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NCT04846231: SPORT

Supplements, Placebo, or Rosuvastatin Study

Completed Phase 2 Results posted Last updated 25 May 2023
What this trial tests

Phase 2 trial testing Fish Oil, Cinnamon, Garlique,Turmeric, Plant Sterol, Red Yeast Rice in Hypercholesterolemia in 203 participants. Completed in 19 July 2022.

Timeline
23 April 2021
Primary endpoint
19 July 2022
19 July 2022

Quick facts

Lead sponsorThe Cleveland Clinic
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment203
Start date23 April 2021
Primary completion19 July 2022
Estimated completion19 July 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

The Cleveland Clinic

Who can join

Adults 40 to 75, any sex, with Hypercholesterolemia. 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.

Percent Change in LDL-C From Baseline for Rosuvastatin 5mg Daily Compared With Placebo and Each Dietary Supplement. Primary · The percent change in LDL-C for rosuvastatin 5 mg compared with dietary supplements after 4 weeks

The primary objective of this study is to compare the LDL lowering of rosuvastatin with the effect of six commonly used dietary supplements on cholesterol health.

Percent change from baseline
GroupValue95% CI
Rosuvastatin-37.86-42.13 – -33.59
Placebo-2.63-6.99 – 1.73
Fish Oil-3.43-7.86 – 1.01
Cinnamon0.42-3.91 – 4.74
Garlique5.130.97 – 9.29
Turmeric-1.29-5.44 – 2.87
Plant Sterol-4.37-8.65 – -0.09
Red Yeast Rice-6.55-10.94 – -2.16
Difference in Percent Change
GroupValue95% CI
Rosuvastatin00 – 0
Placebo35.2229.13 – 41.32
Fish Oil34.4328.28 – 40.58
Cinnamon38.2732.20 – 44.34
Garlique42.9837.02 – 48.95
Turmeric36.5730.61 – 42.54
Plant Sterol33.4927.42 – 39.55
Red Yeast Rice31.3125.16 – 37.47
Percent Change in hsCRP for Rosuvastatin vs Dietary Supplements. Secondary · The percent change in high sensitivity C reactive protein (hsCRP) for rosuvastatin 5 mg and dietary supplements compared with placebo after 4 weeks.

Assess the effect of each supplement on inflammatory markers compared with rosuvastatin 5 mg.

percentage change from baseline
GroupValue95% CI
Rosuvastatin-5.70-32.52 – 31.78
Placebo-7.12-34.06 – 30.83
Fish Oil-1.39-30.45 – 39.81
Cinnamon29.04-7.94 – 80.88
Garlique1.09-27.08 – 40.14
Turmeric-4.49-31.08 – 32.36
Plant Sterol-13.72-38.28 – 20.60
Red Yeast Rice6.28-24.42 – 49.43
Difference in percent change
GroupValue95% CI
Rosuvastatin00 – 0
Placebo-1.50-38.92 – 58.86
Fish Oil4.58-35.47 – 69.47
Cinnamon36.85-15.07 – 120.52
Garlique7.20-32.90 – 71.28
Turmeric1.29-36.59 – 61.79
Plant Sterol-8.50-43.05 – 46.99
Red Yeast Rice12.71-30.14 – 81.83
Percent Change in HDL-C, Total Cholesterol, and Triglycerides for Rosuvastatin vs Dietary Supplements. Secondary · After 4 weeks

The percent change in HDL-C, total cholesterol, and triglycerides for each supplement compared with rosuvastatin. The percent change in HDL-C, total cholesterol, and triglycerides for each supplement compared with rosuvastatin. The percent change in HDL-C, total cholesterol, and triglycerides for each supplement compared with placebo.

