Interaction of Cocoa Methylxanthines With Cocoa Flavanol Related Vascular Effects (New Drink)
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ClinicalTrials.gov Identifier: NCT02149238 |
Recruitment Status :
Completed
First Posted : May 29, 2014
Last Update Posted : December 23, 2014
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Epidemiological studies suggest that certain foods rich in flavanols, including cocoa products, red wine, and tea, are associated with decreased cardiovascular mortality and morbidity. Dietary interventional studies have corroborated this finding and showed that flavanols can acutely and after sustained ingestion improve surrogate markers of cardiovascular risk including endothelial function. Endothelial dysfunction is the key event in the development and progression of cardiovascular disease. Aging is the major non-modifiable cardiovascular risk factor associated with progressive decline in endothelial function, vascular stiffening and increase in blood pressure.
However, in addition to flavanols, other potentially bioactive compounds are present in cocoa, in particular methylxanthines. Little is known about the vascular effects of cocoa methylxanthines, i.e. mainly theobromine, in particular when consumed together with flavanols in cocoa products. The aim of the study is to characterize the nutrient-nutrient interaction between cocoa flavanols and cocoa methylxanthines.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Cardiovascular Diseases | Dietary Supplement: flavanol Dietary Supplement: methylxanthine Dietary Supplement: flavanol + methylxanthine | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 36 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Masking: | Double (Participant, Investigator) |
Primary Purpose: | Basic Science |
Official Title: | Acute Study to Investigate the Interaction of Cocoa Methylxanthines With Cocoa Flavanol Related Vascular Effects |
Study Start Date : | February 2011 |
Actual Primary Completion Date : | December 2014 |
Actual Study Completion Date : | December 2014 |

Arm | Intervention/treatment |
---|---|
Active Comparator: flavanol rich drink intervention
flavanol rich drink
|
Dietary Supplement: flavanol |
Active Comparator: methylxanthine rich drink intervention
methylxanthine rich drink
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Dietary Supplement: methylxanthine |
Active Comparator: flavanol + methylxanthine rich drink intervention
flavanol + methylxanthine rich drink
|
Dietary Supplement: flavanol + methylxanthine |
- Endothelial function [ Time Frame: 2 hours ]Flow mediated dilatation (FMD)
- Plasma flavanol metabolites [ Time Frame: 2 hours ]Measured by HPLC
- Pulse wave velocity [ Time Frame: 2 hours ]Measured by SphygmoCor
- Ambulatory blood pressure [ Time Frame: 2 hours ]automatical measurements
- Circulation angiogenetic cells [ Time Frame: 2 hours ]

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Ages Eligible for Study: | 18 Years to 60 Years (Adult) |
Sexes Eligible for Study: | Male |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- healthy male subjects
- >18 years
Exclusion Criteria:
- acute inflammation
- cardiac arrhythmia
- renal failure
- heart failure (NYHA II-IV)
- diabetes mellitus
- CRP > 1 mg/dl
- malignant disease

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): NCT02149238
Germany | |
Division of Cardiology, Pulmonology and Vascular Medicine | |
Duesseldorf, Germany, 40225 |
Principal Investigator: | Christian Heiss, MD | Division of Cardiology, Pulmonology and Vascular Medicine | |
Study Chair: | Malte Kelm, MD | Division of Cardiology, Pulmonology and Vascular Medicine |
Responsible Party: | Klinik für Kardiologie, Pneumologie und Angiologie, Heinrich-Heine University, Duesseldorf |
ClinicalTrials.gov Identifier: | NCT02149238 |
Other Study ID Numbers: |
New Drink |
First Posted: | May 29, 2014 Key Record Dates |
Last Update Posted: | December 23, 2014 |
Last Verified: | December 2014 |
flavanols cardiovascular effects nutrition-nutrition interaction |
Cardiovascular Diseases |