Impact of Extra Virgin Olive Oil Oleocanthal Content on Platelet Reactivity

Study Overview
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Brief Summary
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Data from limited dietary intervention trials suggest that the cardiovascular health benefit of extra virgin olive oil (EVOO) may increase with phenolic content. However, while EVOOs contain an array of bioactive compounds, little information exists regarding the physiological effects of specific chemical species. Among the EVOO-derived phenolics with demonstrated anti-inflammatory effects in animal and in vitro models is oleocanthal, an inhibitor of cyclooxygenase (COX). The current study compared the impact of acute intake (40 mL) of EVOO on platelet reactivity in healthy adult males (n=9). The volunteers were randomly assigned to consume three EVOOs in a double-blind controlled trial. The EVOO were characterized and chosen for equivalency in their total phenolic content and fatty acid profiles, but differing in their oleocanthal to oleacein ratio.

Detailed Description
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Ten healthy adult males (20-50 years of age) will be enrolled into a randomized triple-blind, controlled crossover study that will test the acute effects of oleocanthal-rich extra virgin olive oil intake on platelet aggregation. Each participant will be asked to participate in four study days, separated by at least 1-week, in which they will be randomized to consume on each study day 40 mL ( 3 tablespoons) of either oleocanthal-rich extra virgin olive oil (OO), or an extra virgin OO that is matched in total phenolics but oleocanthal-poor, or a refined OO that is low in all phenolics In addition to the oils, on a fourth study day visit, after completion of the study visits involving oil intake the subjects will be asked to take 400mg of ibuprofen. Collection procedures will be performed at the same time of the day to avoid circadian effects. A blood sample (50 mL   3.5 tbsp) will be collected for the measurement of platelet aggregometry and COX metabolites. Following this initial blood draw, the subjects will consume their assigned test product for the day. Two-hours following the intake of the assigned olive oil, a second blood sample will be drawn (50 mL   3.5 tbsp). After the second blood draw, the study day will be complete.

Official Title
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Impact of Extra Virgin Olive Oil Oleocanthal Content on Platelet Reactivity in Healthy Humans

Conditions
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Cardiovascular Diseases

Intervention / Treatment
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* Other: D2i2
* Other: D2i0.5
* Other: D2i0
* Drug: Ibuprofen


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Willing and able to comply with study protocols Willing to drink 2 tablespoons of olive oil BMI 18.5 to 30 kg/m2 Weight ≥ 110 pounds Exclusion Criteria: Adults who are not able to consent BMI ≥ 31 kg/m2 Under current medical supervision Self-reported daily use of drugs that are known to affect platelet function, such as aspirin, Excedrin, and NSAIDS Ibuprofen intolerance or allergy Cannot speak English Allergy to olives or olive oil Vegetarian, Vegan, food faddists, individuals using non-traditional diets, on a weight loss diet or individual following diets with significant deviations from the average diet of the general population. A history of cardiovascular disease, stroke, cancer, renal, hepatic, or thyroid disease, GI tract disorders, previous GI surgery Currently taking prescription drugs or supplements Indications of substance or alcohol abuse within the last 3 years Not willing to stop any supplement use, including herbal, plant or botanical, fish oil, oil supplements. Not willing to refrain from olive oil consumption. Blood Pressure ≥ 140/90 mmHg Self-reported malabsorption Metabolic panel results or complete blood counts that are outside of the normal reference range. Screening LDL ≥ 190 mg/dl for those who have 0 - 1 major risk factors apart from LDL cholesterol [(i.e. family history of premature coronary artery disease (male first degree relative < 55 years; CHD in female first degree relative < 65 years), cigarette smoker, HDL-C ≤ 40 mg/dL]. Screening LDL ≥ 160 mg/dl for those who have 2 major risk factors apart from LDL cholesterol [(i.e. family history of premature coronary artery disease (male first degree relative < 55 years; CHD in female first degree relative < 65 years), cigarette smoker, HDL-C ≤ 40 mg/dL]. Screening LDL ≥ than 130 mg/dl for those who have 2 major risk factors apart from LDL cholesterol ((i.e. family history of premature coronary artery disease (male first degree relative < 55 years; CHD in female first degree relative < 65 years), cigarette smoker, HDL-C ≤ 40 mg/dL), and a Framingham 10 - year Risk Score 10 - 20 % (using NCEP calculator). Current enrollee in a clinical research study. Individuals with blood clotting or platelet defect disorders

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Male

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: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Oleocanthal-rich, D2i2<br>Oleocanthal-rich, D2i2 (Extra virgin olive oil containing oleocanthal to oleacein in a 2:1 ratio) | Other: D2i2<br>* Oleocanthal provided in a 2:1 ratio compared to oleacein<br>* Other names: Oleocanthal-rich;|
| Experimental: Oleacein-rich, D2i0.5<br>Oleacein-rich, D2i0.5 (Extra virgin olive oil containing oleocanthal to oleacein in a 1:2 ratio) | Other: D2i0.5<br>* Oleocanthal provided in a 1:2 ratio compared to oleacein<br>* Other names: Oleocanthal-low;|
| Placebo Comparator: Oleocanthal and Oleacein-low, D2i0<br>Oleocanthal and Oleacein-low, D2i0 (Extra virgin olive oil containing low amounts of oleocanthal to oleacein, but with a similar total phenolic content as the other two oils) | Other: D2i0<br>* No oleocanthal and no oleacein<br>* Other names: Control EVOO;|
| Active Comparator: Ibuprofen<br>Ibuprofen, 400 mg | Drug: Ibuprofen<br>* 400 mg of Ibuprofen<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Optical Platelet Aggregometry | Maximal platelet aggregation in minutes will be measured using optical platelet aggregometry | Change from baseline 2 hours post intake | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Activated Platelet Oxylipin Production | Oxylipins derived from cyclooxygenase, lipoxygenase, and cytochrome P450 dependent metabolism of AA were quantified using liquid chromatography with tandem mass spectrometry (LC-MS/MS) in 100 µL of PRP plasma activated with collagen or ADP as well as 100 µL of unactivated PRP plasma collected before and two hours after treatment with EVOO or ibuprofen. Data were mean centered and reported as a % change from baseline. | Change from baseline 2 hours post intake | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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platelet reactivity, phenolic, extra virgin olive oil, cyclooxygenase, oleocanthal, oxylipin