Percent change from baseline HDL-C
GroupValue95% CI
Rosuvastatin3.44-0.73 – 7.62
Placebo3.08-1.16 – 7.32
Fish Oil2.41-1.91 – 6.73
Cinnamon-2.33-6.47 – 1.80
Garlique3.43-0.61 – 7.47
Turmeric1.42-2.62 – 5.45
Plant Sterol-4.02-8.16 – 0.13
Red Yeast Rice2.45-1.79 – 6.69
Difference in percentage change HDL-C
GroupValue95% CI
Rosuvastatin00 – 0
Placebo-0.37-6.34 – 5.60
Fish Oil-1.03-7.07 – 5.01
Cinnamon-5.78-11.71 – 0.16
Garlique-0.02-5.86 – 5.83
Turmeric-2.03-7.83 – 3.78
Plant Sterol-7.46-13.34 – -1.58
Red Yeast Rice-0.99-6.91 – 4.92
Percent change from baseline Total Cholesterol
GroupValue95% CI
Rosuvastatin-24.43-27.57 – -21.29
Placebo-1.44-4.65 – 1.77
Fish Oil-2.23-5.50 – 1.04
Cinnamon0.37-2.78 – 3.52
Garlique2.80-0.26 – 5.86
Turmeric-0.75-3.80 – 2.30
Plant Sterol-3.89-7.02 – -0.75
Red Yeast Rice-2.60-5.80 – 0.60
Difference in percent change Total Cholesterol
GroupValue95% CI
Rosuvastatin00 – 0
Placebo22.9918.49 – 27.48
Fish Oil22.2017.65 – 26.74
Cinnamon24.8020.36 – 29.23
Garlique27.2322.85 – 31.61
Turmeric23.6819.30 – 28.06
Plant Sterol20.5416.08 – 25.00
Red Yeast Rice21.8317.33 – 26.33
Percent change from baseline Triglycerides
GroupValue95% CI
Rosuvastatin-19.25-27.60 – -9.94
Placebo-1.41-11.78 – 10.18
Fish Oil-5.01-15.19 – 6.40
Cinnamon8.34-2.80 – 20.75
Garlique-5.43-15.03 – 5.26
Turmeric0.26-9.82 – 11.47
Plant Sterol1.28-9.17 – 12.93
Red Yeast Rice4.11-6.81 – 16.31
Difference in percent change Triglycerides
GroupValue95% CI
Rosuvastatin00 – 0
Placebo22.094.52 – 42.62
Fish Oil17.640.58 – 37.58
Cinnamon34.1614.94 – 56.60
Garlique17.110.41 – 36.60
Turmeric24.166.61 – 44.60
Plant Sterol25.427.49 – 46.35
Red Yeast Rice28.9310.36 – 50.63
The Percent Change in HDL-C, Total Cholesterol, and Triglycerides for Placebo vs the Dietary Supplements. Secondary · After 4 weeks

The percent change in HDL-C, total cholesterol, and triglycerides for each supplement compared with placebo.

Percent change from baseline HDL-C
GroupValue95% CI
Rosuvastatin3.44-0.73 – 7.62
Placebo3.08-1.16 – 7.32
Fish Oil2.41-1.91 – 6.73
Cinnamon-2.33-6.47 – 1.80
Garlique3.43-0.61 – 7.47
Turmeric1.42-2.62 – 5.45
Plant Sterol-4.02-8.16 – 0.13
Red Yeast Rice2.45-1.79 – 6.69
Difference in percent change HDL-C
GroupValue95% CI
Rosuvastatin0.37-5.60 – 6.34
Placebo00 – 0
Fish Oil-0.67-6.68 – 5.35
Cinnamon-5.41-11.31 – 0.49
Garlique0.35-5.49 – 6.19
Turmeric-1.66-7.52 – 4.20
Plant Sterol-7.09-13.07 – -1.12
Red Yeast Rice-0.63-6.67 – 5.42
Percent change from baseline total cholesterol
GroupValue95% CI
Rosuvastatin-24.43-27.57 – -21.29
Placebo-1.44-4.65 – 1.77
Fish Oil-2.23-5.50 – 1.04
Cinnamon0.37-2.78 – 3.52
Garlique2.80-0.26 – 5.86
Turmeric-0.75-3.80 – 2.30
Plant Sterol-3.89-7.02 – -0.75
Red Yeast Rice-2.60-5.80 – 0.60
Difference in percent change total cholesterol
GroupValue95% CI
Rosuvastatin-22.99-27.48 – -18.49
Placebo00 – 0
Fish Oil-0.79-5.34 – 3.76
Cinnamon1.81-2.71 – 6.33
Garlique4.24-0.19 – 8.68
Turmeric0.69-3.75 – 5.13
Plant Sterol-2.45-6.95 – 2.06
Red Yeast Rice-1.16-5.69 – 3.37
Percent change from baseline triglycerides
GroupValue95% CI
Rosuvastatin-19.25-27.60 – -9.94
Placebo-1.41-11.78 – 10.18
Fish Oil-5.01-15.19 – 6.40
Cinnamon8.34-2.80 – 20.75
Garlique-5.43-15.03 – 5.26
Turmeric0.26-9.82 – 11.47
Plant Sterol1.28-9.17 – 12.93
Red Yeast Rice4.11-6.81 – 16.31
Difference in percent change triglycerides
GroupValue95% CI
Rosuvastatin-18.09-29.88 – -4.32
Placebo00 – 0
Fish Oil-3.65-17.77 – 12.90
Cinnamon9.88-5.92 – 28.34
Garlique-4.08-17.78 – 11.91
Turmeric1.69-12.79 – 18.58
Plant Sterol2.73-12.16 – 20.14
Red Yeast Rice5.60-9.79 – 23.63

