Rhodospirillum Rubrum and Cholesterol

Study Overview
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Brief Summary
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The primary objective of the study is to examine for the first time the LDL cholesterol lowering effect of oven-dried Rhodospirillum rubrum in humans.

Detailed Description
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Objectives: Secondary objectives are to investigate the effects on other CVD risk parameters: total cholesterol, triacylglycerol, HDL-C, glucose and blood pressure. Safety will be monitored by measurements of markers for liver, kidney and heart function. Study design: The study is a 4-weeks randomized, double-blind placebo-controlled trial with a parallel design using 3 doses oven-dried Rhodospirillum rubrum. Prior to and after the intervention period, a 2-week run-in and run-out period takes place, during which all subjects will consume placebo capsules. Study population: Eighty (N=80) healthy men with a slightly elevated fasting serum total cholesterol concentration (between 5.0-8.0 mmol/l) will complete the study. Intervention: During the intervention period of 4 weeks, men will receive either placebo or capsules containing 0.25 gr, 0.5 gr or 1.0 gr oven-dried Rhodospirillum rubrum per day.

Official Title
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A Proof of Concept Study to Demonstrate a Cholesterol-lowering Benefit of Oven-dried Rhodospirillum Rubrum

Conditions
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Cholesterol Metabolism

Intervention / Treatment
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* Dietary Supplement: Rhodospirillum rubrum
* Dietary Supplement: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Minimum 80 kg body weight; Serum total cholesterol between 5.0 - 8.0 mmol/L (further testing is recommended for excessive hyperlipidemia [serum total cholesterol ≥ 8.0 mmol/L] according to the Standard for cardiovascular risk management of the Dutch general practitioners community [NHG]); Serum triacylglycerol concentrations < 4.5 mmol/L; No signs of liver and/or kidney dysfunction; No diabetic patients; No familial hypercholesterolemia; No abuse of drugs; Not more than 4 alcoholic consumption per day with a maximum of 21 per week; Stable body weight (weight gain or loss < 3 kg in the past three months); No use of medication known to treat blood pressure, lipid or glucose metabolism; No use of an investigational product within another biomedical intervention trial within the previous 1-month; No severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis; No active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident; Willingness to give up being a blood donor from 8 weeks before the start of the study, during the study and for 4 weeks after completion of the study; No difficult venipuncture as evidenced during the screening visit; Willing to comply to study protocol during study; Informed consent signed. Exclusion Criteria: Serum total cholesterol < 5.0 mmol/L or ≥ 8.0 mmol/L; Serum triacylglycerol concentrations ≥ 4.5 mmol/L; Signs of liver and/or kidney dysfunction; Diabetic patients; Familial hypercholesterolemia; Abuse of drugs; More than 4 alcoholic consumptions per day or 21 per week; Unstable body weight (weight gain or loss > 3 kg in the past three months); Use medication known to treat blood pressure, lipid or glucose metabolism; Use of an investigational product within another biomedical intervention trial within the previous 1-month; Severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis; Active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident; Not willing to give up being a blood donor from 8 weeks before the start of the study, during the study or for 4 weeks after completion of the study; Not or difficult to venipuncture as evidenced during the screening visit; Use of over-the-counter and prescribed medication or supplements, which may interfere with study measurements to be judged by the principal investigator; Use of oral antibiotics in 40 days or less prior to the start of the study; Blood donation in the past 3 months before the start of the study; Not willing to comply to study protocol during study or sign informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 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: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Control<br>Placebo capsules containing microcrystalline cellulose | Dietary Supplement: Control<br>* Capsules containing microcrystalline cellulose<br>|
| Experimental: Rhodospirillum rubrum 0.25 gram/day<br>Capsules containing oven-dried Rhodospirillum rubrum, 0.25 gram/day | Dietary Supplement: Rhodospirillum rubrum<br>* Capsules containing oven-dried Rhodospirillum rubrum<br>|
| Experimental: Rhodospirillum rubrum 0.5 gram/day<br>Capsules containing oven-dried Rhodospirillum rubrum, 0.5 gram/day | Dietary Supplement: Rhodospirillum rubrum<br>* Capsules containing oven-dried Rhodospirillum rubrum<br>|
| Experimental: Rhodospirillum rubrum 1.0 gram/day<br>Capsules containing oven-dried Rhodospirillum rubrum, 1.0 gram/day | Dietary Supplement: Rhodospirillum rubrum<br>* Capsules containing oven-dried Rhodospirillum rubrum<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| LDL cholesterol concentrations | Fasting LDL cholesterol concentrations will be determined in blood samples using the Friedewald equation | Change from baseline LDL cholesterol concentrations at 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Markers for fasting lipid metabolism | Markers for fasting lipid metabolism include serum total cholesterol (mmol/L), HDL cholesterol (mmol/L), and triacylglycerol concentrations (mmol/L). | Change from baseline concentrations at 4 weeks | 
| Glucose concentrations | Fasting plasma glucose concentrations will determined in blood samples | Change from baseline concentrations at 4 weeks | 
| Blood pressure | Systolic and diastolic blood pressure | Change from baseline blood pressure at 4 weeks | 
| C-reactive protein | Concentrations of hs-CRP will be determined in blood samples | hs-CRP will be will be measured at day 0, day 14, day 25 and day 28 of the intervention period | 
| Markers for liver function | Markers for liver function include ALAT, ASAT and yGT (U/L). This panel of markers will be assessed to monitor liver function. | These markers will be measured at day 0, day 14, day 25 and day 28 of the intervention period | 
| Markers for kidney function | Markers for kidney function include creatinine | These markers will be measured at day 0, day 14, day 25 and day 28 of the intervention period | 
| Markers for heart function (NT-ProBNP) | Markers for heart function include NT-ProBNP. This panel of markers will be assessed to monitor heart function. | These markers will be measured at day 0, day 14, day 25 and day 28 of the intervention period | 
| Markers for heart function (vWF) | Markers for heart function include vWF. This panel of markers will be assessed to monitor heart function. | These markers will be measured at day 0, day 14, day 25 and day 28 of the intervention period | 
| Markers for heart function (Troponin-T) | Markers for heart function include Troponin-T. This panel of markers will be assessed to monitor heart function. | These markers will be measured at day 0, day 14, day 25 and day 28 of the intervention period |