CClinicalTrials.gg
CompletedNCT02670382Updated Apr 14, 2021Results posted

Role of Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA) on Inflammation and Lipids

An interventional study of EPA and DHA in Metabolic Syndrome, sponsored by Tufts University. Completed at 1 site in United States. Open to participants aged 50 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-14.

Sponsored by Tufts University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
50 Years to 75 Years
Sex
All
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Study summary

The objective of this study is to provide critical information regarding both common and distinctive roles of EPA and DHA in systemic inflammation and lipid metabolism.

Read the detailed description

This is a randomized, placebo-controlled, double-blind, crossover study of the effects of EPA and DHA on inflammation and lipid metabolism in 24 men and women with metabolic syndrome. The study will characterize the effects of EPA alone and DHA alone, relative to each other and to placebo, on plasma biomarkers of inflammation, inflammatory cell activation and gene expression, and plasma lipid and lipoprotein levels.

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Conditions studied

  • Metabolic Syndrome
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In context

Metabolic Syndrome

1,963 studies on the registry are indexed under Metabolic Syndrome; 329 are open to participants now.

This study's enrollment of 24 is below the median of 60 across 1,459 interventional studies indexed under Metabolic Syndrome.

Browse Metabolic Syndrome studies →

Lead sponsor

Tufts University is the lead sponsor of 225 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 7 (70%) have results posted.

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

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Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • fasting plasma TG levels between 150 and 500 mg/dL
  • C-reactive protein (CRP) levels ≥2 µg/mL
  • at least one of the following criteria for the definition of metabolic syndrome:

    • abdominal obesity (waist circumference >40 inches in men and >35 inches in women),
    • hypertension (blood pressure ≥130/≥85 mmHg or use of anti-hypertensive medications), and
    • fasting glucose ≥110 mg/dL.

Exclusion criteria

Exclusion criteria:

  • high-fish diets (>2 fish meals/week)
  • taking fish oil supplements or supplements containing EPA or DHA
  • allergy to sardines
  • allergy to sunflower oil
  • regular use of anti-inflammatory medications (NSAID, COX inhibitors, corticosteroids)
  • anticoagulant therapy
  • alcohol consumption >7 drinks/week
  • uncontrolled thyroid dysfunction
  • insulin-dependent type 2 diabetes mellitus
  • kidney or liver disease
  • smoking
  • alterations in coagulation
  • use of lipid altering medications
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    EPA intervention

    Subjects randomized to receive 3000 mg EPA/day, provided as EPA 750 mg/capsule will be instructed to take 2 capsules by mouth in the morning and 2 in the evening with meals for 10 weeks.

    Dietary Supplement: EPA

  • Experimental
    DHA intervention

    Subjects randomized to 3000 mg DHA/day provided as DHA 750 mg/capsule will instructed to take 2 capsules by mouth in the morning and 2 in the evening with meals for 10 weeks.

    Dietary Supplement: DHA

  • Placebo comparator
    Placebo

    3000 mg high oleic acid sunflower oil/day; 750 mg high oleic acid sunflower oil/capsule; subjects instructed to take 2 capsules by mouth in the morning and 2 in the evening with meals during 4 week long lead-in phase.

    Dietary Supplement: sunflower oil

Interventions

  • Dietary supplementEPA

    10 week supplementation

    Also known as: eicosapentaenoic acid

  • Dietary supplementDHA

    10 week supplementation

  • Dietary supplementsunflower oil

    4-week lead-in

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What researchers measure

Primary outcomes

  1. Interleukin-6 (IL-6)

    plasma levels in pg/mL

    Time frame: 10 weeks

  2. Tumor Necrosis Factor Alpha (TNF-alpha)

    plasma levels in pg/mL

    Time frame: 10 weeks

  3. Low Density Lipoprotein Cholesterol (LDL-C)

    plasma levels in mg/dL

    Time frame: 10 weeks

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Results

Posted Apr 14, 2021

Participant flow

405 subjects were screened for eligibility at the Metabolic Research Unit of the Human Nutrition Research Center on Aging at Tufts Unoversity

