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CompletedNCT02391779Updated Jan 10, 2018

Flaxseed Lignan Supplementation in Elderly Participants With Stage I Hypertension

A Phase 2 interventional study of BeneFlax® and Walking training in Hypertension, sponsored by University of Saskatchewan. Completed at 1 site in Canada. Open to participants aged 60 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-01-10.

Sponsored by University of Saskatchewan · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
60 Years to 90 Years
Sex
All
01

Study summary

Current recommendations today suggest that use of therapeutic lifestyle changes, such as supplementation with specific dietary components and moderate exercise, are appropriate interventions for individuals with borderline high blood pressure. Dietary intervention with natural products, such as flaxseed, is associated with decreased prevalence of cardiovascular disease (Adolphe 2010). Lignans are the active compounds in flaxseed believed to mediate the cardiovascular health benefits following flaxseed consumption (Peterson 2010). Clinical trials indicate benefit of Flax Lignan Enriched Complex (FLC) (BeneFlax® from Archer Daniels Midland, a natural product derived from flaxseed composed of 34-38% lignan) for reducing blood cholesterol and glucose (Pan 2007; Zhang 2008) and blood pressure (Cornish 2009). Furthermore, a recent study in atherosclerosis patients showed significant clinical benefit of flaxseed meal for reducing blood pressure (Rodriguez-Leyva 2013). As a therapeutic lifestyle change that could prevent a need to introduce drug therapy in elderly patients, the effectiveness of FLC supplementation alone or in combination with moderate exercise merits investigation.

02

Conditions studied

  • Hypertension

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Keywords

  • High normal blood pressure
  • Stage I
03

In context

Hypertension

6,834 studies on the registry are indexed under Hypertension; 971 are open to participants now.

This study's planned enrollment of 100 is above the median of 90 across 5,095 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

University of Saskatchewan is the lead sponsor of 243 studies on the registry; 34 are open to participants now.

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

04

Who can participate

Ages eligible
60 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • High normal blood pressure (130/85 - 139/89) or stage I hypertension (140/90 - 150/90)
  • Ability to follow simple instructions

Exclusion criteria

Exclusion Criteria:

  • Age below 60 years.
  • Individuals living in long term care homes.
  • Individuals unable to walk for 30 minutes.
  • Unstable diabetes, or diabetics taking insulin (note: eligible diabetic participants will undergo additional testing during the study ).
  • Current cancer or diagnosed with cancer in the past 2 years.
  • Significant liver or other gastrointestinal disorder including inflammatory bowel disease. (While constipation is the most common gastrointestinal problem in the elderly, it would not be a contraindication)
  • Significant kidney disorder.
  • Have taken oral antibiotics in the past three months
  • Unstable or severe cardiac disease, recent myocardial infarction, or stroke (either in past 6 months or significantly affecting physical mobility).
  • Unstable other medical disease including, but not limited to, pulmonary disorder, epilepsy and genitourinary disorder.
  • Migraine with aura within the last year (as this is a risk factor for stroke).
  • Current diagnosis of a bleeding condition, or at risk of bleeding.
  • Significant immune-compromise.
  • Current use of hormone replacement therapy (except thyroid).
  • Current use of blood pressure medications and/or diuretics
  • Current use of flax seed supplement
  • Participation in any other clinical trial with an investigational agent within one month prior to randomization.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    BeneFlax® + walking training (Dash)

    BeneFlax (0.8 g, twice a day) with exercise training (30-60 minutes walking training, 5 times a week) for 8 weeks; all participants encouraged to follow Dash Eating Plan.

    Dietary Supplement: BeneFlax® · Behavioral: Walking training · Behavioral: Dash Eating Plan

  • Placebo comparator
    Placebo + walking training (Dash)

    Placebo (whey powder isocaloric to BeneFlax) with exercise training (30-60 minutes walking training, 5 times a week) for 8 weeks; all participants encouraged to follow Dash Eating Plan.

    Behavioral: Walking training · Dietary Supplement: Placebo (Whey Protein) · Behavioral: Dash Eating Plan

  • Experimental
    BeneFlax® + flexibility training (Dash)

    BeneFlax (0.8 g, twice a day) with placebo exercise training (flexibility training, 5 times a week) for 8 weeks; all participants encouraged to follow Dash Eating Plan.

    Dietary Supplement: BeneFlax® · Behavioral: Flexibility training · Behavioral: Dash Eating Plan

  • Sham comparator
    Placebo + flexibility training (Dash)

    Placebo (whey powder isocaloric to BeneFlax) with placebo exercise training (flexibility training, 5 times a week) for 8 weeks; all participants encouraged to follow Dash Eating Plan.

    Behavioral: Walking training · Behavioral: Flexibility training · Behavioral: Dash Eating Plan

Interventions

  • Dietary supplementBeneFlax®

    Daily ingestion of 600 mg SDG/day in 1.6 g SDG-enhanced flax lignan (BeneFlax®) with walking training or flexibility training

    Also known as: Flaxseed lignan enriched complex

  • BehavioralWalking training

    30-60 minutes walking training, 5 days/week.

  • BehavioralFlexibility training

    5 days/week; e.g. stretching training at home

  • Dietary supplementPlacebo (Whey Protein)

    0.6 g/day (an amount equal in volume to BeneFlax®) with walking training or flexibility training

  • BehavioralDash Eating Plan

    Dietary Approaches to Stop Hypertension (DASH), a balanced eating plan - all participants in all treatment arms will be encouraged to adopt a DASH eating plan.

06

What researchers measure

Primary outcomes

  1. Change in 24 h ambulatory systolic blood pressure

    Reduction in 24 h ambulatory systolic blood pressure at midpoint (week 4) and end (week 8) of the intervention relative to baseline value is the primary outcome of the intervention.

