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Trial registered on ANZCTR
Registration number
ACTRN12610000714088
Ethics application status
Approved
Date submitted
25/08/2010
Date registered
27/08/2010
Date last updated
15/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of genetic background on blood pressure response to weight reduction
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Scientific title
To examine the effect of the CYP4F2 G1347A polymorphism on blood pressure and plasma and urinary 20-HETE responses to weight reduction in overweight participants
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Secondary ID [1]
252569
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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:
metabolic syndrome
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Condition category
Condition code
Cardiovascular
258213
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0
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Hypertension
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Metabolic and Endocrine
258245
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Overweight men aged between 20 and 70 yrs and post-menopausal women less than 70yrs will be screened for two genetic polymorphisms called CYP4F2 G1347A and CYP4A11 T8590C that affect 20-HETE levels. The screening visit will take approximately 1 hour and requires donation of a small blood sample (10ml). Genetic material (DNA) will be isolated from this blood sample in for identification of the two polymorphisms. Two groups will be studied. A group that are carriers of the A allele of the CYP4F2 G1347A polymorphism but who do not have the CYP4A11 T8590C polymorphism and a control group that has neither polymorphism. Both groups will receive one on one 1 hour sessions with a dietitian every 2 weeks to assist them to reduced their weight (by ~4-8kg) over a 12 week period. At the end of 12 weeks, volunteers will be counselled every 2 weeks by the dietitain about how to maintain their weight for a 4 week period of weight stabilisation.
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Intervention code [1]
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Lifestyle
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Comparator / control treatment
The comparitor group is the group that has neither of the polymorphisms undergoing the same weight loss intervention,
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Blood pressure using a 24 hor ambulatory blood pressure monitor
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Assessment method [1]
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Timepoint [1]
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Baseline, 12 weeks and 16 weeks
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Primary outcome [2]
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Plasma 20-HETE measured by gas chromatography mass spectrometry
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Assessment method [2]
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Timepoint [2]
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Baseline, 12 weeks and 16 weeks
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Primary outcome [3]
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Urinary 20-HETE measured from a 24 hour urine collection by gas chromatography mass spectrometry
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Assessment method [3]
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Timepoint [3]
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Baseline, 12 weeks and 16 weeks
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Secondary outcome [1]
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plasma F2-isoprostanes measured by gas chromatography mass spectrometry
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Assessment method [1]
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Timepoint [1]
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Baseline, 12 weeks and 16 weeks
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Secondary outcome [2]
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Urinary F2-isoprostanes measured in a 24hr urine collection by gas chromatography mass spectrometry
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Assessment method [2]
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Timepoint [2]
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Baseline, 12 weeks and 16 weeks
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Eligibility
Key inclusion criteria
Volunteers will undergo a medical examination conducted by a physician to assess their suitability for the study. Overweight men with waist circumference greater than or equal to 102cm and overweight post-menopausal women with with waist circumference greater than or equal to 88cm who have a systolic blood pressure greater or equal to 120mmHg and body mass index between 25 and 40. They will be screened for two genetic polymorphisms called CYP4F2 G1347A and CYP4A11 T8590C that affect 20-HETE levels. Two groups will be studied. A group that are carriers of the A allele of the CYP4F2 G1347A polymorphism but who do not have the CYP4A11 T8590C polymorphism and a control group that has neither polymorphism.
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Minimum age
20
Years
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Maximum age
70
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
smoking, diabetes, Body mass index >40, taking blood pressure or lipid lowering medication, drinking more than 3 standard drinks /day or 4 standard drinks in a single session, impaired renal function, a history of chronic disease.
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Study design
Purpose of the study
Treatment
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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)
The volunteers are enrolled according to their genotype. All suitable volunteers undergo the weight reduction intervention.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Single group
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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
1/05/2010
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Actual
1/05/2010
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Date of last participant enrolment
Anticipated
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Actual
23/08/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
53
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health & Medical Research Council Of Australia
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Address [1]
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Level 5, 20 Altara St, Canberra
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Research Assistant Professor Anne Barden
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Address
School of Medicine & Pharmacology,
Royal Perth Hosiptal Unit,
PO Box X2213, Perth, WA 6847
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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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Professor Lawrie Beilin
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Address [1]
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School of Medicine & Pharmacology,
Royal Perth Hosiptal Unit,
PO Box X2213, Perth, WA 6847
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Kevin Croft
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Address [1]
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School of Medicine & Pharmacology,
Royal Perth Hosiptal Unit,
PO Box X2213, Perth, WA 6847
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Professor Ian Puddey
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Address [2]
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School of Medicine & Pharmacology,
Royal Perth Hosiptal Unit,
PO Box X2213, Perth, WA 6847
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Dr Natalie Ward
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Address [3]
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School of Medicine & Pharmacology,
Royal Perth Hosiptal Unit,
PO Box X2213, Perth, WA 6847
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Country [3]
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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 Western Australia Human Research Ethics Committee
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Ethics committee address [1]
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35 Stirling Hwy, Crawley, Western Australia 6009
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
259566
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Approval date [1]
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18/12/2009
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Ethics approval number [1]
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RA4/1/2661
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Summary
Brief summary
The effectiveness of treatments to reduce heart disease risk can vary a great deal between individuals. This is partly due to an individual’s genetic makeup. Fatty acid metabolites called cytochrome P450 metabolites of arachidonic acid (CYP450-AAM) can act on blood vessels and the kidney to regulate blood pressure. One of these metabolites (20-HETE) is known to be affected by body weight. We will study volunteers with two different genetic make-ups that have different effects on the levels of 20-HETE, to see if they affect blood pressure and heart disease risk. We will assess whether having either genetic make-up causes a different blood pressure and plasma and urinary 20-HETE response when volunteers reduce their weight.
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Trial website
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Trial related presentations / publications
Presentation at High Blood Pressure Research Council 05/12/2013 A SINGLE NUCLEOTIDE POLYMORPHISM OF THE CYP4F2 GENE IMPAIRS MAINTENANCE OF LOWER BP AFTER WEIGHT LOSS Publication The effect of a single nucleotide polymorphism of the CYP4F2 gene on blood pressure and 20-hydroxyeicosatetraenoic acid excretion after weight loss by Natalie C. Ward, Kevin D. Croft, Ian B. Puddey, Michael Phillips, Frank van Bockxmeer, Lawrence J. Beilin, and Anne E. Barden in Journal of Hypertension 2014, 32:1495–1502
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Public notes
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Contacts
Principal investigator
Name
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Prof Anne Barden
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Address
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School of Medicine & Pharmacology
Level 4 MRF Building
Rear 50, Murray St
Perth WA 6000
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Country
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Australia
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Phone
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618 9224 0272
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Anne Barden
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Address
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit,
GPO Box X2213
Perth, Western Australia, 6847
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Country
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Australia
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Phone
14816
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618 9224 0272
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Fax
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618 9224 0246
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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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Anne Barden
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Address
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School of Medicine & Pharmacology,
Royal Perth Hospital Unit,
GPO Box X2213
Perth, Western Australia, 6847
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Country
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Australia
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Phone
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618 9224 0272
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Fax
5744
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618 9224 0246
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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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