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Muscle RecoveryNCT04725149

Investigating the Efficacy of Low or High Dose Tart Cherry on Recovery From Exercise Induced Muscle Damage and Establishing Its Molecular Mechanisms of Action

A study testing 500 ml base solution, 500 ml containing 30 ml tart cherry concentrate diluted with water and base solution and 500 ml containing 60 ml tart cherry concentrate diluted with water only in people with Muscle Recovery, run by PepsiCo Global R&D at 1 site in United Kingdom.

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

To determine the dose-response effects of 10-day tart cherry product consumption (0, 30 ml, and 60 ml) on knee extensor isometric strength 24-h and 48-h after muscle damaging exercise and to elucidate the mechanisms of action for TC supplementation. Read more about this study

Who is it for?
Ages 18 to 40 years, men onlyHealthy volunteers can take part
Conditions the study is for
Muscle Recovery
What is being tested?
500 ml base solution, 500 ml containing 30 ml tart cherry concentrate diluted with water and base solution and 500 ml containing 60 ml tart cherry concentrate diluted with water only
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
34 participants
Where
1 siteUnited Kingdom
Study dates
14 Dec 2020to 15 Dec 2022
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 40 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male in good health
  • 18-40y
  • BMI ≤ 29.9
  • Recreationally active but not highly trained (Participating in sport or physical activity at least once per week for the last 6 months and lower limb resistance training ≤ 1/week) (Part B only)
  • No lower limb musculoskeletal injury that prevented exercise in the last 3 months (Part B only)
  • Understanding of the procedures to be undertaken as part of the study
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  • Willing to participate in the exercise protocols (Part B only) and follow supplementation guidelines and other instructions provided by the experimenter
  • Willing to abstain from caffeine, alcohol and strenuous exercise for two 5 day periods (from 48h prior to muscle damaging exercise and throughout the follow up period; days 6-10 of the trial) for Part B, and abstain from caffeine and alcohol for two 3-day periods for Part A
  • Willing to keep food diaries for the duration of each arm of the trial and avoid multiple servings per day of foods that have a high polyphenol content from a list provided.
  • Willing to construct their diet for the first arm of the trial from a list of recipes provided, and to then replicate this diet during the second arm of the trial.
  • Willing to wear a triaxial accelerometer throughout each arm of the trial, and during the second arm of the trial to replicate their physical activity pattern completed in the first arm of the trial.
  • Willing to abstain from consumption of anti-inflammatory, analgesic medications or those with anti-coagulant effects especially NSAIDs and aspirin for 48h prior to and throughout each arm of the trial. (Part B only)
  • Willing to abstain from icing or applying compression bandages to the exercised/biopsied leg (Part B only)
  • Ability to provide voluntary written informed consent to participate in the study.

Who cannot join

  • Female
  • <18y or >40y
  • BMI ≥ 30
  • Inactive or well-trained (see inclusion criteria) (Part B only)
  • Lower limb musculoskeletal injury in the last 3 months (Part B only)
  • Under the care of a physician
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  • Known health condition that could interfere with any element of the data collection protocol. Any known pulmonary, gastrointestinal (e.g., irritable bowel syndrome, Crohn's disease), kidney, cardiovascular, or metabolic diseases, blood-borne infections, or coagulopathies including deep vein thrombosis (DVT)
  • Current regular consumption of nutritional/dietary supplements or previous use of any dietary supplements in the past 6 months known to have a lasting effect.
  • Current use of prescription medication; including the use of an inhaler
  • Non-steroidal anti-inflammatory drugs, aspirin or other analgesic medication or any anti-coagulants are prohibited during the study and for 48h prior to commencing supplementation
  • Allergy/sensitivity/intolerance to cherries, any cherry derived product, or any of the additional ingredients found within the TC test products, including sensitivity to sorbitol.
  • Allergy to lidocaine or other local anaesthetics. (Part B only)
  • Active drug or alcohol dependency
  • Current or active usage of nicotine or tobacco related products
  • Participation in a clinical trial within the past 30 days or concurrently during this trial
  • Participation in any PepsiCo trial within past 6 months, except that Part A participants may take part in Part B after a >=14 day washout from Part A
  • Inability to provide written informed consent

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • University of Exeter Sport and Health Sciences Department

    Exeter, UK, EX1 2LU

Other trials in United Kingdom

About this study

To determine the dose-response effects of 10-day tart cherry product consumption (0, 30 ml, and 60 ml) on knee extensor isometric strength 24-h and 48-h after muscle damaging exercise and to elucidate the mechanisms of action for TC supplementation.

