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CompletedNCT02061098POMEcardioUpdated Apr 14, 2015

Effect of a Pomegranate Extract on Cardiovascular Risk Markers in Overweight Healthy Subjects

A Phase 1/2 interventional study of Pomegranate extract-first dose-Group A and Placebo-first dose-Group B in Overweight, sponsored by National Research Council, Spain. Completed at 1 site in Spain. Open to participants aged 40 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-04-14.

Sponsored by National Research Council, Spain · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
40 Years to 65 Years
Sex
All
01

Study summary

The investigators objective is to carry out a placebo-controlled, dose-response, randomized clinical trial to assess the effects of polyphenols or derived metabolites on cardiovascular disease risk in overweight adult subjects upon the consumption of pomegranate extract.

The investigators hypothesis is that chronic consumption of a ellagitannin-rich source such as pomegranate extract could decrease serum oxidized-LDL as well as other inflammatory markers. The correlation between the effect exerted and the subjects' microbiota (capacity to produce the ellagitannin-derived metabolites urolithins) will indicate a possible role of urolithins on the effects.

02

Conditions studied

  • Overweight

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Keywords

  • Pomegranate
  • Cardiovascular
  • Urolithins
  • Microbiota
  • Polyphenols
  • Nutraceutical
  • Dietary supplement
03

In context

Overweight

3,670 studies on the registry are indexed under Overweight; 849 are open to participants now.

This study's enrollment of 50 is below the median of 73 across 3,175 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

National Research Council, Spain is the lead sponsor of 28 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Aged 40-65 years
  • Body mass index (BMI) >27 kg/m2
  • Healthy status (no illness in the previous 3-months).

Exclusion criteria

Exclusion Criteria:

  • Smoking.
  • Pregnancy/lactation.
  • Severe medical illness/chronic disease/ or gastrointestinal pathology (ulcers, irritable bowel syndrome, ulcerative colitis, Crohn disease etc.).
  • Previous gastrointestinal surgery
  • Recent use of antibiotics (within 1-month prior to the study)
  • Suspected hypersensitivity to pomegranate or any of its components
  • Consumption of nutraceuticals, botanical extracts or other vitamin supplements or taking medication.
  • Regular consumption of ellagitannin-containing foodstuffs (walnuts, pomegranate, strawberries, raspberries, oak-aged red wine) (after filling a food-frequency questionnaire).
  • Intake of ellagitannins-containing foodstuffs the week before the pharmacokinetic intervention.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Care provider)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Pomegranate extract

    Crossover and dose-response: Both groups A and B will consume pomegranate extract and placebo. Both groups will also consume two doses of pomegranate extract and placebo. Group A will consume 1 daily capsule of pomegranate extract and group B will consume 1 daily capsule of placebo for 3 weeks. After a wash-out period of 3 weeks, group A will consume 1 daily capsule of placebo and group B will consume 1 daily capsule of pomegranate extract for 3 weeks. After a washout period of 3 weeks, group A will consume 4 daily capsules of pomegranate extract for 3 weeks and group B will consume 4 daily capsules of placebo for 3 weeks. After a washout period of 3 weeks, group A will consume 4 daily capsules of placebo for 3 weeks and group B will consume 4 daily capsules of pomegranate for 3 weeks.

    Dietary Supplement: Pomegranate extract-first dose-Group A · Dietary Supplement: Pomegranate extract-first dose-Group B · Dietary Supplement: Pomegranate extract-second dose-Group A · Dietary Supplement: Pomegranate extract-second dose-Group B

  • Placebo comparator
    Placebo

    Crossover and dose-response: Both groups A and B will consume pomegranate extract and placebo. Both groups will also consume two doses of pomegranate extract and placebo. Group A will consume 1 daily capsule of pomegranate extract and group B will consume 1 daily capsule of placebo for 3 weeks. After a wash-out period of 3 weeks, group A will consume 1 daily capsule of placebo and group B will consume 1 daily capsule of pomegranate extract for 3 weeks. After a washout period of 3 weeks, group A will consume 4 daily capsules of pomegranate extract for 3 weeks and group B will consume 4 daily capsules of placebo for 3 weeks. After a washout period of 3 weeks, group A will consume 4 daily capsules of placebo for 3 weeks and group B will consume 4 daily capsules of pomegranate for 3 weeks.

