NCT06086145

Brief Summary

Flavanols are compounds present in plants, including apples, berries, peaches, cocoa-derived products and certain beverages like tea. Following intake, they are absorbed and broken down into smaller compounds called 'metabolites'. Some of these metabolites are excreted in urine. In this study, we hope to collect urine and examine the metabolites to learn more about the types and amounts of flavanols that people are consuming as part of their usual diet.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2023

Typical duration for all trials

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

First Submitted

Initial submission to the registry

September 7, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

October 17, 2023

Completed
16 days until next milestone

Study Start

First participant enrolled

November 2, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2026

Completed
Last Updated

May 7, 2026

Status Verified

May 1, 2026

Enrollment Period

2.6 years

First QC Date

September 7, 2023

Last Update Submit

May 5, 2026

Conditions

Keywords

FlavanolsDietary flavanolsPhytonutrientsBioactivesObservational

Outcome Measures

Primary Outcomes (1)

  • Biomarker-estimated (-)-epicatechin and flavanol intake

    Biomarker-estimated habitual (-)-epicatechin and flavanol intake assessed as the urinary concentration of SREM and gVLM in 24 hr urine.

    1 day

Secondary Outcomes (5)

  • Subgroup analysis of biomarker-estimated (-)-epicatechin and flavanol intake by age, sex, anthropometric and clinical characteristics

    1 day

  • Change of biomarker-estimated (-)-epicatechin and flavanol intake as a function of the intake of individual foods

    1 day

  • Change of biomarker-estimated (-)-epicatechin and flavanol intake as a function of diet quality

    1 day

  • Inter-day variation of biomarker-estimated (-)-epicatechin and flavanol intake

    1 day

  • Biomarker-estimated (-)-epicatechin and flavanol intake in spot urine

    1 day

Other Outcomes (5)

  • Blood pressure

    1 day

  • Augmentation index

    1 day

  • Lipid panel

    1 day

  • +2 more other outcomes

Study Arms (1)

Adults in Davis and the greater Sacramento area of California

Adults in Davis and the greater Sacramento area of California

Other: No intervention

Interventions

No intervention

Adults in Davis and the greater Sacramento area of California

Eligibility Criteria

Age25 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Free living adults in Davis and the greater Sacramento area of California.

You may qualify if:

  • years old
  • Male or female
  • BMI 18.5 - 34.9 kg/m2
  • Weight ≥ 110 pounds
  • Computer, tablet or smart phone with cellular data/Wi-Fi to establish video call communication

You may not qualify if:

  • Adults unable to consent
  • Prisoners
  • Non-English speaking\*
  • BMI ≥ 35 kg/m2
  • Indications of substance or alcohol abuse within the last 3 years
  • Cancer of the GI tract, previous GI surgery (except appendectomy) or GI stoma
  • History of difficult blood draws
  • Diarrhea, defined as 3 or more loose or liquid stools/day, within the last 3 months or antibiotic intake within the last 3 months
  • Currently participating in a clinical or dietary intervention study
  • Non-English speaking volunteers will be excluded for safety reasons, as we do not have staff that can adequately provide interpretation services that can explain and answer questions with regard to study procedures.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California Davis

Davis, California, 95618, United States

Location

Related Publications (12)

  • Bhagwat, S. and Haytowitz, D.B. (2015). USDA Database for the Proanthocyanidin Content of Selected Foods, Release 2 (2015). Nutrient Data Laboratory, Beltsville Human Nutrition Research Center, ARS, USDA. https://doi.org/10.15482/USDA.ADC/1324621.

    BACKGROUND
  • Bhagwat, S. and Haytowitz, D.B. (2016). USDA Database for the Flavonoid Content of Selected Foods. Release 3.2 (November 2015). Nutrient Data Laboratory, Beltsville Human Nutrition Research Center, ARS, USDA. https://doi.org/10.15482/USDA.ADC/1324465.

    BACKGROUND
  • Raman G, Avendano EE, Chen S, Wang J, Matson J, Gayer B, Novotny JA, Cassidy A. Dietary intakes of flavan-3-ols and cardiometabolic health: systematic review and meta-analysis of randomized trials and prospective cohort studies. Am J Clin Nutr. 2019 Nov 1;110(5):1067-1078. doi: 10.1093/ajcn/nqz178.

