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Trial registered on ANZCTR
Registration number
ACTRN12615000797572
Ethics application status
Approved
Date submitted
16/07/2015
Date registered
31/07/2015
Date last updated
23/11/2018
Date data sharing statement initially provided
23/11/2018
Date results provided
23/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Potential of natural dietary antioxidants in improving heart health in obesity
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Scientific title
Evaluating the potential of anthocyanin supplementation in reducing thrombogenesis in normal healthy and obese population
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Secondary ID [1]
287103
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Nil
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Universal Trial Number (UTN)
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Trial acronym
AORTA - Anthocyanins in Obesity Research Trial Australia
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
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Thrombosis
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Condition category
Condition code
Diet and Nutrition
295904
295904
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0
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Obesity
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Alternative and Complementary Medicine
295905
295905
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0
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Other alternative and complementary medicine
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Blood
295907
295907
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0
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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Single Medox 80mg anthocyanin capsule contains: A purified extract from Bilberries and Black currants containing minimum 80 mg anthocyanincitrates; 110mg-170mg maltodextrin for stabilisation, Capsule - VCaps, HPMC, size 1, 7mmx20mm, 77 mg, neutral taste; Total weight of capsule: 390-410 mg. Dosage administered orally is: 320 mg/day (4 capsules - recommended dosage) for 28 days. Adherence to intervention will be measured by tablet return after 4 week supplementation. The wash out period is for two weeks before the start of supplementation with the next treatment (placebo) capsule for 28 days. The placebo capsule is a 265 mg maltodextrin capsule with a capsule weight of 80 mg: 345 mg total.The coloured maltodextrin consists of: Maltodextrin (87.5%), Wilton icing colour (red red 5%), Wilton icing colour (Royal blue 7.5%).
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Intervention code [1]
292346
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Prevention
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Intervention code [2]
292347
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Treatment: Drugs
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Intervention code [3]
292395
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Treatment: Other
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Comparator / control treatment
Placebo capsule. The placebo capsule is a 265 mg maltodextrin capsule with a capsule weight of 80 mg: 345 mg total.The coloured maltodextrin consists of: Maltodextrin (87.5%), Wilton icing colour (red red 5%), Wilton icing colour (Royal blue 7.5%). The capsule itself is made of cellulose.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Platelet Activation measurement (Flowcytometry-BD FACS Verse). Blood sample will be used in testing
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Assessment method [1]
295578
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Timepoint [1]
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At baseline day 1 and post supplementation (treatment 1) day 29. Two week wash out. At baseline day 43 and post supplementation (treatment 2) day 72.
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Primary outcome [2]
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Coagulation profile (Sysmex coagulation analyser). Blood sample (Plasma) will be used in testing
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Assessment method [2]
295640
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Timepoint [2]
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At baseline day 1 and post supplementation (treatment 1) day 29. Two week wash out. At baseline day 43 and post supplementation (treatment 2) day 72.
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Primary outcome [3]
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Oxidative stress markers (Cobas Integra 400). Blood sample (plasma) will be used in testing
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Assessment method [3]
295641
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Timepoint [3]
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At baseline day 1 and post supplementation (treatment 1) day 29. Two week wash out. At baseline day 43 and post supplementation (treatment 2) day 72.
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Secondary outcome [1]
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Food intake analysis using Xyris FoodWorks software. Food diaries completed by participants will be used in analysis.
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Assessment method [1]
315884
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Timepoint [1]
315884
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After the end of the testing period i.e. on day 72 (One timepoint only)
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Secondary outcome [2]
316059
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Full Blood Count (AcT5 diff Beckman Coulter) (Primary outcome). Blood sample will be used in testing.
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Assessment method [2]
316059
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Timepoint [2]
316059
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At baseline day 1 and post supplementation (treatment 1) day 29. Two week wash out. At baseline day 43 and post supplementation (treatment 2) day 72.
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Secondary outcome [3]
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Biochemical profile (Cobas Integra 400) (Primary outcome). Blood sample (Serum) will be used in testing
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Assessment method [3]
316060
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Timepoint [3]
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At baseline day 1 and post supplementation (treatment 1) day 29. Two week wash out. At baseline day 43 and post supplementation (treatment 2) day 72.
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Eligibility
Key inclusion criteria
BMI >30 for obese participants and 18-24.9 for healthy participants.