    Dietary Supplement: Placebo-first dose-Group B · Dietary Supplement: Placebo-first dose-Group A · Dietary Supplement: Placebo-second dose-Group B · Dietary Supplement: Placebo-second dose-Group A

Interventions

  • Dietary supplementPomegranate extract-first dose-Group A

    Group A will consume 1 daily capsule of pomegranate extract for 3 weeks

    Also known as: Group A consumes pomegranate extract (first dose)

  • Dietary supplementPlacebo-first dose-Group B

    Group B will consume 1 daily capsules of placebo for 3 weeks.

    Also known as: Group B consumes placebo (first dose)

  • Dietary supplementPomegranate extract-first dose-Group B

    After 3 weeks of washout, group B will consume 1 daily capsule of pomegranate extract for 3 weeks.

    Also known as: Group B consumes pomegranate extract (first dose)

  • Dietary supplementPlacebo-first dose-Group A

    After 3 weeks of washout, group A will consume 1 daily capsule of placebo for 3 weeks.

    Also known as: Group A consumes placebo (first dose)

  • Dietary supplementPomegranate extract-second dose-Group A

    After 3 weeks of washout, group A will consume 4 daily capsules of pomegranate extract for 3 weeks.

    Also known as: Group A consumes pomegranate extract (second dose)

  • Dietary supplementPlacebo-second dose-Group B

    After 3 weeks of washout, group B will consume 4 daily capsules of placebo for 3 weeks.

    Also known as: Group B consumes placebo (second dose)

  • Dietary supplementPomegranate extract-second dose-Group B

    After 3 weeks of washout, group B will consume 4 daily capsules of pomegranate extract for 3 weeks.

    Also known as: Group B consumes pomegranate extract (second dose)

  • Dietary supplementPlacebo-second dose-Group A

    After 3 weeks of washout, group A will consume 4 daily capsules of placebo for 3 weeks.

    Also known as: Group A consumes placebo (second dose)

06

What researchers measure

Primary outcomes

  1. Change in serum oxidized LDL-cholesterol concentration

    Effect on circulating levels of oxidized particles of LDL-cholesterol

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

Secondary outcomes

  1. Change in serum lipids and lipoproteins levels

    Effects on serum total cholesterol, LDL-cholesterol, HDL-cholesterol and apolipoproteins A1 (ApoA1), B (ApoB) and E (ApoE).

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

  2. Change in serum sICAM, sVCAM and hsCRP

    Effect on soluble intercellular adhesion molecule (sICAM), soluble vascular adhesion molecule (sVCAM) and high-sensitivity C-reactive protein (hsCRP)

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

  3. Change in fecal microbiota

    Prebiotic effect: Change in short fatty acids, bifidobacteria, lactobacilli and other selected species in feces

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

  4. Number of volunteers with adverse events as a measure of safety and tolerability

    * Change in markers involved in hepatic and renal functions: GGT, AST, ALP, ALT, CPK, urate, creatinin, albumin, bilirubin, LDH. * Change in hematological variables: leucocytes, neutrophils, lymphocytes, monocytes, eosinophils, basophils, hemoglobin, hematocrit, mean corpuscular volume, mean platelet volume, platelets, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration. * Intolerance, dyspepsia, allergic reactions, constipation, diarrhea, abdominal pain, nausea.

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

  5. Change in phenolics and derived metabolites in plasma, feces and urine.

    Dose-response effect of pomegranate intake on phenolics and gut-microbiota derived metabolites in plasma, feces and urine.

    Time frame: Change from baseline at 3, 6, 9, 12, 15, 18, 21 and 24 weeks

07

Study locations

1 site
  • UCAM (San Antonio Catholic University from Murcia)
    Murcia, 30107, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02061098
Lead sponsor
National Research Council, Spain
Collaborators
Universidad Católica San Antonio de Murcia, The Scientific and Technological Research Council of Turkey
Responsible party
Juan Carlos Espín de Gea (Full Research Professor, National Research Council, Spain) — Principal investigator
First posted
Feb 12, 2014
Start date
Feb 2014
Primary completion
Aug 2014
Completion
Dec 2014
Last update
Apr 14, 2015

Study contacts

Dr. Juan Carlos Espín, PhD
principal investigator · National Research Council (CEBAS-CSIC, Murcia, Spain)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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