NCT05864521

Brief Summary

The purpose of this study is to investigate the effects of acute inorganic nitrate supplementation (with beetroot) on the regulation of sleep and neurovascular physiology.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for not_applicable healthy

Timeline
1mo left

Started Sep 2023

Longer than P75 for not_applicable healthy

Geographic Reach
1 country

1 active site

Status
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 Progress99%
Sep 2023Jun 2026

First Submitted

Initial submission to the registry

May 9, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 18, 2023

Completed
4 months until next milestone

Study Start

First participant enrolled

September 28, 2023

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2026

Last Updated

September 25, 2025

Status Verified

September 1, 2025

Enrollment Period

2.7 years

First QC Date

May 9, 2023

Last Update Submit

September 22, 2025

Conditions

Keywords

Blood PressureSleep

Outcome Measures

Primary Outcomes (5)

  • Change in the amount of time in stage three sleep

    Measured overnight polysomnography (PSG) used to identify sleep staging, reported in minutes

    Baseline, approximately 30 days, and approximately 60 days

  • Change in sleep quality

    Measured by Pittsburgh Sleep Quality Index which measures the severity of sleep disturbances. Possible scores range from 0 to 21 with higher scores indicating a worse outcome/more severe symptoms of sleep disturbance.

    Baseline, approximately 30 days, and approximately 60 days

  • Change in self-reported sleep quality

    Measured on a visual analog scale of 1-10, where 1 is not at all sleepy and 10 is as sleepy as you can imagine, how sleepy are you right now?

    Baseline, approximately 30 days, and approximately 60 days

  • Change in sleepiness

    Measured by the Stanford Sleepiness Scale that asks participate to rank their degree of sleepiness where 1 would indicate the subject currently feels least sleepy and 7 would indicate the subject feels the most sleepy.

    Baseline, approximately 30 days, and approximately 60 days

  • Change in daytime sleepiness

    Measured by Epworth Sleepiness Scale. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is graded from 0-24. 0-7:It is unlikely that you are abnormally sleepy. 8-9:You have an average amount of daytime sleepiness. 10-15:You may be excessively sleepy depending on the situation. You may want to consider seeking medical attention. 16-24:You are excessively sleepy and should consider seeking medical attention.

    Baseline, approximately 30 days, and approximately 60 days

Secondary Outcomes (7)

  • Change in blood pressure

    Baseline, approximately 30 days, and approximately 60 days

  • Change in sympathetic nerve burst frequency

    Baseline, approximately 30 days, and approximately 60 days

  • Change in sympathetic nerve burst incidence

    Baseline, approximately 30 days, and approximately 60 days

  • Change in sympathetic nerve burst amplitude (AU)

    Baseline, approximately 30 days, and approximately 60 days

  • Change in total muscle sympathetic nerve activity (MSNA)

    Baseline, approximately 30 days, and approximately 60 days

  • +2 more secondary outcomes

Study Arms (2)

Active Beetroot Juice Supplement (aBRJ) then Placebo Beetroot Juice Supplement (pBRJ)

ACTIVE COMPARATOR

Subjects randomized to this arm of the study will have aBRJ administered during Visit 2 and then pBRJ administered during Visit 3.

Dietary Supplement: Active Beetroot Juice Supplement (aBRJ)Dietary Supplement: Placebo Beetroot Juice Supplement (pBRJ)

Placebo Beetroot Juice Supplement (pBRJ) then Active Beetroot Juice Supplement (aBRJ)

ACTIVE COMPARATOR

Subjects randomized to this arm of the study will have pBRJ administered during Visit 2 and then aBRJ administered during Visit 3.

Dietary Supplement: Active Beetroot Juice Supplement (aBRJ)Dietary Supplement: Placebo Beetroot Juice Supplement (pBRJ)

Interventions

aBRJ will consist of 70ml concentrated beetroot juice with 6.45-7.26mmol inorganic nitrate (range for inter-batch variability) taken orally.

Active Beetroot Juice Supplement (aBRJ) then Placebo Beetroot Juice Supplement (pBRJ)Placebo Beetroot Juice Supplement (pBRJ) then Active Beetroot Juice Supplement (aBRJ)

pBRJ will consist of 70ml concentrated beetroot juice and will be chemically devoid of inorganic nitrate taken orally.

Active Beetroot Juice Supplement (aBRJ) then Placebo Beetroot Juice Supplement (pBRJ)Placebo Beetroot Juice Supplement (pBRJ) then Active Beetroot Juice Supplement (aBRJ)

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • or 65-80 years of age

You may not qualify if:

  • Coronary artery disease
  • Heart failure
  • Pregnancy
  • Diabetes
  • Sleep disorders
  • Shift workers
  • Individuals who typically go to sleep after midnight
  • Individuals who traveled across ≥2 time zones within one week of study visits
  • Individuals with a history frequent kidney stones
  • BMI ≥35.0kg/m2
  • Use of nicotine-containing products within the two years preceding study visits
  • Use of allopurinol, proton pump inhibitors, or other medications/supplements which interfere with the nitrate-nitrite-nitric oxide pathway or outcome measures

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

RECRUITING

Study Officials

  • Joshua Bock, PhD

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Joshua Bock, PhD

CONTACT

Virend Somers, MD, PhD

CONTACT

Study Design

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

Study Record Dates

First Submitted

May 9, 2023

First Posted

May 18, 2023

Study Start

September 28, 2023

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 1, 2026

Last Updated

September 25, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations