ClinicalTrials.gg
CompletedNCT03288623Updated Apr 17, 2019

The Effects of Dark Chocolate Implementation in Elite Athletes

An interventional study of Dark Chocolate (85% cocoa) and White/Milk chocolate (<35% cocoa) in Oxidative Stress, Athletes Heart and Physical Activity, sponsored by University of Roma La Sapienza. Completed at 1 site in Italy. Open to male participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2019-04-17.

Sponsored by University of Roma La Sapienza · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 186 studies in Motor Activity with a site in Italy — 62 open to participants now, 72 under way, none of them phase 3. Motor Activity · Italy.

Enrollment
124th of 143
24 · median 100
Started
2017
with 9 others
No phase
130 of 186
43 open now
Registered
40th of 186
by date
Lead sponsor
5 of 186
University of Roma La Sapienza

Among the 186 studies in Motor Activity with a site in Italy, this one is the 124th largest by enrollment of the 143 interventional ones that give a count, is one of 10 that started in 2017, is one of 130 with no phase, and was the 40th registered.

Motor Activity

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

Browse Motor Activity studies →

Open to participants now

62 of the 186 studies in Motor Activity with a site in Italy are open now. Recruiting first, the newest first:

57 more — sign in →

All 62 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 1,201 Motor Activity studies recruiting now, 517 (43%) set no upper age limit and 535 (45%) stop at 75 or younger; 180 take children under 18; 420 take healthy volunteers.

This study: 18 Years to 35 Years · male · no healthy volunteers.

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02

Study summary

Dark chocolate (DC) is rich in epicatechin which augments nitric oxide (NO) production through endothelium-dependent influences. The increased bioavailability and activity of NO have been demonstrated to statistically increase flow-mediated dilation in healthy subjects and in hypertensive patients. DC supplementation has been hailed for its positive effects on cardiovascular health and it has been proposed as a booster of physical performance in athletes, however the mechanisms by which DC improves oxidative stress, vascular function and athletic performance are not fully understood. The investigators designed a human study assessing how DC improves NO bioavailability and activity in elite athletes. Twenty-four elite soccer players (aged 18-35 years old, all males) are divided in 2 groups and randomly assigned to receive DC (85% cocoa), 40g per day or white/milk chocolate (\<35% cocoa) for 30 days. The primary outcome measure is the evaluation of Soluble NOX2-derived peptide (sNOX2-dp), a direct marker of NADPH oxidase activation. The secondary outcome measures are other markers of oxidative stress, as the soluble P-selectin (sPs), Vitamin E, soluble CD40 Ligand (sCD40L), a marker of in vivo platelet activation and flow-mediated dilation assessed by vascular ultrasound. All parameters are assessed at baseline and after 30 days in both groups.

03

Conditions studied

  • Oxidative Stress
  • Athletes Heart
  • Physical Activity

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04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Male
Accepts healthy volunteers
No

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

  • Elite male athletes volunteers, aged between 18 and 35 years

Exclusion criteria

Exclusion Criteria:

  • they suffer from an allergy to cocoa or any of the ingredients contained within either of the chocolate bars
  • they have a low count (\< 170 x 10E09/ L)
  • they are taking aspirin or aspirin-containing drugs, other anti-inflammatory drugs, or any drugs or herbal medicines known to alter platelet function or the haemostatic system in general (without a minimum of one month)
  • they are taking fish oils or evening primrose oil, or fat soluble vitamin supplements within the last 4 weeks
  • they have unsuitable veins for blood sampling and/ or cannulation
  • they have a below 18 or above 35 kg/ sqm
  • they are taking any medicine known to affect lipid and/or glucose metabolism
  • they are suffering from alcohol or any other substance abuse or are having eating disorders
  • they have any known clinical signs of diabetes, hypertension, renal, hepatic, hematological disease, gastrointestinal disorders, endocrine disorders, coronary heart disease, infection or cance
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Experimental
    Dark Chocolate

    Dark chocolate (85% cocoa) 40 mg per day for 30 days

    Dietary Supplement: Dark Chocolate (85% cocoa)

  • Placebo comparator
    White/Milk Chocolate

    White chocolate or Milk chocolate administration in tablet (\<35% cocoa) per day for 30 days

    Dietary Supplement: White/Milk chocolate (<35% cocoa)

Interventions

  • Dietary supplementDark Chocolate (85% cocoa)

