DyslipidemiaNCT00895141
Effect of Saturated Fat on Large Low-density Lipoprotein (LDL) and High-density Lipoprotein (HDL)
A study testing Saturated Fat Diet in people with Dyslipidemia, run by UCSF Benioff Children's Hospital Oakland at 1 site in United States.
Trial summary
The purpose of the study is to test whether increased saturated fat intake results in increased levels of larger LDL and HDL particles in individuals with LDL Pattern B. Read more about this study
- Who is it for?
- Ages 18 to 70 yearsHealthy volunteers can take part
- Conditions the study is for
- Dyslipidemia
- What is being tested?
- Saturated Fat Diet
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 1 siteUnited States
- Study dates
- Apr 2009to Apr 2011
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Men or postmenopausal woman between 18-70 yrs
- Body Mass Index between 25-35
- Blood pressure <150/90
- Non smoking
- Agrees to consume no alcohol or dietary supplements during the study
- LDL Subclass Pattern B
Show all 10Show fewer
- Total cholesterol and LDLC ≤95th percentile for sex and age
- Fasting triglycerides ≤ 500mg/dl
- Fasting blood sugar < 126 mg/dl
- At least 3 months weight stable
Who cannot join
- History of coronary heart disease, cerebrovascular disease, peripheral vascular disease, bleeding disorder, liver or renal disease, diabetes, lung disease, HIV, or cancer (other than skin) in the last 5 years
- Taking drugs known to affect lipid metabolism or hormones
- Abnormal thyroid stimulating hormone (TSH)
Trial locations and contacts
1 site in 1 country.
United States1 site
Cholesterol Research Center
Berkeley, California, 94705
About this study
Official title: Changes in LDL and HDL With Increased Intake of Saturated Fat From Dairy Foods in Individuals With Atherogenic Dyslipidemia and LDL Subclass Pattern B
The purpose of the study is to test whether increased saturated fat intake results in increased levels of larger LDL and HDL particles in individuals with LDL Pattern B.
Read the detailed description
Increased saturated fat intake is known to elevate plasma levels of both low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), however, less is know regarding the effect of saturated fat on lipoprotein subclasses. We previously showed that, in the context of a reduced carbohydrate diet, saturated fat induced increases in LDL cholesterol were apparently due to increases in large, more buoyant LDL without increases in small, dense LDL. This finding was supported by a previous dietary intervention study showing a correlation between saturated fat intake and large LDL. In both cases, this increase in large LDL was correlated with an increase in large HDL. In this study, we will test the following specific hypotheses regarding changes in plasma lipoproteins induced by a diet high in myristic acid and other saturated fats derived primarily from dairy sources in individuals with LDL subclass pattern B: 1) there will be a coordinate increase in levels of large HDL particles that are considered anti-atherogenic and large LDL particles that are less strongly associated with increased CVD risk than smaller LDL; 2) this change in lipoprotein profile will result in a higher proportion of pattern B individuals converting to LDL subclass pattern A (predominance of larger LDL); and 3) the coordinate increase in large HDL and LDL is due to a common underlying pathway. The latter hypothesis will be addressed by assaying cholesterol ester transfer protein (CETP), hepatic lipase (HL), and lipoprotein lipase (LPL).
