The Effects of Omega-3 Fatty Acids on Metabolic Syndrome
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the effects of omega-3 fatty acids in the form of fish oil supplementation (approximately 2 grams per day) on the carotid intima-media (CIMT)progression (primary objective) and 2)(Secondary objective) lipid markers such as LDL, apo-B, and LDL buoyancy, on inflammatory burden as measured by CRP, on oxidative stress as measured by urinary isoprostanes, urine microalbumin/creatinine, and serum adiponectin a fat derived hormone in subjects with metabolic syndrome.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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Early Phase 1 |
Detailed Description
This translational pilot study will have a double-blind, placebo-controlled, parallel design. We will enroll one hundred subjects who meet at least 3 of the 5 criteria for metabolic syndrome as per NCEP guidelines/WHO guidelines and who do not have known cardiovascular disease or diabetes. They will receive either placebo or omega-3 fatty acids in the form of fish oil capsules for a two-year period. Assessment of, C-IMT, serum lipoprotein profile, LDL- buoyancy, adiponectin, CRP, SAA, apolipoprotein B and A-1, fasting glucose, fasting insulin levels, and plasma fatty acids will be measured at baseline, one year, and two years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: 1 Omega-3 fatty acid vs. placebo comparator |
Dietary Supplement: Omega-3 fatty acids
Total of 1.8 grams of EPA +DHA in the form of fish oil capsules (3/day)
Other Names:
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Outcome Measures
Primary Outcome Measures
- Change in Carotid IMT [1 year, 2 years]
Secondary Outcome Measures
- Lipid (apolipoproteins and lipid parameters) [1 year, 2 years]
- hs-CRP & SAA [1 year, 2 years]
- Glucose [1 year, 2 years]
- Insulin [1 year, 2 years]
- adiponectin [1 year, 2 years]
- urine microalbumin/creatinine [1 year, 2 years]
- Serum Fatty Acids [1 year, 2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adults with Metabolic Syndrome (meets 3 of the following 5)
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Abdominal obesity, waist circumference in men greater than 40 in. & in women greater than 35 in.
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Serum triglycerides greater than or = 150 mg/dL (1.7 mmol/L)
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Serum HDL cholesterol less than or = 40 mg/dL in men and less than 50 mg/dL in women
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Blood pressure greater than or = 130/85 mmHg or drug treatment for elevated blood pressure
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Fasting plasma glucose greater than 100 mg/dL
Exclusion Criteria:
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Diabetes
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Known or documented CHD (including ECG consistent with prior MI), CVA (including TIA), PVD (including symptoms of claudication)
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Angina or other chest pain that may indicate CHD
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Clinically significant neoplastic, cardiovascular, hepatic, renal, metabolic, endocrine (untreated or unstable), or psychiatric (untreated or unstable)
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Known abnormal LFTS greater than 2X ULN
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Smoker, illicit drug use, or excessive alcohol use
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Medications: Lipid lowering therapy, daily NSAID or greater than 325 mg ASA (PRN use ok), clopidogrel (or equivalent), Coumadin, Omega-3 fatty acid supplement, other investigational drugs within 30 days of study entry, high omega-3 fatty acid content in diet within past three months
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Pregnancy or planning pregnancy during the study period
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Sensitivity or allergy to fish
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Northwest Lipid Research Clinic (University of Washington Affiliated) | Seattle | Washington | United States | 98104 |
Sponsors and Collaborators
- University of Washington
- Pfizer
- National Institutes of Health (NIH)
- Northwest Lipid Research Clinic
Investigators
- Principal Investigator: Pathmaja Paramsothy, MD, University of Washington
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 28791-D
- 05-8693-D 03