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CitrullineNCT05143879

Long-Term Effect of Combined Citrulline and Nitrate-Rich Beetroot Extract Supplementation

A study testing Citrulline, Nitrate and Nitrate plus Citrulline in people with Citrulline and Nitrate, run by Burgos Nutrition at 1 site in Spain.

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

Citrulline (CIT) and nitrate-rich beetroot extract (BEET) are widely studied ergogenic aids. However, both supplements have been studied in sort-term and isolated. To the best of the authors' knowledge, the effects of combining both supplements on exercise-induced muscle damage (EIMD) and hormone status have not been… Read more about this study

Who is it for?
Ages 25 to 35 years, men onlyHealthy volunteers can take part
Conditions the study is for
Citrulline, Nitrate, Athletes
What is being tested?
Citrulline, Nitrate and Nitrate plus Citrulline
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteSpain
Study dates
1 May 2018to 1 Oct 2021
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 25 to 35 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males between 25 and 35 years old
  • Triathletes
  • With at least 5 years of experience
  • Without any disease
  • Non smokers
  • Non drinkers of alcohol
  • Not to take any other medications or stimulant substances during the study
  • 2 weeks without taking other nutritional supplements

Who cannot join

  • Men under 25 and over 35 years of age.
  • Non triathletes
  • Less than 5 years of experience
  • With any disease
  • Smokers
  • Alcohol drinkers

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • University of Leon

    León, Castille and León, 24004

Other trials in Spain

About this study

Official title: Long-term Effect of Combined Citrulline and Nitrate-rich Beetroot Extract Supplementation on Recovery Status in Trained Male Triathletes

Citrulline (CIT) and nitrate-rich beetroot extract (BEET) are widely studied ergogenic aids. However, both supplements have been studied in sort-term and isolated. To the best of the authors' knowledge, the effects of combining both supplements on exercise-induced muscle damage (EIMD) and hormone status have not been investigated to date. Therefore, the main purpose of this study was to determine the effect and degree of potentiation of the long-term (9 weeks) mixture of 3 g/day of CIT plus 2.1 g/day of BEET (300 mg/day of NIT) supplementation on EIMD markers (urea, creatinine, AST, ALT, GGT, LDH and CK) and anabolic/catabolic hormone status (testosterone, cortisol and Testosterone cortisol ratio (T/C)) in male trained triathletes. This study was a double-blind, placebo-controlled trial where participants (n = 32) were randomized into 4 different groups: placebo group (PLG; n = 8), CIT group (CITG; 3 g/day of CIT; n = 8), BEET group (BEETG; 2.1 g/day of BEET (300 mg/day of NIT) ; n = 8) and CIT-NIT group (CIT-BEETG; 3 g/day of CIT plus 2.1 g/day of BEET (300 mg/day of NIT); n = 8). Blood samples were collected from all participants at baseline (T1) and after 9 weeks of supplementation (T2).

Read the detailed description

Triathlon is an endurance sport in which athletes compete sequentially in swimming, cycling and running. Prolonged and strenuous training combined with insufficient recovery can produce muscular and metabolic stress, resulting in structural and functional damage to the musculoskeletal system leading to a fatigue status, which results in decreased athletic performance. As a consequence of this type of combined exercise, there are also alterations in biochemical markers of exercise-induced muscle damage (EIMD) as well as anabolic/catabolic hormones. Therefore, their analysis is useful in determining the balance between training loads and recovery. In this sense, it is essential to include different strategies to reduce or prevent EIMD, which delay or reduce muscle fatigue and improve sports performance. One of these strategies is the use of different ergogenic aids such as L-citrulline (CIT) and nitrates (NIT) which have been proposed as both substances produce an increase in nitric oxide (NO).