- Conditions
- Dyslipidemia
- Being tested
- Saturated Fat Diet
- Keywords
- Saturated fat, LDL size, Large LDL, Large HDL
- Medical subject headings
- Dyslipidemias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Saturated Fat DietDietary supplement
Moderate carbohydrate (35%E), moderate protein (25%E), high fat diet (40%E) with 8%E saturated fat
Saturated Fat DietDietary supplement
Moderate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 20%E saturated fat
| Study group | Role | What they receive |
|---|---|---|
| Low saturated fat diet | Experimental | Moderate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 8%E saturated fat Receives: Dietary Supplement: Saturated Fat Diet |
| High saturated fat diet | Experimental | Moderate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 20%E saturated fat Receives: Dietary Supplement: Saturated Fat Diet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Large LDL (LDL I + 2a) (mg/dl)
Measured: 3 wk, 6 wk
Large HDL (HDL2b) (mg/dl)
Measured: 3 wk, 6 wk
LDL peak particle size
Measured: 3 wk, 6 wk
Secondary outcomes (12)
Triglycerides (mg/dl)
Measured: 3 wk, 6 wk
Total Cholesterol (mg/dl)
Measured: 3 wk, 6 wk
LDL cholesterol (mg/dl)
Measured: 3 wk, 6 wk
HDL cholesterol (mg/dl)
Measured: 3 wk, 6 wk
Apolipoprotein AI (mg/dl)
Measured: 3 wk, 6 wk
Apolipoprotein B (mg/dl)
Measured: 3 wk, 6 wk
Medium LDL (LDL2b) (mg/dl)
Measured: 3 wk, 6 wk
Small LDL (LDL3a) (mg/dl)
Measured: 3 wk, 6 wk
Hepatic Lipase Activity
Measured: 3 wk, 6 wk
Lipoprotein Lipase Activity
Measured: 3 wk, 6 wk
Cholesteryl Ester Transfer Protein Activity
Measured: 3 wk, 6 wk
Very Small LDL (LDL3b, 4a, 4b) (mg/dl)
Measured: 3 wk, 6 wk
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2009 (estimated)
- Study startApr 2009
- Primary completionSep 2010
- Study completionApr 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for DyslipidemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- UCSF Benioff Children's Hospital Oakland
- Sponsor type
- University, hospital or other
- Collaborators
- Dairy Management Inc.
- Responsible party
- Sponsor
- Investigators
- Ronald M Krauss, MD, Principal investigator, UCSF Benioff Children's Hospital Oakland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00895141
- Sponsor's protocol ID
- MM3355
- Status last verified
- Jan 2013
- First submitted
- 7 May 2009
- Last updated
- 14 Jan 2013
- Results posted
- No
- Data monitoring committee
- No
Publications
Chiu S, Williams PT, Krauss RM. Effects of a very high saturated fat diet on LDL particles in adults with atherogenic dyslipidemia: A randomized controlled trial. PLoS One. 2017 Feb 6;12(2):e0170664. doi: 10.1371/journal.pone.0170664. eCollection 2017.
PubMed 28166253
Study at a glance
From the registry record, last updated by the sponsor on 14 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Changes in LDL and HDL With Increased Intake of Saturated Fat From Dairy Foods in Individuals With Atherogenic Dyslipidemia and LDL Subclass Pattern B
- ClinicalTrials.gov ID
- NCT00895141
- Acronym / sponsor ID
- MM3355
- Conditions
- Dyslipidemia
- Keywords
- Saturated fat, LDL size, Large LDL, Large HDL
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- UCSF Benioff Children's Hospital OaklandUniversity, hospital or other
- Collaborators
- Dairy Management Inc.
- Study start
- Apr 2009
- Primary completion
- Sep 2010 (actual)
- Study completion
- Apr 2011 (actual)
- First posted
- 8 May 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to test whether increased saturated fat intake results in increased levels of larger LDL and HDL particles in individuals with LDL Pattern B.
Detailed description
Increased saturated fat intake is known to elevate plasma levels of both low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), however, less is know regarding the effect of saturated fat on lipoprotein subclasses. We previously showed that, in the context of a reduced carbohydrate diet, saturated fat induced increases in LDL cholesterol were apparently due to increases in large, more buoyant LDL without increases in small, dense LDL. This finding was supported by a previous dietary intervention study showing a correlation between saturated fat intake and large LDL. In both cases, this increase in large LDL was correlated with an increase in large HDL. In this study, we will test the following specific hypotheses regarding changes in plasma lipoproteins induced by a diet high in myristic acid and other saturated fats derived primarily from dairy sources in individuals with LDL subclass pattern B: 1) there will be a coordinate increase in levels of large HDL particles that are considered anti-atherogenic and large LDL particles that are less strongly associated with increased CVD risk than smaller LDL; 2) this change in lipoprotein profile will result in a higher proportion of pattern B individuals converting to LDL subclass pattern A (predominance of larger LDL); and 3) the coordinate increase in large HDL and LDL is due to a common underlying pathway. The latter hypothesis will be addressed by assaying cholesterol ester transfer protein (CETP), hepatic lipase (HL), and lipoprotein lipase (LPL).
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Low saturated fat diet | Experimental | Dietary Supplement: Saturated Fat DietModerate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 8%E saturated fat |
| High saturated fat diet | Experimental | Dietary Supplement: Saturated Fat DietModerate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 20%E saturated fat |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Men or postmenopausal woman between 18-70 yrs
- Body Mass Index between 25-35
- Blood pressure <150/90
- Non smoking
- Agrees to consume no alcohol or dietary supplements during the study
Key exclusion criteria (3 listed)
- History of coronary heart disease, cerebrovascular disease, peripheral vascular disease, bleeding disorder, liver or renal disease, diabetes, lung disease, HIV, or cancer (other than skin) in the last 5 years
- Taking drugs known to affect lipid metabolism or hormones
- Abnormal thyroid stimulating hormone (TSH)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Saturated Fat DietModerate carbohydrate (35%E), moderate protein (25%E), high fat diet (40%E) with 8%E saturated fat | Dietary supplement | Low saturated fat diet |
| Saturated Fat DietModerate carbohydrate (35%E), moderate protein (25%E), high fat (40%E) diet with 20%E saturated fat | Dietary supplement | High saturated fat diet |
Primary outcome
Large LDL (LDL I + 2a) (mg/dl)
Time frame: 3 wk, 6 wk
Large HDL (HDL2b) (mg/dl)
Time frame: 3 wk, 6 wk
LDL peak particle size
Time frame: 3 wk, 6 wk
12 secondary outcomes
Triglycerides (mg/dl)
Time frame: 3 wk, 6 wk
Total Cholesterol (mg/dl)
Time frame: 3 wk, 6 wk
LDL cholesterol (mg/dl)
Time frame: 3 wk, 6 wk
HDL cholesterol (mg/dl)
Time frame: 3 wk, 6 wk
Apolipoprotein AI (mg/dl)
Time frame: 3 wk, 6 wk
Apolipoprotein B (mg/dl)
Time frame: 3 wk, 6 wk
Medium LDL (LDL2b) (mg/dl)
Time frame: 3 wk, 6 wk
Small LDL (LDL3a) (mg/dl)
Time frame: 3 wk, 6 wk
Hepatic Lipase Activity
Time frame: 3 wk, 6 wk
Lipoprotein Lipase Activity
Time frame: 3 wk, 6 wk
Cholesteryl Ester Transfer Protein Activity
Time frame: 3 wk, 6 wk
Very Small LDL (LDL3b, 4a, 4b) (mg/dl)
Time frame: 3 wk, 6 wk
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jan 2013.
- Derived from this study: PubMed 28166253Chiu S, Williams PT, Krauss RM. Effects of a very high saturated fat diet on LDL particles in adults with atherogenic dyslipidemia: A randomized controlled trial. PLoS One. 2017 Feb 6;12(2):e0170664. doi: 10.1371/journal.pone.0170664. eCollection 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ronald M Krauss, MD principal investigator
UCSF Benioff Children's Hospital Oakland
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Saturated Fat Diet in people with Dyslipidemia, run by UCSF Benioff Children's Hospital Oakland at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Large LDL (LDL I + 2a) (mg/dl) (time frame: 3 wk, 6 wk). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00895141, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jan 2013.