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The FLAVO Trial: Dietary Flavonoids and Cardiovascular Disease Risk Reduction in Postmenopausal Women With Type 2 Diabetes (FLAVO)

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ClinicalTrials.gov Identifier: NCT00677599
Recruitment Status : Completed
First Posted : May 14, 2008
Last Update Posted : May 13, 2011
Information provided by:

Study Description
Brief Summary:
The purpose of this placebo controlled trial is to determine whether a year long intervention with flavonoids (found in cocoa and soy) is more effective in reducing the risk of cardiovascular disease in postmenopausal women with type 2 diabetes, than standard therapy (statins). A range of markers of cardiovascular disease risk are being studied and volunteers are also providing urine and blood samples. 152 postmenopausal women, from the locality, will be recruited for this study.

Condition or disease Intervention/treatment
Cardiovascular Disease Diabetes Dietary Supplement: Flavonoid enrichment (cocoa / soy compounds)

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 152 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Prevention
Official Title: Reducing Cardiovascular Risk With Dietary Flavonoids in Post Menopausal Women With Type 2 Diabetes
Study Start Date : May 2008
Primary Completion Date : April 2010
Study Completion Date : April 2010

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Active Comparator: Intervention A
Experimental arm enriched with flavonoids
Dietary Supplement: Flavonoid enrichment (cocoa / soy compounds)
Flavonoid compounds from cocoa (including epicatechin) and soy to be consumed for 365days in the experimental intervention (versus placebo consumption). 27g chocolate bar the vehicle for flavonoid enrichment.
Other Name: Flavonoid enrichment of compounds found in cocoa and soy versus placebo control
Placebo Comparator: Intervention B Dietary Supplement: Flavonoid enrichment (cocoa / soy compounds)
27g placebo chocolate bar to be consumed for 365 days.

Outcome Measures

Primary Outcome Measures :
  1. Change in cardiovascular disease risk indictaors - including carotid intima-media thickness (CIMT), total plaque volume (TPV) (at the carotid bifurcation), pulse wave velocity (PWV) and biomarkers of risk in blood samples . [ Time Frame: 6 months - 1 year ]

Eligibility Criteria

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Ages Eligible for Study:   up to 70 Years   (Child, Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria

  • Female
  • Having had a natural menopause and a minimum of 1 year since last menstruation
  • Caucasian
  • under 70 years
  • Type 2 diabetics
  • Those using statins (≥40 mg simvastatin or ≥10 mg atorvastatin) for at least 12 months
  • Not currently taking Hormone Replacement Therapy (HRT) and not having taken HRT for a minimum of 6 months prior to commencement
  • Having no significant past or present medical history of vascular disease, or cancers (specifically breast, uterine or ovarian)
  • Never-smokers, and ex-smokers who have given up smoking at least 12 months before recruitment to the study

Exclusion Criteria

  • Currently taking HRT or having taken this medication within 6 months of the trial
  • Those prescribed to use statin therapy for less than 12 months Significant past or present medical history of vascular disease (including ECG and enzyme confirmed myocardial infarction, clinical angina, ischaemic stroke peripheral vascular disease, intermittent claudication) or cancer (especially breast, uterine or ovarian)
  • Hypertensive's with a systolic BP ≥ 160 mm Hg at maximum, or hypertensive's with a systolic BP ≤160 mm Hg at maximum, but who have received antihypertensive therapy for less than 12 months or have had increases to their medication indicating poor control
  • Current smokers or those having given up smoking less than 12 months before recruitment to the study
  • Those prescribed aspirin for a period of less than 12 months prior to recruitment
  • Those prescribed insulin for a period of less than 12 months prior to recruitment and those having had increases to their medication indicating poor control
  • Regular non-prescribed use of anti-inflammatory pain relief medication (i.e. aspirin, paracetamol, cocodamol).
  • Taking other counter indicative medication e.g. steroidal medication during the trial, or within 1 month of the trial beginning.
  • Taking food / dietary supplements e.g. vitamins, minerals, fish oils, plant oils, isoflavones, soy products, carotenoids during the trial (unless prepared to cease intake during, and 1 month preceding the trial).
  • Having vaccinations (excluding the flu vaccination) or antibiotics within 3 months of start of trial, and those with vaccinations scheduled for during the trial
  • Parallel participation in another research project which involves dietary intervention and/or sampling of biological fluids/material
  • Assessed from the clinical screening: HbA1c ≥ 10%; Creatinine >125µmol/L; ALP > 378 IU/L; ALT >150 IU/L; GGT > 180 IU/L
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00677599

United Kingdom
University of East Anglia (UK); School of Medicine, Health Policy and Practice
Norwich, Norfolk, United Kingdom, NR47TJ
Sponsors and Collaborators
University of East Anglia
Quadram Institute
The Bertram Diabetes Centre & Radiology department (Norfolk & Norwich University Hospital, UK)
Clinical Research and Trials Unit (Norfolk & Norwich University Hospital, UK)
Diabetes UK
Frutarom Netherlands B.V. - Soy producer
Barry Callebaut - chocolate manufacturer contracted to produce intervention foods
Principal Investigator: Aedin MM Cassidy, PhD University of East Anglia
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Aedin Cassidy; Professor of Nutrition, School of Medicine, Health Policy & Practice, University of East Anglia
ClinicalTrials.gov Identifier: NCT00677599     History of Changes
Other Study ID Numbers: R15098
REC Ref: 07/H0310/136
First Posted: May 14, 2008    Key Record Dates
Last Update Posted: May 13, 2011
Last Verified: May 2011

Keywords provided by University of East Anglia:
Cardiovascular disease
type 2 diabetes
carotid intima media thickness
plaque volume

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Cardiovascular Diseases
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases