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Peripheral Artery DiseasePULV-2011NCT01382056

Effects of Pulse Varieties on Blood Vessel Function in Peripheral Artery Disease

A study testing Mixed bean (higher amount) and Mixed beans (lower amount) in people with Peripheral Artery Disease, run by University of Manitoba at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Consumption of a diet containing pulse crops provides flavonoid compounds that will improve vascular function and glycemic control in individuals with Peripheral Artery Disease. Read more about this study

Who is it for?
Ages 34 years and olderHealthy volunteers can take part
Conditions the study is for
Peripheral Artery Disease
What is being tested?
Mixed bean (higher amount) and Mixed beans (lower amount)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
1 siteCanada
Study dates
Mar 2012to Dec 2013
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 34 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy Participants, Acute Phase:
  • Healthy volunteers, male or female, >33 years of age, age matched with PAD participants ± 7 years;
  • BMI 18-30;
  • Glycated hemoglobin < 6.5%;
  • Fasting serum total cholesterol < 4 mmol/L and triglycerides < 2.5 mmol/L;
  • Blood pressure < 140/90 mm Hg;
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  • Ankle-brachial Index (ABI) >0.9;
  • Willing to comply with the protocol requirements;
  • Willing to provide informed consent.
  • Inclusion Criteria, Participants with Peripheral Artery Disease (Acute Phase and Chronic Phase):
  • Male or female, > 40 years of age;
  • Documented Peripheral Artery Disease including those with claudication as defined by an ankle brachial Index of ≤ 0.90; or asymptomatic carotid stenosis of > 50% or confirmed by imaging; or having had a previous intervention for Peripheral Artery Disease or carotid disease;
  • Stable medication profile with no changes required for the past 3 months;
  • Willing to comply with the protocol requirements;
  • Willing to provide informed consent.

Who cannot join

  • Healthy Participants, Acute Phase:
  • Currently smoking, or smoking within the last 6 months;
  • Clinically diagnosed disease affecting the heart, liver, kidneys, lungs, gastrointestinal, endocrine or blood/immune systems that requires medical treatment;
  • Taking any prescribed medication with the exception of birth control and hormone (estrogen) replacement therapy;
  • Pregnancy;
  • Amputation of upper or lower extremity on both sides;
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  • History of severe gastrointestinal reactions or allergies to pulses or ingredients used to prepare the pulse-containing and pulse-free foods.
  • Exclusion Criteria, Participants with Peripheral Artery Disease (Acute Phase and Chronic Phase):
  • Currently smoking, or smoking within the last 6 months;
  • Type 1 diabetes;
  • Renal failure requiring dialysis;
  • Acute cardiovascular event or medical illness within the past 3 months precluding study participation;
  • Hormone (estrogen) replacement therapy;
  • Amputation of upper or lower extremity on both sides;
  • History of severe gastrointestinal reactions or allergies to pulses or ingredients used to prepare the pulse-containing and pulse-free foods;
  • Currently participating in or having participated in a food study within the last 3 months unless randomized to a control group and consumed no study foods;
  • High pulse consumption (greater or equal to 2 servings per week);
  • Inability to adhere to a regular diet;
  • Additional intake of pulses other than the requirements outlined in the study.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • I.H Asper Clinical Research Institute

    Winnipeg, Manitoba, R2H 2A6

Other trials in Canada

About this study

Official title: Effects of Pulse Varieties on Blood Vessel Function in Individuals With Peripheral Artery Disease (PAD)

Consumption of a diet containing pulse crops provides flavonoid compounds that will improve vascular function and glycemic control in individuals with Peripheral Artery Disease.

Read the detailed description

This is a single site, randomized, controlled, food intervention study designed to explore the effects of pulse types and varieties on blood vessel function in individuals with Peripheral Artery Disease.

Phase One(Acute): To identify relative potency of pulse types (beans,peas, lentils,and chickpeas) for vascular activity in healthy participants and participants with Peripheral Artery Disease. Healthy participants (10) and participants with Peripheral Artery Disease (10) will be asked to consume (in random order) one test food per in-person visit over 5 visits scheduled a minimum of 6 days apart. Vascular responsiveness will be monitored non-invasively by peripheral arterial tonometry before consumption of the test food and 2 hours post food consumption. Blood samples will be collected at the same time intervals for analyses, of vascular, inflammatory, and metabolic markers as well as flavonoids present in the pulses.

Phase Two(Chronic): Chronic 8-week study using mixed beans (pinto, kidney, black, and navy) to determine improvements in vascular function, cardiovascular risk factors, and glycemic control in participants with Peripheral Artery Disease (N=75, 25/group). Participants will be randomly assigned to one of the following three groups: i) foods containing 0.6 cup mixed beans/day consumed 5 days per week (total amount is 3 cups mixed beans per week); or, ii) foods containing 0.3 cup mixed beans/day for 5 days per week); or, iii) pulse-free foods (control) consumed 5 days/week. A total of 3 in-person visits for screening, baseline and final will be required during the 8-week study schedule. Assessments of vascular function, cognitive function, food dietary intake and preferences, flavonoid levels and cardiovascular risk markers in blood and urine, glycemic control, and anthropometrics will be completed at baseline and at 8 weeks.

Phase Three(Follow-Up: An 8-week follow-up assessment with a subset of participants (n=10/group, 3 groups) with Peripheral Artery Disease will be done at 2, 4, and at 8 weeks. Assessments of vascular function, cognitive function, food dietary intake, flavonoid levels and cardiovascular risk markers in blood and urine, glycemic control, and anthropometrics will be completed. These assessments will enable us to determine the length of time the benefits of the pulse consumption are retained.

Being tested
control foods, Mixed bean (higher amount), Mixed beans (lower amount)
Keywords
Peripheral Artery Disease, Pulses, Beans, PAD
Medical subject headings
Peripheral Arterial Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • control foodsOther

    pulse-free control foods consumed daily, 5 days per week for 8 weeks

  • Mixed bean (higher amount)Other

    0.6 cup of mixed beans consumed 5 days per week for 8 weeks

  • Mixed beans (lower amount)Other

    0.3 cup of mixed beans consumed daily, 5 days per week for 5 weeks

Study groups in NCT01382056
Study groupRoleWhat they receive
Mixed beans (higher amount)ExperimentalParticipants may be randomized to foods containing 0.6 cup of mixed beans daily 5 times per week for 8 weeks
Receives: Other: Mixed bean (higher amount)
Mixed beans (lower aomunt)ExperimentalParticipants may be randomized to foods containing 0.3 cup of mixed beans daily, 5 times per week for 8 weeks.
Receives: Other: Mixed beans (lower amount)
Control foodsActive comparatorpulse-free control foods consumed daily, 5 days per week for 8 weeks
Receives: Other: control foods

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluate individual pulse types and varieties in healthy participants and participants with Peripheral Artery Disease.

    Vascular responsiveness will be monitored non-invasively by peripheral arterial tonometry before consumption of the test food and 2 hours post food consumption. Blood samples will be collected at the same time intervals for analyses, of vascular, inflammatory, and metabolic markers as well as flavonoids present in the pulses.

    Measured: 5-week schedule

Secondary outcomes (3)
  1. Evaluate the effects of mixed beans to determine improvements in vascular function

    Ankle brachial index, blood vessel function and claudication onset/walking distance will be measured and compared at the pre/post consumption time points (time 0, Week 8) in participants receiving food items with the most potent pulse variety or the control food items, and in follow-up during the post consumption follow-up phase at Weeks 2,4, and 8. Results of blood samples will be assessed and compared at the same time points for lipids, glucose, insulin, glycated hemoglobin and select markers of vascular function.

    Measured: 16 weeks

  2. Analysis of dietary patterns and nutritional intake, compliance and tolerability before and after consumption of an 8-week diet of mixed beans

    Dietary patterns and nutritional intake will be assessed at baseline and at Week 8. Participants will undergo an interview to assess compliance and tolerability at various time points (weeks 2, 5, and 8) throughout the 8-week feeding schedule.

    Measured: 8 weeks

  3. Evaluate the effects of mixed beans on cognitive function

    Data from the cognitive assessments collected at time 0 and Week 8 of the feeding schedule, and in follow-up post consumption at Weeks 2, 4, and 8, will be analyzed according to the statistical guide and recommendations provided with these tests. The cognitive tests that will be administered are: Mini Mental State Examination, Hopkins Verbal Learning, Digit Symbol Similarities Test, and Digit Span.

    Measured: 16 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jun 2011 (estimated)
  2. Study startMar 2012
  3. Primary completionDec 2013
  4. Study completionDec 2013

Resources

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
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01382056
Sponsor's protocol ID
B2011:026
Acronym
PULV-2011
Status last verified
Feb 2014
First submitted
22 Jun 2011
Last updated
12 Feb 2014
Results posted
No
Data monitoring committee
No

Publications

  • Dzau VJ, Braun-Dullaeus RC, Sedding DG. Vascular proliferation and atherosclerosis: new perspectives and therapeutic strategies. Nat Med. 2002 Nov;8(11):1249-56. doi: 10.1038/nm1102-1249. No abstract available.

