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HypertensionNCT04403347

Effect of Gut Microbiome Restoration on Primary Hypertension Via Dietary Intervention

A study testing Innovative Dietary Formulation (Patent ID: CN110250417A) and Regular Diet in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 8 sites in China.

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

Mounting preclinical and clinical evidences have proved the optimal role of diets (i.e. DASH (Dietary Approaches to Stop Hypertension) diet, Mediterranean diet) on BP control and a causal role of gut microbiota on the pathogenesis of primary hypertension. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Hypertension
What is being tested?
Innovative Dietary Formulation (Patent ID: CN110250417A) and Regular Diet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
130 participants
Where
8 sitesChina
Study dates
8 Jul 2021to 12 Sep 2024
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18~60 years.
  • Established Diagnosis of Grade 1 Hypertension (initial diagnosis or free from antihypertensive drugs within a month): 140mmHg≤ Office SBP<160mmHg for three measurements at different days without any antihypertensive medications, according to the "2010 Chinese Guidelines for Prevention and Treatment of Hypertension".
  • Patients with informed consent after thorough explanation.

Who cannot join

  • Antibiotics or probiotics usage within last 4 weeks
  • Participants of other clinical trials related to hypertension currently or within last 3 months
  • Antihypertensive medications usage currently or within last month
  • Diagnosed secondary hypertension
  • Severe hepatic or renal diseases ((ALT >3 times the upper limit of normal value, or end stage renal disease on dialysis or eGFR <30 mL/min/1.73 m2, or serum creatinine >2.5 mg/dl [>221 μmol/L])
  • History of large atherosclerotic cerebral infarction or hemorrhagic stroke (not including lacunar infarction and transient ischemic attack [TIA])
Show all 15Show fewer
  • Hospitalization for myocardial infarction within last 6 months; Coronary revascularization (PCI or CABG) within last 12 months; Planned for PCI or CABG in the next 12 months.
  • Sustained atrial fibrillation or arrhythmias at recruitment disturbing the electronic BP measurement.
  • NYHA class III-IV heart failure; Hospitalization for chronic heart failure exacerbation within last 6 months.
  • Severe valvular diseases; Potential for surgery or percutaneous valve replacement within the study period.
  • Dilated cardiomyopathy; Hypertrophic cardiomyopathy; Rheumatic heart disease; Congenital heart disease.
  • Other severe diseases influencing the entry or survival of participants, such as malignant tumor or acquired immune deficiency syndrome.
  • Cognitive impairment or severe neuropsychiatric comorbidities who are incapable of providing their own informed consent.
  • Participants preparing for or under pregnancy and/or lactation.
  • Other conditions inappropriate for recruitment according to the investigators.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

China8 sites
  • Beijing Pinggu Hospital

    Beijing, Beijing Municipality

  • Fuwai Hospital, Chinese Academy of Medical Sciences

    Beijing

  • Clinical Medical College&Affiliated Hospital of Chengdu University

    Chengdu, Sichuan

  • First Affiliated Hospital of Chongqing Medical University

    Chongqing

  • First Affiliated Hospital of Jinan University

    Guangzhou, Guangdong

  • Second Affiliated Hospital of Shantou University Medical College

    Shantou, Guangdong

  • Longgang District People's Hospital of Shenzhen

    Shenzhen, Guangdong

  • the People's Hospital of Ji Xian District

    Tianjin

Other trials in China

About this study

Official title: Effect of Tartary Buckwheat Diet Intervention on Primary Hypertension and the Underlying Mechanism of Gut Microbiome Restoration

Mounting preclinical and clinical evidences have proved the optimal role of diets (i.e. DASH (Dietary Approaches to Stop Hypertension) diet, Mediterranean diet) on BP control and a causal role of gut microbiota on the pathogenesis of primary hypertension. Dietary changes appeared to reshape gut microbiota and to ameliorate diseases such as Type 2 Diabetes. A hypothesis is thus raised that dietary changes can be a potential approach to ameliorate hypertension via gut microbiome restoration. This pilot study will utilize an innovative natural dietary formulation (patent ID: CN110250417A) derived from Tartary buckwheat(TBW) diet, in comparison with usual care (guideline-based patient education and lifestyle recommendations), to investigate its effect and safety on primary hypertension treatment, and the underlying mechanisms of gut microbiome restoration.