Placebo lead-in Phase
Participant flow — Placebo lead-in Phase
MilestonePlacebo, Then EPA, Then DHAPlacebo, Then DHA, and Then EPA
Started1212
Completed1011
Not completed21
Withdrew: Withdrawal by subject21
First Active Intervention
Participant flow — First Active Intervention
MilestonePlacebo, Then EPA, Then DHAPlacebo, Then DHA, and Then EPA
Started1011
Completed1011
Not completed00
Second Active Intervention
Participant flow — Second Active Intervention
MilestonePlacebo, Then EPA, Then DHAPlacebo, Then DHA, and Then EPA
Started1011
Completed1011
Not completed00

Outcome measures

PrimaryInterleukin-6 (IL-6)

plasma levels in pg/mL

Time frame:
10 weeks
Reported as:
Mean · pg/mL
Interleukin-6 (IL-6)
pg/mLPlaceboEPA InterventionDHA Intervention
Interleukin-6 (IL-6)0.96 ± 0.561.01 ± 0.510.99 ± 0.77
Statistical analysis
  • Placebo vs EPA Intervention · Mixed Models Analysis · p = 0.33
  • Placebo vs DHA Intervention · Mixed Models Analysis · p = 0.92
  • EPA Intervention vs DHA Intervention · Mixed Models Analysis · p = 0.44
PrimaryTumor Necrosis Factor Alpha (TNF-alpha)

plasma levels in pg/mL

Time frame:
10 weeks
Reported as:
Mean · pg/mL
Tumor Necrosis Factor Alpha (TNF-alpha)
pg/mLPlaceboEPA InterventionDHA Intervention
Tumor Necrosis Factor Alpha (TNF-alpha)2.38 ± 0.542.48 ± 0.642.47 ± 0.76
Statistical analysis
  • Placebo vs EPA Intervention · Mixed Models Analysis · p = 0.34
  • Placebo vs DHA Intervention · Mixed Models Analysis · p = 0.50
  • EPA Intervention vs DHA Intervention · Mixed Models Analysis · p = 0.83
PrimaryLow Density Lipoprotein Cholesterol (LDL-C)

plasma levels in mg/dL

Time frame:
10 weeks
Reported as:
Mean · mg/dL
Low Density Lipoprotein Cholesterol (LDL-C)
mg/dLPlaceboEPA InterventionDHA Intervention
Low Density Lipoprotein Cholesterol (LDL-C)130 ± 26136 ± 26140 ± 32
Statistical analysis
  • Placebo vs EPA Intervention · Mixed Models Analysis · p = 0.10
  • Placebo vs DHA Intervention · Mixed Models Analysis · p = 0.005
  • EPA Intervention vs DHA Intervention · Mixed Models Analysis · p = 0.17

Adverse events

Collected over adeverse events were collected during the participation of study subjects, equivalent to 34 weeks. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
EPA Intervention0/21 (0%)0/21 (0%)0/21 (0%)
DHA Intervention0/21 (0%)0/21 (0%)0/21 (0%)
Placebo0/21 (0%)0/21 (0%)1/21 (4.8%)
Most frequent other events
Most frequent other events
EventEPA InterventionDHA InterventionPlacebo
goutMetabolism and nutrition disorders0/210/211/21
hypertensionCardiac disorders0/210/211/21

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Participants
Mean62 ± 6
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female12
Male9
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Participants
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American2
White18
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)All Participants
United States21
Body mass index
Body mass index(kg/m^2)All Participants
Mean32.20 ± 6.61
C reactive protein
C reactive protein(microg/mL)All Participants
Mean6.0 ± 3.4
Glucose
Glucose(mg/dL)All Participants
Mean99 ± 11
triglycerides
triglycerides(mg/dL)All Participants
Mean145 ± 51
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Study locations

1 site
  • Jean Mayer Human Nutrition Research Center on Aging at Tufts University
    Boston, Massachusetts 02111, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 21, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — The objective of this study is to provide critical information regarding both common and distinctive roles of the omega-3 fatty acids EPA and DHA in systemic inflammation and lipid metabolism.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2021, 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
NCT02670382
Lead sponsor
Tufts University
Responsible party
Stefania lamon-Fava (Scientist I, Associate Professor, Tufts University) — Principal investigator
First posted
Feb 1, 2016
Start date
Mar 2016
Primary completion
May 2020
Completion
Oct 2020
Results posted
Apr 14, 2021
Last update
Apr 14, 2021

Study contacts

Stefania Lamon-Fava, PhD
principal investigator · Tufts University

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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