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Trial registered on ANZCTR
Registration number
ACTRN12621001597886
Ethics application status
Approved
Date submitted
26/10/2021
Date registered
22/11/2021
Date last updated
11/01/2023
Date data sharing statement initially provided
22/11/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of anthocyanins on exercise-induced bronchoconstriction
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Scientific title
Effect of anthocyanins on lung hyper-responsiveness in adults aged 18 to 40 suffering from exercise-induced bronchoconstriction
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Secondary ID [1]
305520
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Nil known
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Universal Trial Number (UTN)
U1111-1270-8530
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Trial acronym
ANEX
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Exercise-induced bronchoconstriction
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Condition category
Condition code
Respiratory
321549
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0
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Asthma
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Respiratory
321792
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0
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Other respiratory disorders / diseases
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Alternative and Complementary Medicine
321793
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0
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Herbal remedies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will be six capsules of CurraNZ New Zealand blackcurrant extract capsules (manufactured in Surrey, United Kingdom), the equivalent to 105 mg anthocyanins per capsule. The dosage will equal 630 mg anthocyanin daily for the 28 days of intervention. Safety profiles conducted o/s have shown no adverse effects and a toxicity LD50 = 2,000 mg/kg. Previous studies have not reported adverse effects from this product. Packaging will be divided into individual mylar bags for each day. At the end of the intervention, the return of the empty bags will be used to monitor adherence. The 14-day washout period has been calculated via the recommendation of 10x the elimination half-life. The half-life for anthocyanin ranges between 12 and 51 hours The 14-day washout period has been calculated via the recommendation of 10x the elimination half-life. The half-life for anthocyanin ranges between 12 and 51 hours.
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Intervention code [1]
322014
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Treatment: Other
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Comparator / control treatment
The placebo will be capsules containing microcrystalline cellulose coloured with charcoal.
The same number of capsules will be used for both the intervention and the placebo; with packaging of both products being identical to remove ability to differentiate between placebo and intervention. As this product does not digest in the human body, no wash out period required.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Data will be presented as mean and standard deviations. Forced expiratory volume in 1 second following eucapnic voluntary hyperpnoea assessed using spirometry to determine outcome of intervention.
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Assessment method [1]
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Timepoint [1]
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28 days from baseline to end of intervention period.
FEV1 will be assessed on day 1 (baseline) and day 28 (primary endpoint) of the intervention. Following 14 days washout this process will be repeated on day 42 and Day 70.
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Secondary outcome [1]
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Monitoring blood inflammatory markers. 20ml whole blood will be collected at baseline, 15 min and 60 min after EVH. Analysis will include a full blood count, Immunoglobulin E, T cells, tumour necrosis factor A and B and C-reactive protein.
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Assessment method [1]
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Timepoint [1]
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Blood inflammatory markers will be assessed on day 0 and day 28 of the intervention. After 14 days washout, blood inflammatory markers will be assessed on day 42 and day 70.
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Eligibility
Key inclusion criteria
Inclusion criteria:
• Aged between 18 and 40 years of age.
• BMI (kg/m2) 18-35
• Exercise-induced bronchoconstriction (EIB) – Physician-diagnosed EIB, Fall >10% forced expiratory volume in 1 second (FEV1) following eucapnic voluntary hyperpnoea (EVH).
• Medications -Asthma medications
• Chronic diseases - Healthy individuals except diagnosis of EIB
• Smoking - Non-smoker
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Minimum age
18
Years
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Maximum age
40
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
None.
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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)
Sealed aluminium mylar bags.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised 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
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Intervention assignment
Crossover
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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
Data will be analysed using repeated-measures ANOVA and Bonferroni-adjusted paired t tests. Statistical significance will be set at P-value <0.05.
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
10/01/2022
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Actual
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Date of last participant enrolment
Anticipated
1/08/2022
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Actual
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Date of last data collection
Anticipated
29/08/2022
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
35638
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4305 - Ipswich
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Recruitment postcode(s) [2]
35639
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4306 - Ripley
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Recruitment postcode(s) [3]
35640
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4300 - Springfield
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Recruitment postcode(s) [4]
35641
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4301 - Redbank
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Recruitment postcode(s) [5]
35642
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4303 - Riverview
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Recruitment postcode(s) [6]
35643
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4304 - Booval
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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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University of Southern Queensland
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Address [1]
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11 Salisbury Drive, Ipswich, QLD, 4305
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Lauren Brook
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Address
University of Southern Queensland. 11 Salisbury Drive, Ipswich, QLD, 4305
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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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Dean Mills
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Address [1]
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University of Southern Queensland. 11 Salisbury Drive, Ipswich, QLD, 4301
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Country [1]
311018
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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 Southern Queensland Human Research Ethics Committee
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Ethics committee address [1]
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11 Salisbury Drive, Ipswich, QLD, 4301
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Ethics committee country [1]
309613
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Australia
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Date submitted for ethics approval [1]
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25/10/2021
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Approval date [1]
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21/12/2021
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Ethics approval number [1]
309613
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H21REA269
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Summary
Brief summary
Asthma is an inflammatory disease of the airways that affects over 7% of the world’s population (Papi et al., 2018). Exercise-induced bronchoconstriction (EIB) is a type of asthma which is defined as a transient narrowing of the airways in response to exercise and affects 90% of asthma sufferers and up to 15% of non-asthmatic individuals (Bonini & Usmani, 2018). Asthma and EIB can be managed either by rapid bronchodilatation to relieve respiratory symptoms or long-term suppression of inflammation. However, frequent use of reliever medicines can lead to the user becoming tolerant to the treatment and long-term control medicines have several undesirable side effects. Dietary and supplement interventions have been reported to reduce the effects of asthma and EIB (Williams et al., 2016). These may represent a cost-saving, effective and safe method for reducing the incidence of asthmatic attacks. Anthocyanins are coloured pigments that are responsible for the colours red, purple and blue in fruits and vegetables. Current animal studies have found that after consumption of anthocyanins, inflammation was reduced, and lung function was improved (Park et al., 2007). Whether anthocyanins could improve respiratory symptoms and lung function in otherwise healthy humans with EIB is unknown. This will be the first study to determine the role anthocyanins have on lung function and inflammation in individuals with EIB.
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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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Ms Lauren Brook
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Address
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University of Southern Queensland. 11 Salisbury Drive, Ipswich, QLD, 4305
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Country
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Australia
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Phone
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+61 493248428
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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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Lauren Brook
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Address
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University of Southern Queensland. 11 Salisbury Drive, Ipswich, QLD, 4305
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Country
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Australia
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Phone
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+61 492998628
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Fax
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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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Lauren Brook
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Address
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University of Southern Queensland. 11 Salisbury Drive, Ipswich, QLD, 4305
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Country
114772
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Australia
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Phone
114772
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+61 492998628
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Fax
114772
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Email
114772
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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?
Individual participant data will be available for the results obtained during the clinical trial once all identifying information has been removed.
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When will data be available (start and end dates)?
The data will be available immediately after publication with no end date determined.
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Available to whom?
Only available for researchers whom provide a sound proposal to requiring the information.
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Available for what types of analyses?
For the aims in the approve proposal.
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How or where can data be obtained?
Approvals and access come directly from the primary investigator only. Email at
[email protected]
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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
No additional documents have been identified.
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