    Dark chocolate (85% cocoa) in tablet

  • Dietary supplementWhite/Milk chocolate (<35% cocoa)

    white or milk chocolate (\<35% cocoa) in tablet

06

What researchers measure

Primary outcomes

  1. Soluble NOX2-derived peptides (sNOX2-dp)

    a marker of nicotinamide adenine dinucleotide phosphateoxidase activation, was detected in serum by ELISA. The peptide was recognised by the specific monoclonal antibody against the amino-acidic sequence (224-268) of the extra membrane portion of NOX2. Values were expressed as pg/mL; intra-assay and inter-assay coefficient of variation is 5%

    Time frame: 30 days

Secondary outcomes

  1. soluble P-selectin (sPs)

    soluble P-selectin levels, a marker of in-vivo platelet activation, will be measured on citrated platelet poor plasma samples by enzyme immunoassay

    Time frame: 30 days

  2. soluble CD40 Ligands (sCD40L)

    soluble CD40 Ligand, a marker of in vivo platelet activation, will be measured using a commercially available method by Luminex Technology according to the manufacturer's instructions (Milliplex Map Kit Millipore, Darmstadt, Germany) in platelet components

    Time frame: 30 days

  3. Hydrogen Peroxide (H2O2)

    Hydrogen peroxide (H2O2) is produced by inflammatory and vascular cells. Extracellular H2O2 is detected using incubation with Amplex Red (10 μM) and horseradish peroxidase (0.2 U/mL) for 60 min at 37 °C in Krebs-Ringer's phosphate glucose buffer (in mM: 145 NaCl, 5.7 sodium phosphate, 4.86 KCl, 0.54 CaCl2, 1.22 MgSO4, and 5.5 glucose) protected from light. Fluorescence is detected at 590 nm using an excitation of 530 nm every 5 min for 60 min. H2O2 is expressed as fluorescence per minute.

    Time frame: 30 days

  4. flow-mediated dilation (FMD)

    Evaluation of brachial artery FMD was performed at 60 seconds (FMD60s) and 120 seconds (FMD120s) postischemic stress by vascular ultrasound. Early FMD was defined as peak FMD60s and delayed FMD as peak FMD120s.

    Time frame: 30 days

  5. Vitamin E (α-tocopherol, αT)

    Serum samples will be supplemented with tocopheryl acetate (internal standard), deproteinized by the addition of ethanol, and extracted with hexane. Phase separation is achieved by centrifugation. The collected upper phase is evaporated and analysed using an Agilent 1200 Infinity series high-performance liquid chromatography system equipped with an Eclipse Plus C18 column (4.6 × 100 mm). Serum levels will be given as the ratio (μmol/mmol) between serum α-tocopherol concentration (μmol/L) and serum total cholesterol concentration (mmol/L), which better express the circulating levels of vitamin E.

    Time frame: 30 days

  6. Serum isoprostane (8-iso-PGF2a-III)

    Serum isoprostane (8-iso-PGF2a-III) is measured by the enzyme immunoassay method (DRG International). The values are expressed as pmol/l.

    Time frame: 30 days

07

Study locations

1 site
  • Sapienza University of Rome, Policlinico Umberto I
    Rome, 00161, Italy
08

References and documents

Publications

  • Cavarretta E, Peruzzi M, Del Vescovo R, Di Pilla F, Gobbi G, Serdoz A, Ferrara R, Schirone L, Sciarretta S, Nocella C, De Falco E, Schiavon S, Biondi-Zoccai G, Frati G, Carnevale R. Dark Chocolate Intake Positively Modulates Redox Status and Markers of Muscular Damage in Elite Football Athletes: A Randomized Controlled Study. Oxid Med Cell Longev. 2018 Nov 21;2018:4061901. doi: 10.1155/2018/4061901. eCollection 2018. PubMed 30584461 ↗

Individual participant data

Plan to share: Undecided — De-identified individual participant data for all primary and secondary outcome measures will be made available

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2017 to primary completion in Mar 2018, 6 months.

Of 5,147 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's 6 months is below that.

Counting every sponsor, half of 5,207 studies reached it within 17 months; a quarter within 7 and three quarters within 36.

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

Registered
Sep 14, 2017
First posted
Sep 20, 2017
StartActual
Sep 25, 2017
Primary completionActual
Mar 31, 2018
CompletionActual
Nov 1, 2018
Last update
Apr 17, 2019
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 Apr 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03288623
Responsible party
Elena Cavarretta (MD, PhD, University of Roma La Sapienza) — Principal investigator
First posted
Sep 20, 2017
Start date
Sep 25, 2017
Primary completion
Mar 31, 2018
Completion
Nov 1, 2018
Last update
Apr 17, 2019

Study contacts

Giacomo Frati, MD
study director · University of Roma La Sapienza

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Cocoa bean

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