NCT05892640

Brief Summary

Psoriasis presents an independent cardiovascular risk factor characterized by chronic low-grade systemic inflammation and oxidative stress which altogether might lead to endothelial dysfunction. It has been reported that increased oxidative stress has a pivotal role in high dietary sodium-induced endothelial dysfunction. Previous studies on sodium accumulation in psoriatic skin lesions and the sodium-induced augmentation in Th17 immune response, raise the question on the complex interplay between sodium and psoriasis, especially in the context of cardiovascular morbidity. This study aimed to investigate the effect of a 2-week low-salt diet on endothelium-dependent and endothelium-independent cutaneous microvascular vasodilation and Th17-Mediated Inflammation in patients with psoriasis vulgaris.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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 Start

First participant enrolled

September 1, 2022

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

May 27, 2023

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 7, 2023

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2024

Completed
Last Updated

June 9, 2023

Status Verified

June 1, 2023

Enrollment Period

1.3 years

First QC Date

May 27, 2023

Last Update Submit

June 8, 2023

Conditions

Keywords

Diet, Sodium-RestrictedPsoriasisLaser-Doppler FlowmetryMicrocirculationEndothelium

Outcome Measures

Primary Outcomes (2)

  • Microvascular endothelial function

    Cutaneous microvascular blood flow will be measured by Laser Doppler Flowmetry in response to vascular occlusion (post occlusive reactive hyperaemia - PORH), in response to iontophoresis of acetylcholine (ACh) and local thermal hyperemia (LTH) before and after LS diet protocol

    2 weeks

  • Frequency of peripheral T helper 17 (Th17) and regulatory lymphocytes (Treg) among parent lymphocytes sub-population

    Flow cytometry assessment of the frequencies of peripheral Treg and Th17 lymphocytes before and after LS diet protocol

    2 weeks

Secondary Outcomes (4)

  • Microvascular non-endothelial function

    2 weeks

  • Relative amount of serum- and glucocorticoid-induced kinase 1 (SGK1) in peripheral blood mononuclear cells

    2 weeks

  • Serum Protein Concentration of Pro- and Anti-Inflammatory Cytokines

    2 weeks

  • 24-hour natriuresis

    2 weeks

Study Arms (1)

Low-Salt Diet

EXPERIMENTAL

Low-salt diet (LS diet) according to DASH eating plan, with sodium intake of 1500 mg (3.75 g of salt), within the period of 14 days

Other: Low-Salt Diet

Interventions

Low-salt diet (LS diet) according to DASH eating plan, with sodium intake of 1500 mg (3.75 g of salt), within the period of 14 days

Low-Salt Diet

Eligibility Criteria

Age18 Years - 69 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • patients with diagnosed psoriasis vulgaris
  • subjects do not use systemic or biological therapy for at least 3 months before and 2 weeks during the study.

You may not qualify if:

  • age \< 18 years
  • existence of other immune-mediated diseases (with the exception of autoimmune thyroid diseases and psoriatic arthritis - people with these comorbidities can be included)
  • malignant diseases
  • current infectious diseases and allergic reactions within 6 weeks before the start of the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital Osijek

Osijek, 31000, Croatia

RECRUITING

MeSH Terms

Conditions

Psoriasis

Interventions

Diet, Sodium-Restricted

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Diet TherapyNutrition TherapyTherapeuticsDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological Phenomena

Central Study Contacts

Ines Drenjančević, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Vice Dean for Science, Faculty of Medicine Josip Juraj Strossmayer University of Osijek

Study Record Dates

First Submitted

May 27, 2023

First Posted

June 7, 2023

Study Start

September 1, 2022

Primary Completion

December 31, 2023

Study Completion

June 30, 2024

Last Updated

June 9, 2023

Record last verified: 2023-06

Data Sharing

IPD Sharing
Will not share

Locations