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Trial registered on ANZCTR
Registration number
ACTRN12610000718044
Ethics application status
Approved
Date submitted
19/08/2010
Date registered
30/08/2010
Date last updated
30/08/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Is fish intake or fish oil supplementation better for people with coronary heart disease? An Australian secondary prevention trial.
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Scientific title
In people with coronary heart disease, can consumption of fish and fish oil capsules, estimated to provide similar amounts of long-chain omega 3 fatty acids, achieve similar and significant increases in erythrocyte omega-3 index ?
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Secondary ID [1]
252454
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Nil
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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:
Coronary heart disease
257966
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Condition category
Condition code
Cardiovascular
258134
258134
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0
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Coronary heart disease
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Alternative and Complementary Medicine
258185
258185
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects were instructed to consume either 2 serves of approximately 150 g of salmon per week, or 6 fish oil capsules per week; each of which was estimated to provide an average of approximately 1000mg of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) per day. In a randomised cross-over design each person consumed fish and fish oil for 12 weeks each, with 12 weeks washout between interventions.
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Intervention code [1]
257022
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Lifestyle
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Intervention code [2]
257059
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Prevention
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Intervention code [3]
257060
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Treatment: Other
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Comparator / control treatment
Comparison was within person looking at changes on each intervention, fish or fish oil.
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Control group
Active
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Outcomes
Primary outcome [1]
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Erythrocyte omega 3 index, ie the proportion of DHA and EPA in the total fatty acids in red cell membranes.
Red blood cells were isolated and fatty acids assessed using gas-liquid chromatography.
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, after 12 weeks on the first intervention, 12 weeks later at end of washout and at 36 weeks after 12 weeks on the second intervention.
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Secondary outcome [1]
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Blood pressure measured using an automated blood pressure monitor (Omron model T9P (HEM-759P-CI), Omron Healthcare Co. Ltd, Japan).
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Assessment method [1]
265224
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Timepoint [1]
265224
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Measured at baseline, after 12 weeks on the first intervention, 12 weeks later at end of washout and at 36 weeks after 12 weeks on the second intervention.
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Eligibility
Key inclusion criteria
Coronary heart disease, including but not limited to those with angina, a previous myocardial infarction (MI) and post-coronary artery bypass.
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Minimum age
32
Years
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Maximum age
62
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants were excluded on the basis of previous stroke; chronic illnesses such as kidney, liver disease and cancer; having an implantable cardioverter-defibrillator (ICD); religious, cultural or medical factors preventing compliance with either intervention.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Once the subject was enrolled they were allocated alternatively to fish or fish oil.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Bio-equivalence
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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
24/09/2008
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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
11
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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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Recruitment postcode(s) [1]
3143
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3071
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Recruitment postcode(s) [2]
3144
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3065
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Recruitment postcode(s) [3]
3145
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3104
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Recruitment postcode(s) [4]
3146
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3103
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Recruitment postcode(s) [5]
3147
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3198
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Recruitment postcode(s) [6]
3148
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3150
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Funding & Sponsors
Funding source category [1]
257473
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University
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Name [1]
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University of Melbourne
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Address [1]
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Melbourne Research
Level 5, Alan Gilbert Building
161 barry St
Carlton
Vic 3053
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Country [1]
257473
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Australia
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Primary sponsor type
Individual
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Name
Laima Brazionis
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Address
Laima Brazionis PhD
Senior Research Fellow
Public Health and Epidemiology
Division of Health Sciences
Sansom Institute
Playford 4-25
University of South Australia
City East Campus
Adelaide, SA 5000
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Country
Australia
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Secondary sponsor category [1]
256700
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Individual
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Name [1]
256700
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Allison Hodge
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Address [1]
256700
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Allison Hodge PhD
National Health and Medical Research Council (NHMRC) Post Doctoral Research Fellow
University of Melbourne
Department of Medicine
St Vincent's Hospital
PO Box 2900
Fitzroy, Victoria 3065
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Country [1]
256700
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Australia
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Other collaborator category [1]
251446
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Individual
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Name [1]
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Catherine Itsiopoulos
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Address [1]
251446
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Associate Professor Catherine Itsiopoulos
Head of Nutrition and Dietetics
Faculty of Health
University of Canberra ACT 2601
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Country [1]
251446
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Australia
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Other collaborator category [2]
251448
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Individual
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Name [2]
251448
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Eugene Ik Chiek Ting
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Address [2]
251448
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Medicine, Dentistry and Health Sciences Student Centre
Level 1, Brownless Biomedical Library
The University of Melbourne
Victoria 3010 Australia
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Country [2]
251448
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259519
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St Vincents Hospital, Research Governance Unit, Human Research Ethics Committee
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Ethics committee address [1]
259519
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Research Governance Unit Level 5, Mary Aikenhead Building 27 Victoria Parade Fitzroy Victoria 3065
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Ethics committee country [1]
259519
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Australia
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Date submitted for ethics approval [1]
259519
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Approval date [1]
259519
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03/09/2008
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Ethics approval number [1]
259519
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HREC-A 090/08
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Summary
Brief summary
We conducted a randomised cross-over dietary intervention trial to compare the effects of 1g EPA+DHA per day from two different sources – fish and fish oil capsules. Subjects were randomised to begin on one arm of the intervention for 12 weeks, followed by a 12-week washout period and finally the alternate arm for another 12 weeks. Various cardiovascular risk markers were measured at each time point. Statistical analyses were performed to compare changes with each intervention, and the changes between the two treatment arms. 11 participants (10 males and 1 female) with a mean age of 50.9 years were recruited from St. Vincent’s Hospital, Melbourne from September 2008 to May 2009. Both treatments increased erythrocyte omega-3 index significantly, while the fish treatment also appeared to have beneficial effects on blood pressure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31527
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Address
31527
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Country
31527
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Phone
31527
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Fax
31527
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Email
31527
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Contact person for public queries
Name
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Laima Brazionis
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Address
14774
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Senior Research Fellow
Public Health and Epidemiology
Division of Health Sciences
Sansom Institute
Playford 4-25
University of South Australia
City East Campus
Adelaide, SA 5000
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Country
14774
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Australia
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Phone
14774
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+61 8 8302 2405
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Fax
14774
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+61 8 8302 2405
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Email
14774
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[email protected]
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Contact person for scientific queries
Name
5702
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Laima Brazionis
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Address
5702
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Senior Research Fellow
Public Health and Epidemiology
Division of Health Sciences
Sansom Institute
Playford 4-25
University of South Australia
City East Campus
Adelaide, SA 5000
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Country
5702
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Australia
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Phone
5702
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+61 8 8302 2405
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Fax
5702
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+61 8 8302 2794
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Email
5702
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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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