UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056207
Receipt number R000064220
Scientific Title Effects of Beetroot Juice Intake on Vascular Function in Hypertensive Patients on Antihypertensive Treatment
Date of disclosure of the study information 2024/11/20
Last modified on 2024/11/20 09:57:28

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Basic information

Public title

Effects of Beetroot Juice Intake on Vascular Function in Hypertensive Patients on Antihypertensive Treatment

Acronym

Beetroot Juice and Vascular Function

Scientific Title

Effects of Beetroot Juice Intake on Vascular Function in Hypertensive Patients on Antihypertensive Treatment

Scientific Title:Acronym

Beetroot Juice and Vascular Function

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate the effectiveness of nitrate intake on endothelial function in hypertensive patients on antihypertensive treatment. Specifically, the study will compare the changes in flow-mediated vasodilation (FMD) after 4 weeks of consuming beetroot juice containing nitrates versus a placebo juice, which has the nitrates removed, in hypertensive patients on antihypertensive medication.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The average change in FMD before and after 4 weeks of consuming beetroot juice or placebo juice.

Key secondary outcomes

The average percentage change in FMD before and after 4 weeks of consuming beetroot juice or placebo juice.

The average FMD value after 4 weeks of consuming beetroot juice or placebo juice.

The trend in the average FMD value before and after 4 weeks of consuming beetroot juice or placebo juice.

The average change in nitroglycerin-induced vasodilation (NID) before and after 4 weeks of consuming beetroot juice or placebo juice.

The average percentage change in NID before and after 4 weeks of consuming beetroot juice or placebo juice.

The average NID value after 4 weeks of consuming beetroot juice or placebo juice.

The trend in the average NID value before and after 4 weeks of consuming beetroot juice or placebo juice.

The average change in brachial-ankle pulse wave velocity (baPWV) before and after 4 weeks of consuming beetroot juice or placebo juice.

The average percentage change in baPWV before and after 4 weeks of consuming beetroot juice or placebo juice.

The average baPWV value after 4 weeks of consuming beetroot juice or placebo juice.

The comparison of the average baPWV value before and after 4 weeks of consuming beetroot juice or placebo juice with the average baPWV value at 4 weeks.

The average change in office systolic and diastolic blood pressure before and after 4 weeks of consuming beetroot juice or placebo juice.

The average office systolic and diastolic blood pressure values after 4 weeks of consuming beetroot juice or placebo juice.

The trend in the average office systolic and diastolic blood pressure values before and after 4 weeks of consuming beetroot juice or placebo juice.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

After obtaining informed consent and conducting pre-screening, participants will be randomized to consume the assigned juice (either beetroot juice or placebo juice) for 4 weeks, followed by a vascular function test. After a 4-week washout period, a vascular function test will be performed again. Subsequently, participants will consume the alternate juice (beetroot juice if they initially consumed placebo juice, or placebo juice if they initially consumed beetroot juice) for 4 weeks, followed by another vascular function test.

Consume one bottle (70ml) of beetroot juice once daily with breakfast for 4 weeks.

Consume one bottle (70ml) of placebo juice once daily with breakfast for 4 weeks.

Interventions/Control_2

After obtaining informed consent and conducting pre-screening, participants will be randomized to consume the assigned juice (either beetroot juice or placebo juice) for 4 weeks, followed by a vascular function test. After a 4-week washout period, a vascular function test will be performed again. Subsequently, participants will consume the alternate juice (beetroot juice if they initially consumed placebo juice, or placebo juice if they initially consumed beetroot juice) for 4 weeks, followed by another vascular function test.

Consume one bottle (70ml) of beetroot juice once daily with breakfast for 4 weeks.

Consume one bottle (70ml) of placebo juice once daily with breakfast for 4 weeks.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Individuals aged 18 years or older at the time of obtaining consent.

2. Patients diagnosed with hypertension according to the JSH2019 criteria (office blood pressure: systolic blood pressure greater than or equal to 140 mmHg and/or diastolic blood pressure greater than or equal to 90 mmHg, or home blood pressure: systolic blood pressure greater than or equal to 135 mmHg and/or diastolic blood pressure greater than or equal to 85 mmHg), who have been on the same antihypertensive treatment for at least 3 months.

3. Individuals who are able to attend four visits every 4 weeks.

4. Individuals who can provide written informed consent for participation in this study.

Key exclusion criteria

1. Patients currently receiving nitrate medications.
2. Patients with severe heart valve disease.
3. Patients with NYHA Class III or higher heart failure.
4. Patients with severe arrhythmias or who have had an implantable cardioverter-defibrillator (ICD) inserted.
5. Patients with end-stage renal failure (undergoing dialysis).
6. Patients with malignant diseases.
7. Patients currently using adrenal corticosteroids or immunosuppressive drugs.
8. Patients with cirrhosis.
9. Patients with peripheral arterial disease or unhealed wounds in the measured upper limbs, patients with venous stasis such as varicose veins, or patients with a shunt.
10. Patients with severe hypotension or cardiogenic shock.
11. Patients with closed-angle glaucoma.
12. Patients with a history of head trauma or intracerebral hemorrhage.
13. Patients with severe anemia.
14. Patients with a history of hypersensitivity to nitrate or nitrite ester-based medications.
15. Patients currently receiving phosphodiesterase-5 inhibitors (e.g., sildenafil citrate, vardenafil hydrochloride, tadalafil) or guanylate cyclase stimulators (e.g., riociguat, vericiguat).
16. Patients with diabetes mellitus.
17. Patients with an estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73m2.
18. Patients with latex allergy.
19. Pregnant women, women who may be pregnant, women breastfeeding, or women planning to become pregnant.
20. Research subjects who are in a student-teacher relationship with the researcher, such as students taking a class from the research leader or research team members, putting them in a vulnerable position.
21. Any other individuals deemed inappropriate by the research leader or research team members.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Yukihito
Middle name
Last name Higashi

Organization

Hiroshima University Hospital

Division name

Division of Regeneration and Medicine, Medical Center for Translational and Clinical Research

Zip code

7348553

Address

1-2-3 Kasumi, Minami-ku, Hiroshima

TEL

0822575831

Email

yhigashi@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Maruhashi

Organization

Hiroshima University

Division name

Department of Regenerative Medicine, Division of Radiation Medical Science, Research Institute for R

Zip code

7438551

Address

1-2-3 Kasumi, Minami-ku, Hiroshima

TEL

0822575831

Homepage URL


Email

maru0512@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Hiroshima University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee for Clinical Research of Hiroshima University

Address

Kasumi 1-2-3 Minami-Ku, Hiroshima

Tel

082-257-1947

Email

iryo-sinsa@office.hiroshima-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 11 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 11 Month 15 Day

Date of IRB

2024 Year 11 Month 15 Day

Anticipated trial start date

2024 Year 11 Month 15 Day

Last follow-up date

2027 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 11 Month 20 Day

Last modified on

2024 Year 11 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064220