Identifying the Anti-Blood-Clotting Compounds in Garlic

Study Overview
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Brief Summary
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This study will seek to identify the compound(s) in garlic that is (are) responsible for its ability to prevent the formation of blood clots (prevent platelet aggregation) and to determine the maximally effective dose and duration of the benefits. This study will also determine whether cooked garlic (garlic powder added to boiling water, no allicin present) is as effective as fresh garlic (garlic powder added to ambient water, high allicin present) and, if more than one compound is involved, and whether their combined effects are more significant than the effects of each compound alone.

Detailed Description
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Published studies indicate that various types of undefined garlic products display antiplatelet activity. However, the compounds responsible for this antiplatelet effect have not been identified. Acute studies. In acute (one day) studies, healthy participants will consume several doses of fresh garlic (garlic powder added to ambient water; up to the equivalent of 12 grams fresh garlic or 52 mg allicin) as a paste in a tuna sandwich. At 0, 2, 4, and 6 hours after consumption, the ability of platelets to aggregate in platelet-rich plasma (PRP) or in whole blood (WB), in response to a drug (collagen, ADP) that stimulates platelet aggregation, will be measured. After establishing the optimum dose and optimum time of the antiplatelet effect for each person, and if the effects are sufficiently strong, the effects of cooked garlic (garlic powder added to boiling water, no allicin present) and seven extracted fractions (oil, protein, fructans, etc.) will be determined, using the fractions at the same dose as their abundance in the established optimum dose of crushed fresh garlic. Chronic studies. If only weak platelet effects are found for a high acute dose of fresh garlic, chronic studies will be conducted. In chronic studies, participants will consume 8.0 grams of fresh garlic (2.7 grams garlic powder added to ambient water, allicin content = 35 mg) as a paste in a tuna sandwich every day for four weeks and 8.0 grams of boiled garlic (2.7 grams garlic powder added to boiling water) in a sandwich every day for an additional four weeks, after a 1-week washout. The ability of platelets to aggregate in PRP and whole blood will be determined before and every week after garlic consumption begins and after the 1-week washout.

Official Title
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Identification of the Antiplatelet Compounds of Garlic Ex Vivo

Conditions
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Arteriosclerosis, Intracranial Arteriosclerosis

Intervention / Treatment
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* Dietary Supplement: garlic powder added to ambient water
* Dietary Supplement: garlic powder added to boiling water


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Body mass index of 19 to 30 kg/m2 Plans to remain in the study area for the next year Willingness to abstain from nonsteroidal anti-inflammatory drugs (NSAID drugs for 1 week prior to each study test Willingness to abstain from consuming garlic and significant amounts of onion, chocolate, or purple grape juice for 3 days prior to each study test Willingness to participate in all study tests Exclusion Criteria: Pregnancy or breast-feeding Serious medical condition Allergy to garlic or wheat Tobacco use Excessive alcohol consumption Under psychiatric care

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Garlic powder in ambient water<br>high allicin | Dietary Supplement: garlic powder added to ambient water<br>* consumed 2.7 grams of garlic powder added to ambient water (equivalent to 8 grams fresh or raw garlic) in a sandwich, once a day for four weeks<br>* Other names: Global Marketing Assoc., Inc.;|
| Experimental: garlic powder in boiling water<br>no allicin | Dietary Supplement: garlic powder added to boiling water<br>* consumed 2.7 grams of garlic powder added to boiling water (equivalent to 8 grams of cooked garlic) in a sandwich, once a day for four weeks<br>* Other names: Global Marketing Assoc., Inc.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percent Platelet Aggregation | percent platelet aggregation in collagen-induced platelet aggregation in platelet rich plasma (PRP) | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Electrical Impedance in Ohms | Electrical impedance (ohms) was measured using 0.5 mL of whole blood plus 0.5 mL saline in a Chronolog Whole Blood aggregometer. Ten mL of whole blood were collected and tested every week. There is no mathematical correlation between impedance (ohms) and percent aggregation. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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garlic