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Trial registered on ANZCTR
Registration number
ACTRN12617001039370
Ethics application status
Approved
Date submitted
14/07/2017
Date registered
17/07/2017
Date last updated
12/03/2019
Date data sharing statement initially provided
12/03/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Can seaweed supplementation reduce cardiovascular disease risk?
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Scientific title
The impact of 12-weeks supplementation with a polyphenol-rich seaweed extract on cholesterol levels in adults with elevated fasting LDL-cholesterol
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Secondary ID [1]
292039
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None
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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:
cardiovascular disease
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hypercholesterolaemia
303436
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type 2 diabetes
303437
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Condition category
Condition code
Diet and Nutrition
302846
302846
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0
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Other diet and nutrition disorders
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Cardiovascular
302847
302847
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0
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Other cardiovascular diseases
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Metabolic and Endocrine
303376
303376
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0
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Diabetes
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Alternative and Complementary Medicine
303377
303377
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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
The intervention consists of 12 weeks supplementation with a commercially available polyphenol-rich seaweed extract, called Maritech Synergy.
The extract will be consumed in the form of oral tablets, in a dose of 2000 mg extract (containing 600 mg polyphenols) taken daily, over the course of 12 weeks.
Adherence will be assessed by collecting used tablet boxes from participants and counting the leftover tablets, as well as through the use of a check off chart.
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Intervention code [1]
298167
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Treatment: Other
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Comparator / control treatment
The comparator consists of 12 weeks supplementation with a placebo.
The placebo will be taken in identical oral tablets, but will contain rice flour in a dose of 2000 mg. Also to be consumed daily over the course of 12 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in fasting LDL cholesterol level as assessed by automated analyser (Indiko).
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Assessment method [1]
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Timepoint [1]
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Comparing baseline and 12 weeks post commencement of the intervention
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Secondary outcome [1]
335259
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Changes in fasting lipid profile (total cholesterol, HDL cholesterol, triglycerides) as assessed by automated analyser (Indiko).
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Assessment method [1]
335259
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Timepoint [1]
335259
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Comparing baseline and 12 weeks post commencement of the intervention
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Secondary outcome [2]
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Changes in fasting glucose, as assessed by automated analyser (Indiko), and insulin, as assessed by ELISA.
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Assessment method [2]
335260
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Timepoint [2]
335260
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Comparing baseline and 12 weeks post commencement of the intervention
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Secondary outcome [3]
335261
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Changes in inflammatory markers (including CRP and TNF-alpha) as assessed by plasma assay
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Assessment method [3]
335261
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Timepoint [3]
335261
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Comparing baseline and 12 weeks post commencement of the intervention
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Secondary outcome [4]
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Changes in mood and markers of cognitive function as measured by a cognitive array comprising a series of tasks from the Computerised Mental Performance Assessment System (COMPASS) (optional add-on for participants)
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Assessment method [4]
335870
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Timepoint [4]
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Comparing baseline and 12 weeks post commencement of the intervention
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Secondary outcome [5]
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Assessment of participant compliance to the intervention as measured by check-off sheets and collection and counting of left-over capsules.
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Assessment method [5]
336832
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Timepoint [5]
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6 weeks and 12 weeks post commencement of the intervention
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Secondary outcome [6]
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Investigation of early changes in fasting cholesterol levels as measured by automated analyser (Indiko)
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Assessment method [6]
336934
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Timepoint [6]
336934
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6 weeks post commencement of the intervention
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Secondary outcome [7]
336935
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Investigation of early changes in fasting glucose levels as measured by automated analyser (Indiko)
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Assessment method [7]
336935
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Timepoint [7]
336935
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6 weeks post commencement of the intervention
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Secondary outcome [8]
336936
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Investigation of early changes in mood and markers of cognitive function as measured by a cognitive array comprising a series of tasks from the Computerised Mental Performance Assessment System (COMPASS) (optional add-on for participants)
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Assessment method [8]
336936
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Timepoint [8]
336936
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6 weeks post commencement of the intervention
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Eligibility
Key inclusion criteria
Body mass index from 27 to 35 kg/m2 (25 to 35 kg/m2 for people of Asian background)
Fasting LDL cholesterol level above 2.0 mmol/L
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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?
No
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Key exclusion criteria
Gastrointestinal issues that may affect the absorption and intestinal actions of the polyphenols,
Taking medication for cholesterol or blood pressure control or any other medications that may influence results.
Taking other natural health products known to impact on polyphenols e.g. fish oil,
Women who are breastfeeding or pregnant,
Individuals with liver/thyroid issues,
Having undergone major surgery in the past 6 months,
Consuming more than 4 standard drinks per day, or 14 standard drinks per week,
Cigarette smoking.