    Time frame: Baseline, week 4, and week 8

Secondary outcomes

  1. Change in body weight

    Change in body weight at midpoint (week 4) and end (week 8) of the intervention relative to baseline value.

    Time frame: Baseline, week 4, and week 8

  2. Heart rate

    Time frame: Baseline

  3. Glucometer fasting blood glucose

    Diabetes only; Blood glucose monitored to ensure intervention does not result in hypoglycemia.

    Time frame: Baseline

  4. Change in blood markers of safety and cardiovascular disease risk factors (clinical biochemical panel including fasting glucose, lipids, cholesterol, electrolytes, C-reactive protein)

    These parameters will be measured individual but reviewed as a composite to confirm safety and any change in cardiovascular disease risk.

    Time frame: Baseline, week 4, and week 8

  5. Blood levels of the flax lignan, secoisolariciresinol diglucoside (SDG), and its metabolites

    Time frame: Week 4

  6. Physical activity assessment tool (PASE)

    Time frame: Baseline

  7. Block Food Frequency Questionnaire

    Time frame: Baseline

  8. Change in Body composition by DXA (Dual-energy X-ray absorptiometry)

    Change in body composition at midpoint (week 4) and end (week 8) of the intervention relative to baseline value.

    Time frame: Baseline, week 4, and week 8

  9. Heart Rate

    Time frame: week 4

  10. Heart Rate

    Time frame: Week 8

  11. Change in lying and standing blood pressure

    Change in lying and standing blood pressure at midpoint (week 4) and end (week 8) of the intervention relative to baseline value.

    Time frame: Baseline, week 4, and week 8

  12. Respiratory rate

    Time frame: Baseline

  13. Respiratory rate

    Time frame: Week 4

  14. Respiratory rate

    Time frame: Week 8

  15. Block Food Frequency Questionnaire

    Time frame: Week 8

  16. Blood levels of the flax lignan, secoisolariciresinol diglucoside (SDG), and its metabolites

    Time frame: Week 8

  17. Glucometer fasting blood glucose

    Diabetes only; Blood glucose monitored to ensure intervention does not result in hypoglycemia.

    Time frame: Week 4

  18. Glucometer fasting blood glucose

    Diabetes only; Blood glucose monitored to ensure intervention does not result in hypoglycemia.

    Time frame: Week 8

Other outcomes

  1. Number of participants with adverse events as a safety measurement

    Time frame: Continuously throughout 9 weeks

  2. Number of participants with severe non-compliance with the protocol

    Time frame: Continuously throughout 9 weeks

07

Study locations

1 site
  • College of Pharmacy, University of Saskatchewan
    Saskatoon, Saskatchewan S7N 5E5, Canada
08

References and documents

Publications

  • Peterson J, Dwyer J, Adlercreutz H, Scalbert A, Jacques P, McCullough ML. Dietary lignans: physiology and potential for cardiovascular disease risk reduction. Nutr Rev. 2010 Oct;68(10):571-603. doi: 10.1111/j.1753-4887.2010.00319.x. PubMed 20883417 ↗
  • Pan A, Sun J, Chen Y, Ye X, Li H, Yu Z, Wang Y, Gu W, Zhang X, Chen X, Demark-Wahnefried W, Liu Y, Lin X. Effects of a flaxseed-derived lignan supplement in type 2 diabetic patients: a randomized, double-blind, cross-over trial. PLoS One. 2007 Nov 7;2(11):e1148. doi: 10.1371/journal.pone.0001148. PubMed 17987126 ↗
  • Zhang W, Wang X, Liu Y, Tian H, Flickinger B, Empie MW, Sun SZ. Dietary flaxseed lignan extract lowers plasma cholesterol and glucose concentrations in hypercholesterolaemic subjects. Br J Nutr. 2008 Jun;99(6):1301-9. doi: 10.1017/S0007114507871649. Epub 2007 Dec 6. PubMed 18053310 ↗
  • Cornish SM, Chilibeck PD, Paus-Jennsen L, Biem HJ, Khozani T, Senanayake V, Vatanparast H, Little JP, Whiting SJ, Pahwa P. A randomized controlled trial of the effects of flaxseed lignan complex on metabolic syndrome composite score and bone mineral in older adults. Appl Physiol Nutr Metab. 2009 Apr;34(2):89-98. doi: 10.1139/H08-142. PubMed 19370038 ↗
  • Rodriguez-Leyva D, Weighell W, Edel AL, LaVallee R, Dibrov E, Pinneker R, Maddaford TG, Ramjiawan B, Aliani M, Guzman R, Pierce GN. Potent antihypertensive action of dietary flaxseed in hypertensive patients. Hypertension. 2013 Dec;62(6):1081-9. doi: 10.1161/HYPERTENSIONAHA.113.02094. Epub 2013 Oct 14. PubMed 24126178 ↗
  • Adolphe JL, Whiting SJ, Juurlink BH, Thorpe LU, Alcorn J. Health effects with consumption of the flax lignan secoisolariciresinol diglucoside. Br J Nutr. 2010 Apr;103(7):929-38. doi: 10.1017/S0007114509992753. Epub 2009 Dec 15. PubMed 20003621 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2015, a primary completion of Jul 2017 and a completion of Jul 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 28, 2015
First posted
Mar 18, 2015
Start
May 2015
Primary completionActual
Jul 2017
CompletionActual
Jul 2017
Last update
Jan 10, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02391779
Responsible party
Jane Alcorn (PhD, University of Saskatchewan) — Principal investigator
First posted
Mar 18, 2015
Start date
May 2015
Primary completion
Jul 2017
Completion
Jul 2017
Last update
Jan 10, 2018

Study contacts

Jane Alcorn, PhD
principal investigator · University of Saskatchewan

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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