    PMID: 31504087BACKGROUND
  • Sesso HD, Manson JE, Aragaki AK, Rist PM, Johnson LG, Friedenberg G, Copeland T, Clar A, Mora S, Moorthy MV, Sarkissian A, Carrick WR, Anderson GL; COSMOS Research Group. Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events: the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trial. Am J Clin Nutr. 2022 Jun 7;115(6):1490-1500. doi: 10.1093/ajcn/nqac055.

    PMID: 35294962BACKGROUND
  • Crowe-White KM, Evans LW, Kuhnle GGC, Milenkovic D, Stote K, Wallace T, Handu D, Senkus KE. Flavan-3-ols and Cardiometabolic Health: First Ever Dietary Bioactive Guideline. Adv Nutr. 2022 Dec 22;13(6):2070-2083. doi: 10.1093/advances/nmac105.

    PMID: 36190328BACKGROUND
  • Wang Y, Chung SJ, Song WO, Chun OK. Estimation of daily proanthocyanidin intake and major food sources in the U.S. diet. J Nutr. 2011 Mar;141(3):447-52. doi: 10.3945/jn.110.133900. Epub 2011 Jan 26.

    PMID: 21270367BACKGROUND
  • Bai W, Wang C, Ren C. Intakes of total and individual flavonoids by US adults. Int J Food Sci Nutr. 2014 Feb;65(1):9-20. doi: 10.3109/09637486.2013.832170. Epub 2013 Sep 11.

    PMID: 24020353BACKGROUND
  • Kuhnle GGC. Nutrition epidemiology of flavan-3-ols: The known unknowns. Mol Aspects Med. 2018 Jun;61:2-11. doi: 10.1016/j.mam.2017.10.003. Epub 2017 Nov 16.

    PMID: 29146101BACKGROUND
  • Ottaviani JI, Fong R, Kimball J, Ensunsa JL, Britten A, Lucarelli D, Luben R, Grace PB, Mawson DH, Tym A, Wierzbicki A, Khaw KT, Schroeter H, Kuhnle GGC. Evaluation at scale of microbiome-derived metabolites as biomarker of flavan-3-ol intake in epidemiological studies. Sci Rep. 2018 Jun 29;8(1):9859. doi: 10.1038/s41598-018-28333-w.

    PMID: 29959422BACKGROUND
  • Ottaviani JI, Fong R, Kimball J, Ensunsa JL, Gray N, Vogiatzoglou A, Britten A, Lucarelli D, Luben R, Grace PB, Mawson DH, Tym A, Wierzbicki A, Smith AD, Wareham NJ, Forouhi NG, Khaw KT, Schroeter H, Kuhnle GGC. Evaluation of (-)-epicatechin metabolites as recovery biomarker of dietary flavan-3-ol intake. Sci Rep. 2019 Sep 11;9(1):13108. doi: 10.1038/s41598-019-49702-z.

    PMID: 31511603BACKGROUND
  • Ottaviani JI, Borges G, Momma TY, Spencer JP, Keen CL, Crozier A, Schroeter H. The metabolome of [2-(14)C](-)-epicatechin in humans: implications for the assessment of efficacy, safety, and mechanisms of action of polyphenolic bioactives. Sci Rep. 2016 Jul 1;6:29034. doi: 10.1038/srep29034.

    PMID: 27363516BACKGROUND
  • Ottaviani JI, Britten A, Lucarelli D, Luben R, Mulligan AA, Lentjes MA, Fong R, Gray N, Grace PB, Mawson DH, Tym A, Wierzbicki A, Forouhi NG, Khaw KT, Schroeter H, Kuhnle GGC. Biomarker-estimated flavan-3-ol intake is associated with lower blood pressure in cross-sectional analysis in EPIC Norfolk. Sci Rep. 2020 Oct 21;10(1):17964. doi: 10.1038/s41598-020-74863-7.

    PMID: 33087825BACKGROUND

Biospecimen

Retention: SAMPLES WITHOUT DNA

Blood and urine

Study Officials

  • Francene M. Steinberg, PhD, RD

    University of California, Davis

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 7, 2023

First Posted

October 17, 2023

Study Start

November 2, 2023

Primary Completion

June 1, 2026

Study Completion

June 1, 2026

Last Updated

May 7, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations