Trial Outcomes & Findings for The Blueberry Study (NCT NCT04421950)

NCT ID: NCT04421950

Last Updated: 2025-08-22

Results Overview

Fasting Blood and urine were collected at visit two and three following an overnight fasting. At visit three, children consumed a single dose of the study product and plasma and urine were collected

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

44 participants

Primary outcome timeframe

Measurements were conducted hourly for 5 hours; the cumulative number of metabolites characterized over the 5 hours is reported

Results posted on

2025-08-22

Participant Flow

Forty-four children were enrolled at the Arkansas Children's Nutrition Center, with the first participant enrolled on April 23, 2021, and the last participant on August 4, 2022

After enrollment, the children were placed on a low-polyphenol diet for 48 hours. Following this period, they were assigned to consume either wild-blueberry products (n = 22) or placebo-containing products (n = 22).

Participant milestones

Participant milestones
Measure
Wild Blueberry Supplement
30 grams of wild blueberry powder per day in food items provided to participants Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
Food items were provided to study participants without the wild blueberry power. Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
Overall Study
STARTED
22
22
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Wild Blueberry Supplement
30 grams of wild blueberry powder per day in food items provided to participants Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
Food items were provided to study participants without the wild blueberry power. Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
Overall Study
Dropped or lost to follow up
4
2

Baseline Characteristics

Flow mediated dilation of the brachial artery (%, FMD) were taken at visit 2 before the participants received the study products. Six participants dropped out of the study or were lost to follow-up by visit 2. Additionally, two FMD measurements were either unsuccessful or did not meet the quality criteria for inclusion in the analysis, resulting in a total of 36 baseline FMDs. There are currently no reference standards for FMD in children.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wild Blueberry Supplement
n=22 Participants
30 grams of wild blueberry powder per day in foods items provided to study participants Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
n=22 Participants
Food items without wild blueberry power were provided to study participants. Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
Total
n=44 Participants
Total of all reporting groups
Age, Continuous
11.94 years
STANDARD_DEVIATION 0.60 • n=22 Participants
11.94 years
STANDARD_DEVIATION 0.60 • n=22 Participants
11.94 years
STANDARD_DEVIATION 0.60 • n=44 Participants
Sex: Female, Male
Female
11 Participants
n=22 Participants
11 Participants
n=22 Participants
22 Participants
n=44 Participants
Sex: Female, Male
Male
11 Participants
n=22 Participants
11 Participants
n=22 Participants
22 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=22 Participants
1 Participants
n=22 Participants
1 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=22 Participants
21 Participants
n=22 Participants
42 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=22 Participants
0 Participants
n=22 Participants
1 Participants
n=44 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=22 Participants
0 Participants
n=22 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
Asian
0 Participants
n=22 Participants
0 Participants
n=22 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=22 Participants
0 Participants
n=22 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=22 Participants
4 Participants
n=22 Participants
6 Participants
n=44 Participants
Race (NIH/OMB)
White
18 Participants
n=22 Participants
16 Participants
n=22 Participants
34 Participants
n=44 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=22 Participants
1 Participants
n=22 Participants
1 Participants
n=44 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=22 Participants
1 Participants
n=22 Participants
3 Participants
n=44 Participants
Region of Enrollment
United States
22 Participants
n=22 Participants
22 Participants
n=22 Participants
44 Participants
n=44 Participants
BMI percentile
72.2 percentile
STANDARD_DEVIATION 30.6 • n=22 Participants
50.7 percentile
STANDARD_DEVIATION 30.6 • n=22 Participants
63.5 percentile
STANDARD_DEVIATION 32.9 • n=44 Participants
Systolic blood pressure percentile
45 percentile
STANDARD_DEVIATION 27 • n=22 Participants
48 percentile
STANDARD_DEVIATION 29 • n=22 Participants
47 percentile
STANDARD_DEVIATION 28 • n=44 Participants
Diastolic blood pressure percentile
53 percentile
STANDARD_DEVIATION 22 • n=22 Participants
51 percentile
STANDARD_DEVIATION 20 • n=22 Participants
52 percentile
STANDARD_DEVIATION 21 • n=44 Participants
Peak VO2
33.1 ml/kg/min
STANDARD_DEVIATION 9.4 • n=22 Participants
35.9 ml/kg/min
STANDARD_DEVIATION 10.9 • n=22 Participants
34.5 ml/kg/min
STANDARD_DEVIATION 10.2 • n=44 Participants
Flow mediated dilation of the brachial artery
11.8 Percentage of artery diameter
STANDARD_DEVIATION 4.2 • n=16 Participants • Flow mediated dilation of the brachial artery (%, FMD) were taken at visit 2 before the participants received the study products. Six participants dropped out of the study or were lost to follow-up by visit 2. Additionally, two FMD measurements were either unsuccessful or did not meet the quality criteria for inclusion in the analysis, resulting in a total of 36 baseline FMDs. There are currently no reference standards for FMD in children.
11.6 Percentage of artery diameter
STANDARD_DEVIATION 4.8 • n=20 Participants • Flow mediated dilation of the brachial artery (%, FMD) were taken at visit 2 before the participants received the study products. Six participants dropped out of the study or were lost to follow-up by visit 2. Additionally, two FMD measurements were either unsuccessful or did not meet the quality criteria for inclusion in the analysis, resulting in a total of 36 baseline FMDs. There are currently no reference standards for FMD in children.
11.6 Percentage of artery diameter
STANDARD_DEVIATION 4.5 • n=36 Participants • Flow mediated dilation of the brachial artery (%, FMD) were taken at visit 2 before the participants received the study products. Six participants dropped out of the study or were lost to follow-up by visit 2. Additionally, two FMD measurements were either unsuccessful or did not meet the quality criteria for inclusion in the analysis, resulting in a total of 36 baseline FMDs. There are currently no reference standards for FMD in children.

PRIMARY outcome

Timeframe: Measurements were conducted hourly for 5 hours; the cumulative number of metabolites characterized over the 5 hours is reported

Population: Phenolic-derived metabolites were characterized in the samples using an ultra-high performance liquid chromatography method coupled with mass-spectrometry/mass spectrometry multiple reactions monitoring

Fasting Blood and urine were collected at visit two and three following an overnight fasting. At visit three, children consumed a single dose of the study product and plasma and urine were collected

Outcome measures

Outcome measures
Measure
Wild Blueberry Supplement
n=18 Participants
30 grams of wild blueberry powder per day in foods items were provided to study participant Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
n=20 Participants
Food items without the wild blueberry power were provided to study participants, Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
Phenolic Acid Metabolites Measured in Plasma and Urine After Dietary Intervention
Plasma
13 Counts of metabolites
0 Counts of metabolites
Phenolic Acid Metabolites Measured in Plasma and Urine After Dietary Intervention
Urine
25 Counts of metabolites
3 Counts of metabolites

SECONDARY outcome

Timeframe: up to 2 weeks

Mitogen stimulated blood will be stained with combinations of fluorochrome-labeled antibodies and analyzed by flow cytometry. Absolute and relative number of CD4, lymphocytes CD8 and natural killer (NK) will be compared between groups.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 2 weeks

Blood will be collected following an overnight fast after 5 days on the intervention. Whole blood will be cultured and cells stressed with E. coli lipopolysaccharide (LPS) to induce cytokine release from immune cells. Cytokines will be assayed using electrochemiluminescence based detection platform with multiplexed immunoassays, and their levels compared between study groups.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 2 weeks

Endothelial-dependent flow-mediated vasodilation of the brachial artery in the fasting state was measured using high resolution ultrasound at enrollment and after 5 days on the intervention. This technology uses sound waves (ultrasound) to visualize the diameter of the brachial artery. A baseline image of the brachial artery will be recorded at rest. A blood pressure cuff will be placed around the lower arm and the cuff will be inflated to 50 mmHg above systolic pressure for 5 minutes, followed by rapid deflation of the cuff. The diameter of the brachial artery will be measured from ultrasound images captured throughout the 8 minute recording protocol. The percent change in the brachial artery will be compared between and within groups.

Outcome measures

Outcome measures
Measure
Wild Blueberry Supplement
n=18 Participants
30 grams of wild blueberry powder per day in foods items were provided to study participant Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
n=20 Participants
Food items without the wild blueberry power were provided to study participants, Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
Endothelial Function by Brachial Artery Flow Mediated Dilation
9.4 percentage change in arterial diameter
Standard Deviation 3.4
9.4 percentage change in arterial diameter
Standard Deviation 3.0

Adverse Events

Wild Blueberry Supplement

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo Supplement

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Wild Blueberry Supplement
n=22 participants at risk
30 grams of wild blueberry powder per day in foods items provided to them Wild blueberry containing foods: Foods that contain wild blueberry supplement to deliver up to 30 grams of blueberry powder
Placebo Supplement
n=22 participants at risk
Food items will be provided to them without the wild blueberry power. Placebo containing foods: Foods that do not contain the blueberry powder but a placebo
General disorders
High blood pressure
9.1%
2/22 • Number of events 2 • 1 year, 4 months
9.1%
2/22 • Number of events 2 • 1 year, 4 months
Gastrointestinal disorders
Gastrointestinal symptoms
4.5%
1/22 • Number of events 1 • 1 year, 4 months
4.5%
1/22 • Number of events 1 • 1 year, 4 months

Additional Information

Eva C. Diaz, Principal Investigator

University of Arkansas for Medical Sciences and Arkansas Children's Nutrition Ce

Phone: 5013643056

Results disclosure agreements

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