Trial Outcomes & Findings for Effect of Beetroot Juice on Reducing Hypertension in Autosomal Dominant Polycystic Kidney Disease (NCT NCT05401409)

NCT ID: NCT05401409

Last Updated: 2025-06-08

Results Overview

Change in systolic and diastolic blood pressure over two time points - from readings taken at baseline (visit 1) compared with readings taken at 4 weeks (which was the end of the study; visit 3)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

4 weeks

Results posted on

2025-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
Nitrate-rich Beetroot Juice
Beetroot juice containing naturally occurring nitrate (400mg total nitrate) Beetroot juice: 70mls beetroot juice (400mg nitrate) given daily for 4 weeks
Nitrate-depleted Beetroot Juice
Beetroot juice with nitrate removed Nitrate-depleted beetroot juice: 70mls beetroot juice (nitrate-depleted) given daily for 4 weeks
Overall Study
STARTED
30
30
Overall Study
COMPLETED
29
30
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Nitrate-rich Beetroot Juice
Beetroot juice containing naturally occurring nitrate (400mg total nitrate) Beetroot juice: 70mls beetroot juice (400mg nitrate) given daily for 4 weeks
Nitrate-depleted Beetroot Juice
Beetroot juice with nitrate removed Nitrate-depleted beetroot juice: 70mls beetroot juice (nitrate-depleted) given daily for 4 weeks
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

Effect of Beetroot Juice on Reducing Hypertension in Autosomal Dominant Polycystic Kidney Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nitrate-rich Beetroot Juice
n=30 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate) Beetroot juice: 70mls beetroot juice (400mg nitrate) given daily for 4 weeks
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed Nitrate-depleted beetroot juice: 70mls beetroot juice (nitrate-depleted) given daily for 4 weeks
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
49.5 years
STANDARD_DEVIATION 13.5 • n=5 Participants
49.3 years
STANDARD_DEVIATION 12.46 • n=7 Participants
49.4 years
STANDARD_DEVIATION 13 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
14 Participants
n=7 Participants
27 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
20 Participants
n=5 Participants
22 Participants
n=7 Participants
42 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Employment status, categorical (Part time, Full time))
Full time
22 Participants
n=5 Participants
26 Participants
n=7 Participants
48 Participants
n=5 Participants
Employment status, categorical (Part time, Full time))
Part time
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Employment status, categorical (Part time, Full time))
Umemployed
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Factor precipitating diagnosis, categorical (family history screening; pain; hypertension;incidental
Screening (family history)
12 Participants
n=5 Participants
13 Participants
n=7 Participants
25 Participants
n=5 Participants
Factor precipitating diagnosis, categorical (family history screening; pain; hypertension;incidental
Pain
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Factor precipitating diagnosis, categorical (family history screening; pain; hypertension;incidental
Hypertension
8 Participants
n=5 Participants
2 Participants
n=7 Participants
10 Participants
n=5 Participants
Factor precipitating diagnosis, categorical (family history screening; pain; hypertension;incidental
Incidental
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Factor precipitating diagnosis, categorical (family history screening; pain; hypertension;incidental
Other
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Diagnosis confirmatory test (radiographic)
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Age at diagnosis
30.9 years
STANDARD_DEVIATION 13.31 • n=5 Participants
33.1 years
STANDARD_DEVIATION 13.1 • n=7 Participants
32 years
STANDARD_DEVIATION 13.2 • n=5 Participants
Family history of ADPKD
Yes
22 Participants
n=5 Participants
23 Participants
n=7 Participants
45 Participants
n=5 Participants
Family history of ADPKD
No
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Family history of ADPKD
Unknown
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks

Population: One patient in the nitrate-rich group was lost to follow-up.

Change in systolic and diastolic blood pressure over two time points - from readings taken at baseline (visit 1) compared with readings taken at 4 weeks (which was the end of the study; visit 3)

Outcome measures

Outcome measures
Measure
Nitrate-rich Beetroot Juice
n=29 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed
Change in Clinic Systolic and Diastolic Blood Pressure From Baseline to 4 Weeks (End of Study)
Systolic blood pressure
-5.36 mmHg
Standard Deviation 12.69
-7.65 mmHg
Standard Deviation 14.07
Change in Clinic Systolic and Diastolic Blood Pressure From Baseline to 4 Weeks (End of Study)
Diastolic blood pressure
-3.55 mmHg
Standard Deviation 7.08
-2.73 mmHg
Standard Deviation 7.81

