Trial Outcomes & Findings for Isoflavones and the Coronary Circulation in Men and Women With Coronary Artery Disease (NCT NCT00287690)

NCT ID: NCT00287690

Last Updated: 2019-08-05

Results Overview

Coronary angiograms were acquired digitally using a real-time digital image acquisition system (Siemens AG, Berlin and Munich, Germany) and analysed off-line using quantitative coronary angiography (MEDIS, Leiden, The Netherlands). Basal luminal diameter of the entire coronary artery (mean luminal diameter) was measured for all subjects. Mean luminal diameter and luminal diameter approximately 4 mm distal to the tip of the Doppler wire were measured. The latter measurements were used to quantify volume flow as described previously. Data below are mean coronary artery diameter response following infusion of acetylcholine (ACh 10-5 M).

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

71 participants

Primary outcome timeframe

Day 3-4 after Supro/placebo started.

Results posted on

2019-08-05

Participant Flow

Participant milestones

Participant milestones
Measure
Genistein
Supro drink once daily for 3 days prior to coronary angiography Genistein: Drink taken once daily
Placebo
Drink identical to Supro but containing no genistein, once daily for 3 days prior to coronary angiography. Placebo: Drink taken once daily
Overall Study
STARTED
33
38
Overall Study
COMPLETED
13
12
Overall Study
NOT COMPLETED
20
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Genistein
Supro drink once daily for 3 days prior to coronary angiography Genistein: Drink taken once daily
Placebo
Drink identical to Supro but containing no genistein, once daily for 3 days prior to coronary angiography. Placebo: Drink taken once daily
Overall Study
Protocol Violation
20
26

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Genistein
n=13 Participants
Supro drink once daily for 3 days Genistein: Drink taken once daily
Placebo
n=12 Participants
Drink identical to Supro but containing no genistein, once daily for 3 days Placebo: Drink taken once daily
Total
n=25 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=13 Participants
0 Participants
n=12 Participants
0 Participants
n=25 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=13 Participants
9 Participants
n=12 Participants
22 Participants
n=25 Participants
Age, Categorical
>=65 years
0 Participants
n=13 Participants
3 Participants
n=12 Participants
3 Participants
n=25 Participants
Sex: Female, Male
Female
0 Participants
n=13 Participants
3 Participants
n=12 Participants
3 Participants
n=25 Participants
Sex: Female, Male
Male
13 Participants
n=13 Participants
9 Participants
n=12 Participants
22 Participants
n=25 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
13 participants
n=13 Participants
12 participants
n=12 Participants
25 participants
n=25 Participants

PRIMARY outcome

Timeframe: Day 3-4 after Supro/placebo started.

Coronary angiograms were acquired digitally using a real-time digital image acquisition system (Siemens AG, Berlin and Munich, Germany) and analysed off-line using quantitative coronary angiography (MEDIS, Leiden, The Netherlands). Basal luminal diameter of the entire coronary artery (mean luminal diameter) was measured for all subjects. Mean luminal diameter and luminal diameter approximately 4 mm distal to the tip of the Doppler wire were measured. The latter measurements were used to quantify volume flow as described previously. Data below are mean coronary artery diameter response following infusion of acetylcholine (ACh 10-5 M).

Outcome measures

Outcome measures
Measure
Genistein
n=13 Participants
Supro drink once daily for 3 days prior to coronary angiography Genistein: Drink taken once daily
Placebo
n=12 Participants
Drink identical to Supro but containing no genistein, once daily for 3 days prior to coronary angiography. Placebo: Drink taken once daily
Coronary Artery Diameter
3.1 mm
Standard Deviation 0.4
2.7 mm
Standard Deviation 0.4

PRIMARY outcome

Timeframe: Day 3-4 after Supro/placebo started.

Measurement of diameter 4mm distal to the Doppler wire tip (measured using quantitative coronary angiography) and blood flow velocity, measured using intracoronary Doppler), were made at baseline and at peak velocity change. A quantitative estimate of coronary blood flow was calculated from the Doppler flow velocity and quantitative angiographic data using the following equation: Q = 3.14(D2/4)(APV/2)(0.6) where Q is flow (ml/min), D is vessel diameter (mm) and APV is average peak velocity (cm/s). Data below are measurements taken at peak blood flow response following an infusion of acetylcholine (10-5M).

Outcome measures

Outcome measures
Measure
Genistein
n=13 Participants
Supro drink once daily for 3 days prior to coronary angiography Genistein: Drink taken once daily
Placebo
n=12 Participants
Drink identical to Supro but containing no genistein, once daily for 3 days prior to coronary angiography. Placebo: Drink taken once daily
Coronary Blood Flow
77 ml/min
Standard Deviation 34
68 ml/min
Standard Deviation 32

SECONDARY outcome

Timeframe: Day 3 after Supro/placebo started.

Measured from serum using liquid-chromatographic tandem mass spectrometric bioanalytical assays (HFL Ltd, Fordham, Cambridgeshire, UK).

Outcome measures

Outcome measures
Measure
Genistein
n=13 Participants
Supro drink once daily for 3 days prior to coronary angiography Genistein: Drink taken once daily
Placebo
n=12 Participants
Drink identical to Supro but containing no genistein, once daily for 3 days prior to coronary angiography. Placebo: Drink taken once daily
Serum Genistein Concentrations
340 ng/ml
Interval 247.0 to 515.0
3.9 ng/ml
Interval 1.7 to 5.8

Adverse Events

Genistein

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Carolyn Webb

Imperial College London

Phone: +44 3301288121

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place