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High-Normal Blood PressureCONDORNCT05167747

Food Supplementation With Diuripres for Blood Pressure Modulation in Subjects With High-Normal Blood Pressure

A study testing Dietary Supplement in people with High-Normal Blood Pressure, run by University of Bologna at 1 site in Italy.

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

Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide, reaching the 31% of deaths in 2012. CVDs represent also the major cause of disability in developed countries and has been estimated that their growing burden could lead to a global increase in loss of disability-adjusted life years (DALY)… Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
High-Normal Blood Pressure
What is being tested?
Dietary Supplement
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteItaly
Study dates
1 Sep 2021to 25 Mar 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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects agree to participate in the study and having dated and signed the informed consent form;
  • Subjects who have the capability to communicate, to make themselves understood, and to comply with the study's requirements;
  • Subjects with high-normal blood pressure (SBP= 130-139 mmHg and/or DBP= 85-89 mmHg);
  • Subjects who, according to the SCORE charts, have a low or moderate cardiovascular risk (defined as a total cardiovascular risk < 5%) and for whom, according to 2018 ESC/ESH guidelines, the intervention strategy does not require a pharmacological intervention.

Who cannot join

  • Subjects already affected by cardiovascular diseases (secondary prevention) or with an estimated 10 years cardiovascular disease risk> 5%;
  • Obesity (Body mass index>30 kg/m2);
  • Type 1 or type 2 diabetes;
  • Assumption of anti-hypertensive drugs or food supplements, or drugs potentially affecting blood pressure;
  • Lipid-lowering treatment not stabilized since at least 2 months;
  • Anticoagulants therapy;
Show all 15Show fewer
  • Known current thyroid, gastrointestinal or hepatobiliary diseases;
  • Any medical or surgical condition that would limit the patient adhesion to the study protocol;
  • Abuse of alcohol or drugs (current or previous);
  • History of malignant neoplasia in the 5 years prior to enrolment in the study;
  • History or clinical evidence of inflammatory disease such as severe arthritis, systemic lupus erythematosus or chronic inflammatory diseases or current therapy with immunosuppressive agents or long-term glucocorticoids;
  • History or clinical evidence of any significant concomitant disease that could compromise the safety of the subject or the possibility of completing the study;
  • Known previous intolerance to one component of the tested nutraceuticals;
  • Women in fertile age not using consolidated contraceptive methods;
  • Pregnancy and Breastfeeding.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • S. Orsola-Malpighi University Hospital

    Bologna

Other trials in Italy

About this study

Official title: Double-blind, Placebo-controlled, Randomized Clinical Trial Comparing the Effect of a Combined Nutraceutical and Placebo on Blood Pressure Level, Vascular Health, and Metabolic Parameters in Subjects Affected by Normal-High Blood Pressure

Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide, reaching the 31% of deaths in 2012. CVDs represent also the major cause of disability in developed countries and has been estimated that their growing burden could lead to a global increase in loss of disability-adjusted life years (DALY), from a loss of 85 million DALYs of 1990 to a loss of ~ 150 million DALYs in 2020, becoming a major cause of no psychic responsible for lost productivity.

Several risk factors contribute to the aetiology and development of CVD. These factors have been traditionally stratified into modifiable risk factors through the lifestyle changes or by taking a pharmacologic treatment (e.g. hypertension, smoking, diabetes mellitus, hypercholesterolemia) and not modifiable risk factors (age, male sex and family history). Essential hypertension is the most common modifiable risk factor in the general population, with a prevalence in Western Countries -including Italy- ranging between about 25-45%.

Read more

Given the large prevalence of the disease of the general population, hypertension is responsible for the vast majority of CVD in individuals with different CV risk profiles, despite the availability of effective and well tolerated antihypertensive therapies. In this regard, several reports have shown that hypertensive patients often present additional CV and metabolic risk factors, mostly hypercholesterolemia, hypertriglyceridemia, metabolic syndrome and diabetes, which further contribute to increase the individual risk of developing hypertension-related complications, including stroke, end-stage renal disease, congestive heart failure, and CVD death. The concomitant presence of hypertension and dyslipidaemia is also responsible for the objective difficulty in achieving the recommended therapeutic targets for BP and cholesterol levels in a setting of clinical practice.

