NCT03629613

Brief Summary

Title: Effects of oral antioxidant cocktail on vascular function and muscle function in cardiovascular disease patients Cardiovascular disease (CVD) generally refers to various conditions involving narrowed or blocked dysfunctional blood vessels that often lead to heart attack or stroke. One of the main contributors to blood vessel dysfunction is damage to the vascular endothelium. This often results from the accumulation of oxidative stress (OS) and inflammation due to a decrease in blood flow and oxygen transport to the body's organs and skeletal muscle. The body's natural antioxidant defense system cannot keep up with the high level of OS clearance necessary to maintain proper vascular homeostasis. Previous research has addressed the use of single antioxidants (e.g. vitamin E, beta-carotene, ascorbic acid) in CVD patients, but the use of a combination of antioxidants has yet to be examined. Therefore, the purpose of this study is to examine the effects of acute oral antioxidant cocktail administration (containing vitamin C, E, and alpha-lipoic acid) on oxidative stress, vascular function, autonomic function (heart rate variability), leg blood flow, leg muscle tissue oxygenation, and walking capacity in CVD patients. This is a parallel study design that will assess the effects of oral antioxidant cocktail administration on CVD patients ages 50-85. Subjects will be required to visit the lab 1 time. This visit will consist of 1) obtaining informed consent and questions, 2) baseline blood sampling and baseline measurements of endothelial function, arterial stiffness, autonomic function (heart rate variability), leg blood flow, leg muscle oxygenation, and a walking test, 3) first dose oral antioxidant cocktail administration followed by a 2-hour break, 4) second dose oral antioxidant cocktail 30 minutes after the first dose, 5) post-consumption blood sampling and measurements of endothelial function, arterial stiffness, autonomic function (heart rate variability), leg blood flow, leg muscle oxygenation, and a walking test.

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Dec 2020

Status
withdrawn

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

First Submitted

Initial submission to the registry

August 3, 2018

Completed
11 days until next milestone

First Posted

Study publicly available on registry

August 14, 2018

Completed
2.3 years until next milestone

Study Start

First participant enrolled

December 1, 2020

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 13, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 13, 2022

Completed
Last Updated

August 15, 2023

Status Verified

August 1, 2023

Enrollment Period

1.8 years

First QC Date

August 3, 2018

Last Update Submit

August 12, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Endothelial function

    Flow-mediated dilation will be used to measure endothelial function in the brachial artery. This will be done pre- and post-antioxidant intake.

    20 minutes

Secondary Outcomes (6)

  • Arterial stiffness

    10 minutes

  • Blood flow

    10 minutes

  • Oxidative stress

    5 minutes

  • Autonomic function

    40 minutes

  • Muscle tissue oxygenation

    28 minutes (during physical walking capacity test)

  • +1 more secondary outcomes

Study Arms (2)

Baseline

SHAM COMPARATOR

Subjects will be tested on one day. Baseline testing will take place and will be followed by oral antioxidant cocktail intake. Oral antioxidant cocktail testing will take place \~2 hours after antioxidant intake. During baseline testing, no supplement or placebo intake will be used.

Other: Baseline

Oral antioxidant cocktail

EXPERIMENTAL

Subjects will be tested on one day. Baseline testing will take place and will be followed by oral antioxidant cocktail intake. Oral antioxidant cocktail testing will take place \~2 hours after antioxidant intake. Dose 1:(immediately after baseline) 300 mg alpha-lipoic acid, 500 mg vitamin C, 200 IU vitamin E Dose 2: (30 minutes after dose 1) 300 mg alpha-lipoic acid, 500 mg vitamin C, 400 IU vitamin E

Dietary Supplement: Oral antioxidant cocktail

Interventions

Oral antioxidant cocktailDIETARY_SUPPLEMENT

Oral antioxidant cocktail intake will occur after baseline measurements: Dose 1 (immediately after baseline testing): 300 mg alpha-lipoic acid, 500 mg vitamin C, 200 IU vitamin E Dose 2 (30 minutes after Dose 1): 300 mg alpha-lipoic acid, 500 mg vitamin C, 400 IU vitamin E

Oral antioxidant cocktail

No oral antioxidant cocktail intake or placebo intake will occur prior to baseline measurements

Baseline

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • be able to give written, informed consent
  • be diagnosed with CVD
  • be between 50-85 years old
  • be postmenopausal, meaning having had cessation of menses for at least 12 consecutive months
  • be able to give written, informed consent
  • no CVD conditions
  • be between 50-85 years old
  • be postmenopausal, meaning having had cessation of menses for at least 12 consecutive months

You may not qualify if:

  • chronic kidney/renal disease
  • chronic heart failure
  • neuromuscular disease
  • known cancer
  • already supplementing with antioxidants or vitamins within 5 days of the study
  • pregnant or nursing women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (24)

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    PMID: 20102968BACKGROUND
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    PMID: 11570117BACKGROUND
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    PMID: 20805637BACKGROUND
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    PMID: 10999423BACKGROUND
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    PMID: 18606913BACKGROUND
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    PMID: 12821281BACKGROUND
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    PMID: 16814106BACKGROUND
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    PMID: 7827927BACKGROUND
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    PMID: 8085584BACKGROUND
  • Rossman MJ, Trinity JD, Garten RS, Ives SJ, Conklin JD, Barrett-O'Keefe Z, Witman MA, Bledsoe AD, Morgan DE, Runnels S, Reese VR, Zhao J, Amann M, Wray DW, Richardson RS. Oral antioxidants improve leg blood flow during exercise in patients with chronic obstructive pulmonary disease. Am J Physiol Heart Circ Physiol. 2015 Sep;309(5):H977-85. doi: 10.1152/ajpheart.00184.2015. Epub 2015 Jul 17.

    PMID: 26188020BACKGROUND
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    PMID: 28772005BACKGROUND
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    PMID: 27526146BACKGROUND
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    PMID: 8479464BACKGROUND
  • Klipstein-Grobusch K, den Breeijen JH, Grobbee DE, Boeing H, Hofman A, Witteman JC. Dietary antioxidants and peripheral arterial disease : the Rotterdam Study. Am J Epidemiol. 2001 Jul 15;154(2):145-9. doi: 10.1093/aje/154.2.145.

    PMID: 11447047BACKGROUND
  • Ives SJ, Harris RA, Witman MA, Fjeldstad AS, Garten RS, McDaniel J, Wray DW, Richardson RS. Vascular dysfunction and chronic obstructive pulmonary disease: the role of redox balance. Hypertension. 2014 Mar;63(3):459-67. doi: 10.1161/HYPERTENSIONAHA.113.02255. Epub 2013 Dec 9.

    PMID: 24324045BACKGROUND
  • Rossman MJ, Groot HJ, Reese V, Zhao J, Amann M, Richardson RS. Oxidative stress and COPD: the effect of oral antioxidants on skeletal muscle fatigue. Med Sci Sports Exerc. 2013 Jul;45(7):1235-43. doi: 10.1249/MSS.0b013e3182846d7e.

    PMID: 23299763BACKGROUND

MeSH Terms

Conditions

Cardiovascular Diseases

Interventions

BaseLine dental cement

Study Officials

  • Song-Young Park, PhD

    University of Nebraska

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Cardiovascular disease condition; healthy, age-matched control
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 3, 2018

First Posted

August 14, 2018

Study Start

December 1, 2020

Primary Completion

September 13, 2022

Study Completion

September 13, 2022

Last Updated

August 15, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share