2 Weeks of Citrulline Supplementation on Arterial Function in Postmenopausal Women With Elevated Blood Pressure or Hypertension

NCT ID: NCT06025383

Last Updated: 2025-05-15

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

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-20

Study Completion Date

2024-07-01

Brief Summary

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The objective of this project is to elucidate the effect of L-Citrulline (L-CIT) supplementation on vascular function at rest and during rhythmic handgrip exercise and functional sympatholysis via lower-body negative pressure in postmenopausal women with elevated blood pressure and hypertension.

Detailed Description

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Using a double-blind, randomized, placebo-controlled, and crossover design, overweight or obese postmenopausal women with elevated blood pressure (BP) or hypertension will receive CIT (6 grams/day) or placebo for 2 weeks, separated by a two-week washout period.

There will be a total of 5 laboratory visits. The 1st visit will take approximately 1 hour. The 2nd - 5th visits will take about 2 hours and 15 minutes. Visit 1 will be a screening visit, visits 2 and 4 will be considered baseline visits, and visits 3 and 5 will be following the participants' two weeks of supplementation. Arterial stiffness (carotid-femoral and femoral-dorsalis pedis pulse wave velocity) and endothelial function will be assessed at rest. Additionally, brachial artery blood flow, forearm muscle oxygenation, cardiovascular hemodynamics (stroke volume, cardiac output, systemic vascular resistance), and BP will be assessed at rest, during 6 minutes of rhythmic handgrip exercise at 30% of a predetermined maximal voluntary contraction, and 2 minutes of superimposed lower body negative pressure to increase sympathetic activity.

Conditions

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Menopause Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Cross-Over Assignment Double (Participant, Investigator) randomized, double-blind, placebo-controlled, cross-over study design
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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L-Citrulline

L-Citrulline: 6 grams/day divided in 2 equal doses

Group Type EXPERIMENTAL

L-Citrulline

Intervention Type DIETARY_SUPPLEMENT

2 weeks of L-Citrulline supplementation (6 grams/day)

Placebo

Microcrystalline cellulose: 8 capsules/day divided into 2 equal doses

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

2 weeks of microcrystalline cellulose supplementation (8 capsules/day)

Interventions

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L-Citrulline

2 weeks of L-Citrulline supplementation (6 grams/day)

Intervention Type DIETARY_SUPPLEMENT

Placebo

2 weeks of microcrystalline cellulose supplementation (8 capsules/day)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women (defined as the absence of menstruation for at least 1 year).
* Resting systolic blood pressure 120-150 mmHg.
* Between the ages of 50 - 70 years.
* Sedentary (\< 120 minutes of exercise/week).
* Body mass index of 25 - 39.9 kg/m2.
* Fasting glucose \< 126 mg/dL and HbA1c \< 6.5%.

Exclusion Criteria

* Body mass index ≥ 40 or \< 25 kg/m2.
* Systolic blood pressure \> 150 mmHg.
* Taking more than two antihypertensive medications.
* Cardiovascular diseases, type I/II diabetes, musculoskeletal disorders, or cancer.
* Changes in hypertensive medication in the past three months.
* Began or changed hormone replacement therapy in the past 6 months.
* Current smoker.
* Heavy drinking (\> 7 alcoholic drinks/week).
* Participants on beta-blockers or other vasodilatory supplements (nitrates).
* Incorporated in a weight loss program and/or aerobic or resistance training program.
Minimum Eligible Age

50 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Texas Tech University

OTHER

Sponsor Role lead

Responsible Party

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Arturo Figueroa

Arturo Figueroa, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Arturo Figueroa

Role: PRINCIPAL_INVESTIGATOR

Texas Tech University

Locations

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Texas Tech University

Lubbock, Texas, United States

Site Status

Countries

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United States

References

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Maharaj A, Fischer SM, Dillon KN, Kang Y, Martinez MA, Figueroa A. Acute Citrulline Blunts Aortic Systolic Pressure during Exercise and Sympathoactivation in Hypertensive Postmenopausal Women. Med Sci Sports Exerc. 2022 May 1;54(5):761-768. doi: 10.1249/MSS.0000000000002848. Epub 2022 Jan 3.

Reference Type BACKGROUND
PMID: 34974502 (View on PubMed)

Maharaj A, Fischer SM, Dillon KN, Kang Y, Martinez MA, Figueroa A. Effects of L-Citrulline Supplementation on Endothelial Function and Blood Pressure in Hypertensive Postmenopausal Women. Nutrients. 2022 Oct 20;14(20):4396. doi: 10.3390/nu14204396.

Reference Type BACKGROUND
PMID: 36297080 (View on PubMed)

Kang Y, Dillon KN, Martinez MA, Maharaj A, Fischer SM, Figueroa A. Combined L-Citrulline Supplementation and Slow Velocity Low-Intensity Resistance Training Improves Leg Endothelial Function, Lean Mass, and Strength in Hypertensive Postmenopausal Women. Nutrients. 2022 Dec 23;15(1):74. doi: 10.3390/nu15010074.

Reference Type BACKGROUND
PMID: 36615732 (View on PubMed)

Figueroa A, Maharaj A, Kang Y, Dillon KN, Martinez MA, Morita M, Nogimura D, Fischer SM. Combined Citrulline and Glutathione Supplementation Improves Endothelial Function and Blood Pressure Reactivity in Postmenopausal Women. Nutrients. 2023 Mar 23;15(7):1557. doi: 10.3390/nu15071557.

Reference Type BACKGROUND
PMID: 37049398 (View on PubMed)

Figueroa A, Alvarez-Alvarado S, Jaime SJ, Kalfon R. l-Citrulline supplementation attenuates blood pressure, wave reflection and arterial stiffness responses to metaboreflex and cold stress in overweight men. Br J Nutr. 2016 Jul;116(2):279-85. doi: 10.1017/S0007114516001811. Epub 2016 May 10.

Reference Type BACKGROUND
PMID: 27160957 (View on PubMed)

Other Identifiers

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IRB2022-1055

Identifier Type: -

Identifier Source: org_study_id

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