Several pharmacological and non-pharmacological interventions have been proposed for ameliorating the relatively low rates of control of hypertension. Among these, an extensive use of nutrients and food supplements has been shown to provide favourable effects in the management and control of high-normal blood pressure (BP) (or pre-hypertension), that increases the risk of developing hypertension, cardiovascular diseases, and renal failure.

Read the detailed description

Among food supplements largely used in this field, Orthosiphon stamineus Benth leaf extract has been recognized for its well-known diuretic properties; extract of hawthorn (Crataegus curvisepala Lind.) has been shown to exert a renal-protective effect in high salt-induced hypertension and extract of hibiscus (Hibiscus sabdariffa L.) is well known for its antihypertensive and vasodilator effect in human. Moreover, supplementation with magnesium has been recently found to play a critical role in BP regulation, through directly stimulating prostacyclin and nitric oxide formation, modulating endothelium-dependent and endothelium-independent vasodilation, reducing vascular tone and reactivity, and preventing vascular injury via its antioxidant and anti-inflammatory functions.

The objective of this study is to evaluate the effect of dietary supplementation of a combined food supplement (NUT) containing magnesium, standardized extract of orthosiphon (Orthosiphon stamineus Benth), standardized extract of hawthorn (Crataegus curvisepala Lind.) and standardized extract of hibiscus (Hibiscus sabdariffa L.) compared to placebo, on blood pressure and other markers of vascular aging in subjects with high-normal blood pressure.

Being tested
Dietary Supplement, Placebo

What participants receive

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

  • Dietary SupplementDietary supplement

    Dietary supplement formulated with magnesium, standardized extract of orthosiphon, standardized extract of hawthorn and standardized extract of hibiscus. Each tablet contains: 0.1 g magnesium, 0.25 g standardized extract of orthosiphon (Orthosiphon stamineus Benth), 0.16 standardized extract of hawthorn (Crataegus curvisepala Lind.) and 0.08 g standardized extract of hibiscus (Hibiscus sabdariffa L.).

    Oral administration: 2 tablets/day at evening meal

  • PlaceboOther

    Oral administration: 2 tablets/day at evening meal

Study groups in NCT05167747
Study groupRoleWhat they receive
Active ComparatorActive comparatorDietary supplement
Receives: Dietary Supplement: Dietary Supplement
Placebo comparatorPlacebo comparatorPlacebo
Receives: Other: Placebo

What is being measured

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

  1. Systolic blood pressure absolute reduction from baseline and between groups

    Absolute reduction of systolic blood pressure after 8 weeks of treatment

    Measured: 8 weeks

  2. Diastolic blood pressure absolute reduction from baseline and between groups

    Absolute reduction of diastolic blood pressure after 8 weeks of treatment

    Measured: 8 weeks

Secondary outcomes (46)
  1. Systolic blood pressure absolute reduction from baseline and between groups

    Absolute reduction of systolic blood pressure after 4 weeks of treatment

    Measured: 4 weeks

  2. Diastolic blood pressure absolute reduction from baseline and between groups

    Absolute reduction of diastolic blood pressure after 4 weeks of treatment

    Measured: 4 weeks

  3. Percent reduction from baseline and between groups in vascular reactivity

    Percent reduction of flow-mediated dilation (FMD) after 4 weeks of treatment

    Measured: 4 weeks

  4. Percent reduction from baseline and between groups in vascular reactivity

    Percent reduction of flow-mediated dilation (FMD) after 8 weeks of treatment

    Measured: 8 weeks

  5. Absolute change from baseline and between groups in body weight

    Absolute change of body weight after 4 weeks of treatment

    Measured: 4 weeks

  6. Absolute change from baseline and between groups in body weight

    Absolute change of body weight after 8 weeks of treatment

    Measured: 8 weeks

  7. Absolute change from baseline and between groups in body mass index

    Absolute change of body mass index after 4 weeks of treatment

    Measured: 4 weeks

  8. Absolute change from baseline and between groups in body mass index

    Absolute change of body mass index after 8 weeks of treatment

    Measured: 8 weeks

  9. Absolute change from baseline and between groups in waist circumference

    Absolute change of waist circumference after 4 weeks of treatment

    Measured: 4 weeks

  10. Absolute change from baseline and between groups in waist circumference

    Absolute change of waist circumference after 8 weeks of treatment

    Measured: 8 weeks

  11. Absolute change from baseline and between groups in hip circumference

    Absolute change of hip circumference after 4 weeks of treatment

    Measured: 4 weeks

  12. Absolute change from baseline and between groups in hip circumference

    Absolute change of hip circumference after 8 weeks of treatment

    Measured: 8 weeks

  13. Absolute change from baseline and between groups in waist/hip circumference ratio

    Absolute change waist/hip circumference ratio after 4 weeks of treatment

    Measured: 4 weeks

  14. Absolute change from baseline and between groups in waist/hip circumference ratio

    Absolute change waist/hip circumference ratio after 8 weeks of treatment

    Measured: 8 weeks

  15. Absolute change from baseline and between groups in the index of central obesity

    Absolute change of the index of central obesity after 4 weeks of treatment

    Measured: 4 weeks

  16. Absolute change from baseline and between groups in the index of central obesity

    Absolute change of the index of central obesity after 8 weeks of treatment

    Measured: 8 weeks

  17. Absolute change from baseline and between groups in the visceral adiposity index

    Absolute change of the visceral adiposity index after 4 weeks of treatment

    Measured: 4 weeks

  18. Absolute change from baseline and between groups in the visceral adiposity index

    Absolute change of the visceral adiposity index after 8 weeks of treatment

    Measured: 8 weeks

  19. Absolute change from baseline and between groups in fat and lean mass

    Absolute change of fat and lean mass after 4 weeks of treatment

    Measured: 4 weeks

  20. Absolute change from baseline and between groups in fat and lean mass

    Absolute change of fat and lean mass after 8 weeks of treatment

    Measured: 8 weeks

  21. Absolute change from baseline and between groups in renal function

    Absolute change of creatinine and the estimated glomerular filtration rate (eGFR) after 4 weeks of treatment

    Measured: 4 weeks

  22. Absolute change from baseline and between groups in renal function

    Absolute change of creatinine and the estimated glomerular filtration rate (eGFR) after 8 weeks of treatment

    Measured: 8 weeks

  23. Absolute change from baseline and between groups in serum lipids

    Absolute change of serum concentrations of total cholesterol, triglycerides - TG, high-density lipoprotein cholesterol - HDL-C, non-high-density lipoprotein cholesterol - non HDL-C, low-density lipoprotein cholesterol - LDL-C after 4 weeks of treatment

    Measured: 4 weeks

  24. Absolute change from baseline and between groups in lipids ratios

    Absolute change of lipids ratios after 4 weeks of treatment

    Measured: 4 weeks

  25. Absolute change from baseline and between groups in serum lipids

    Absolute change of serum concentrations of total cholesterol, triglycerides - TG, high-density lipoprotein cholesterol - HDL-C, non-high-density lipoprotein cholesterol - non HDL-C, low-density lipoprotein cholesterol - LDL-C after 8 weeks of treatment

    Measured: 8 weeks

  26. Absolute change from baseline and between groups in serum lipids ratios

    Absolute change of lipids ratios after 8 weeks of treatment

    Measured: 8 weeks

  27. Absolute change from baseline and between groups in high sensitivity C reactive protein

    Absolute change of high sensitivity C reactive protein (hsCRP) after 4 weeks of treatment

    Measured: 4 weeks

  28. Absolute change from baseline and between groups in high sensitivity C reactive protein

    Absolute change of high sensitivity C reactive protein (hsCRP) after 8 weeks of treatment

    Measured: 8 weeks

  29. Absolute change from baseline and between groups in serum uric acid concentrations

    Absolute change of serum uric acid after 4 weeks of treatment

    Measured: 4 weeks

  30. Absolute change from baseline and between groups in serum uric acid concentrations

    Absolute change of serum uric acid after 8 weeks of treatment

    Measured: 8 weeks

  31. Absolute change from baseline and between groups in fasting plasma glucose concentrations

    Absolute change of fasting plasma glucose after 4 weeks of treatment

    Measured: 4 weeks

  32. Absolute change from baseline and between groups in fasting plasma glucose concentrations

    Absolute change of fasting plasma glucose after 8 weeks of treatment

    Measured: 8 weeks

  33. Treatment acceptability

    Evaluation of patients' satisfaction assessed by a Visual Analogue Scale (VAS) scale (with two end points representing 0 -low acceptability- and 10 -high acceptability-) after 4 weeks of treatment

