Virgin olive oil and high-density lipoprotein functionality: a model for tailoring functional food

ISRCTN ISRCTN77500181
DOI https://doi.org/10.1186/ISRCTN77500181
Secondary identifying numbers AGL2009-13517-C03-01
Submission date
06/03/2012
Registration date
09/05/2012
Last edited
25/04/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
The aim of this study is to find out whether consuming olive oil enriched with olive oil phenolic compounds (OOPC) and olive oil enriched with OOPC plus flavonoids from thyme increases quality and quantity of high density lipoprotein (HDL) compared with consuming normal virgin olive oil.

Who can participate?
Male and female hypercholesterolemic (>200mg/dL) patients aged 20-80 years.

What does the study involve?
Participants will receive 25 ml per day of one of the three types of olive oil in three separate periods of 3 weeks, preceded each one by a 2-week wash-out period.

What are the possible benefits and risks of participating?
The benefit for the participants will be the possibility of reducing their cardiovascular disease risk. No harmful effects have been found to be associated with olive oil consumption.

Where is the study run from?
Institut Hospital del Mar d’Investigacions Mèdiques (IMIM) , Barcelona, Spain

When is the study starting and how long is it expected to run for?
April to September 2012

Who is funding the study?
Spanish Ministry of Economy and Competitiveness

Who is the main contact?
Dr María-Isabel Covas
mcovas@imim.es
mfito@imim.es

Contact information

Dr Maria Isabel Covas
Scientific

Doctor Aiguader, 88
Barcelona
08003
Spain

Phone +34 (0)933 160 720
Email mcovas@imim.es

Study information

Study designRandomized controlled double-blind cross-over single-centre clinical supplementation trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleVirgin Olive oil and HDL Functionality (VOHF): a model for tailoring functional food: the VOHF project
Study acronymVOHF
Study hypothesisA flavoured functional olive oil enriched not only with its own phenolics but also with complementary ones (regarding structure/function) from thyme could provide additional health benefits and consumers’ acceptation.
Ethics approval(s)Clinical Research Ethical Committee of the "Institut Municipal d’Assistència Sanitària (IMAS)", 09/09/2009, ref: 2009/3347/I
ConditionHypercholesterolemic patients
InterventionCurrent interventions as of 23/04/2014:
Randomized, controlled, double-blind, cross-over, single-centre clinical supplementation trial, in which 33 subjects (19 men and 14 women) will be randomised to one of 3 orders of administration of 25 ml/day of raw:

1. Virgin olive oil (Control)
2. Functional Olive Oil 1 enriched with its own phenolic compounds (FOO1)
3. Functional Olive OIl 2 enriched with its olive oil phenolic compounds plus those of thyme (FOO2)

This will be in 3 periods of 3 weeks

Previous interventions:
Randomized, double-blind, cross-over, single-centre clinical supplementation trial, in which 30 subjects (15 men and 15 women) will be randomised to one of 3 orders of administration of:

1. 25 mL/day of raw refined virgin olive oil (Control)
2. Functional Olive Oil 1 enriched with its own phenolic compounds (FOO1)
3. Functional Olive OIl 2 enriched with its olive oil phenolic compounds plus those of thyme (FOO2)

