NCT01821131

Brief Summary

This Clinical Trial is being conducted to study the LDL (bad) cholesterol lowering abilities of flax. The purpose of this study is to find the lowest dose of flax that can lower LDL-cholesterol.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
76

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 26, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 29, 2013

Completed
9 months until next milestone

Study Start

First participant enrolled

January 1, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
9.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2025

Completed
Last Updated

February 2, 2024

Status Verified

January 1, 2024

Enrollment Period

1.8 years

First QC Date

March 26, 2013

Last Update Submit

January 31, 2024

Conditions

Keywords

flaxmuffincholesterollignanALA

Outcome Measures

Primary Outcomes (1)

  • lipid profile

    plasma total cholesterol, HDL, LDL and triglycerides

    4 weeks

Secondary Outcomes (4)

  • flax metabolites

    4 weeks

  • blood pressure

    4 weeks

  • high sensitivity c-reactive protein (hsCRP)

    4 weeks

  • glucose

    4 weeks

Other Outcomes (4)

  • gastrointestinal side effects

    4 weeks

  • liver function

    4 weeks

  • kidney function

    4 weeks

  • +1 more other outcomes

Study Arms (3)

30g ground flaxseed per day

EXPERIMENTAL

consume 1 muffin containing 30g ground flaxseed every day for 4 weeks

Other: muffin

20g ground flaxseed per day

EXPERIMENTAL

consume 1 muffin containing 20g ground flaxseed every day for 4 weeks

Other: muffin

0g ground flaxseed per day

PLACEBO COMPARATOR

consume 1 muffin containing 0g ground flaxseed every day for 4 weeks

Other: muffin

Interventions

muffinOTHER
0g ground flaxseed per day20g ground flaxseed per day30g ground flaxseed per day

Eligibility Criteria

Age30 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • male and non-pregnant/non-lactating female
  • Body mass index 18.5-40.0 kg/m2
  • Fasting plasma LDL cholesterol 2.6-5.0 mmol/L
  • Regular dietary habits (ie. breakfast, lunch and dinner meals consumed daily)
  • Willing to comply with protocol requirements
  • Willing to provide informed consent

You may not qualify if:

  • Medical history of cardiovascular disease, use of cholesterol-lowering or blood pressure-lowering medications
  • Fasting plasma triglycerides ≥ 4.0 mmol/L
  • Medical history of diabetes mellitus, fasting plasma glucose ≥ 7.0 mmol/L or use of insulin or oral medication to control blood sugar
  • Medical history of gastrointestinal disease, daily use of any stomach acid-lowering medications or laxatives (including fibre supplements) within the past month or antibiotic use within the past 6 weeks
  • Medical history of inflammatory disease (ie. Systemic lupus erythematosis, rheumatoid arthritis, psoriasis)
  • Medical history of liver disease or liver dysfunction (defined as plasma AST or ALT ≥ 1.5 times the upper limit of normal (ULN))
  • Medical history of kidney disease or kidney dysfunction (defined as blood urea nitrogen and creatinine ≥ 1.8 times the ULN)
  • Active treatment for any type of cancer within 1 year prior to study start
  • Major surgery within the last 3 months
  • Other medical, psychiatric, or behavioral factors that in the judgment of the Principal Investigator may interfere with study participation or the ability to follow the intervention protocol
  • Unstable body weight (defined as \> 5% change in 3 months) or actively participating in a weight loss program
  • Tobacco and/or nicotine replacement use, current or within the last 3 months
  • Taking medication (prescription or non-prescription) or dietary supplements (pre/probiotics, vitamins, minerals, fats, herbals) known to affect blood lipids, with the exception of stable doses of thyroxine and oral contraceptive agents
  • Any food allergy, aversion or unwillingness to eat wheat or flax
  • Daily consumption of flax containing products in the past month
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Asper Clinical Research Institute

Winnipeg, Manitoba, R2H 2A6, Canada

Location

Glycemic Index Laboratories Inc.

Toronto, Ontario, M5C 2N8, Canada

Location

Related Publications (20)

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    PMID: 21160056BACKGROUND
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    PMID: 19812802BACKGROUND
  • Charland SL, Cziraky MJ, Quimbo R, Karas RH, Insull W Jr, Davidson M, Stanek EJ. Achieving optimal lipid values in patients with dyslipidemia is associated with reduced risk of cardiovascular events. J Clin Lipidol. 2008 Oct;2(5):343-53. doi: 10.1016/j.jacl.2008.06.009. Epub 2008 Jun 26.

    PMID: 21291759BACKGROUND
  • Lusis AJ. Atherosclerosis. Nature. 2000 Sep 14;407(6801):233-41. doi: 10.1038/35025203.

    PMID: 11001066BACKGROUND
  • O'Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE. Clinical applications of arterial stiffness; definitions and reference values. Am J Hypertens. 2002 May;15(5):426-44. doi: 10.1016/s0895-7061(01)02319-6.

    PMID: 12022246BACKGROUND
  • Xu Y, Wu Y, Li J, Ma W, Guo X, Luo Y, Hu D. The predictive value of brachial-ankle pulse wave velocity in coronary atherosclerosis and peripheral artery diseases in urban Chinese patients. Hypertens Res. 2008 Jun;31(6):1079-85. doi: 10.1291/hypres.31.1079.

