NCT05321277

Brief Summary

The purpose of this research is to test if eating walnuts will cause any changes in blood lipids (like good and bad cholesterol, for example) and levels of inflammation in the blood, as well as changes in the bacteria living in the gut.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable cardiovascular-diseases

Timeline
3mo left

Started Apr 2022

Longer than P75 for not_applicable cardiovascular-diseases

Geographic Reach
1 country

1 active site

Status
active not recruiting

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 Progress95%
Apr 2022Aug 2026

First Submitted

Initial submission to the registry

April 1, 2022

Completed
10 days until next milestone

First Posted

Study publicly available on registry

April 11, 2022

Completed
8 days until next milestone

Study Start

First participant enrolled

April 19, 2022

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 11, 2024

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2026

Expected
Last Updated

February 10, 2026

Status Verified

February 1, 2026

Enrollment Period

2.1 years

First QC Date

April 1, 2022

Last Update Submit

February 5, 2026

Conditions

Keywords

heart healthgut microbiotaMediterranean dietcardiometabolic healthgut healthdiet

Outcome Measures

Primary Outcomes (3)

  • Assessing the influence of walnut consumption on blood lipid measurements.

    Measure for changes in the levels of HDL and LDL in separated plasma; measured in units of mg/dL. Blood will be assessed for the fasting (baseline) sample at each of the 4 study visits.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on circulating inflammatory markers: PAI-1, VCAM-1 and ICAM-1.

    Measure circulating inflammatory markers in separated plasma at each of the 4 study visits. Commercially available ELISA kits will be used: PAI-1, VCAM-1, ICAM-1.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on blood pressure.

    Measure blood pressure (mmHg) before the start of drawing blood on study day protocols.

    Through study completion, an average of 10 weeks

Secondary Outcomes (5)

  • Assessing the influence of walnut consumption on fecal pH.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on stool consistency.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on fecal moisture.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on the levels of gut inflammatory markers: Lipocalin-2 and calprotectin.

    Through study completion, an average of 10 weeks

  • Assessing the influence of walnut consumption on plasma and urine levels of walnut-derived metabolites - urolithins.

    Through study completion, an average of 10 weeks

Other Outcomes (3)

  • Food record analysis

    Through study completion, an average of 10 weeks

  • Anthropometric measurements

    Through study completion, an average of 10 weeks

  • Measure of changes in weight

    Through study completion, an average of 10 weeks

Study Arms (2)

Walnut diet

ACTIVE COMPARATOR

Participants will consume 56 g of walnuts each day at home for 3 weeks.

Dietary Supplement: Walnuts

No-nut diet

ACTIVE COMPARATOR

Participants will follow a no-nut diet for 3 weeks.

Dietary Supplement: No-nut diet

Interventions

WalnutsDIETARY_SUPPLEMENT

Participants will consume 56 g of walnuts daily for 3 weeks. Participants will also follow a diet devoid of ellagitannin-rich, high fiber, and fermented foods.

Walnut diet
No-nut dietDIETARY_SUPPLEMENT

Participants will exclude all nuts and nut-derived products; high-fiber, fermented and ellagitannin-rich foods will also be excluded.

No-nut diet

Eligibility Criteria

Age45 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Overweight and obese men and postmenopausal women between 45-70 years of age, BMI range of 25.0-39.9 kg/m2 and elevated LDL-C levels (130-189 mg/dL).

You may not qualify if:

  • Adults unable to consent, individuals who are not yet adults (infants, children, teenagers), pregnant or lactating women, women planning to become pregnant in the next four months and prisoners will be specifically excluded.
  • Allergy to walnuts or other nuts
  • Eating more than 25 grams of fiber per day, assessed by the Block Dietary-Fruit-Vegetable-Fiber Screener©
  • Taking medications or supplements known to affect metabolism or gut microbiota composition (i.e. Metformin, statins, antibiotics within the past 3 months, fiber supplements, probiotics, and others)
  • Documented chronic diseases including diabetes, renal or liver disease, metabolic syndrome, active cancer, MI or stroke, history of gastric bypass or GI disease (e.g. Crohn's Disease, Irritable Bowel Disease, diverticulosis, diverticulitis, etc.)
  • Smoker or living with a smoker, including vaporizer and/or electronic cigarettes.
  • Illicit drug use, cannabis usage, or consuming \>1 alcoholic drink/day
  • Extreme dietary or exercise patterns
  • Recent weight fluctuations (\>10% in the last 6 months)
  • Taking prescription lipid medications or supplements that may affect lipoprotein metabolism (i.e. \>1 g of fish oil/day, antioxidant supplements)
  • Taking exogenous hormones
  • Poor venous access
  • Unwillingness to comply with study protocols

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ragle Human Nutrition Center

Davis, California, 95616, United States

Location

MeSH Terms

Conditions

Cardiovascular Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 1, 2022

First Posted

April 11, 2022

Study Start

April 19, 2022

Primary Completion

June 11, 2024

Study Completion (Estimated)

August 1, 2026

Last Updated

February 10, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations