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Trial registered on ANZCTR
Registration number
ACTRN12609000792224
Ethics application status
Approved
Date submitted
9/09/2009
Date registered
10/09/2009
Date last updated
10/09/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Dose related effects of cocoa flavanols on blood pressure
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Scientific title
Dose related effects of cocoa flavanols on blood pressure in a borderline hypertensive population
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypertension / elevated blood pressure
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Condition category
Condition code
Cardiovascular
239944
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0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Comparison of four doses of cocoa flavanols in cocoa based reconstituted drink. Doses are 33, 372, 712 or 1052 mg/d. Each dose is delivered in a single beverge once per day for 6 weeks. Doses are consistent within each treatment group for the duration of the 6 week intervention.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Low-flavanol cocoa beverage (33mg -representing a portion of normal daily dose from foods). Consumed in a single beverage once per day for 6 weeks.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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24 hour blood pressures as assessed by ambulatory monitoring (including mean, systolic and diastolic pressures).
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Assessment method [1]
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Timepoint [1]
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baseline (pre-intervention), 3 weeks and 6 week post randomisation.
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Secondary outcome [1]
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Day-time and night-time blood pressures as assessed by ambulatory monitoring(including mean, systolic and diastolic pressures). Day time blood pressure is recorded from 7am to 11pm (16 hours) and night time from 11pm to 7am (8 hours).
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Assessment method [1]
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Timepoint [1]
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baseline (pre-intervention), 3 weeks and 6 week post randomisation.
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Secondary outcome [2]
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Seated clinic blood pressure as assessed by occillometry (including mean, systolic and diastolic pressures).
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Assessment method [2]
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Timepoint [2]
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baseline (pre-intervention), 3 weeks and 6 week post randomisation.
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Eligibility
Key inclusion criteria
-Adult Male and post menopausal females
-Systolic blood pressure 130-160mmHg and/or diastolic blood pressure 85-100mmHg.
-Otherwise healthy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
-Known diagnosis of cardiovascular disease (or a history of cardiovascular or cerebrovascular incidents).
-Diabetes (Type 1 or Type 2) or were taking prescribed anti-diabetic medication.
-Renal failure.
-Taking blood pressure lowering medication or dietary supplements that may influence blood pressure (i.e. fish oil, liquorice, polyphenols) in the preceding 3 months,
-Intolerance to alkaloids (caffeine, theobromine) or dairy.
-Currently smoking or using nicotine replacement therapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants were block-matched by the minimisation convention on blood pressure, gender, age and body mass index into four treatment groups. These groups were randomised to consume the various doses of cocoa flavanols. Group allocation was performed by a member of the research team who had no contact with participants and was not privy to treatment allocation. Random treatment allocation to groups was administered by another member of the research staff that did not have contact with the participants and the treatment coding was stored electronically secured from access by all other research team members.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/04/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
68
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Mars Inc (via Australian Government Funded Food Innovation Grant)
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Address [1]
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Mars Australia
Wodonga (Australian Headquarters)
Petcare Place,
Wodonga, Victoria 3690,
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Peter Howe
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Address
Nutritional Physiology Research Centre University of South Australia, PO Box 2471 Adelaide, South Australia, 5001
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Mr Kade Davison
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Address [1]
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Nutritional Physiology Research Centre University of South Australia, PO Box 2471 Adelaide, South Australia, 5001
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of South Australia HUman Research Ethics Committee
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Ethics committee address [1]
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General Purpose Building, Mawson Lakes Campus, Mawson Lakes Boulevard, Mawson Lakes, South Australia, 5095
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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28/02/2007
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Ethics approval number [1]
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P290/06
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Summary
Brief summary
Daily consumption of chocolate with high cocoa content for between 7 days and 18 weeks can significantly reduce blood pressure (BP). This anti-hypertensive effect of cocoa has been attributed to it’s high content of bioactive polyphenols, particularly the flavanol epicatechin. However, chronic (6-12 weeks) studies using flavanol rich cocoa beverages rather than the relatively higher calorie chocolate products have not yielded similar results. With similar or considerably higher daily doses of flavanols (compared to those provided in the chocolate studies) consumption of flavanol-rich cocoa beverages have resulted in relatively small reductions in BP or no change at all. This study intended to determine the required daily dose of cocoa flavanols to lower 24 hour Ambulatory BP (ABP) in a borderline hypertensive population when delivered in a (relatively lower calorie) reconstituted cocoa beverage
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Trial website
N/A
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Trial related presentations / publications
Poster presentation Davison K, Berry NM, Misan G, Coates, AM, Buckley JD, Howe PRC. Dose-related effects of polyphenol-rich cocoa on blood pressure in mild/borderline hypertension 30th Annual Scientific Meeting of the High Blood Pressure Research Council of Australia. Dec 2008
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Mr Kade Davison
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Address
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Southern Cross University
Rifle Range Road
East Lismore
NSW, 2480
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Country
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Australia
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Phone
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+612 6620 3763
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Mr Kade Davison
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Address
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Southern Cross University
Rifle Range Road
East Lismore
NSW, 2480
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Country
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Australia
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Phone
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+612 6620 3763
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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