Read the detailed description

Montmorency cherry supplementation has been shown to exert antioxidant and anti-inflammatory effects that can be beneficial for improving recovery from exercise. However, the investigator is currently not aware of how tart cherry polyphenol supplementation produces these effects. This study aims to determine the dose-response effects of 10-day tart cherry product consumption (placebo, 30 ml, and 60 ml Montmorency tart cherry concentrate in a 500 ml beverage) on knee extensor isometric strength 24-h and 48-h after muscle damaging exercise on supplementation Day 8; on enhancing recovery of other measures of muscle function (single leg eccentric and concentric force development and single leg jump height) and muscle soreness; on reducing markers of oxidative stress and inflammation in plasma, muscle and urine; on inducing signaling in muscle via the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway to upregulate endogenous antioxidant enzymes in muscle; on inhibiting muscle cyclo-oxygenase (COX-1 and COX-2).

This study also aims to identify and establish the molecular mechanisms of action through which tart cherry polyphenols exert antioxidant and anti-inflammatory effects. Oxidative stress and inflammatory signaling in primary human myogenic cells will be assessed by incubating primary human myogenic cells (commercial cell line) in sera derived from 6 participants consuming 8-day placebo vs. 60 ml/day Montmorency tart cherry concentrate supplement. Subjects are permitted to participate in both the molecular mechanism of action part of the study (Part A, no exercise component) and the damaging exercise muscle recovery part of the study (Part B).

For 60 ml doses in Parts A and B, global proteomics analysis of the muscle tissue will be conducted generate more insight into the mechanisms of action. This would identify the specific pathways that are influenced by cherry supplementation and allow identification of the full range of mechanisms involved, rather than assume antioxidant/anti-inflammatory effects alone.

Conditions
Muscle Recovery
Being tested
500 ml base solution, 500 ml containing 30 ml tart cherry concentrate diluted with water and base solution, 500 ml containing 60 ml tart cherry concentrate diluted with water only
Keywords
cherry, tart cherry, Montmorency cherry, beverage, exercise, muscle recovery, muscle soreness, muscle damage, muscle function, muscle strength, muscle biopsy, mechanism, oxidative stress, inflammation, anthocyanin, polyphenol, antioxidant, cyclo-oxygenase, myotube, mygenic culture
Medical subject headings
Motor Activity, Myalgia, Inflammation

What participants receive

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

  • 500 ml base solutionOther

    Color, taste, aroma, and calorie matched water base

  • 500 ml containing 30 ml tart cherry concentrate diluted with water and base solutionOther

    Montmorency cherry concentrate

  • 500 ml containing 60 ml tart cherry concentrate diluted with water onlyOther

    Montmorency cherry concentrate

Study groups in NCT04725149
Study groupRoleWhat they receive
0 ml tart cherry concentratePlacebo comparatorStill cherry-flavored beverage, similar in appearance, taste, aroma and calories to the 30 ml and 60 ml tart cherry concentrate beverages
Receives: Other: 500 ml base solution
30 ml tart cherry concentrateExperimental"Low dose" tart cherry concentrate beverage
Receives: Other: 500 ml containing 30 ml tart cherry concentrate diluted with water and base solution
60 ml tart cherry concentrateExperimental"High dose" tart cherry concentrate beverage
Receives: Other: 500 ml containing 60 ml tart cherry concentrate diluted with water only

What is being measured

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

  1. Isometric knee extensor strength

    Maximum voluntary contraction (MVC) as a measure of functional recovery from muscle damage. Unit of measurement is Newtons. Stronger is better.

    Measured: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).

Secondary outcomes (15)
  1. Single leg eccentric and concentric isokinetic force production

    Dynamic muscle strength measured by isokinetic contraction (IKC, 60 deg.s-1). More forceful is better.

    Measured: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).

  2. Single leg vertical jump height (SLVJ)

    Dynamic muscle strength measured by jump height (cm). Higher is better.

    Measured: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).

  3. Leg muscle soreness by Pressure Pain tolerance (PPT)

    Pressure pain tolerance (PPT) measured by algometer. Higher tolerance is better.

    Measured: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).

  4. Leg muscle soreness by Visual Analogue Scale (VAS)

    Measured using a visual analogue pain scale from 0 mm (no pain) to 100 mm (extremely painful). Lower score is better.

