NCT02214290

Brief Summary

Caffeine is an exceedingly popular and consumed pharmacological agent. Although caffeine is primarily consumed from coffee and tea beverages, it is also available in other forms such as sodas, energy drinks, tablets and capsules. Nevertheless, caffeine acutely increases brachial and aortic systolic blood pressure (BP) and arterial stiffness. Arterial stiffness is an independent predictor of cardiovascular disease (CVD) and assessed through pulse wave velocity (PWV). Interestingly, previous studies have proposed that caffeine may increase aortic BP through increases in aortic PWV and augmentation index (AIx), a measurement of wave reflection. Yet, these effects were seen in middle-aged adults with treated hypertension and a wide age range. Therefore, it is imperative to consider that caffeine may cause different effects in young normotensive individuals than in older adults independently of BP levels. Importantly, oral supplementation of the amino-acid, L-citrulline has been shown to enhance the bioavailability of L-arginine levels and nitric oxide (NO) production and, therefore, improve arterial function. L-citrulline supplementation for 7 days given at 6 g/day has shown to increase NO levels while improving PWV. Previous studies by our group also demonstrated that L-citrulline supplementation reduces the BP response to cold exposure; a condition with an increased vasoconstriction. Therefore, the acute effects of caffeine on central and peripheral PWV and BP in healthy young men are yet to be fully evaluated. We hypothesized that acute caffeine intake would increase peripheral and aortic BP and PWV and that L-citrulline supplementation would attenuate the effects induced by acute caffeine ingestion.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for not_applicable hypertension

Timeline
Completed

Started Sep 2012

Status
completed

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

Study Start

First participant enrolled

September 1, 2012

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2014

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

August 4, 2014

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 12, 2014

Completed
6.4 years until next milestone

Results Posted

Study results publicly available

December 29, 2020

Completed
Last Updated

December 29, 2020

Status Verified

October 1, 2020

Enrollment Period

1.5 years

First QC Date

August 4, 2014

Results QC Date

November 30, 2018

Last Update Submit

December 2, 2020

Conditions

Keywords

CardiovascularCaffeineL-citrullineArterial FunctionHemodynamicsBlood PressurePulse Wave VelocityPulse Wave Analysis

Outcome Measures

Primary Outcomes (1)

  • Aortic Blood Pressure

    Aortic blood pressure at rest and 30 minutes after acute ingestion of 200 mg of caffeine before and after 7 days of either 6g/day of Citrulline or 6 g/day of Placebo.

    Baseline and Day 7 (Calculated change between rest and 30 minutes post-caffeine ingestion at these time points)

Secondary Outcomes (2)

  • Changes in Reflected Wave Pressure (P2)

    Baseline and Day 7 (Calculated change between rest and 30 minutes post-caffeine ingestion at these time points)

  • Changes in Femoral-ankle Pulse Wave Velocity After 7 Days of Either L-Citrulline or Placebo (6g/Day)

    Baseline and Day 7 (Calculated change between rest and 30 minutes post-caffeine ingestion at these time points)

Study Arms (3)

Caffeine

ACTIVE COMPARATOR

200 mg caffeine tablet produced by CVS Pharmacy, USA

Drug: Caffeine

Placebo

PLACEBO COMPARATOR

Placebo pill produced by NOW FOODS, USA

Drug: Placebo

L-citrulline

EXPERIMENTAL

L-citrulline capsule (750 mg) provided by NOW FOODS

Dietary Supplement: L-citrulline

Interventions

A 200 mg caffeine tablet was given to subject to examine the drugs effect on arterial function.

Also known as: Caffeine tablet (CVS Pharmacy)
Caffeine

A 750 mg placebo capsule (maltodextrin) was given to subjects to examine the effect of the drug on arterial function.

Also known as: Placebo from NOW FOODS, USA
Placebo
L-citrullineDIETARY_SUPPLEMENT

L-citrulline was used to examine the effect of the supplement on arterial function.

Also known as: L-citrulline (750 mg/capsule)
L-citrulline

Eligibility Criteria

Age18 Years - 40 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Young healthy males
  • Non smoker
  • Non endurance trained athlete
  • No previous history of cardiovascular disease

You may not qualify if:

  • Female
  • Blood pressure greater than 160/100
  • Smoker

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Hypertension

Interventions

CaffeineCitrulline

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

XanthinesAlkaloidsHeterocyclic CompoundsPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingAmino Acids, DiaminoAmino AcidsAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Dr. Arturo Figueroa
Organization
Texas Tech University

Study Officials

  • Arturo Figueroa, M.D. Ph.D

    Florida State University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

August 4, 2014

First Posted

August 12, 2014

Study Start

September 1, 2012

Primary Completion

March 1, 2014

Study Completion

March 1, 2014

Last Updated

December 29, 2020

Results First Posted

December 29, 2020

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will not share