Read the detailed description

Primary hypertension is a most prevalent cardiovascular diseases, and becomes a severe global public health issue because of the high morbidity and potential risk to other cardiovascular diseases. Several animal studies and diverse patient cohorts reported that the disorder of gut microbiome correlated with hypertension. Based on the investigators' previous work findings of metagenomics analysis, fecal transplantation and metabolomics changes in hypertension and pre-hypertension patients, a casual role of gut microbiome disorder was observed in primary hypertension and raised a hypothesis that gut microbiome restoration can be a potential approach to ameliorate hypertension. Recent studies indicated FMT, prebiotics, probiotics, dietary changes and other methodologies can assist gut microbiome restoration in diseases such as type 2 diabetes. The investigators therefore develop two pilot studies respectively utilizing FMT capsules (Pilot Study I) and innovative dietary changes (Pilot Study II) to explore the methodologies, effect, safety and underlying mechanisms of gut microbiome restoration on hypertension. These pilot studies also present as the clinical translational part of the research project "The Role of Gut Microbiome in the Pathogenesis of Essential Hypertension"(Project ID 81630014, sponsored by National Natural Science Foundation of China).

This study is the Pilot Study II:

Objective: With reference of DASH diet and Mediterranean diet, this study aims to explore the effect and safety of an innovative natural dietary formulation (deriving from TBW diet) on primary hypertension, and the underlying mechanisms of gut microbiome restoration.

Study Design: A multicenter, randomized, open-label, controlled study.

Data quality control and statistical analysis: The investigators have invited professional statistic analysts to assist analyzing data and a third party to supervise data quality.

Ethics: The Ethics Committee of Fuwai Hospital approved this study. Informed consents before patient enrollment are required.

Conditions
Hypertension
Being tested
Innovative Dietary Formulation (Patent ID: CN110250417A), Regular Diet
Keywords
Hypertension, Microbiome, Treatment, Diet
Medical subject headings
Hypertension

What participants receive

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

  • Innovative Dietary Formulation (Patent ID: CN110250417A)Dietary supplement

    In addition to adherence to a regular diet and standard hypertension care, participants will receive an innovative dietary formulation incorporated into their daily meals and administered orally.

  • Regular DietOther

    Regular Diet with Usual Care

Study groups in NCT04403347
Study groupRoleWhat they receive
Innovative Dietary FormulationExperimentalIn addition to adherence to a regular diet and usual hypertension care, participants will receive an innovative dietary formulation (TBW diet) incorporated into their daily meals and administered orally.
Receives: Dietary Supplement: Innovative Dietary Formulation (Patent ID: CN110250417A)
Usual CareOtherUsual Care (Guideline-based patient education and lifestyle recommendations)
Receives: Other: Regular Diet

What is being measured

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

  1. Change for Office Systolic Blood Pressure (SBP)

    Change for Office Systolic Blood Pressure (SBP)

    Measured: From Baseline to the Month 2 (Week 8) follow-up visit

Secondary outcomes (13)
  1. Change for office SBP

    Change for office SBP

    Measured: Baseline, Month 1(Week 4), Month 3(Week 12)

  2. Change for Office Diastolic Blood Pressure (DBP)

    Change for Office Diastolic Blood Pressure (DBP)

    Measured: Baseline, Month 1(Week 4), Month 2 (Week 8), Month 3 (Week 12)

  3. Change for daytime average SBP via 24-hour Ambulatory BP Monitoring

    Change for daytime average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  4. Change for daytime average DBP via 24-hour Ambulatory BP Monitoring

    Change for daytime average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  5. Change for nighttime average SBP via 24-hour Ambulatory BP Monitoring

    Change for nighttime average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  6. Change for nighttime average DBP via 24-hour Ambulatory BP Monitoring

