Global Profiling of Gene and Protein Expression Associated With Coronary Heart Disease Reversal

NCT ID: NCT01805492

Last Updated: 2013-03-06

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

422 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-01-31

Study Completion Date

2009-02-28

Brief Summary

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The purpose of this study is to characterize changes in gene and protein expression in peripheral blood in patients with, or at risk for, heart disease during an intensive lifestyle modification program.

Detailed Description

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This project will use an integrated approach that examines DNA variation and the functional products of genes at both the messenger RNA (mRNA) and protein levels to provide a global view of molecular changes associated with drastic lifestyle modifications designed to reverse coronary heart disease (CHD). DNA variants and/or changes in gene and protein expression associated with CHD reversal may provide important clues to understanding molecular mechanisms of subclinical CHD development and progression.

Conditions

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Heart Diseases Cardiovascular Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

Dr. Dean Ornish Program for Reversing Heart Disease

Group Type EXPERIMENTAL

Dr. Dean Ornish Program for Reversing Heart Disease

Intervention Type BEHAVIORAL

Prospective, nonrandomized clinical intervention to stabilize or reverse progression of heart disease through changes in lifestyle. Lifestyle intervention consisted of four components: 1) a very low fat vegetarian diet (\<10% of calories from fat); 2) 180 minutes/week of moderate aerobic exercise; 3) one hour of stress management each day; and 4) weekly group support sessions.

Control

Non-intervention controls retrospectively matched to intervention participants

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Dr. Dean Ornish Program for Reversing Heart Disease

Prospective, nonrandomized clinical intervention to stabilize or reverse progression of heart disease through changes in lifestyle. Lifestyle intervention consisted of four components: 1) a very low fat vegetarian diet (\<10% of calories from fat); 2) 180 minutes/week of moderate aerobic exercise; 3) one hour of stress management each day; and 4) weekly group support sessions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* diagnosis of coronary artery disease (CAD)
* stable angina
* angioplasty
* evidence of \>50% luminal narrowing on coronary angiogram
* acute myocardial infarction
* bypass surgery
* stent placement OR
* two or more CAD risk factors
* systolic pressure \>140 mm Hg or diastolic pressure \>90 mm Hg)
* high total cholesterol (\>200 mg/dL)
* physician diagnosed diabetes
* body mass index (BMI) \>30
* family history of heart disease in parents or siblings
* 21 years of age or older
* mentally competent to provide informed consent

Exclusion Criteria

* known history of autoimmune disease
* systemic/chronic disease requiring chemotherapy or long term treatment
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Windber Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Darrell L Ellsworth

Senior Director, Integrative Cardiac Health Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Darrell L Ellsworth, PhD

Role: PRINCIPAL_INVESTIGATOR

Windber Research Institute

Locations

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Windber Medical Center

Windber, Pennsylvania, United States

Site Status

Countries

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United States

References

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Ellsworth DL, O'Dowd SC, Salami B, Hochberg A, Vernalis MN, Marshall D, Morris JA, Somiari RI. Intensive lifestyle modification: impact on cardiovascular disease risk factors in subjects with and without clinical cardiovascular disease. Prev Cardiol. 2004 Fall;7(4):168-75. doi: 10.1111/j.1520-037x.2004.3332.x.

Reference Type RESULT
PMID: 15539963 (View on PubMed)

Vizza J, Neatrour DM, Felton PM, Ellsworth DL. Improvement in psychosocial functioning during an intensive cardiovascular lifestyle modification program. J Cardiopulm Rehabil Prev. 2007 Nov-Dec;27(6):376-83; quiz 384-5. doi: 10.1097/01.HCR.0000300264.07764.84.

Reference Type RESULT
PMID: 18197071 (View on PubMed)

Decewicz DJ, Neatrour DM, Burke A, Haberkorn MJ, Patney HL, Vernalis MN, Ellsworth DL. Effects of cardiovascular lifestyle change on lipoprotein subclass profiles defined by nuclear magnetic resonance spectroscopy. Lipids Health Dis. 2009 Jun 29;8:26. doi: 10.1186/1476-511X-8-26.

Reference Type RESULT
PMID: 19563671 (View on PubMed)

Voeghtly LM, Neatrour DM, Decewicz DJ, Burke A, Haberkorn MJ, Lechak F, Patney HL, Vernalis MN, Ellsworth DL. Cardiometabolic risk reduction in an intensive cardiovascular health program. Nutr Metab Cardiovasc Dis. 2013 Jul;23(7):662-9. doi: 10.1016/j.numecd.2012.01.012. Epub 2012 May 26.

Reference Type RESULT
PMID: 22633795 (View on PubMed)

Ellsworth DL, Croft DT Jr, Weyandt J, Sturtz LA, Blackburn HL, Burke A, Haberkorn MJ, McDyer FA, Jellema GL, van Laar R, Mamula KA, Chen Y, Vernalis MN. Intensive cardiovascular risk reduction induces sustainable changes in expression of genes and pathways important to vascular function. Circ Cardiovasc Genet. 2014 Apr;7(2):151-60. doi: 10.1161/CIRCGENETICS.113.000121. Epub 2014 Feb 21.

Reference Type DERIVED
PMID: 24563419 (View on PubMed)

Related Links

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http://www.wriwindber.org/

Windber Research Institute home page

Other Identifiers

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MDA W81XWH-05-2-0075

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

WRI-03-03

Identifier Type: -

Identifier Source: org_study_id

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