Effect of Fish Oil on Plasma Triglycerides in Adults

NCT ID: NCT00804427

Last Updated: 2023-02-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2010-04-30

Brief Summary

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The purpose of this small, short pilot study is to determine the feasibility (e.g., recruitment, dose acceptance, retention) of a future longer trial comparing the effects of two types of omega-3 fats from fish oil on plasma triglycerides. The two types of fish oil are composed of (1) omega-3 fatty acids in triglyceride form; and (2) as esterified free fatty acids (i.e. ethyl esters). Although these two types of fish oil supplements are available to the public, it remains unclear whether they are equally effective in lowering plasma triglycerides.

Detailed Description

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This study is a double-blinded, parallel design, placebo controlled trial with three active treatment arms to compare the triglyceride (TG) lowering effects of the same dose of EPA and DHA provided in three formulations of supplements that differ in the proportion of omega-3 FA present as ethyl esters vs. triglycerides. The active therapy for each of the three fish oil supplementation arms is 4 g/day of combined EPA and DHA provided as: a) 90% TG formulation, b) 60% TG formulation, or c) ethyl esters (esterified fatty acids)(i.e., 0% TG). The placebo was a soy oil supplement with an identical total fat content. The primary outcome is the 12-week change in TG concentrations in the active groups vs. placebo. Secondary outcomes include LDL particle distribution, defined as either subclasses LDL1, LDL2, LDL3 and LDL4, and LDL subclass phenotype patterns A, B, or A/B.

Conditions

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Hypertriglyceridemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fish oil (90% triglycerides)

Fish oil (4 grams/day of combined EPA and DHA) as 90% triglyceride formulation, taken in two divided doses with main meals.

Group Type EXPERIMENTAL

Fish oil (90% triglycerides)

Intervention Type DIETARY_SUPPLEMENT

Fish oil (60% triglycerides)

Fish oil (4 grams/day of combined EPA and DHA) as 60% triglyceride formulation, taken in two divided doses with main meals.

Group Type EXPERIMENTAL

Fish oil (60% triglycerides)

Intervention Type DIETARY_SUPPLEMENT

Fish oil (ethyl esters)

Fish oil (4 grams/day of combined EPA and DHA) as ethyl esters formulation (0% triglycerides), taken in two divided doses with main meals.

Group Type EXPERIMENTAL

Fish oil (ethyl esters)

Intervention Type DIETARY_SUPPLEMENT

Soy oil

Soy oil supplement with identical total fat content, taken in two divided doses with main meals.

Group Type PLACEBO_COMPARATOR

Soy oil

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Fish oil (90% triglycerides)

Intervention Type DIETARY_SUPPLEMENT

Fish oil (60% triglycerides)

Intervention Type DIETARY_SUPPLEMENT

Fish oil (ethyl esters)

Intervention Type DIETARY_SUPPLEMENT

Soy oil

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age: \> or = 18 years
* Ethnicity and race: All ethnic and racial backgrounds welcome
* Fasting blood triglycerides greater than or equal to 150 mg/dL
* Planning to be available for clinic visits for the 12 weeks of study participation
* Ability and willingness to give written informed consent

Exclusion Criteria

* Daily intake of dietary supplements containing omega-3 FAs within the past month.
* Fasting blood glucose greater than or equal to 126 mg/dL
* Self reported personal history of:
* Clinically significant atherosclerosis (e.g., CAD, PAD)
* Malignant neoplasm
* Subjects currently receiving the following medications (self report):
* Lipid lowering drugs including statins
* Anti-hypertensive drugs: beta-blockers and thiazides
* Body Mass Index (BMI) greater than or equal to 40.
* Pregnant or Lactating
* Inability to communicate effectively with study personnel
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nordic Naturals

INDUSTRY

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Christopher Gardner

Professor of Medicine (Research)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher D Gardner

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University School of Medicine

Stanford, California, United States

Site Status

Countries

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United States

References

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Oelrich B, Dewell A, Gardner CD. Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adults. Nutr Metab Cardiovasc Dis. 2013 Apr;23(4):350-7. doi: 10.1016/j.numecd.2011.06.003. Epub 2011 Sep 15.

Reference Type RESULT
PMID: 21924882 (View on PubMed)

Related Links

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Other Identifiers

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SU-12042008-1358

Identifier Type: -

Identifier Source: org_study_id

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