    Change for nighttime average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  7. Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Measured: All AEs over 3 months

  8. Intestinal Microbiota Composition Pre- and Post-intervention (innovative dietary formulation or usual care) via Metagenomic Analysis

    Intestinal Microbiota Composition Pre- and Post-intervention (innovative dietary formulation or usual care) via Metagenomic Analysis

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  9. Intestinal Microbiota function Pre- and Post-intervention (innovative dietary formulation or usual care) via Metagenomic Analysis

    Intestinal Microbiota function Pre- and Post-intervention (innovative dietary formulation or usual care) via Metagenomic Analysis

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  10. Plasma Metabolite Composition Pre- and Post-intervention (innovative dietary formulation or usual care) via Metabolomic Analysis

    Plasma Metabolite Composition Pre- and Post-intervention (innovative dietary formulation or usual care) via Metabolomic Analysis

    Measured: Baseline, Month 1(Week 4), Month 2(Week 8), Month 3(Week 12)

  11. Change for Fasting Blood Glucose Level

    Change for Fasting Blood Glucose Level

    Measured: Baseline, Month 2(Week 8)

  12. Change for Blood Lipid Level (Total Cholesterol, Total Triglyceride, Low Density Lipoprotein Cholesterol, High Density Lipoprotein Cholesterol)

    Change for Blood Lipid Level (Total Cholesterol, Total Triglyceride, Low Density Lipoprotein Cholesterol, High Density Lipoprotein Cholesterol)

    Measured: Baseline, Month 2(Week 8)

  13. Change for Body Mass Index

    Change for Body Mass Index

    Measured: Baseline, Month 2(Week 8)

Timeline

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

  1. First posted27 May 2020
  2. Study start8 Jul 2021
  3. Primary completion14 Aug 2024
  4. Study completion12 Sep 2024

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
130 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04403347
Sponsor's protocol ID
2017-GZ10 (Part II)
Status last verified
Jan 2026
First submitted
20 May 2020
Last updated
14 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, Wu S, Liu W, Cui Q, Geng B, Zhang W, Weldon R, Auguste K, Yang L, Liu X, Chen L, Yang X, Zhu B, Cai J. Gut microbiota dysbiosis contributes to the development of hypertension. Microbiome. 2017 Feb 1;5(1):14. doi: 10.1186/s40168-016-0222-x.

    PubMed 28143587
  • Zhao L, Zhang F, Ding X, Wu G, Lam YY, Wang X, Fu H, Xue X, Lu C, Ma J, Yu L, Xu C, Ren Z, Xu Y, Xu S, Shen H, Zhu X, Shi Y, Shen Q, Dong W, Liu R, Ling Y, Zeng Y, Wang X, Zhang Q, Wang J, Wang L, Wu Y, Zeng B, Wei H, Zhang M, Peng Y, Zhang C. Gut bacteria selectively promoted by dietary fibers alleviate type 2 diabetes. Science. 2018 Mar 9;359(6380):1151-1156. doi: 10.1126/science.aao5774.

    PubMed 29590046
  • Marques FZ, Nelson E, Chu PY, Horlock D, Fiedler A, Ziemann M, Tan JK, Kuruppu S, Rajapakse NW, El-Osta A, Mackay CR, Kaye DM. High-Fiber Diet and Acetate Supplementation Change the Gut Microbiota and Prevent the Development of Hypertension and Heart Failure in Hypertensive Mice. Circulation. 2017 Mar 7;135(10):964-977. doi: 10.1161/CIRCULATIONAHA.116.024545. Epub 2016 Dec 7.

    PubMed 27927713

Questions about this trial

What is this clinical trial studying?

A study testing Innovative Dietary Formulation (Patent ID: CN110250417A) and Regular Diet in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 8 sites in China.

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 3 inclusion and 15 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 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in China. 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?

Change for Office Systolic Blood Pressure (SBP) (time frame: From Baseline to the Month 2 (Week 8) follow-up visit). 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 NCT04403347, which also lists 3 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 14 Jan 2026.

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