Adverse events — posted to ClinicalTrials.gov

Time frame: 4 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Rosuvastatin
Serious: 0/25 (0%)
Deaths: 0/25
Placebo
Serious: 1/25 (4%)
Deaths: 0/25
Fish Oil
Serious: 1/24 (4%)
Deaths: 0/24
Cinnamon
Serious: 0/25 (0%)
Deaths: 0/25
Garlique
Serious: 0/25 (0%)
Deaths: 0/25
Turmeric
Serious: 0/25 (0%)
Deaths: 0/25
Plant Sterol
Serious: 0/25 (0%)
Deaths: 0/25
Red Yeast Rice
Serious: 0/25 (0%)
Deaths: 0/25

Serious adverse events (2 terms)

ReactionSystemRosuvastatinPlaceboFish OilCinnamonGarliqueTurmericPlant SterolRed Yeast Rice
Clinical Change in Liver FunctionGastrointestinal disorders
Deep Vein ThrombosisVascular disorders
Other adverse events (2 terms — click to expand)

ReactionSystemRosuvastatinPlaceboFish OilCinnamonGarliqueTurmericPlant SterolRed Yeast Rice
HeadacheNervous system disorders
Muscle Pain / TendernessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Clinical Change in Liver Function, Deep Vein Thrombosis.

Data from ClinicalTrials.gov NCT04846231 adverse events section.

Sponsor's own description

A research study that is evaluating a low dose of an FDA approved statin medication in comparison to several commercially available over the counter dietary supplements which are marketed for cholesterol health. The study is comparing their effect on LDL cholesterol. LDL-cholesterol is low-density cholesterol and is sometimes referred to as "bad" cholesterol. Participants must live in Ohio and have a documented elevated LDL cholesterol level between 70-189mg/dL, must not currently be taking a statin or one of the dietary supplements included in the trial. Participants willing to discontinue a prohibited supplement for 4 weeks prior to enrollment will be allowed to participate. Trial participation is 4 weeks. Study medication will be provided at no charge. There will be 2 visits which include a lab draw at any Cleveland Clinic laboratory. Participants will be randomized (like a coin flip) to be in one of 8 possible groups: Rosuvastatin, Fish oil, Cinnamon, Garlic, Turmeric, Plant sterol, Red yeast rice, or placebo. The study will enroll 200 participants.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Comparative Effects of Low-Dose Rosuvastatin, Placebo, and Dietary Supplements on Lipids and Inflammatory Biomarkers.
    Laffin LJ, Bruemmer D, Garcia M, Brennan DM, et al · · 2023 · cited 53× · PMID 36351465 · DOI 10.1016/j.jacc.2022.10.013

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