SECONDARY outcome

Timeframe: 4 weeks

Reported change in blood pressure is average change per week, over 4 weeks

Outcome measures

Outcome measures
Measure
Nitrate-rich Beetroot Juice
n=29 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed
Average Change in Daily Home Systolic and Diastolic Blood Pressure Per Week, Over 4 Weeks
Systolic blood pressure
-0.51 mmHg/week
Interval -1.4 to 0.38
-0.55 mmHg/week
Interval -1.42 to 0.31
Average Change in Daily Home Systolic and Diastolic Blood Pressure Per Week, Over 4 Weeks
Diastolic blood pressure
-0.24 mmHg/week
Interval -0.85 to 0.38
-0.47 mmHg/week
Interval -1.07 to 0.13

SECONDARY outcome

Timeframe: 4 weeks

Outcome measures

Outcome measures
Measure
Nitrate-rich Beetroot Juice
n=29 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed
Urinary Albumin to Creatinine Ratio at Baseline and at 4 Weeks (End of Study)
Baseline
2.2 mg/mmol
Interval 0.4 to 5.4
3.9 mg/mmol
Interval 1.7 to 9.0
Urinary Albumin to Creatinine Ratio at Baseline and at 4 Weeks (End of Study)
4 weeks (end of study)
2.5 mg/mmol
Interval 0.2 to 5.8
3.6 mg/mmol
Interval 0.9 to 13.9

SECONDARY outcome

Timeframe: 4 weeks

Outcome measures

Outcome measures
Measure
Nitrate-rich Beetroot Juice
n=29 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed
Change in Serum Nitric Oxide Metabolite Levels From Baseline to 4 Weeks (End of the Study)
20.08 µM
Interval 6.6 to 30.68
0.97 µM
Interval -1.83 to 3.71

SECONDARY outcome

Timeframe: 4 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 weeks

Asymmetric dimethylarginine (ADMA) which is a recognized marker of endothelial dysfunction and inhibitor of nitric oxide

Outcome measures

Outcome measures
Measure
Nitrate-rich Beetroot Juice
n=29 Participants
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 Participants
Beetroot juice with nitrate removed
Serum Asymmetric Dimethylarginine at Baseline and at 4 Weeks (End of the Study)
Baseline ADMA level
0.47 umol/L
Standard Deviation 0.08
0.47 umol/L
Standard Deviation 0.09
Serum Asymmetric Dimethylarginine at Baseline and at 4 Weeks (End of the Study)
4 week ADMA level (end of study)
0.50 umol/L
Standard Deviation 0.10
0.52 umol/L
Standard Deviation 0.11

Adverse Events

Nitrate-rich Beetroot Juice

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Nitrate-depleted Beetroot Juice

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nitrate-rich Beetroot Juice
n=29 participants at risk
Beetroot juice containing naturally occurring nitrate (400mg total nitrate)
Nitrate-depleted Beetroot Juice
n=30 participants at risk
Beetroot juice with nitrate removed
Gastrointestinal disorders
Gastrointestinal symptoms (not serious adverse event)
44.8%
13/29 • 4 weeks (from enrollment to end of follow up)
33.3%
10/30 • 4 weeks (from enrollment to end of follow up)
Gastrointestinal disorders
Change in bowel habit
41.4%
12/29 • 4 weeks (from enrollment to end of follow up)
26.7%
8/30 • 4 weeks (from enrollment to end of follow up)
Gastrointestinal disorders
Bloating
17.2%
5/29 • 4 weeks (from enrollment to end of follow up)
6.7%
2/30 • 4 weeks (from enrollment to end of follow up)
Gastrointestinal disorders
Gastritis
3.4%
1/29 • 4 weeks (from enrollment to end of follow up)
10.0%
3/30 • 4 weeks (from enrollment to end of follow up)
Renal and urinary disorders
Beeturia
51.7%
15/29 • 4 weeks (from enrollment to end of follow up)
23.3%
7/30 • 4 weeks (from enrollment to end of follow up)
Gastrointestinal disorders
Beet-coloured faeces
62.1%
18/29 • 4 weeks (from enrollment to end of follow up)
36.7%
11/30 • 4 weeks (from enrollment to end of follow up)

Additional Information

Prof Gopala Rangan

Westmead Hospital and Westmead Institute for Medical Research

Phone: 8627 3000

Results disclosure agreements

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