NCT04374409

Brief Summary

The study evaluates the impact of one acute dose of cocoa flavanols on brain oxygenation during a hypercapnia challenge, as well as impact on cognitive performance in young healthy males. It further assesses the impact of flavanols on peripheral vascular function, as measured by brachial Flow-mediated dilation (FMD). All participants received a high-flavanol cocoa intervention (185.5 mg of flavanols (-)-epicatechin and (+)- catechin) and a low-flavanol cocoa intervention (\< 4 mg of flavanols). It is hypothesized that the high-flavanol intervention increases cerebral oxygenation during hypercapnia and vascular function in comparison to the low-flavanol intervention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for not_applicable healthy

Timeline
Completed

Started Oct 2018

Shorter than P25 for not_applicable healthy

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

October 2, 2018

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 12, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 12, 2018

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

April 28, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 5, 2020

Completed
Last Updated

May 11, 2020

Status Verified

May 1, 2020

Enrollment Period

2 months

First QC Date

April 28, 2020

Last Update Submit

May 7, 2020

Conditions

Keywords

flavanolcocoabrainoxygenationvascularcognitionhypercapniafunctional near-infrared spectroscopy

Outcome Measures

Primary Outcomes (2)

  • Cortical Blood Oxygenation reactivity to hypercapnia using functional near-infrared spectroscopy (fNIRS)

    Cerebral oxygenated haemoglobin maximum levels in the frontal cortical regions of the brain during the 5% carbon-dioxide breathing challenge (average across minutes 3 and 4 of breathing challenge)

    Change from baseline to 2 hours

  • Time to reach 90% of maximum cortical blood oxygenation during hypercapnia using functional near-infrared spectroscopy (fNIRS)

    Time to reach 90% of maximum oxygenated haemoglobin in the frontal cortical regions of the brain during the 5% carbon-dioxide breathing challenge

    Change from baseline to 2 hours

Secondary Outcomes (3)

  • Cortical Blood Deoxygenation reactivity to hypercapnia using functional near-infrared spectroscopy (fNIRS)

    Change from baseline to 2 hours

  • Inverse Efficiency scores in a Modified version of the Stroop Task

    2 hours post intervention

  • Flow-mediated dilatation (FMD) of the brachial artery using ultrasound (expressed as % FMD: change in brachial diameter from baseline to peak dilation following 5 minutes of arterial occlusion)..

    Change from baseline to 2 hours

Study Arms (2)

High-flavanol Cocoa powder

EXPERIMENTAL

Dietary supplement: single serving of a high-flavanol cocoa powder containing 150 mg of (-)-epicatechin and 35.5 mg of (+)-catechin

Dietary Supplement: High-flavanol cocoa powder

Low-flavanol Cocoa powder

ACTIVE COMPARATOR

Dietary supplement: single serving of a low-flavanol cocoa powder intervention containing \< 4 mg of (-)-epicatechin and (+)-catechin and matched as best as possible for macronutrients and micronutrients, such as caffeine and theobromine.

Dietary Supplement: Low-flavanol cocoa powder

Interventions

High-flavanol cocoa powderDIETARY_SUPPLEMENT

Non-alkalized fat-reduced cocoa powder (Natural Acticoa)

High-flavanol Cocoa powder
Low-flavanol cocoa powderDIETARY_SUPPLEMENT

Alkalized fat-reduced cocoa powder (10/12 DDP Royal Dutch)

Low-flavanol Cocoa powder

Eligibility Criteria

Age18 Years - 45 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Male
  • years old

You may not qualify if:

  • smokers
  • hypertensive
  • with history of cerebrovascular, cardiovascular or respiratory disease
  • allergies or intolerances to ingredients present in cocoa powders
  • taking long-term medication (e.g., hyperlipidaemia)
  • on antibiotics for the previous 3 months before enrollment
  • suffering from blood-clotting disorders
  • known infections at the time of the study
  • on a weight-reducing regimen

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

School of Sport, Exercise & Rehabilitation Sciences, University of Birmingham

Birmingham, B15 2TT, United Kingdom

Location

MeSH Terms

Conditions

Hypercapnia

Condition Hierarchy (Ancestors)

Signs and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Catarina Rendeiro, PhD

    University of Birmingham

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

April 28, 2020

First Posted

May 5, 2020

Study Start

October 2, 2018

Primary Completion

December 12, 2018

Study Completion

December 12, 2018

Last Updated

May 11, 2020

Record last verified: 2020-05

Data Sharing

IPD Sharing
Will not share

Locations