PROPER-LDL: Safety and Efficacy of Propionate for Reduction of LDL Cholesterol
Study Details
Study Description
Brief Summary
The objective of the trial is to evaluate a potential impact of food supplements with the short chain fatty acid propionate on blood LDL cholesterol level.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
62 patients with low cardiovascular risk will be 1:1 randomized to receive either placebo (b.i.d.) or 500mg of propionate (b.i.d.). The primary endpoint is the change (delta) in blood LDL cholesterol levels after 8 weeks.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Arm 1 31 patients will be treated with 500mg Calcium-Propionate capsules (twice a day) for 8 weeks. |
Dietary Supplement: Calcium-Propionate 500mg
Calcium-Propionate capsules
|
Placebo Comparator: Arm 2 31 patients will be treated with placebo capsules (twice a day) for 8 weeks. |
Other: Placebo
Placebo capsules without any active ingredient
|
Outcome Measures
Primary Outcome Measures
- LDL-cholesterol reduction [8 weeks]
mg/dL
Secondary Outcome Measures
- total cholesterol [8 weeks]
mg/dL
- HDL-cholesterol [8 weeks]
mg/dL
- non HDL [8 weeks]
mg/dL
- Ratio HDL/LDL [8 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
patients with hypercholestrolemia and a LDL serum level of > 115 mg/dl
-
age of patient between 20 and 70 years
-
participant is fully competent and has given his/her written informed consent to the scheduled trial conduct
Exclusion Criteria:
-
patients with acute coronary syndrome in the last 4 weeks
-
patients with chronic symptomatic heart failure (NYHA 2-4)
-
patients with chronic renal failure and a GFR < 45 ml/min
-
patients with chronic liver disease
-
patients with hematological diseases
-
patients with severe diseases of other organ systems (tumors, infections)
-
pregnancy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Charité Universitätsmedizin Berlin | Berlin | Germany | 12203 |
Sponsors and Collaborators
- Charite University, Berlin, Germany
Investigators
- Principal Investigator: Arash Haghikia, PD MD, Charite University, Berlin, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
- Berggren AM, Nyman EM, Lundquist I, Björck IM. Influence of orally and rectally administered propionate on cholesterol and glucose metabolism in obese rats. Br J Nutr. 1996 Aug;76(2):287-94.
- Cannon CP, Blazing MA, Giugliano RP, McCagg A, White JA, Theroux P, Darius H, Lewis BS, Ophuis TO, Jukema JW, De Ferrari GM, Ruzyllo W, De Lucca P, Im K, Bohula EA, Reist C, Wiviott SD, Tershakovec AM, Musliner TA, Braunwald E, Califf RM; IMPROVE-IT Investigators. Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes. N Engl J Med. 2015 Jun 18;372(25):2387-97. doi: 10.1056/NEJMoa1410489. Epub 2015 Jun 3.
- Chambers ES, Viardot A, Psichas A, Morrison DJ, Murphy KG, Zac-Varghese SE, MacDougall K, Preston T, Tedford C, Finlayson GS, Blundell JE, Bell JD, Thomas EL, Mt-Isa S, Ashby D, Gibson GR, Kolida S, Dhillo WS, Bloom SR, Morley W, Clegg S, Frost G. Effects of targeted delivery of propionate to the human colon on appetite regulation, body weight maintenance and adiposity in overweight adults. Gut. 2015 Nov;64(11):1744-54. doi: 10.1136/gutjnl-2014-307913. Epub 2014 Dec 10.
- Kataoka Y, St John J, Wolski K, Uno K, Puri R, Tuzcu EM, Nissen SE, Nicholls SJ. Atheroma progression in hyporesponders to statin therapy. Arterioscler Thromb Vasc Biol. 2015 Apr;35(4):990-5. doi: 10.1161/ATVBAHA.114.304477. Epub 2015 Feb 26.
- Lu Y, Fan C, Li P, Lu Y, Chang X, Qi K. Short Chain Fatty Acids Prevent High-fat-diet-induced Obesity in Mice by Regulating G Protein-coupled Receptors and Gut Microbiota. Sci Rep. 2016 Nov 28;6:37589. doi: 10.1038/srep37589.
- Yusuf S, Bosch J, Dagenais G, Zhu J, Xavier D, Liu L, Pais P, López-Jaramillo P, Leiter LA, Dans A, Avezum A, Piegas LS, Parkhomenko A, Keltai K, Keltai M, Sliwa K, Peters RJ, Held C, Chazova I, Yusoff K, Lewis BS, Jansky P, Khunti K, Toff WD, Reid CM, Varigos J, Sanchez-Vallejo G, McKelvie R, Pogue J, Jung H, Gao P, Diaz R, Lonn E; HOPE-3 Investigators. Cholesterol Lowering in Intermediate-Risk Persons without Cardiovascular Disease. N Engl J Med. 2016 May 26;374(21):2021-31. doi: 10.1056/NEJMoa1600176. Epub 2016 Apr 2.
- PROPER-LDL Trial