    PMID: 18716354BACKGROUND
  • Leng GC, Fowkes FG, Lee AJ, Dunbar J, Housley E, Ruckley CV. Use of ankle brachial pressure index to predict cardiovascular events and death: a cohort study. BMJ. 1996 Dec 7;313(7070):1440-4. doi: 10.1136/bmj.313.7070.1440.

    PMID: 8973232BACKGROUND
  • Murabito JM, Evans JC, Larson MG, Nieto K, Levy D, Wilson PW; Framingham Study. The ankle-brachial index in the elderly and risk of stroke, coronary disease, and death: the Framingham Study. Arch Intern Med. 2003 Sep 8;163(16):1939-42. doi: 10.1001/archinte.163.16.1939.

    PMID: 12963567BACKGROUND
  • Singh KK, Mridula D, Rehal J, Barnwal P. Flaxseed: a potential source of food, feed and fiber. Crit Rev Food Sci Nutr. 2011 Mar;51(3):210-22. doi: 10.1080/10408390903537241.

    PMID: 21390942BACKGROUND
  • Bassett CM, Rodriguez-Leyva D, Pierce GN. Experimental and clinical research findings on the cardiovascular benefits of consuming flaxseed. Appl Physiol Nutr Metab. 2009 Oct;34(5):965-74. doi: 10.1139/H09-087.

    PMID: 19935863BACKGROUND
  • Austria JA, Richard MN, Chahine MN, Edel AL, Malcolmson LJ, Dupasquier CM, Pierce GN. Bioavailability of alpha-linolenic acid in subjects after ingestion of three different forms of flaxseed. J Am Coll Nutr. 2008 Apr;27(2):214-21. doi: 10.1080/07315724.2008.10719693.

    PMID: 18689552BACKGROUND
  • Zhang W, Wang X, Liu Y, Tian H, Flickinger B, Empie MW, Sun SZ. Dietary flaxseed lignan extract lowers plasma cholesterol and glucose concentrations in hypercholesterolaemic subjects. Br J Nutr. 2008 Jun;99(6):1301-9. doi: 10.1017/S0007114507871649. Epub 2007 Dec 6.

    PMID: 18053310BACKGROUND
  • Othman RA, Moghadasian MH, Jones PJ. Cholesterol-lowering effects of oat beta-glucan. Nutr Rev. 2011 Jun;69(6):299-309. doi: 10.1111/j.1753-4887.2011.00401.x.

    PMID: 21631511BACKGROUND
  • Bloedon LT, Balikai S, Chittams J, Cunnane SC, Berlin JA, Rader DJ, Szapary PO. Flaxseed and cardiovascular risk factors: results from a double blind, randomized, controlled clinical trial. J Am Coll Nutr. 2008 Feb;27(1):65-74. doi: 10.1080/07315724.2008.10719676.

    PMID: 18460483BACKGROUND
  • Cunnane SC, Hamadeh MJ, Liede AC, Thompson LU, Wolever TM, Jenkins DJ. Nutritional attributes of traditional flaxseed in healthy young adults. Am J Clin Nutr. 1995 Jan;61(1):62-8. doi: 10.1093/ajcn/61.1.62.

    PMID: 7825540BACKGROUND
  • Dodin S, Lemay A, Jacques H, Legare F, Forest JC, Masse B. The effects of flaxseed dietary supplement on lipid profile, bone mineral density, and symptoms in menopausal women: a randomized, double-blind, wheat germ placebo-controlled clinical trial. J Clin Endocrinol Metab. 2005 Mar;90(3):1390-7. doi: 10.1210/jc.2004-1148. Epub 2004 Dec 21.

    PMID: 15613422BACKGROUND
  • Lucas EA, Wild RD, Hammond LJ, Khalil DA, Juma S, Daggy BP, Stoecker BJ, Arjmandi BH. Flaxseed improves lipid profile without altering biomarkers of bone metabolism in postmenopausal women. J Clin Endocrinol Metab. 2002 Apr;87(4):1527-32. doi: 10.1210/jcem.87.4.8374.

    PMID: 11932276BACKGROUND
  • Patade A, Devareddy L, Lucas EA, Korlagunta K, Daggy BP, Arjmandi BH. Flaxseed reduces total and LDL cholesterol concentrations in Native American postmenopausal women. J Womens Health (Larchmt). 2008 Apr;17(3):355-66. doi: 10.1089/jwh.2007.0359.

    PMID: 18328014BACKGROUND
  • Simbalista RL, Sauerbronn AV, Aldrighi JM, Areas JA. Consumption of a flaxseed-rich food is not more effective than a placebo in alleviating the climacteric symptoms of postmenopausal women. J Nutr. 2010 Feb;140(2):293-7. doi: 10.3945/jn.109.113886. Epub 2009 Dec 9.

    PMID: 20007337BACKGROUND
  • National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002 Dec 17;106(25):3143-421. No abstract available.

    PMID: 12485966BACKGROUND

Related Links

Study Officials

  • Heather J Blewett, PhD

    Agriculture and Agri-Food Canada

    PRINCIPAL INVESTIGATOR
  • Thomas Wolever, PhD, MD

    University of Toronto

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 26, 2013

First Posted

March 29, 2013

Study Start

January 1, 2014

Primary Completion

November 1, 2015

Study Completion

January 1, 2025

Last Updated

February 2, 2024

Record last verified: 2024-01

Locations