Macro- and Microvascular Response to Cocoa Flavanols in Healthy and Type 2 Diabetes

NCT ID: NCT05449782

Last Updated: 2022-07-08

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-17

Study Completion Date

2022-05-17

Brief Summary

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The greatest challenge in our ageing society are cardiovascular diseases such as stroke, heart attack, peripheral artery disease of the legs with non-healing wounds (ulcers), or diabetes. Specific diets with high polyphenol content are associated with lower incidence of cardiovascular disease and can improve macrovascular function when consumed acutely and chronically. Which role the smallest blood vessels (microcirculation) play in this and if the microcirculation responds to therapies is not well understood. One reason for this is that no generally available medical instrument has the resolution to study the microcirculation. The recently developed optical coherence tomography angiography (OCTA), currently mainly used by eye doctors, is able to visualise the microcirculation.

The current randomised controlled cross-over proof-of-concept study will test the acute effect of a cocoa flavanol intervention on cutaneous microvascular structure and function of hands and feet together with macrovascular function of upper and lower extremities in healthy and type 2 diabetes participants. It is the hypothesis that cocoa flavanol intervention as compared to placebo can acutely increase microvascular vasodilation and macrovascular endothelial function in arms and legs together with arterial stiffness in both healthy and type 2 diabetes participants.

Detailed Description

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Conditions

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Microangiopathy, Diabetic Polyphenol Optical Tomography Vascular Endothelium Arterial Stiffness Healthy Participants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

2 group (healthy and type 2 diabetes) randomised controlled cross-over (2-period, 2-sequence) study
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Placebo and cocoa flavanols will be delivered in same number of identical appearing capsules

Study Groups

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Healthy participants: Cocoa flavanol - Placebo

Healthy participants receiving cocoa flavanols on first study day and placebo on second study day

Group Type OTHER

Cocoa flavanol

Intervention Type DIETARY_SUPPLEMENT

Commercially available Cocoa Via Brand capsules containing 1350 mg cocoa flavanols (6 capsules)

Placebo

Intervention Type OTHER

Capsules identical to ccocoa flavanol capsules filled with calorically matched brown sugar (6 capsules)

Healthy participant: Placebo - Cocoa flavanol

Healthy participants receiving placebo on first study day and cocoa flavanols on second study day

Group Type OTHER

Cocoa flavanol

Intervention Type DIETARY_SUPPLEMENT

Commercially available Cocoa Via Brand capsules containing 1350 mg cocoa flavanols (6 capsules)

Placebo

Intervention Type OTHER

Capsules identical to ccocoa flavanol capsules filled with calorically matched brown sugar (6 capsules)

Type 2 diabetes participants: Cocoa flavanol - Placebo

Participants with type 2 diabetes receiving cocoa flavanols on first study day and placebo on second study day

Group Type OTHER

Cocoa flavanol

Intervention Type DIETARY_SUPPLEMENT

Commercially available Cocoa Via Brand capsules containing 1350 mg cocoa flavanols (6 capsules)

Placebo

Intervention Type OTHER

Capsules identical to ccocoa flavanol capsules filled with calorically matched brown sugar (6 capsules)

Type 2 diabetes participants: Placebo - Cocoa flavanol

Participants with type 2 diabetes receiving placebo on first study day and cocoa flavanols on second study day

Group Type OTHER

Cocoa flavanol

Intervention Type DIETARY_SUPPLEMENT

Commercially available Cocoa Via Brand capsules containing 1350 mg cocoa flavanols (6 capsules)

Placebo

Intervention Type OTHER

Capsules identical to ccocoa flavanol capsules filled with calorically matched brown sugar (6 capsules)

Interventions

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Cocoa flavanol

Commercially available Cocoa Via Brand capsules containing 1350 mg cocoa flavanols (6 capsules)

Intervention Type DIETARY_SUPPLEMENT

Placebo

Capsules identical to ccocoa flavanol capsules filled with calorically matched brown sugar (6 capsules)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy, 20-70 years
* BMI 20-30 kg/m\^2


* Type 2 diabetes mellitus
* 20-70 years
* BMI 20-30 kg/m\^2

Exclusion Criteria

* Diabetes mellitus
* Symptoms of acute infection
* Cardiac rhythm other than sinus
* Active malignancy
* Clinical signs or symptoms of cardiovascular disease (coronary artery disease, lower extremity artery disease, cerebrovascular disease): angina pectoris, dyspnea, palpitation, syncope, claudication
* Active vasoactive medication.

Type 2 Diabetes:


* Symptoms of acute infection
* Cardiac rhythm other than sinus
* Active malignancy
* Clinical signs or symptoms of cardiovascular disease (coronary artery disease, lower extremity artery disease, cerebrovascular disease): angina pectoris, dyspnea, palpitation, syncope, claudication
* Active vasoactive medication.
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Surrey

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christian Heiss, Prof.

Role: PRINCIPAL_INVESTIGATOR

University of Surrey, Department of Clinical and Experimental Medicine

Locations

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University of Surrey

Guildford, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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OCTA2

Identifier Type: -

Identifier Source: org_study_id

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