Theobromine From Cocoa and Cardiovascular Risk Factors

NCT ID: NCT06820944

Last Updated: 2025-02-11

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

RECRUITING

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-15

Study Completion Date

2025-09-30

Brief Summary

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The goal of this clinical trial is to examine whether consumption of dark chocolate affects blood pressure and a cardiovascular risk factor called trimethylamine N-oxide in Thai male participants with hypertension. The main questions it aims to answer are:

Can consumption of dark chocolate lower blood pressure? Can consumption of dark chocolate lower blood trimethylamine N-oxide?

Researchers will compare dark chocolate to white chocolate to see if the effects are due to theobromine (a key bioactive compound in dark chocolate).

Participants will consume either 100 g 72% dark chocolate bar or 80 g white chocolate bar daily for 14 days, rest for 7 days, and then switch to the other type of chocolate.

Detailed Description

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This is a randomized cross-over trial conducted in Chiang Mai, Thailand. The goal of this clinical trial is to examine whether consumption of dark chocolate affects cardiovascular risk factors, with the primary outcomes being blood pressure and a cardiovascular risk factor called trimethylamine N-oxide. Participants are Thai males aged 35-70 years with hypertension who live in the Chiang Mai area.

42 Participants will consume either 100 g 72% dark chocolate bar (\~2.5 servings, providing \~900 mg theobromine) or 80 g white chocolate bar (\~2 servings, providing 0 mg theobromine) daily for 14 days. After a 7-day wash-out period, the participant will repeat the protocol with the other intervention.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Dark chocolate

100 g/day of dark chocolate

Group Type EXPERIMENTAL

dark chocolate

Intervention Type OTHER

Consumption of 100 g/day of 72% dark chocolate bar for 14 days consecutively

White chocolate

80 g/day of white chocolate

Group Type PLACEBO_COMPARATOR

white chocolate

Intervention Type OTHER

Consumption of 80 g/day of white chocolate bar for 14 days consecutively

Interventions

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dark chocolate

Consumption of 100 g/day of 72% dark chocolate bar for 14 days consecutively

Intervention Type OTHER

white chocolate

Consumption of 80 g/day of white chocolate bar for 14 days consecutively

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male
* Age between 35 to 70 years
* BMI less than 30 kg/m\^2
* Systolic blood pressure between 130 to 159 mmHg or Diastolic blood pressure between 85 to 99 mmHg.
* Do not smoke.

Exclusion Criteria

* Cannot drink beverages and consume foods that have caffeine.
* Take medicine to lower cholesterol and triglyceride levels, treat high blood pressure, or diabetes.
* Have liver and kidney inflammation.
* Use antibiotics within 1 month of study.
* Use choline or probiotic supplements regularly within 1 month of study.
* Consume more than 30 alcoholic drinks per week.
* Have chronic diseases.
Minimum Eligible Age

35 Years

Maximum Eligible Age

70 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Chiang Mai University

OTHER

Sponsor Role lead

Responsible Party

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Siraphat Taesuwan

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kongsak Boonyapranai, Doctoral degree

Role: PRINCIPAL_INVESTIGATOR

Research Institute for Health Science, Chiang Mai University

Locations

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Research Institute for Health Sciences, Chiang Mai University

Mueang, Chiang Mai, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Kongsak - Boonyapranai, Doctoral degree

Role: CONTACT

+66-92-271-721 ext. +66-53-942-508

Siraphat Taesuwan, Doctoral degree

Role: CONTACT

+66-89-735-0953

Facility Contacts

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Director

Role: primary

+66 5393 6148

Kongsak Boonyapranai, Doctoral degree

Role: backup

+66 5393 6148

Related Links

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https://doi.org/10.1136/BMJ.D4488

Chocolate consumption and cardiometabolic disorders: systematic review and meta-analysis. BMJ, 343(7825).

https://doi.org/10.1016/0165-1781(89)90047-4

The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.

https://doi.org/10.1016/J.CLNESP.2019.10.017

Effect of dark chocolate on flow-mediated dilatation: Systematic review, meta-analysis, and dose-response analysis of randomized controlled trials. Clinical Nutrition ESPEN, 36, 17-27.

https://doi.org/10.3945/AJCN.111.023457

Effects of chocolate, cocoa, and flavan-3-ols on cardiovascular health: a systematic review and meta-analysis of randomized trials. The American Journal of Clinical Nutrition, 95(3), 740-751.

https://doi.org/10.1089/ARS.2010.3697

Cocoa and Chocolate in Human Health and Disease. Antioxidants \& Redox Signaling, 15(10), 2779

https://doi.org/10.1016/J.FCT.2021.112121

Impact of cocoa flavanols on human health. Food and Chemical Toxicology, 151, 112121.

https://doi.org/10.3945/ajcn.112.047373

Effect of cocoa and theobromine consumption on serum HDL-cholesterol concentrations: A randomized controlled trial. American Journal of Clinical Nutrition, 97(6), 1201-1209.

https://doi.org/10.1038/srep26745

(2016). Relationship of Serum Trimethylamine N-Oxide (TMAO) Levels with early Atherosclerosis in Humans. Scientific Reports, 6(1), 26745.

https://doi.org/10.1136/HEARTJNL-2018-313131

(2019). Chocolate consumption and risk of cardiovascular diseases: a meta-analysis of prospective studies. Heart, 105(1), 49-55.

https://doi.org/10.1039/C9FO01747J

Dose-response relationship between cocoa flavanols and human endothelial function: a systematic review and meta-analysis of randomized trials. Food \& Function, 10(10), 6322-6330.

https://doi.org/10.1038/ejcn.2011.64

). Effects of cocoa products/dark chocolate on serum lipids: a meta-analysis. European Journal of Clinical Nutrition 2011 65:8, 65(8), 879-886.

Other Identifiers

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21/67

Identifier Type: -

Identifier Source: org_study_id

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