HDL, TG); and d) Omega 3 Fatty Acid levels.
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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A/Prof Michelle Miller
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Address
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Flinders University Nutrition and Dietetics
Room 7E105.4
Level 7 Flinders Medical Centre
Flinders Drive
Bedford Park South Australia 5042
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Country
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Australia
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Phone
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61 8 82045328
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Fax
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61 8 82046406
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Email
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Michelle Miller
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Address
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Flinders University Nutrition and Dietetics
Room 7E105.4
Level 7 Flinders Medical Centre
Flinders Drive
Bedford Park South Australia 5042
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Country
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Australia
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Phone
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61 8 82045328
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Fax
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61 8 82046406
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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