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Trial registered on ANZCTR
Registration number
ACTRN12618000706279
Ethics application status
Approved
Date submitted
28/06/2017
Date registered
30/04/2018
Date last updated
3/02/2020
Date data sharing statement initially provided
13/02/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of high-polyphenol olive oil in cardiovascular risk markers in healthy adults
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Scientific title
The effect of high-polyphenol extra virgin olive oil on markers of cardiovascular disease risk in healthy Australian adults.
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Secondary ID [1]
292301
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None
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Universal Trial Number (UTN)
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Trial acronym
OLIVAUS
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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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Mild cognitive decline
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Condition category
Condition code
Cardiovascular
303204
303204
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0
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Coronary heart disease
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Neurological
303205
303205
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0
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Studies of the normal brain and nervous system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An extra virgin olive oil with a confirmed polyphenol count >300mg per kg. Participants will receive a 3-week supply of the high-polyphenol olive oil (1.3litres) and will be required to consume 60ml (3 tablespoons) per day for a three-week intervention phase. There will be a washout period of two weeks at the commencement of the study and between treatment arms.
Adherence will be measured by serum markers of fatty acid intake, diet diaries, and weighing the returned olive oil bottles at each 3-week followup meeting.
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Intervention code [1]
298476
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Lifestyle
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Intervention code [2]
298544
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Prevention
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Comparator / control treatment
A low polyphenol olive oil with a confirmed polyphenol count <90 mg per kg will be sourced for this trial for this trial. Participants will receive a 3-week supply of the refined olive oil (1.3litres) and will be required to consume 60ml (3 tablespoons) per day for a three-week intervention phase.
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Control group
Active
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Outcomes
Primary outcome [1]
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HDL Cholesterol efflux via serum assay
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Assessment method [1]
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Timepoint [1]
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [1]
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Total antioxidant capacity via serum assay
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Assessment method [1]
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Timepoint [1]
336420
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [2]
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Blood pressure
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Assessment method [2]
336421
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Timepoint [2]
336421
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [3]
336422
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Total, HDL, LDL cholesterol and triglyceride levels via serum assay
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Assessment method [3]
336422
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Timepoint [3]
336422
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [4]
336423
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Adverse events such as gastrointestinal symptoms, allergies or any other side-effect reported by participants during the trial. This will be recorded via patient interview at each followup timepoint.
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Assessment method [4]
336423
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Timepoint [4]
336423
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Baseline, 1.5 weeks post-baseline, and 3-week post-baseline for each treatment arm
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Secondary outcome [5]
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Cognitive performance using the SUCCAB cognitive battery. This includes the Stroop colour-word test, the Bond-Lader mood scale, the Depression and Anxiety Severity Scale (DASS), and tests aimed to measure short and long term memory, reaction time.
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Assessment method [5]
336424
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Timepoint [5]
336424
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [6]
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Arterial stiffness using a Sphygmacor device
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Assessment method [6]
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Timepoint [6]
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Baseline and 3-week post-baseline for each treatment arm
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Secondary outcome [7]
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Adherence using serum biomarkers of fatty acid intake, patient self-reported food diaries, and weighing returned olive oil bottles.
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Assessment method [7]
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Timepoint [7]
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3-week post-baseline for each treatment arm.
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Eligibility
Key inclusion criteria
Aged 18-75 years
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Minimum age
18
Years
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Maximum age
75
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
The exclusion criteria of "Post and peri-menopausal" women has been removed. More specifically the updated list of the key exclusion criteria is as follows:
Non-English-speaking persons
• Pregnant or lactating women
• History of adverse reactions to olive oil (
• Currently prescribed warfarin, anti-coagulant therapy, statin medications, all oral hypoglycaemic agents, insulin, cyclosporine, tacrolimus, immunosuppressant agents, antihypertensive agents, and nonsteroidal anti-inflammatory drugs (hypothesised interactions), hormone replacement therapy
• A habitual diet with greater than or equal to 1 tablespoon of olive oil per day;
• Current smoker;
• Use of antioxidant supplements or medications with antioxidant properties,
• Diagnosed with any of the following conditions: hyperlipidaemia; diabetes mellitus; hypertension; inflammatory conditions (e.g. rheumatoid arthritis), intestinal disease (e.g. inflammatory bowel disease); irritable bowel syndrome, food intolerances, blood coagulation disorders, or any other physiological condition or disease that could impair adherence.
-Unstable body weight within =/>5kg weight fluctuations in the prior 3 months
-Special diet for medical reasons (i.e gluten free for coeliac disease)
Exclusion criteria for cognition component only.
-Currently prescribed antidepressant medication
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Study design
Purpose of the study
Prevention
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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 involves contacting a member of the research team that will have the allocation schedule and who will not have any contact with participants
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple block randomisation using a randomisation table created by computer software
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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
Washout period of 2-weeks will be in place at the start of the trial and between the two treatment arms.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
All outcomes will be analysed by a repeated measures ANOVA, using intention-to-treat principles. Multiple imputation will be used to input missing data. Participant 3-day dietary records will be analysed for total polyphenol content and be used as a covariate. Adjusted results will be calculated using a multiple linear regression model including the stratification factors (total polyphenol intake, gender).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2018
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Actual
1/07/2018
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Date of last participant enrolment
Anticipated
1/10/2019
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Actual
27/07/2019
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Date of last data collection
Anticipated
15/12/2019
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Actual
5/10/2019
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
296844
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University
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Name [1]
296844
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La Trobe University
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Address [1]
296844
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La Trobe University
Bundoora, Vic, 3086
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Country [1]
296844
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Australia
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Funding source category [2]
296846
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Commercial sector/Industry
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Name [2]
296846
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Cobram Estate Olive Oil
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Address [2]
296846
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14/75 Lorimer St, Southbank VIC 3006
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Country [2]
296846
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Australia
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Primary sponsor type
University
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Name
La Trobe University
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Address
La Trobe University
Bundoora, Vic, 3086
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Country
Australia
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Secondary sponsor category [1]
295841
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None
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Name [1]
295841
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Address [1]
295841
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Country [1]
295841
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298075
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La Trobe University Human Research Ethics Committee
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Ethics committee address [1]
298075
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La Trobe University, Bundoora, Vic, 3086
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Ethics committee country [1]
298075
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Australia
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Date submitted for ethics approval [1]
298075
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03/07/2017
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Approval date [1]
298075
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11/09/2017
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Ethics approval number [1]
298075
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HEC17-067
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Summary
Brief summary
Purpose of study Extra virgin olive oil, a key ingredient of the cardioprotective Mediterranean diet, is considered a healthy source of dietary fat due to its high content of monounsaturated fatty acids and antioxidant polyphenols. However, while consistent, promising evidence exists, the unique contribution of polyphenols to the cardioprotective effect of olive oil is not fully established. This study will examine the effect of high-polyphenol extra virgin olive oil versus low-polyphenol olive oil on markers of cardiovascular disease risk that are related to cholesterol metabolism and total antioxidant capacity as well as measures of cognitive function. Hypothesis: Compared with a low polyphenol olive oil, a high polyphenol olive oil intervention will result in improved measures of HDL cholesterol efflux and total antioxidant capacity in a healthy adult population. Objectives 1. Efficacy. Efficacy outcomes include HDL cholesterol efflux, total antioxidant capacity, cholesterol levels (total, HDL, LDL, triglycerides), cognitive performance, and blood pressure. 2. Safety. Safety outcomes include adverse and serious adverse events directly attributable to the intervention period. 3. Adherence. Adherence outcomes will include biomarkers related to monounsaturated fat intake, bottle count, self-report checklist, and patient interview.
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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 George Moschonis
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Address
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La Trobe University,
Bundoora, Victoria, 3086
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Country
75910
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Australia
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Phone
75910
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+61 3 9479 3482
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Fax
75910
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Email
75910
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[email protected]
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Contact person for public queries
Name
75911
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George Moschonis
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Address
75911
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La Trobe University,
Bundoora, Victoria, 3086
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Country
75911
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Australia
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Phone
75911
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+61 3 9479 3482
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Fax
75911
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Email
75911
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[email protected]
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Contact person for scientific queries
Name
75912
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George Moschonis
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Address
75912
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La Trobe University,
Bundoora, Victoria, 3086
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Country
75912
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Australia
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Phone
75912
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+61 3 9479 3482
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Fax
75912
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Email
75912
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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)?
Yes
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What data in particular will be shared?
All participant data after de identification will be available for sharing as required.
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When will data be available (start and end dates)?
Data will be available immediately following publication and for the duration of 5 years whereby records will be maintained as described in ethics in adherence to La Trobe University policies.
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Available to whom?
Data will be made available to journals when required for publication and otherwise supplied to individuals on a case by case basis as determined by the principle investigator.
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Available for what types of analyses?
Data will be available for meta analysis and for the proposed aims of the study.
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How or where can data be obtained?
Access will be subject to principle investigator approval and with the requirement of data access agreements where required this will also be assessed on a case by case basis but for E.g. not required for meta analysis data requests.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
6707
Study protocol
Wolfgang Marx, Elena S. George, Hannah L. Mayr, Colleen J. Thomas, Katerina Sarapis, George Moschonis, Greg Kennedy, Andrew Pipingas, Jane C. Willcox, Luke A. Prendergast, Catherine Itsiopoulos. (2019) Effect of high polyphenol extra virgin olive oil on markers of cardiovascular disease risk in healthy Australian adults (OLIVAUS): A protocol for a double-blind randomised, controlled, cross-over study. Nutrition & Dietetics 145
https://doi.org/10.1111/1747-0080.12531
[email protected]
N/A
373213-(Uploaded-22-01-2020-20-13-53)-Study-related document.pdf
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 high polyphenol extra virgin olive oil on blood pressure and arterial stiffness in healthy australian adults: A randomized, controlled, cross-over study.
2020
https://dx.doi.org/10.3390/nu12082272
Embase
Extra virgin olive oil high in polyphenols improves antioxidant status in adults: a double-blind, randomized, controlled, cross-over study (OLIVAUS).
2022
https://dx.doi.org/10.1007/s00394-021-02712-y
N.B. These documents automatically identified may not have been verified by the study sponsor.
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