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CompletedNCT02228291Updated Jul 8, 2015

The Effect of Citric Flavonoid on Endothelial Function

An interventional study of Capsule containing citrus flavonoid and Placebo in Obesity and Overweight, sponsored by Maastricht University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-07-08.

Sponsored by Maastricht University Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This randomized, double-blind, placebo-controlled, parallel study aims to determine the 6-week and acute effects of daily administration of a citrus flavonoid on cardiovascular and intestinal health as assessed by investigation of endothelial function, blood pressure and heart rate, glucose/insulin metabolism, lipid profile and gut barrier function in overweigh subjects.

Futhermore we aim to relate the specific intestinal (microbial) metabolism with final serum levels of specific metabolites of the study product.

02

Conditions studied

  • Obesity
  • Overweight

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Keywords

  • Polyphenols
  • Endothelial function
  • Gut barrier function
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 68 is close to the median of 73 across 3,175 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 835 studies on the registry; 122 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Overweight men/women (BMI 25-35 kg/m2)
  • Healthy individuals
  • Age between 18 and 70 years
  • Fasting glucose \< 7.0 mmol/L
  • Normal HbA1c (4.4 to 6.2%)

Exclusion criteria

Exclusion Criteria:

  • Type 2 diabetes mellitus (defined as fasting plasma glucose ≥ 7.0 mmol/L)
  • Gastroenterological diseases or abdominal surgery
  • Cardiovascular diseases, cancer, liver or kidney malfunction, thyroid disorders, disease with a life expectancy shorter than 5 years
  • Self-admitted HIV-positive status
  • Abuse of products; alcohol (> 20 alcoholic consumptions per week) and drugs
  • Smoking
  • Plans to lose weight or following a hypocaloric diet during the study period
  • Weight gain or loss > 3 kg in previous 3 months
  • Use of medication interfering with endpoints
  • Intake of antihypertensive medication, statins, corticosteroids, NSAIDs, ciclosporin A, rifampicin are strictly forbidden
  • Use of antioxidants, minerals and vitamin supplements available in pharmacies, drugstores, food markets or in alternative medicine
  • Hormone replacement therapy (women)
  • Use of antibiotics in the 90 days prior to the start of study
  • Administration of investigational drugs or participation in any scientific intervention study which may interfere with this study (to be decided by the principle investigator) in the 180 days prior to the study
  • Known pregnancy (assessed by a pregnancy test before start of study), lactation
  • Blood donation within 3 months before study period
  • Failure to comply prohibited intake of hesperidin containing food products during study period and prohibited intake of food products that are able to influence the FMD measurements one day prior to test days.
  • History of any side effects towards the intake of flavonoids or citrus fruits
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
68 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Cellulose

    Dietary Supplement: Placebo

  • Experimental
    Citric flavonoid

    Citric flavonoid

    Dietary Supplement: Capsule containing citrus flavonoid

Interventions

  • Dietary supplementCapsule containing citrus flavonoid
  • Dietary supplementPlacebo
06

What researchers measure

Primary outcomes

  1. Endothelial function

    The primary objective of this study is to evaluate the efficacy on endothelial function, as assessed by flow mediated dilatation (FMD) measurements, after 6 weeks of administration of study product.

    Time frame: 6 weeks

Secondary outcomes

  1. Endothelial function

    The second secondary objective of this study is to determine the 6-week effect on plasma biomarkers of endothelial dysfunction and low-grade inflammation.

    Time frame: 6 weeks

  2. Blood pressure & heart rate

    The third objective of this study is to assess the 6-week effect on blood pressure and heart rate by measuring systolic and diastolic blood pressure and heart rate.

    Time frame: 6 weeks

  3. Glucose / insulin metabolism

    The fourth secondary objective of this study is to determine the 6-week effect on glucose / insulin metabolism by blood measurements.

    Time frame: 6 weeks

  4. Lipid profile

    The fourth secondary objective of this study is to determine the 6-week effect on lipid profile by blood measurements.

    Time frame: 6 weeks

  5. Gut barrier function

    The fifth secondary objective of this study is to assess the acute and 6-week effect on gut barrier function by measuring plasma and fecal endotoxin (LPS) and zonulin.

    Time frame: 6 weeks

  6. Gut barrier function

    The sixth secondary objective of this study is to assess the 6-week effect of on gut barrier function by performing a gut sugar permeability test.

    Time frame: 6 weeks

  7. Colonic inflammation

    The seventh secondary objective of this study is to assess the 6-week effect on colonic inflammation, by measuring fecal calprotectin.

    Time frame: 6 weeks

  8. Bioavailability and metabolism

    The eight secondary objective of this study is to enlarge the understanding of the bioavailability and metabolism of this study product in human beings, by relating specific intestinal (microbial) metabolism with serum levels of its metabolites.

    Time frame: 5 days

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Study locations

1 site
  • Maastricht University Medical Center
    Maastricht, Limburg 6229HX, Netherlands
08

References and documents

Publications

  • Salden BN, Troost FJ, de Groot E, Stevens YR, Garces-Rimon M, Possemiers S, Winkens B, Masclee AA. Randomized clinical trial on the efficacy of hesperidin 2S on validated cardiovascular biomarkers in healthy overweight individuals. Am J Clin Nutr. 2016 Dec;104(6):1523-1533. doi: 10.3945/ajcn.116.136960. Epub 2016 Oct 26. PubMed 27797708 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02228291
Lead sponsor
Maastricht University Medical Center
Responsible party
Bouke Salden (Coordinating Investigator, Maastricht University Medical Center) — Principal investigator
First posted
Aug 29, 2014
Start date
Mar 2014
Primary completion
Dec 2014
Completion
Dec 2014
Last update
Jul 8, 2015

Study contacts

A.A.M. Masclee, MD, PhD
principal investigator · Department of Internal Medicine, Division of Gastroenterology-Hepatology

Oversight

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

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This study is completed, as verified in Jul 2015. You cannot join it, but the record below documents what was studied.

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