    Measured: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).

  5. Leg muscle biopsy for nuclear factor k-B (NFκB)

    Inflammation marker expression activity of the NFκB pathway will be measured by immunoblotting. Lower is better.

    Measured: Changes from pre and post exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  6. Leg muscle biopsy for cyclo-oxygenase COX1 protein

    Inflammation marker of cyclo-oxygenase measured by total protein carbonylation (immunoblotting). A reduction (inhibiting) is better.

    Measured: Changes from pre and post exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  7. Leg muscle biopsy for cyclo-oxygenase COX1 activity

    Inflammation marker of cyclo-oxygenase activity measured by commercially available colorimetric assay. A reduction (inhibiting) is better.

    Measured: Changes from pre and post exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  8. Leg muscle biopsy for nuclear factor erythroid 2-related factor 2 (Nrf2), absolute expression, nuclear translocation

    Oxidative damage marker Nrf2 pathway intended to upregulate endogenous antioxidant enzymes in muscle. Induction of signaling is better.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  9. Leg muscle biopsy for global proteomics analysis of muscle tissue samples for the 60 ml dose only

    Tissue analysis to identify pathways influenced by cherry supplementation and identify mechanisms of action.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  10. Leg muscle biopsy for endogenous antioxidant enzyme expression

    Enzymes (superoxide dismutase 1, superoxide dismutase 2, glutathione peroxidase 1 and catalase) protein expression quantified by immunoblotting. Higher values (upregulation by Nrf2) is better.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  11. Leg muscle biopsy for immune cell infiltration

    Inflammation marker response measured by immunohistochemistry. Less infiltration is better.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Biopsies are done after blood samples and before muscle soreness measures.

  12. Plasma interleukin-6 (IL-6)

    Plasma inflammatory stress response measured by ELISA. A reduction is better.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Pre exercise blood sampling is done after urine collection. Post exercise blood sampling done before biopsy.

  13. Plasma protein carbonyls

    Oxidative stress response and antioxidant status measured by ELISA. A reduction is better.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Pre exercise blood sampling is done after urine collection. Post exercise blood sampling done before biopsy.

  14. Plasma phenolic concentration

    LC-MS-MS metabolite analysis to evaluate plasma levels associated with tart cherry supplementation at 0, 30 and 60 ml/day.

    Measured: Changes from pre and post muscle damaging exercise on day 8 of tart cherry supplementation to pre-exercise on days 9 and 10 of supplementation. Pre exercise blood sampling is done after urine collection. Post exercise blood sampling done before biopsy.

  15. Urine oxidation-reduction potential (ORP)

    Urinary oxidation-reduction potential to measure oxidative damage and antioxidant status measured by probe. Less oxidative stress/free radical production is better.

    Measured: Change from pre-exercise value day 8 to days 9 and 10 of tart cherry supplementation. Collected upon arrival to the study site.

Timeline

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

  1. First posted26 Jan 2021
  2. Study start14 Dec 2020
  3. Primary completion15 Dec 2022
  4. Study completion15 Dec 2022

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
Repeated measures, double-blind, counter-balanced
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04725149
Sponsor's protocol ID
PEP-1905
Status last verified
Mar 2023
First submitted
20 Jan 2021
Last updated
3 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sabou V, O'Leary M, Jackman SR, Struszczak L, Bozbas E, Metcalf B, Tang JCY, Philo M, Kroon PA, Bowtell JL. Tart cherry supplementation causes differential regulation of skeletal muscle proteome after eccentric exercise. Front Nutr. 2026 May 26;13:1801399. doi: 10.3389/fnut.2026.1801399. eCollection 2026.

    PubMed 42272906

Questions about this trial

What is this clinical trial studying?

A study testing 500 ml base solution, 500 ml containing 30 ml tart cherry concentrate diluted with water and base solution and 500 ml containing 60 ml tart cherry concentrate diluted with water only in people with Muscle Recovery, run by PepsiCo Global R&D at 1 site in United Kingdom.

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 14 inclusion and 17 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 3 Apr 2023. 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 Kingdom. 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. Some participants in this study may receive a placebo. 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?

Isometric knee extensor strength (time frame: Changes from immediately before and immediately after muscle damaging exercise on day 8 of tart cherry supplementation to 24 hours and 48 hours after muscle damaging exercise (days 9 and 10 of supplementation).). 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 NCT04725149, 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 3 Apr 2023.

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