    PubMed 12411952
  • Wilson PW, D'Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002 Sep 9;162(16):1867-72. doi: 10.1001/archinte.162.16.1867.

    PubMed 12196085
  • Calkin AC, Allen TJ. Diabetes mellitus-associated atherosclerosis: mechanisms involved and potential for pharmacological invention. Am J Cardiovasc Drugs. 2006;6(1):15-40. doi: 10.2165/00129784-200606010-00003.

    PubMed 16489846
  • Juvenile Diabetes Research Foundation (2005) http://www jdrf org au/publications/factsheets/complications html

  • Li TY, Rana JS, Manson JE, Willett WC, Stampfer MJ, Colditz GA, Rexrode KM, Hu FB. Obesity as compared with physical activity in predicting risk of coronary heart disease in women. Circulation. 2006 Jan 31;113(4):499-506. doi: 10.1161/CIRCULATIONAHA.105.574087.

    PubMed 16449729
  • British Heart Foundation Statistics (2006) www heartstats org

  • Poels MM, van Oijen M, Mattace-Raso FU, Hofman A, Koudstaal PJ, Witteman JC, Breteler MM. Arterial stiffness, cognitive decline, and risk of dementia: the Rotterdam study. Stroke. 2007 Mar;38(3):888-92. doi: 10.1161/01.STR.0000257998.33768.87. Epub 2007 Feb 1.

    PubMed 17272780
  • Waldstein SR, Rice SC, Thayer JF, Najjar SS, Scuteri A, Zonderman AB. Pulse pressure and pulse wave velocity are related to cognitive decline in the Baltimore Longitudinal Study of Aging. Hypertension. 2008 Jan;51(1):99-104. doi: 10.1161/HYPERTENSIONAHA.107.093674. Epub 2007 Nov 19.

    PubMed 18025297
  • Houston DK, Stevens J, Cai J, Haines PS. Dairy, fruit, and vegetable intakes and functional limitations and disability in a biracial cohort: the Atherosclerosis Risk in Communities Study. Am J Clin Nutr. 2005 Feb;81(2):515-22. doi: 10.1093/ajcn.81.2.515.

    PubMed 15699243
  • Bazzano LA, Serdula MK, Liu S. Dietary intake of fruits and vegetables and risk of cardiovascular disease. Curr Atheroscler Rep. 2003 Nov;5(6):492-9. doi: 10.1007/s11883-003-0040-z.

    PubMed 14525683
  • Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA. 2002 Nov 27;288(20):2569-78. doi: 10.1001/jama.288.20.2569.

    PubMed 12444864
  • Anderson JW, Major AW. Pulses and lipaemia, short- and long-term effect: potential in the prevention of cardiovascular disease. Br J Nutr. 2002 Dec;88 Suppl 3:S263-71. doi: 10.1079/BJN2002716.

    PubMed 12498626
  • Castro IA, Barroso LP, Sinnecker P. Functional foods for coronary heart disease risk reduction: a meta-analysis using a multivariate approach. Am J Clin Nutr. 2005 Jul;82(1):32-40. doi: 10.1093/ajcn.82.1.32.

    PubMed 16002797
  • Rowland I. Optimal nutrition: fibre and phytochemicals. Proc Nutr Soc. 1999 May;58(2):415-9. doi: 10.1017/s0029665199000543.

    PubMed 10466185
  • Gylling H, Miettinen TA. The effect of plant stanol- and sterol-enriched foods on lipid metabolism, serum lipids and coronary heart disease. Ann Clin Biochem. 2005 Jul;42(Pt 4):254-63. doi: 10.1258/0004563054255605.

    PubMed 15989725

Questions about this trial

What is this clinical trial studying?

A study testing Mixed bean (higher amount) and Mixed beans (lower amount) in people with Peripheral Artery Disease, run by University of Manitoba at 1 site in Canada.

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 15 inclusion and 19 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 12 Feb 2014. 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 Canada. 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?

Evaluate individual pulse types and varieties in healthy participants and participants with Peripheral Artery Disease. (time frame: 5-week schedule). 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 NCT01382056, which also lists 42 linked publications.

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 12 Feb 2014.

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