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Trial registered on ANZCTR
Registration number
ACTRN12607000278437
Ethics application status
Approved
Date submitted
18/05/2007
Date registered
24/05/2007
Date last updated
24/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Older People, Omega-3, and Cognitive Health
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Scientific title
An 18 month study investigating the effects of long chain omega-3 polyunsaturated fatty acids supplementation on cognition and wellbeing in older people.
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Secondary ID [1]
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Commonwealth Scientific Industrial Research Organisation: le51
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Universal Trial Number (UTN)
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Trial acronym
EPOCH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
age-related cognitive decline in older adults
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Condition category
Condition code
Neurological
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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
18 month intervention of either: ACTIVE: long chain omega-3 polyunsaturated fatty acids (430mg DHA; 150 mg EPA) Participants will consume 2 capsules in the morning and 2 in the evening for 18 months.
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Intervention code [1]
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Behaviour
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Comparator / control treatment
PLACEBO: Olive oil capsules
Participants will consume 2 capsules in the morning and 2 in the evening for 18 months.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Rate of cognitive decline
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Assessment method [1]
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Timepoint [1]
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Participants will be assessed on a broad battery of cognitive tasks and measures of wellbeing, at 4 six-monthly intervals.
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Primary outcome [2]
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Change in well being measures
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Assessment method [2]
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Timepoint [2]
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Participants will be assessed on a broad battery of cognitive tasks and measures of wellbeing, at 4 six-monthly intervals.
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Secondary outcome [1]
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Secondary outcomes are:
plasma fatty acid changes
blood pressure, oxidative stress and inflammation.
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Assessment method [1]
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Timepoint [1]
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Markers of plasma fatty acid status, oxidative stress, systemic inflammation, and blood pressure will be assessed at each of the 4 six-monthly assessment points.
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Eligibility
Key inclusion criteria
• fluency in the English language • agree to not commence own n-3 fish-oil (or algal) supplementation throughout the duration of the study
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Minimum age
65
Years
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Maximum age
90
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
• already taking n-3 fish-oil (or algal) supplements • inability to swallow capsules• physically unable to attend laboratory/use pen and paper • diagnosed with intellectual disability, clinical depression, dementia • score < 24 on the dementia screeening measure at screening, have had head injury, stroke, coronary artery bypass surgery, any known degenerative neurological disease, history of alcohol or drug abuse
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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 concealed when it was done by central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
random allocation using computer software clinstat
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
longitudinal, 4 repeat testings at 6-monthly intervals. Participants, test administrators, and data anlayst will be blinded until after the main outcome data is analysed for an effect.
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Phase
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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
1/08/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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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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Brailsford Robertson Award (Adelaide University)
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Address [1]
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The University of Adelaide
Adelaide South Australia 5000
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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Commonwealth Scientific Industrial Research Organisation
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Address [2]
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PO Box 10041, Adelaide BC, South Australia, 5000
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Country [2]
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Australia
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Funding source category [3]
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Government body
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Name [3]
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National Health and Medical Research Council
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Address [3]
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GPO Box 1421
Canberra ACT 2601
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Country [3]
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Australia
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Primary sponsor type
Government body
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Name
Commonwealth Scientific Industrial Research Organisation
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Address
PO Box 10041, Adelaide BC, South Australia, 5000
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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n/a
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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CSIRO Human Nutrition
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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02/05/2007
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Ethics approval number [1]
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06/19
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Summary
Brief summary
Study design: a parallel 18-month randomised, double-blind, placebo-controlled intervention trial with repeated measures every 6 months, totalling 4 measurement points. Participants: 400 men & women, aged 65-90 years. Intervention: Half the participants will receive fish-oil capsules and the other half will receive placebo capsules for 18 months. Outcome measures: cognitive performance and cognitive change, well-being, blood pressure, oxidative stress, and inflammation. Demographic and nutritional data will be collected as covariates.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Vanessa Danthiir
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Address
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CSIRO Human Nutrition
PO Box 10041 (Gate 13 Kintore Avenue)
Adelaide BC SA 5000
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Country
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Australia
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Phone
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+61 8 8305 0605
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Fax
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+61 8 83038899
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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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Vanessa Danthiir
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Address
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CSIRO Human Nutrition
PO Box 10041 (Gate 13 Kintore Avenue)
Adelaide BC SA 5000
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Country
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Australia
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Phone
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+61 8 83050605
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Fax
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+61 8 83038899
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Email
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[email protected]
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No information has been provided regarding IPD availability
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 older people, omega-3, and cognitive health (EPOCH) trial design and methodology: A randomised, double-blind, controlled trial investigating the effect of long-chain omega-3 fatty acids on cognitive ageing and wellbeing in cognitively healthy older adults.
2011
https://dx.doi.org/10.1186/1475-2891-10-117
Embase
Subjective well-being in older adults: Folate and vitamin B12 independently predict positive affect.
2015
https://dx.doi.org/10.1017/S0007114515002949
Embase
Cross-sectional relationships of serum 25-OH-D metabolite of vitamin D with cognition and mood in a Cognitively-Healthy older cohort.
2016
https://dx.doi.org/10.2174/2211556005666160325202613
Embase
An 18-mo randomized, double-blind, placebo-controlled trial of DHA-rich fish oil to prevent age-related cognitive decline in cognitively normal older adults.
2018
https://dx.doi.org/10.1093/ajcn/nqx077
N.B. These documents automatically identified may not have been verified by the study sponsor.
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