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NCT03043365

Effect of Fish Oil Enriched In Omega-11 Fatty Acid On Lipoprotein Metabolism In Adults

Completed Phase 2 Results posted Last updated 12 August 2020
What this trial tests

Phase 2 trial testing control fish oil in Lipoprotein Metabolism in 37 participants. Completed in 21 November 2019.

Timeline
15 June 2017
Primary endpoint
29 May 2019
21 November 2019

Quick facts

Lead sponsorNational Heart, Lung, and Blood Institute (NHLBI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingsingle
Primary purposebasic science
Enrollment37
Start date15 June 2017
Primary completion29 May 2019
Estimated completion21 November 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Who can join

Adults 18 to 100, any sex, with Lipoprotein Metabolism or PCSK9. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Changes From Baseline in Lipid Profile at 8 Weeks Primary · baseline and 8 weeks

The primary outcome measures of this study will be the change from baseline to end of intervention period (8 weeks) in the lipid profile (total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C)) for the control and research supplement groups.

TG (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm52± 21.1
Arm 2 - Saury Oil Arm56.1± 26.5
TC (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm184.3± 45.6
Arm 2 - Saury Oil Arm181.7± 50.9
HDL-C (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm67.9± 16.9
Arm 2 - Saury Oil Arm68.7± 19.7
LDL-C (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm102.7± 45.2
Arm 2 - Saury Oil Arm98.6± 50.6
Changes Lipoprotein Particle Number, Composition and Size (sdLDL, LDL-TG, ApoE-HDL, ApoA-I, ApoB) Secondary · baseline and 8 weeks

Secondary outcome measurements will be changes in proteomics, lipoprotein particle number, high-density lipoprotein (HDL) functional test (i.e. efflux study) composition and size. Secondary outcome will measure the following: Small dense low density lipoprotein (sdLDL); Low-Density Lipoprotein Triglycerides (LDL-TG); Apolipoprotein E-containing high-density lipoprotein (ApoE-HDL); apolipoprotein A-I (ApoA-I); Apolipoprotein B (ApoB).

sdLDL (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm29.7± 16.4
Arm 2 - Saury Oil Arm29± 17.9
LDL-TG (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm14.4± 6.3
Arm 2 - Saury Oil Arm14.7± 5.7
ApoE-HDL (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm6.3± 1.7
Arm 2 - Saury Oil Arm6.5± 2.1
ApoA-I (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm158.3± 26.8
Arm 2 - Saury Oil Arm156.1± 30.4
ApoB (mg/dL)
GroupValue95% CI
Arm 1 - Control Fish Oil Arm91.4± 31.1
Arm 2 - Saury Oil Arm89± 33.8
Changes Lipoprotein Particle Number, Composition and Size in Oxidized Low-density Lipoprotein (oxLDL) Secondary · baseline and 8 weeks

Secondary outcome measurements will be changes in proteomics, lipoprotein particle number, high-density lipoprotein (HDL) functional test (i.e. efflux study) composition and size.

GroupValue95% CI
Arm 1 - Control Fish Oil Arm75.3± 24.8
Arm 2 - Saury Oil Arm72.9± 26.1

Adverse events — posted to ClinicalTrials.gov

Time frame: 24 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1: Control Fish Oil Arm
Serious: 0/34 (0%)
Deaths: 0/34
Arm 2: Saury Oil Arm
Serious: 0/33 (0%)
Deaths: 0/33
Washout Period
Serious: 0/31 (0%)
Deaths: 0/31
Other adverse events (5 terms — click to expand)

ReactionSystemArm 1: Control Fish Oil ArmArm 2: Saury Oil ArmWashout Period
Plantar fasciitisMusculoskeletal and connective tissue disorders
Rash acneiformSkin and subcutaneous tissue disorders
Skin biopsy of left legSurgical and medical procedures
PresyncopeNervous system disorders
Toe InjuryInjury, poisoning and procedural complications

Data from ClinicalTrials.gov NCT03043365 adverse events section.

Sponsor's own description

Background: Fish oils are known to be beneficial to health and believed to be cardio-protective. Omega-3 fatty acid is the most known fish oil available in the market. LCMUFA (long-chain monounsaturated fatty acids) is also a fish oil but it is derived from fish that consumes a diet rich in omega-11 fatty acid. Researchers want to study omega-11 fatty acid enriched fish oil and understand its effect on cardiovascular health. Objective: To understand the effects of LCMUFA from fish oil on cardiovascular health. Eligibility: Healthy volunteers ages 18 and older with no history of cardiovascular disease Design: Participants will be screened with: * Medical history * Physical exam * Fasting blood and urine tests * Optional stool sample * Questions about their diet, exercise, and the types of medicines and dietary supplements they take * 7-day food diary * Cardio-Ankle Vascular Index (CAVI): Blood pressure is taken in the arms and legs. The heart is monitored. * After the screening visit, participants will take 4 gel capsules, 3 times a day after meals, for 8-10 weeks. * Electrocardiogram (EKG) Participants will have 3 additional visits. All include repeats of the screening tests. Visit 2 is 8 weeks after the screening visit. Participants will stop taking the capsules for 8 weeks after this visit. Visit 3 is at least 16 weeks after starting the supplement. Participants will take 4 capsules, 3 times a day after meals, for 8 weeks after this visit. Visit 4 is 8 weeks after starting the second supplement.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Dietary supplementation with long-chain monounsaturated fatty acid isomers decreases atherosclerosis and alters lipoprotein proteomes in LDLr<sup>-/-</sup> mice.
    Yang ZH, Gordon SM, Sviridov D, Wang S, et al · · 2017 · cited 18× · PMID 28486149 · DOI 10.1016/j.atherosclerosis.2017.04.017
  2. Supplementation with saury oil, a fish oil high in omega-11 monounsaturated fatty acids, improves plasma lipids in healthy subjects.
    Yang ZH, Amar M, Sorokin AV, Troendle J, et al · · 2020 · cited 10× · PMID 31784345 · DOI 10.1016/j.jacl.2019.10.013

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