NCT03380000

Brief Summary

In this study the investigators will test the hypothesis that acute consumption of inorganic nitrate (supplied in concentrated beetroot juice) reduces artery stiffness and resting blood pressure, and lessens the rise in blood pressure during handgrip exercise in postmenopausal women. Understanding and improving artery function and blood pressure regulation in women is important because they undergo accelerated arterial stiffening after menopause and have much larger increases in blood pressure when they exercise compared with either premenopausal women or men of similar age.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Sep 2014

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 12, 2014

Completed
3.2 years until next milestone

First Submitted

Initial submission to the registry

December 10, 2017

Completed
10 days until next milestone

First Posted

Study publicly available on registry

December 20, 2017

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2020

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

June 23, 2021

Completed
Last Updated

July 12, 2022

Status Verified

June 1, 2022

Enrollment Period

5 years

First QC Date

December 10, 2017

Results QC Date

February 5, 2021

Last Update Submit

June 16, 2022

Conditions

Keywords

Dietary nitrate supplementationBeetroot juice

Outcome Measures

Primary Outcomes (1)

  • Resting Aortic Blood Pressures

    Aortic Blood pressures were measured in the arm (cuff) and estimated in the aorta (radial artery tonometry).

    Resting systolic blood pressure at 90 minutes after beetroot juice ingestion

Secondary Outcomes (5)

  • Blood Measures of Nitrate Absorption and Conversion

    Change from baseline measures of plasma nitrate and nitrite at 90 minutes and at approximately 6 hours

  • Resting Arterial Stiffness/Wave Properties

    Change from baseline resting pulse wave velocity at 90 minutes after beet root juice ingestion

  • Handgrip Exercise Blood Pressure Responses (Relative Change From Baseline)

    Approximately 180 minutes after ingestion of beetroot juice

  • Peak Rate of Perceived Exertion Scores During Handgrip Exercise

    Approximately 90 minutes after ingestion of beetroot juice

  • Handgrip Exercise Tolerance

    Approximately 90 minutes after ingestion of beetroot juice

Study Arms (2)

Nitrate rich beetroot juice

ACTIVE COMPARATOR

Subjects will consume 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing.

Drug: Beetroot juice

Nitrate depleted beetroot juice

PLACEBO COMPARATOR

Subjects will consume 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing.

Drug: Beetroot juice placebo

Interventions

This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).

Also known as: Beet-It Organic Shot
Nitrate rich beetroot juice

This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).

Also known as: Beet-It Organic placebo
Nitrate depleted beetroot juice

Eligibility Criteria

Age55 Years - 80 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Resting systolic blood pressure less than or equal to 160 mmHg
  • Resting diastolic blood pressure less than or equal to 100 mmHg

You may not qualify if:

  • Overt cardiovascular, metabolic, hematologic, pulmonary, renal, musculoskeletal, and/or neurological disease(s)
  • Users of any tobacco and/or nicotine products (smokers, chewing tobacco, nicotine-containing patches/gum, smokeless cigarettes)
  • Body mass index greater than 35
  • Total cholesterol greater than 239 mg/dl
  • LDL cholesterol greater than 159 mg/dl
  • Fasting blood triglycerides greater than 199 mg/dl
  • Fasting blood glucose greater than 109 mg/dl and HbA1c greater than 6.0%
  • Individuals currently taking any of the following medications:
  • blood pressure lowering medication (e.g., beta blockers, ACE inhibitors, angiotensin antagonists, calcium channel blockers, diuretics)
  • lipid-lowering medication (e.g., statins)
  • nitrates (e.g. nitroglycerin) for angina
  • phosphodiesterase inhibitors (e.g., Viagra)
  • anti-inflammatory drugs
  • Individuals currently taking hormone replacement therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Penn State University

University Park, Pennsylvania, 16802, United States

Location

Results Point of Contact

Title
David N. Proctor
Organization
Penn State University

Study Officials

  • David N Proctor, PhD

    Penn State University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Treatment order will be randomly assigned to participants by Clinical Research Center (CRC) staff using computer-based mathematical software. The generated list that determines each participants treatment order will be kept in a secure location in the CRC which cannot be accessed directly by research team members.
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Kinesiology, Physiology, and Medicine

Study Record Dates

First Submitted

December 10, 2017

First Posted

December 20, 2017

Study Start

September 12, 2014

Primary Completion

September 1, 2019

Study Completion

January 1, 2020

Last Updated

July 12, 2022

Results First Posted

June 23, 2021

Record last verified: 2022-06

Locations