Having an implanted cardiac defibrillator.
Individuals with depression, anxiety or dementia (cognitive aspect only)
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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)
Allocation will be concealed by using letter codes on all tablet containers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be completed using computerized sequence generation.
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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 assessing the outcomes
The people analysing the results/data
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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
Power analyses were performed to identify the required sample size to detect a difference between the intervention and placebo groups for change in fasting LDL cholesterol, at a power of 80%. Based on data from the literature a total of 52 individuals is required, with 26 per treatment group. Fifty-eight individuals will be recruited to allow for a dropout rate of approximately 10%.
All results will be assessed for normality. Where possible, skewed distributions will be log transformed before analysis. The level of significance is accepted at p= <0.05. Data will be expressed as mean ± SD (parametric) or median ± interquartile range (non-parametric) unless otherwise stated. Analyses will be performed using Statistical Package for Social Sciences (SPSS) version 21.0 (SPSS Inc., Chicago, IL). Independent samples t-tests, or Mann-Whitney U tests for non-parametric variables, will be used to determine differences between the groups in the changes in outcomes from baseline to week 12 (primary outcome). A mixed between-within subjects analysis of variance will be used to assess the secondary outcome of differences between the groups across the three time points (baseline, week 6 and week 12).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
28/08/2017
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Actual
23/08/2017
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Date of last participant enrolment
Anticipated
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Actual
4/09/2018
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Date of last data collection
Anticipated
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Actual
4/12/2018
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Sample size
Target
58
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
296571
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Commercial sector/Industry
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Name [1]
296571
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Marinova Pty Ltd
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Address [1]
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249 Kennedy Drive, Cambridge TAS 7170
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Country [1]
296571
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
Level 1, 264 Ferntree Gully Road, Notting Hill VIC 3168
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Country
Australia
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Secondary sponsor category [1]
295529
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None
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Name [1]
295529
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Address [1]
295529
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Country [1]
295529
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297788
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
297788
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Monash University Clayton Campus, Wellington Road, Clayton VIC 3800
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Ethics committee country [1]
297788
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Australia
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Date submitted for ethics approval [1]
297788
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05/05/2017
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Approval date [1]
297788
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08/05/2017
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Ethics approval number [1]
297788
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2017-8689-10379
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Summary
Brief summary
The primary purpose of this research is to determine whether consuming a polyphenol-rich seaweed supplement for 12 weeks will reduce LDL cholesterol levels in adults with elevated LDL cholesterol at baseline. It is hypothesised that the group who receive the seaweed extract supplement will have a greater reduction in LDL cholesterol levels than the group who receive the rice flour supplement.
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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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A/Prof Maxine Bonham
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Address
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Department of Nutrition, Dietetics and Food, Level 1, 264 Ferntree Gully Road, Notting Hill VIC 3168
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Country
75114
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Australia
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Phone
75114
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+61 3 9902 4272
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Fax
75114
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Email
75114
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[email protected]
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Contact person for public queries
Name
75115
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Margaret Murray
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Address
75115
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Department of Nutrition, Dietetics and Food, Level 1, 264 Ferntree Gully Road, Notting Hill VIC 3168
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Country
75115
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Australia
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Phone
75115
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+61 (3) 9905 1415
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Fax
75115
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Email
75115
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[email protected]
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Contact person for scientific queries
Name
75116
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Margaret Murray
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Address
75116
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Department of Nutrition, Dietetics and Food, Level 1, 264 Ferntree Gully Road, Notting Hill VIC 3168
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Country
75116
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Australia
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Phone
75116
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+61 (3) 9905 1415
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Fax
75116
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Email
75116
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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
As described in the ethics application, only grouped de-identified data will be made available to the public.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
1595
Study protocol
https://bmjopen.bmj.com/content/8/12/e022195
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
Study protocol for a double-blind randomised controlled trial investigating the impact of 12 weeks supplementation with a Fucus vesiculosus extract on cholesterol levels in adults with elevated fasting LDL cholesterol who are overweight or have obesity.
2018
https://dx.doi.org/10.1136/bmjopen-2018-022195
Embase
Twelve weeks' treatment with a polyphenol-rich seaweed extract increased HDL cholesterol with no change in other biomarkers of chronic disease risk in overweight adults: A placebo-controlled randomized trial.
2021
https://dx.doi.org/10.1016/j.jnutbio.2021.108777
N.B. These documents automatically identified may not have been verified by the study sponsor.
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