Clinical trial NCT03739242: Effect of a Treatment With a Nutraceutical Combination on Sub-optimal LDL Cholesterol Levels
Official title: A Randomized, Double-blinded, Placebo-controlled, Clinical Study of the Effects of a Nutraceutical Combination on LDL Cholesterol Levels in Subjects With Sub-optimal Blood Cholesterol Levels
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hypercholesterolemia
Keywords: Lipids
Cholesterol
Triglycerides
Dyslipidemia
Low density lipoprotein cholesterol
Dietary Fats
Hyperlipidemias
Dietary Supplements
Food Supplements
Nutraceuticals
Nutriceuticals
Lead sponsor: A. Menarini Industrie Farmaceutiche Riunite S.r.l.
Sponsor class: INDUSTRY
First posted: 2018-11-13
Enrollment: 88
Sex: ALL
Minimum age (years): 30
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: High cholesterol is one of the major controllable risk factor for coronary heart disease. It is well demonstrated that drugs that reduce the intestinal absorption of cholesterol or block the synthesis of cholesterol or the association of both, can reduce cholesterol and reduce rate of cardiovascular events. The trial will evaluate natural alternative to this drug approach testing the effects of a combination of phytosterol, a nutritional that reduce cholesterol absorption, and fermented red rice, a nutritional that reduce the synthesis of cholesterol. Subjects with sub optimal blood cholesterol levels, matching all the inclusion criteria and none of the exclusion criteria, will be treated for 8 weeks with a nutraceutical combination of phytosterols and fermented red rice and will have to maintain, during the entire duration of the study, the Mediterranean-style diet provided. The study will evaluate as primary objective the changes in LDL cholesterol blood levels and more in general the modulation of lipid profile and of others clinical parameters as well as the tolerability.

Detailed description: The study is made up of four visits distributed over a 10-weeks period:

V 1 (day -14) - Screening: After providing written informed consent, tests will be run in order to check the subject's eligibility for the study. Subjects will also be given suggestions regarding their diet (a Mediterranean-style diet is to be maintained for the entire duration of the study).

V2 (baseline) and Day 0 (randomization): After confirmation of the subject's eligibility \[LDL-C and Triglycerides (TG) criteria confirmed with blood test results\], eligible subjects will be randomized within 3 days to one of the two treatment groups. During this visit an endothelial reactivity test will be performed.

V3 (28 ±3 days after Day 0) - Intermediate: Blood will be drawn for tests and compliance with treatment will be assessed. V4 (28 ± 3 days after Visit 3) - End of study: Blood tests and an endothelial reactivity test will be performed and treatment compliance will be assessed.

Weight, waist circumference, Index of Central Obesity (ICO) and Body Mass Index (BMI), Hepatic Steatosis Index (HSI) and Lipid Accumulation Product (LAP) will be measured/calculated at each visit, height at Visit 1.

Heart rate and blood pressure will be measured at each visit. Adverse events (AEs) will be collected throughout the study starting from the Informed consent signature.

The study will be monitored according to the details specified in the Monitoring Plan. The monitor will have the responsibility of reviewing the ongoing study with the Investigator to verify adherence to the protocol and to deal with any problems. Case Report Form (CRF) will be checked for completeness and consistency with the source data and special attention will be dedicated to patient enrolment, obtaining signed informed consent, occurrence of AEs, product accountability, and accurate recording of variables. The confidentiality of study related documents shall be maintained at all times. The Investigator agrees to allow access to all study materials needed for the proper review of study conduct.

An independent quality audit/inspection at the study site may take place at any time during or after the study. The independent audit/inspection can be carried out by the Sponsor's independent Quality Assurance (QA), by a Health Authorities or an Ethics Committee (EC).

Eligibility criteria: Inclusion Criteria:

-

Subjects must meet all of the following inclusion criteria:

* Age 30-75 years
* LDL-cholesterol = 115 -190 mg/dL
* Triglycerides \< 400 mg/dL
* Any cardiovascular therapy should be stable for type and dose for at least three months
* Signed, written informed consent

Exclusion Criteria:

-

Subjects must meet none of the following exclusion criteria:

* Intolerance to any ingredient of dietary supplement
* Patients already suffering from cardiovascular diseases or at high risk of developing cardiovascular diseases
* Myopathies
* Uncontrolled diabetes mellitus based on PI judgment
* Chronic renal failure \[defined as estimated glomerular filtration rate (eGFR) \<60ml/min/1.73m2\] or liver failure \[defined as aspartate aminotransferase (AST) and /or Alanine Aminotransferase (ALT) \>3 upper limit of normal (ULN)\]
* Body Mass Index \> 32 kg/m2
* Therapy with statins or other drugs or supplements with effects on lipid metabolism
* Patients with acquired immunodeficiency
* Treatment with immunosuppressants
* Pregnant or breastfeeding women
* Women of childbearing potential not willing to use effective birth control methods
* Patients participating or having participated in another clinical trial within the previous 3 months
* Current or recent history of drug or alcohol addiction based on PI judgment

Primary outcomes:
measure: Change in Blood LDL Cholesterol Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
Secondary outcomes:
measure: Change in Total Blood Cholesterol Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Blood HDL Cholesterol Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Blood Non-HDL Cholesterol Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Blood Triglycerides Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Blood Apolipoprotein B Level
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Total Cholesterol/HDL Cholesterol Ratio
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Total LDL Cholesterol/HDL Cholesterol Ratio
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Pulse Volume (PV) Waveform (Endothelial Reactivity)
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Glycemia
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Aspartate Aminotransferase (AST)
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Alanine Aminotransferase (ALT)
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Gamma Glutamyl Transpeptidase (GGT)
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Serum Creatinine
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Serum Uric Acid
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
measure: Change in Creatine Phosphokinase (CPK)
timeFrame: From randomization (day 0) to V4 (week 8) for a total of 56 +/- 3 days of treatment
Other outcomes:
Locations:
city: Bologna
country: Italy
facility: Policlinico S.Orsola - Malpighi Medicina Interna Borghi
Study officials:
affiliation: Policlinico S.Orsola - Malpighi Medicina Interna Borghi
name: Claudio Borghi, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Cicero AFG, D'Addato S, Borghi C. A Randomized, Double-Blinded, Placebo-Controlled, Clinical Study of the Effects of a Nutraceutical Combination (LEVELIP DUO(R)) on LDL Cholesterol Levels and Lipid Pattern in Subjects with Sub-Optimal Blood Cholesterol Levels (NATCOL Study). Nutrients. 2020 Oct 14;12(10):3127. doi: 10.3390/nu12103127.