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Trial registered on ANZCTR
Registration number
ACTRN12611001013954
Ethics application status
Approved
Date submitted
21/09/2011
Date registered
21/09/2011
Date last updated
10/04/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of dairy-derived proteins on circulating lipids and related cardiovascular risk factors in mildly hypercholesterolaemic individuals
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Scientific title
A placebo controlled, cross-over trial investigating the effect of dairy-derived proteins on circulating lipids and related cardiovascular risk factors in mildly hypercholesterolaemic individuals
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Secondary ID [1]
263058
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Nil
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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:
hypercholesterolaemia
270792
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Condition category
Condition code
Diet and Nutrition
270980
270980
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0
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Other diet and nutrition disorders
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Cardiovascular
270981
270981
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This was a double blind, randomised, placebo controlled, cross-over, out-patient trial in a group of 25 mildly hypercholesterolaemic male volunteers aged 18 - 70 years. Participants were randomised to receive either the active treatment or placebo for a period of 3 weeks, followed by a minimum washout period of 3 weeks, and were then crossed-over onto the second 3 week period of active treatment or placebo.
Participants came to the Human Nutrition Unit (HNU) on 7 occasions. At the first visit (visit 1) they gave their informed consent and were registered to the study. At this visit the participant’s height, weight and blood pressure were measured and fasting blood and urine samples were taken for analyses. Information concerning medications and their medical history was recorded.
Both treatment arms followed the same protocol. At visits 2 and 3 (days 0, 1; baseline) weight and blood pressure were measured and baseline fasting blood and urine samples were collected. Adverse events and changes in medications were recorded if applicable. Participants were given a week’s supply of treatment or placebo at visit 2 (depending on the randomization) to be taken daily.
At visits 4 - 7 (days 7, 14, 21, 22) compliance to the treatment/placebo was checked, weight and blood pressure were measured, a fasting blood sample was collected and adverse events and changed in medications were recorded. At visit 22 a fasting urine sample was also collected.
Treatments:
The active treatment was a dairy-derived peptic casein hydrolysate, at a dose of 10g/day (=0.42MJ)
The placebo was a dairy-derived whey protein control, at a matched dose of 10g/day (=0.42MJ)
The treatments were administered as 1000mg capsules. 10 capsules were to be taken orally daily with breakfast.
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Intervention code [1]
269407
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Treatment: Other
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Comparator / control treatment
The placebo was a dairy-derived whey protein control, at a matched dose of 10g/day (=0.42MJ)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Changes in fasting circulating low density lipoprotein (LDL) cholesterol concentration. Blood samples will be collected via phlebotomy for analyses
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Assessment method [1]
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Timepoint [1]
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At the end of each 3 week treatment (day 21/22)
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Secondary outcome [1]
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Changes in cardiovascular related markers including urine uric acid, blood pressure, total cholesterol, high density lipoprotein (HDL) cholesterol, triacylglyceride (TAG), glucose and insulin. Blood samples will be collected via phlebotomy for analyses.
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Assessment method [1]
294123
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Timepoint [1]
294123
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At the end of each 3 week treatment (day 21/22)
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Eligibility
Key inclusion criteria
1. mild hypercholesterolaemia; fasted LDL-C > 3.0 mmol/L
2. no clinical intervention or drug treatment for hyperlipidaemia
3. no previous cardiovascular events
4. no evidence of end organ damage
5. willingness to participate in a clinical trial
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. allergy to milk or dairy products
2. treatment for lipid disorders
3. treatment for hypertension
4. significant metabolic disorders, including diabetes mellitus, significant renal impairment (serum creatinine>130mmol/L; EGFR<60) or other disease
5. gout
6. participation in another clinical intervention trial
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Study design
Purpose of the study
Treatment
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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)
This is a randomised, cross-over trial. Randomisation is carried out using a Latin square design, whereby next patient registered is allocated to the sequential randomisation code. Participants are randomized to receive both the active treatment and placebo. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A Latin square will be used to randomise the subjects to each of the 2 intervention arms. Each participant is randomized to complete both intervention arms.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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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
Completed
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Date of first participant enrolment
Anticipated
24/07/2007
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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
25
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3847
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New Zealand
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State/province [1]
3847
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Auckland
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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LactoPharma
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Address [1]
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Fonterra Centre
9 Princes Street
Private Bag 92032
Auckland 1010
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Country [1]
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
LactoPharma
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Address
Fonterra Centre
9 Princes Street
Private Bag 92032
Auckland1010
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
268896
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Human Nutrition Unit
University of Auckland
18 Carrick Place
Mt Eden
Auckland 1024
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Country [1]
268896
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
271849
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Northern X Regional Ethics Committee
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Ethics committee address [1]
271849
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3rd floor Unisys Building 650 Great South Rd Penrose 1061 Private Bag 92-522 Wellesley St Auckland
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Ethics committee country [1]
271849
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New Zealand
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Date submitted for ethics approval [1]
271849
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Approval date [1]
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09/07/2007
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Ethics approval number [1]
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NTX/07/03/027
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Summary
Brief summary
Cardiovascular disease (CVD) is one of the leading causes of mortality in developed countries accounting for as many as 12 million deaths per year. Many risk factors contribute to the development of CVD, a number of which are modifiable such as obesity, blood pressure and lipid profile (Expert Panel on Detection 1993; Grundy 2002). A number of dietary components have been shown to improve serum cholesterol levels in both animal and human studies. The most consistent and positive relationship is between intake of lipids and CVD risk, where intake of dietary saturated fats is closely associated with adverse serum cholesterol levels and increased CVD mortality (Hegsted, McGandy et al. 1965; Keys 1970; McGee, Reed et al. 1984; Kushi, Lew et al. 1985; Grundy and Vega 1988; Posner, Cobb et al. 1991; Caggiula and Mustad 1997; Poppitt, Keogh et al. 2002). Less is known of cholesterol-lowering effects of protein or protein fractions. Animal studies carried out by our research team have identified a number of milk proteins which may have significant cholesterol-lowering effects in humans. In particular, the dairy protein fraction casein hydrolysed using a peptic hydrolysate was shown to improve total cholesterol in a study of Apo E deficient mice.
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Trial website
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Trial related presentations / publications
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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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Katy Wiessing
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Address
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Human Nutrition Unit
University of Auckland
18 Carrick Place
Mt Eden
Auckland 1024
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Country
16416
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New Zealand
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Phone
16416
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+ 64 9 630 3744
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Fax
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+ 64 9 630 5764
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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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Dr Sally Poppitt
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Address
7344
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Human Nutrition Unit
University of Auckland
18 Carrick Place
Mt Eden
Auckland 1024
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Country
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New Zealand
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Phone
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+ 64 9 630 5160
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Fax
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+ 64 9 630 5764
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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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