NCT06364163

Brief Summary

High cholesterol concentration is a major risk factor for cardiovascular disease (CVD), and consumption of fish has been associated with a lower CVD risk in several studies. The beneficial health effects of consuming fish have traditionally been ascribed to the long-chain PUFA (LC-PUFA) EPA (C20:5n-3) and DHA (C22:6n-3), although consumption of fish oils or concentrates with high EPA and DHA contents does not affect the cholesterol concentration in humans and lowers the cholesterol concentration in rats and mice only when given in very high doses. Fish oils contain a plethora of fatty acids besides EPA and DHA, and in recent years, increased focus has been on the long-chain MUFA (LC-MUFA) cetoleic acid (C22:1n-11). Cetoleic acid is found in high amounts in oils from certain fish species such as herring, which has relatively low contents of both EPA and DHA. The investigators have recently summarised and meta-analysed the available literature that investigates the effects of diets containing fish oils or fish oil concentrates that have a high content of cetoleic acid but low or no content of EPA and DHA on cholesterol concentration in rodents, showing that cetoleic acid-rich fish oils and concentrates prevent high cholesterol concentration.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
20mo left

Started Aug 2024

Longer than P75 for not_applicable

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 Progress51%
Aug 2024Dec 2027

First Submitted

Initial submission to the registry

April 6, 2024

Completed
9 days until next milestone

First Posted

Study publicly available on registry

April 15, 2024

Completed
4 months until next milestone

Study Start

First participant enrolled

August 12, 2024

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

October 2, 2025

Status Verified

September 1, 2025

Enrollment Period

2.4 years

First QC Date

April 6, 2024

Last Update Submit

September 28, 2025

Conditions

Keywords

CholesterolCetoleic acid

Outcome Measures

Primary Outcomes (1)

  • Serum concentration of LDL-cholesterol

    LDL-cholesterol will be measured in fasting serum samples

    8 weeks

Secondary Outcomes (9)

  • Serum concentration of HDL-cholesterol

    8 weeks

  • Serum concentration of total cholesterol

    8 weeks

  • Serum concentrations of apolipoproteins

    8 weeks

  • Serum concentrations of amino acids metabolites

    8 weeks

  • Serum concentration of one-carbon pathway metabolites

    8 weeks

  • +4 more secondary outcomes

Study Arms (2)

Herring oil concentrate

EXPERIMENTAL

Dietary supplement: herring oil concentrate in capsules, 4 g oil daily for 8 weeks

Dietary Supplement: Herring oil concentrate

Control oil

PLACEBO COMPARATOR

Dietary supplement: control oil in capsules, 4 g oil daily for 8 weeks

Dietary Supplement: Control

Interventions

Herring oil concentrateDIETARY_SUPPLEMENT

Capsules containing herring oil concentrate, taken daily for 8 weeks.

Herring oil concentrate
ControlDIETARY_SUPPLEMENT

Capsules containing control oil, taken daily for 8 weeks.

Control oil

Eligibility Criteria

Age20 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • BMI over 25 kg/m2
  • Stable body weight last 3 months

You may not qualify if:

  • Allergies towards fish, milk, egg, gluten
  • Tobacco use (cigarettes or snus)
  • Diseases affecting the heart, intestinal function, kidney function or insulin secretion
  • Use of medications targeting cholesterol -or glucose metabolism
  • Use of dietary supplements
  • Pregnant or breastfeeding
  • Following a strict diet
  • Had bariatric surgery or using medications for weight loss
  • Recent or planned surgical procedures
  • High intake of fish/seafood

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Bergen

Bergen, Norway

Location

MeSH Terms

Conditions

Hypercholesterolemia

Condition Hierarchy (Ancestors)

HyperlipidemiasDyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

April 6, 2024

First Posted

April 15, 2024

Study Start

August 12, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2027

Last Updated

October 2, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations