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Trial registered on ANZCTR
Registration number
ACTRN12619000916145
Ethics application status
Approved
Date submitted
14/06/2019
Date registered
1/07/2019
Date last updated
22/04/2022
Date data sharing statement initially provided
1/07/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The use of prebiotics and their effect on blood pressure.
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Scientific title
The use of dietary supplements on gut metabolites and their effect on blood pressure in hypertensive patients: a phase IIa clinical trial.
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Secondary ID [1]
298462
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Nil known
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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:
hypertension
313239
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high blood pressure
313357
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Condition category
Condition code
Cardiovascular
311679
311679
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0
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Hypertension
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Metabolic and Endocrine
311797
311797
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0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This cross-over trial will test if a modified high fibre food supplement could be used to lower blood pressure. The total study period is 9 weeks, including a 3 week wash-out period between the two arms.
-Dose: 40g/day of placebo or fibre supplement (modified high-amylose maize starch) eaten in two meals (breakfast/dinner). Examples include muffins, frittata, burgers and arancini balls
-Duration: 3 weeks each arm
-Mode of administration: oral intake as cooked food, all cooked by a chef and provided to participants
-A dietitian will be administering the intervention
-Adherence will be monitored using a food diary
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Intervention code [1]
314713
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Treatment: Other
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Intervention code [2]
314714
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Lifestyle
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Intervention code [3]
314715
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Prevention
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Comparator / control treatment
placebo (normal flour or waxy maize)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Blood pressure measured by a sphygmomanometer
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Assessment method [1]
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Timepoint [1]
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Baseline, weeks 3 (primary endpoint), 6 and 9 (primary endpoint) post-enrolment.
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Primary outcome [2]
320380
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Effect on arterial stiffness measured as pulse wave velocity by a SphygmoCor Instrument
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Assessment method [2]
320380
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Timepoint [2]
320380
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Baseline, weeks 3 (primary endpoint), 6 and 9 (primary endpoint) post-enrolment.
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Secondary outcome [1]
371406
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Plasma level of short-chain fatty acids as assessed by blood test
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Assessment method [1]
371406
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Timepoint [1]
371406
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Baseline, weeks 3 (primary endpoint), 6 and 9 (primary endpoint) post-enrolment.
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Eligibility
Key inclusion criteria
18 to 70 years of age
Have body mass index between 18.5 and 35
Have blood pressure higher than 140/90 mmHg and not be taking medication to lower blood pressure
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Minimum age
18
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
Have normal blood pressure (equal or greater than 140/90) and blood pressure equal or lower than 165/100 mmHg
Have used antibiotics in the past 3 months or probiotics in the past 4 weeks
Have type 1 or type 2 diabetes
Are pregnant
Have gastrointestinal diseases (including inflammatory bowel disease, lactose intolerance, celiac disease, chronic pancreatitis or other malabsorption disorder).
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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)
Central randomization by computer using RedCap
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software. Stratified allocation will include age, gender and BMI.
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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
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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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
8/07/2019
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Actual
9/07/2019
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Date of last participant enrolment
Anticipated
31/07/2020
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Actual
24/05/2021
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Date of last data collection
Anticipated
30/11/2020
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Actual
23/08/2021
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Sample size
Target
33
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
26745
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3000 - Melbourne
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Funding & Sponsors
Funding source category [1]
303005
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Charities/Societies/Foundations
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Name [1]
303005
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National Heart Foundation
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Address [1]
303005
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2/850 Collins St, Melbourne VIC 3008
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Country [1]
303005
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Australia
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Funding source category [2]
303015
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University
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Name [2]
303015
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Monash University
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Address [2]
303015
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Wellington Rd, Clayton VIC 3800
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Country [2]
303015
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Australia
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Primary sponsor type
Individual
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Name
Dr Francine Marques
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Address
25 Rainforest Walk, Clayton VIC 3800, Monash University
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Country
Australia
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Secondary sponsor category [1]
302989
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None
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Name [1]
302989
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Address [1]
302989
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Country [1]
302989
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303556
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Monash University Human Research Ethics Committee (MUHREC)
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Ethics committee address [1]
303556
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Room 111, Chancellery Building D, 26 Sports Walk, Clayton Campus Research Office Monash University VIC 3800
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Ethics committee country [1]
303556
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Australia
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Date submitted for ethics approval [1]
303556
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Approval date [1]
303556
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10/06/2019
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Ethics approval number [1]
303556
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19203
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Summary
Brief summary
High blood pressure, or hypertension, is a highly prevalent chronic disease, affecting 1 in 3 people in Australia. Our diet has been long known to influence the levels of blood pressure. New evidence from our laboratory has emerged that this may be due to the tiny microorganisms that live in our gut, called gut microbes. While our bodies are incapable of digesting some types of fibre, they are fermented in gut, where they feed the community of ‘good’ microbes (especially bacteria), resulting in the release of substances that can be detected in our blood and might be beneficial in lowering our blood pressure. The present study will test if a modified high fibre food supplement that copies the release of gut substances that could be used to lower blood pressure,
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Trial website
www.marqueslab.com/gut
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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 Francine Marques
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Address
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25 Rainforest Walk, Clayton VIC 3800, Monash University
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Country
94070
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Australia
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Phone
94070
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+610399056958
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Fax
94070
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Email
94070
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[email protected]
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Contact person for public queries
Name
94071
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Francine Marques
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Address
94071
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25 Rainforest Walk, Clayton VIC 3800, Monash University
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Country
94071
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Australia
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Phone
94071
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+610399056958
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Fax
94071
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Email
94071
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[email protected]
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Contact person for scientific queries
Name
94072
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Francine Marques
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Address
94072
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25 Rainforest Walk, Clayton VIC 3800, Monash University
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Country
94072
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Australia
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Phone
94072
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+610399056958
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Fax
94072
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Email
94072
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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
This is a small trial, so data will not be shared at this instance.
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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
Microbial Interventions to Control and Reduce Blood Pressure in Australia (MICRoBIA): rationale and design of a double-blinded randomised cross-over placebo controlled trial.
2021
https://dx.doi.org/10.1186/s13063-021-05468-2
Embase
Gut microbiota and stroke: New avenues to improve prevention and outcome.
2023
https://dx.doi.org/10.1111/ene.15770
N.B. These documents automatically identified may not have been verified by the study sponsor.
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