NCT06045377

Brief Summary

Data concerning the effectiveness od nutraceuticals in children with dyslipidemia are lacking. The aim of the present study was to evaluate the efficacy and safety of the long-term use of a dietary supplement containing red yeast rice (RYR), combined with other natural compounds, in children and adolescents with hypercholesterolemia. A nutraceutical, containing RYR, polycosanols, coenzyme Q10, astaxanthin and folic acid (commercial name: Armolipid), was administered once-daily in 84 children/adolescents with moderate or severe hypercholesterolemia.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2020

Typical duration for not_applicable

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 20, 2020

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 25, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 5, 2022

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

August 29, 2023

Completed
23 days until next milestone

First Posted

Study publicly available on registry

September 21, 2023

Completed
Last Updated

September 21, 2023

Status Verified

September 1, 2023

Enrollment Period

2.4 years

First QC Date

August 29, 2023

Last Update Submit

September 17, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Levels of LDL-C serum levels

    LDL-C levels were evaluated in serum, after an overnight fast.

    Laboratory evaluation before and 6 and 16 months after treatment

Secondary Outcomes (1)

  • Improvement of other than LDL-C parameters of lipid profile, as well as the evaluation of hepatic and muscle enzymes elevation.

    Laboratory evaluation before and 6 and 16 months after treatment

Other Outcomes (5)

  • Waist Circumference (WC) and the ratio of WC/Height

    Clinical evaluation before and 6 and 16 months after treatment

  • Systolic (SBP) and diastolic blood pressure (DBP)

    Clinical evaluation before and 6 and 16 months after treatment

  • Body weight in kg

    Clinical evaluation before and 6 and 16 months after treatment

  • +2 more other outcomes

Study Arms (1)

Armolipid

EXPERIMENTAL

One tablet of Armolipid (Rottapharm S.p.A., Monza, Italia), containing 200 mg red yeast rice, 10 mg policosanols, 0.2 mg folic acid, 2.0 mg coenzyme Q10 and 0.5 mg astaxanthin was administered once-daily with lunch. Clinical and laboratory evaluation took place before and 6 (IQR: 5-8) and 16 (IQR: 11-19.7) months after treatment.

Dietary Supplement: Effect of Armolipid on Lipid Profile in Children With Hypercholesterolemia

Interventions

A prospective single center cohort study

Armolipid

Eligibility Criteria

Age7 Years - 16 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • LDL-C \>150 mg/dl in more than two measurements, after therapeutic lifestyle changes for at least 6 months.

You may not qualify if:

  • Secondary hypercholesterolemia
  • Presence of any chronic disease or growth and developmental disorders
  • Abnormal liver, kidney or thyroid function
  • Prior use of hypolipidemic or other medication, at least 6 months before participation in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lipid Outpatient Unit, 2nd Department of Pediatrics, Medical School, National and Kapodistrian University of Athens (NKUA), "P. & A. Kyriakou" Children's Hospital

Athens, Greece

Location

Related Publications (5)

  • Watts GF, Gidding SS, Hegele RA, Raal FJ, Sturm AC, Jones LK, Sarkies MN, Al-Rasadi K, Blom DJ, Daccord M, de Ferranti SD, Folco E, Libby P, Mata P, Nawawi HM, Ramaswami U, Ray KK, Stefanutti C, Yamashita S, Pang J, Thompson GR, Santos RD. International Atherosclerosis Society guidance for implementing best practice in the care of familial hypercholesterolaemia. Nat Rev Cardiol. 2023 Dec;20(12):845-869. doi: 10.1038/s41569-023-00892-0. Epub 2023 Jun 15.

    PMID: 37322181BACKGROUND
  • Santini A, Novellino E. Nutraceuticals in hypercholesterolaemia: an overview. Br J Pharmacol. 2017 Jun;174(11):1450-1463. doi: 10.1111/bph.13636. Epub 2016 Oct 29.

    PMID: 27685833BACKGROUND
  • Cicero AFG, Fogacci F, Stoian AP, Vrablik M, Al Rasadi K, Banach M, Toth PP, Rizzo M. Nutraceuticals in the Management of Dyslipidemia: Which, When, and for Whom? Could Nutraceuticals Help Low-Risk Individuals with Non-optimal Lipid Levels? Curr Atheroscler Rep. 2021 Aug 4;23(10):57. doi: 10.1007/s11883-021-00955-y.

    PMID: 34345932BACKGROUND
  • Cicero AFG, Kennedy C, Knezevic T, Bove M, Georges CMG, Satrauskiene A, Toth PP, Fogacci F. Efficacy and Safety of Armolipid Plus(R): An Updated PRISMA Compliant Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials. Nutrients. 2021 Feb 16;13(2):638. doi: 10.3390/nu13020638.

    PMID: 33669333BACKGROUND
  • Guardamagna O, Abello F, Baracco V, Stasiowska B, Martino F. The treatment of hypercholesterolemic children: efficacy and safety of a combination of red yeast rice extract and policosanols. Nutr Metab Cardiovasc Dis. 2011 Jun;21(6):424-9. doi: 10.1016/j.numecd.2009.10.015. Epub 2010 Feb 12.

    PMID: 20153154BACKGROUND

MeSH Terms

Conditions

Dyslipidemias

Condition Hierarchy (Ancestors)

Lipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Achilleas Attilakos, Assoc.Prof

    Athens Children's Hospital Pan. and Aglaia Kyriakou

    PRINCIPAL INVESTIGATOR

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
Assoc. Prof. of Pediatrics

Study Record Dates

First Submitted

August 29, 2023

First Posted

September 21, 2023

Study Start

January 20, 2020

Primary Completion

June 25, 2022

Study Completion

September 5, 2022

Last Updated

September 21, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will not share

Locations