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Minimum age
18
Years
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Maximum age
65
Years
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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
1. Excessive bleeding tendency, GI bleed or major surgery in last 6 wks
2. Liver Disease or coagulopathy
3. Anti-inflammatory, anti-platelet, anti-coagulation drugs
4. People on specific high antioxidant diet
5. Platelet count <100 & >450, Haematocrit<0.25
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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)
Randomization will be performed by an individual independent to the trial using a computer software. Unique identifier codes will be allocated to the participants. These codes will be used on sample containers and other labeling procedures.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A simple randomization will be carried out using Microsoft Excel.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Statistical analysis will be performed using GraphPad Prism version 6.0 for Windows (GraphPad Software, La Jolla, CA, USA). A minimum sample size of 23 volunteers in each group (healthy and obese participants) is required for 80% power to detect a 5% variation in the laboratory parameters measured, where a 3–5% standard deviation exists in the population, assuming an alpha error of 0.05. Statistical significance will be established when P < 0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/08/2015
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Actual
11/09/2015
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Date of last participant enrolment
Anticipated
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Actual
30/11/2015
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Date of last data collection
Anticipated
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Actual
15/05/2016
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Sample size
Target
46
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Accrual to date
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Final
26
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
9984
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4702 - Central Queensland
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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CQUniversity New staff grant
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Address [1]
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CQUniversity, Bruce Highway
North Rockhampton,
Queensland, Australia, 4702
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Country [1]
291661
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Australia
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Primary sponsor type
University
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Name
CQUniversity
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Address
CQUniversity, Bruce Highway
North Rockhampton
Queensland, Australia, 4702
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Country
Australia
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Secondary sponsor category [1]
290335
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None
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Name [1]
290335
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Not applicable
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Address [1]
290335
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Not applicable
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Country [1]
290335
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293187
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CQUniversity's Human Research Ethics Committee (EC00158)
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Ethics committee address [1]
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Bruce Highway, North Rockhampton, Queensland, Australia, 4702
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Ethics committee country [1]
293187
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Australia
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Date submitted for ethics approval [1]
293187
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14/07/2015
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Approval date [1]
293187
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28/08/2015
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Ethics approval number [1]
293187
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Summary
Brief summary
This project aims to evaluate the effect of anthocyanins, an antioxidant derived from fruits and vegetables, as an anti-thrombotic prophylaxis in normal healthy individuals versus obese pro-thrombotic individuals (predisposed to heart attacks and stroke). Increased platelet activity is an important contributor to thrombosis in vascular diseases. Antioxidants have been shown to act on several platelet activation pathways, reducing inflammatory responses thereby mimicking antiplatelet and anti-inflammatory drugs. We have previously shown that antioxidants in the form of a plum juice have potential to alleviate thrombotic risk in normal healthy population by reducing platelet aggregation, platelet activation and improving coagulation profile. Furthermore it has been demonstrated that anthocyanins target similar platelet activation pathways as aspirin (cyclooxygenase-1 pathway) and clopidogrel (ADP P2Y12 pathway), the commonly used antithrombotic drugs. In spite of the effectiveness of these drugs, prolonged usage has been associated with a number of side effects. We believe that anthocyanins have the potential to be used in the pro-thrombotic, drug resistant/non-responsive patient population either as a replacement or complementary therapy in prevention of cardiovascular diseases (CVD). The outcome of this project will significantly support a therapeutic alternative to currently used therapeutics, leading to effective prevention and treatment of oxidative stress induced metabolic syndrome conditions, providing fiscal and health benefit to society.
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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
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Dr Abishek Santhakumar
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Address
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CQUniversity, Bruce Highway
North Rockhampton, Queensland, Australia, 4702.
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Country
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Australia
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Phone
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+61749309626
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Fax
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Email
58842
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[email protected]
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Contact person for public queries
Name
58843
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Abishek Santhakumar
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Address
58843
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CQUniversity, Bruce Highway
North Rockhampton, Queensland, Australia, 4702.
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Country
58843
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Australia
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Phone
58843
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+61749309626
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Fax
58843
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Email
58843
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[email protected]
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Contact person for scientific queries
Name
58844
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Abishek Santhakumar
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Address
58844
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CQUniversity, Bruce Highway
North Rockhampton, Queensland, Australia, 4702.
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Country
58844
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Australia
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Phone
58844
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+61749309626
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Fax
58844
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Email
58844
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
Source
Title
Year of Publication
DOI
Embase
The effect of anthocyanin supplementation in modulating platelet function in sedentary population: A randomised, double-blind, placebo-controlled, cross-over trial.
2017
https://dx.doi.org/10.1017/S0007114517002124
N.B. These documents automatically identified may not have been verified by the study sponsor.
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