This will be in 3 periods of 3 weeks
Intervention typeSupplement
Primary outcome measure1. HDL functionality:
The following parameters will be measured at baseline and before and after each intervention:
1.1. Markers of compliance: Measurement of tyrosol and hydroxytyrosol in spot morning urine will be performed by GC/mass spectrometry
1.2. Parameters of HDL functionality: Isolation of HDL will be done by sequential centrifugation.
2. The following parameters will be measured in isolated HDL:
2.1. Fatty acid content, vitamin E, and total phenolic content in HDL by HPLC-DAD
2.2. Apolipoproteins (Apo)A1, ApoA2, and ApoA4 by ELISA
2.3. Cholesterol esther transfer protein (CETP) and lecitine cholesterol acyl transferase (LCAT) by fluorometry
2.4. Paraoxonase (Organophosphatase activity) PON1) and PAF-AH activities by spectrometry with automated mode
2.5. 3’ chlorotyrosine and 3’-nitro-tyrosine by GC/MS
2.6. Bilayer fluidity of HDL will be measured by confocal microscopy. Cholesterol efflux from cells will be measured in culture of macrophages.
3. OMICS
Gene expression assay will be performed as previously described. Several candidate genes implicated in the increase of the HDL cholesterol and in the improvement of the HDL functionality in humans will be tested. Candidate genes: ABCA1: ATP-binding cassette, sub-family A (ABC1), member 1; ABCG1: ATP-binding cassette, sub-family G (WHITE), member 1; and ABCG4: ATP-binding cassette, sub-family G (WHITE), member 4 ApoA1: apolipoprotein A- I; and ApoE: apolipoprotein E; LPL: lipoprotein lipase; PAF-AH1B3: platelet-activating factor acetylhydrolase, isoform Ib, gamma subunit 29kDa; PPARalpha: peroxisome proliferator -activated receptor alpha; PPARgamma: peroxisome proliferator-activated receptor gamma; and PBPPAR: PPAR binding protein; RARA: retinoic acid receptor, alpha. Proteomic analyses, by separation with 2-DE (two-dimensional gel electrophoresis) and PMF (protein mass fingerprinting) with MALDI-TOF-MS (matrix -assisted laser desorption/ionization time of flight mass spectrometry ,will be performed in plasma samples.
Secondary outcome measuresOxidative damage
The following parameters will be measured at baseline and before and after each intervention:
1. Plasma lipids will be performed by enzymatic methods in a automated mode. In vivo circulating oxidized LDL and 3’ chlorotyrosine derivates in urine will be determined by ELISA
2. Protein carbonyl content (PCC) by spectrometry
3. 8-isoprostane (8-epi PGF2á)
4. 8-hydroxydeoxyguanosine (8-OHdG) by enzyme-linked immunosorbent assay (ELISA)

Added 23/04/2014:
5. Endothelial function
6. Intestinal microorganism study
Overall study start date02/04/2012
Overall study end date07/09/2012

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants33
Participant inclusion criteriaCurrent inclusion criteria as of 23/04/2014:
1. Hypercholesterolemic patients (>200 mg/dL)
2. Aged 20-80 years

Previous inclusion criteria:
1. Hyperlipidemic patients
2. Patients with low (<40 mg/dL) HDL cholesterol
3. Aged 20-60 years
Participant exclusion criteriaCurrent exclusion criteria as of 25/04/2014:
1. Smokers
2. Athletes with PA >3000 kcal/day
3. BMI >35 kg/m2
4. Diabetes, multiple allergies, intestinal diseases
5. Any condition that limits the mobility of the subject making study visits impossible
6. Life threatening illness such as cancer or severe disease with a lowered expected 3 year survival
7. Any other disease or condition that would worsen the adherence to the measurements or treatment

Previous exclusion criteria:
1. Intake of antioxidant supplement or acetylsalicylic acid or any other drug with established antioxidative properties
2. Athletes with PA >3000 kcal/week in leisure-time
3. Obesity (BMI > 30 kg/m2)
4. Diabetes, multiple allergies, intestinal diseases
5. Any condition that limits the mobility of the subject making study visits impossible
6. Life threatening illness such as cancer or severe disease with a lowered expected 3 year survival
7. Any other disease or condition that would worsen the adherence to the measurements or treatment
Recruitment start date02/04/2012
Recruitment end date07/09/2012

Locations

Countries of recruitment

  • Spain

Study participating centre

Doctor Aiguader, 88
Barcelona
08003
Spain

Sponsor information

Spanish Ministry of Economy and Competitiveness (Spain)
Government

MINECO
Former Spanish Ministry of Science and Technology
Secretaría General de Innovación
Albacete, 5
Madrid
28027
Spain

Phone +34 (0)902 218 600
Email cauidi@micinn.es
Website http://www.mineco.gob.es

Funders

Funder type

Government

Spanish Ministry Science and Technology (Spain) ref: AGL2009-13517-C03-01

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/06/2015 Yes No

Editorial Notes

25/04/2016: Publication reference added.

On 23/04/2014 the following changes were made to the trial record:
1. The disease/condition/study domain field was changed from 'Hyperlipidemic patients with low HDL cholesterol' to 'Hypercholesterolemic patients'
2. The target number of participants was changed from 30 to 33.