    Measured: 4 weeks

  34. Treatment acceptability

    Evaluation of patients' satisfaction assessed by a Visual Analogue Scale (VAS) scale (with two end points representing 0 -low acceptability- and 10 -high acceptability-) after 8 weeks of treatment

    Measured: 8 weeks

  35. Treatment tolerability

    Evaluation of treatment's tolerability assessed by patients with a Visual Analogue Scale (VAS) scale (with two end points representing 0 -no pain- and 10 -pain as bad as it could possibly be-) after 4 weeks of treatment

    Measured: 4 weeks

  36. Treatment tolerability

    Evaluation of treatment's tolerability assessed by patients with a Visual Analogue Scale (VAS) scale (with two end points representing 0 -no pain- and 10 -pain as bad as it could possibly be-) after 8 weeks of treatment

    Measured: 8 weeks

  37. Absolute change from baseline and between groups in liver transaminases and gamma glutamil transferase

    Absolute reduction of alanine aminotransferase, aspartate aminotransferase and gamma glutamil transferase after 4 weeks of treatment

    Measured: 4 weeks

  38. Absolute change from baseline and between groups in liver transaminases and gamma glutamil transferase

    Absolute reduction of alanine aminotransferase, aspartate aminotransferase and gamma glutamil transferase after 8 weeks of treatment

    Measured: 8 weeks

  39. Absolute change from baseline and between groups in augumentation pressure

    Absolute change of augumentation pressure after 4 weeks of treatment assessed by Vicorder software

    Measured: 4 weeks

  40. Absolute change from baseline and between groups in augumentation index

    Absolute change of augumentation index after 4 weeks of treatment assessed by Vicorder software

    Measured: 4 weeks

  41. Absolute change from baseline and between groups in augumentation pressure

    Absolute change of augumentation pressure after 8 weeks of treatment assessed by Vicorder software

    Measured: 8 weeks

  42. Absolute change from baseline and between groups in augumentation index

    Absolute change of augumentation index after 8 weeks of treatment assessed by Vicorder software

    Measured: 8 weeks

  43. Percent change from baseline and between groups in the estimated body water content

    Percent change of the body water content after 4 weeks of treatment, assessed by bioelectrical impedance analysis (BIA)

    Measured: 4 weeks

  44. Percent change from baseline and between groups in the estimated body water content

    Percent change of the body water content after 8 weeks of treatment, assessed by bioelectrical impedance analysis (BIA)

    Measured: 8 weeks

  45. Absolute change from baseline and between groups in estimated risk of cardiovascular disease

    Absolute change of the percent estimated risk of cardiovascular disease after 4 weeks of treatment

    Measured: 4 weeks

  46. Absolute change from baseline and between groups in estimated risk of cardiovascular disease

    Absolute change of the percent estimated risk of cardiovascular disease after 8 weeks of treatment

    Measured: 8 weeks

Timeline

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

  1. First posted22 Dec 2021
  2. Study start1 Sep 2021
  3. Primary completion25 Mar 2022
  4. Study completion25 Mar 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05167747
Sponsor's protocol ID
Pre-HPT_RCT_2021
Acronym
CONDOR
Status last verified
Jan 2024
First submitted
28 May 2021
Last updated
1 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Fogacci F, Degli Esposti D, Di Micoli A, Fiorini G, Veronesi M, Borghi C, Cicero AFG. Effect of dietary supplementation with Diuripres(R) on blood pressure, vascular health, and metabolic parameters in individuals with high-normal blood pressure or stage I hypertension: The CONDOR randomized clinical study. Phytother Res. 2023 Oct;37(10):4851-4861. doi: 10.1002/ptr.7951. Epub 2023 Jul 14.

    PubMed 37448322

Questions about this trial

What is this clinical trial studying?

A study testing Dietary Supplement in people with High-Normal Blood Pressure, run by University of Bologna at 1 site in Italy.

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 4 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 1 Feb 2024. 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 Italy. 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?

Systolic blood pressure absolute reduction from baseline and between groups (time frame: 8 weeks). The study lists 2 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 NCT05167747, 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 1 Feb 2024.

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