Being tested
Citrulline, Nitrate, Nitrate plus Citrulline, Placebo
Keywords
triathlon, performance, ergogenic aids, muscle fatigue, recovery, hormones

What participants receive

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

  • CitrullineDietary supplement

    3 g/day during 9 weeks

  • NitrateDietary supplement

    300 mg/day during 9 weeks

  • Nitrate plus CitrullineDietary supplement

    3 g/day of citrulline and 300 mg/day of nitrate during 9 weeks

  • PlaceboDietary supplement

    Also called Cellulose

    3 g/day during 9 weeks

Study groups in NCT05143879
Study groupRoleWhat they receive
PlaceboPlacebo comparator8 subjects took 3 g/kg/day of placebo during 9 weeks
Receives: Dietary Supplement: Placebo
NitrateActive comparator8 subjects took 3 g/kg/day of nitrate during 9 weeks
Receives: Dietary Supplement: Nitrate
CitrullineActive comparator8 subjects took 3 g/kg/day of citrulline during 9 weeks
Receives: Dietary Supplement: Citrulline
Nitrate plus CitrullineActive comparator8 subjects took 3 g/kg/day of nitrate plus citrulline during 9 weeks
Receives: Dietary Supplement: Nitrate plus Citrulline

What is being measured

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

  1. Cortisol

    μg/dL

    Measured: 9 weeks

  2. Testosterone

    ng/mL

    Measured: 9 weeks

  3. Testosterone to cortisol ratio

    ng/mL

    Measured: 9 weeks

  4. Urea

    mg/dl

    Measured: 9 weeks

  5. Creatinine

    mg/dl

    Measured: 9 weeks

  6. AST

    U/L

    Measured: 9 weeks

  7. ALT

    U/L

    Measured: 9 weeks

  8. GGT

    U/L

    Measured: 9 weeks

  9. LDH

    U/L

    Measured: 9 weeks

  10. CK

    U/L

    Measured: 9 weeks

Timeline

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

  1. First posted3 Dec 2021
  2. Study start1 May 2018
  3. Primary completion30 Aug 2018
  4. Study completion1 Oct 2021

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
Other
Allocation
Randomised
Intervention model
Crossover
Model description
The main purpose of this study was to determine the effect and degree of potentiation of the long-term (9 weeks) mixture of 3 g/day of CM plus 2.1 g/day of BEET (300 mg/day of NIT) supplementation on EIMD markers (urea, creatinine, AST, ALT, GGT, LDH and CK) and anabolic/catabolic hormone status (testosterone (T), cortisol (C), and T/C) in male trained triathletes.
Masking
Single blind
Who is masked
Investigator
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05143879
Sponsor's protocol ID
ULE-020-2020
Status last verified
Nov 2021
First submitted
2 Oct 2021
Last updated
3 Dec 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gonzalez AM, Trexler ET. Effects of Citrulline Supplementation on Exercise Performance in Humans: A Review of the Current Literature. J Strength Cond Res. 2020 May;34(5):1480-1495. doi: 10.1519/JSC.0000000000003426.

    PubMed 31977835
  • Gilligan DM, Panza JA, Kilcoyne CM, Waclawiw MA, Casino PR, Quyyumi AA. Contribution of endothelium-derived nitric oxide to exercise-induced vasodilation. Circulation. 1994 Dec;90(6):2853-8. doi: 10.1161/01.cir.90.6.2853.

    PubMed 7994830
  • Anderson JE. A role for nitric oxide in muscle repair: nitric oxide-mediated activation of muscle satellite cells. Mol Biol Cell. 2000 May;11(5):1859-74. doi: 10.1091/mbc.11.5.1859.

    PubMed 10793157
  • Bailey SJ, Blackwell JR, Lord T, Vanhatalo A, Winyard PG, Jones AM. l-Citrulline supplementation improves O2 uptake kinetics and high-intensity exercise performance in humans. J Appl Physiol (1985). 2015 Aug 15;119(4):385-95. doi: 10.1152/japplphysiol.00192.2014. Epub 2015 May 28.

    PubMed 26023227
  • Viribay A, Arribalzaga S, Mielgo-Ayuso J, Castaneda-Babarro A, Seco-Calvo J, Urdampilleta A. Effects of 120 g/h of Carbohydrates Intake during a Mountain Marathon on Exercise-Induced Muscle Damage in Elite Runners. Nutrients. 2020 May 11;12(5):1367. doi: 10.3390/nu12051367.

    PubMed 32403259
  • Wang JM, Gu CH, Tao L, Wu XL. Effect of surgery and efferent duct ligation on testicular blood flow and testicular steroidogenesis in the rat. J Reprod Fertil. 1985 Jan;73(1):191-6. doi: 10.1530/jrf.0.0730191.

    PubMed 3968652
  • Monau TR, Vargas VE, Zhang L, Myers DA, Ducsay CA. Nitric oxide inhibits ACTH-induced cortisol production in near-term, long-term hypoxic ovine fetal adrenocortical cells. Reprod Sci. 2010 Oct;17(10):955-62. doi: 10.1177/1933719110376092. Epub 2010 Aug 16.

    PubMed 20713972
  • Milton-Laskibar I, Martinez JA, Portillo MP. Current Knowledge on Beetroot Bioactive Compounds: Role of Nitrate and Betalains in Health and Disease. Foods. 2021 Jun 7;10(6):1314. doi: 10.3390/foods10061314.

    PubMed 34200431
  • Clifford T, Bell O, West DJ, Howatson G, Stevenson EJ. The effects of beetroot juice supplementation on indices of muscle damage following eccentric exercise. Eur J Appl Physiol. 2016 Feb;116(2):353-62. doi: 10.1007/s00421-015-3290-x. Epub 2015 Nov 4.

    PubMed 26537365
  • Garnacho-Castano MV, Palau-Salva G, Serra-Paya N, Ruiz-Hermosel M, Berbell M, Vinals X, Bataller MG, Carbonell T, Vilches-Saez S, Cobo EP, Molina-Raya L. Understanding the effects of beetroot juice intake on CrossFit performance by assessing hormonal, metabolic and mechanical response: a randomized, double-blind, crossover design. J Int Soc Sports Nutr. 2020 Nov 13;17(1):56. doi: 10.1186/s12970-020-00388-z.

    PubMed 33187518
  • da Silva DK, Jacinto JL, de Andrade WB, Roveratti MC, Estoche JM, Balvedi MCW, de Oliveira DB, da Silva RA, Aguiar AF. Citrulline Malate Does Not Improve Muscle Recovery after Resistance Exercise in Untrained Young Adult Men. Nutrients. 2017 Oct 18;9(10):1132. doi: 10.3390/nu9101132.

    PubMed 29057836
  • Wax B, Kavazis AN, Luckett W. Effects of Supplemental Citrulline-Malate Ingestion on Blood Lactate, Cardiovascular Dynamics, and Resistance Exercise Performance in Trained Males. J Diet Suppl. 2016;13(3):269-82. doi: 10.3109/19390211.2015.1008615. Epub 2015 Feb 12.

    PubMed 25674699
  • Perez-Guisado J, Jakeman PM. Citrulline malate enhances athletic anaerobic performance and relieves muscle soreness. J Strength Cond Res. 2010 May;24(5):1215-22. doi: 10.1519/JSC.0b013e3181cb28e0.

    PubMed 20386132
  • McMahon NF, Leveritt MD, Pavey TG. The Effect of Dietary Nitrate Supplementation on Endurance Exercise Performance in Healthy Adults: A Systematic Review and Meta-Analysis. Sports Med. 2017 Apr;47(4):735-756. doi: 10.1007/s40279-016-0617-7.

    PubMed 27600147
  • Jones AM, Thompson C, Wylie LJ, Vanhatalo A. Dietary Nitrate and Physical Performance. Annu Rev Nutr. 2018 Aug 21;38:303-328. doi: 10.1146/annurev-nutr-082117-051622.

    PubMed 30130468

Questions about this trial

What is this clinical trial studying?

A study testing Citrulline, Nitrate and Nitrate plus Citrulline in people with Citrulline and Nitrate, run by Burgos Nutrition at 1 site in Spain.

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 8 inclusion and 6 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 Dec 2021. 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 Spain. 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?

Cortisol (time frame: 9 weeks). The study lists 10 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 NCT05143879, which also lists 20 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 3 Dec 2021.

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