A Phase 2 interventional study of Pecans and Usual Care in Cardiovascular Diseases, sponsored by Penn State University. Completed at 1 site in United States. Open to participants aged 25 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-25.
Sponsored by Penn State University · Phase 2, Interventional, and Prevention
A randomized, 2-arm, parallel trial will be conducted to examine the effect of pecans on markers of peripheral vascular health, lipids and lipoproteins, blood pressure, and glycemic control.
A randomized, 2-arm, parallel trial will be conducted to examine the effect of including 2 oz./day of pecans, as a snack, compared to a diet typically consumed by participants intake (devoid of nuts) on markers of peripheral vascular health, lipids and lipoproteins, blood pressure, and glycemic control. Participants will be randomized to pecans or control for 12-weeks. Outcome assessments will be measured at baseline and 12-weeks.
5,025 studies on the registry are indexed under Cardiovascular Diseases; 930 are open to participants now.
This study's enrollment of 138 is above the median of 100 across 2,801 interventional studies indexed under Cardiovascular Diseases.
Browse Cardiovascular Diseases studies →Penn State University is the lead sponsor of 269 studies on the registry; 52 are open to participants now.
Of its 15 completed or terminated interventional studies of FDA-regulated products, 11 (73%) have results posted.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
Participants will consume their usual diet, but replace one snack with unsalted raw pecans incorporated as a snack
Drug: Pecans
Participants will consume their usual diet devoid of nuts
Other: Usual Care
Participants will receive 2 oz of pecans daily to replace a typical snack and continue consuming their usual diet for 12 weeks.
Participants will receive grocery vouchers and continue consuming their usual diet for 12 weeks.
Flow Mediated Dilation
Measured by brachial ultrasound and expressed as percentage points of change in arterial diameter
Time frame: 12 weeks
LDL-cholesterol Concentration
Assessed from fasting blood draw expressed in mg/dL
Time frame: 12 weeks
HDL-cholesterol Concentration
Assessed from fasting blood draw expressed in mg/dL
Time frame: 12 weeks
Triglycerides
Assessed from fasting blood draw expressed in mg/dL
Time frame: 12 weeks
LDL Lipoprotein Subclasses
Assessed from fasting blood draw expressed in nmol/L. Data were log transformed and back transformed to improve residual distribution; Measure Description: LDL particle size classifications are as follows: 22-25.5 nm is small, 25.6-26.5 nm medium, and 26.6-28.5 nm large. Typically, smaller LDL is associated with increased cardiovascular risk compared to larger.
Time frame: 12 weeks
HDL Lipoprotein Subclasses
Assessed from fasting blood draw expressed in µmol/L; Measure Description: Size classifications of HDL subclasses are as follows: large (size 9.4-14.0 nm), medium (8.3-9.3 nm), and small (7.3-8.2 nm). Higher levels of large HDL may be inversely related to cardiovascular risk.
Time frame: 12 weeks
Brachial Systolic and Diastolic Blood Pressure
Blood pressure measured assessed using a SphygmoCor Xcel (Atcor Medical)
Time frame: 12 weeks
Central Systolic and Diastolic Blood Pressure
Blood pressure measured assessed using a SphygmoCor Xcel (Atcor Medical)
Time frame: 12 weeks
Carotid-femoral Pulse Wave Velocity
A measure of arterial stiffness assessed using a SphygmoCor Xcel (Atcor Medical). Expressed in meters/second. Higher values indicate greater arterial stiffness
Time frame: 12 weeks
Augmentation Index@75bpm
A measure of arterial stiffness assessed using a SphygmoCor Xcel (Atcor Medical). Expressed as a percentage. A higher percentage value is indicative of greater arterial stiffness. Measure Description: Augmentation index is a measure of arterial stiffening that correlates with CVD risk. Higher augmentation index, used as a surrogate for wave reflection, is indicative of additional load on the left ventricle. Augmentation index is calculated as augmentation pressure/pulse pressure\*100 to provide a percent. We utilized the Sphymocor Xcel for this measure. We used standardized augmentation index at 75 bpm for heart rate.
Time frame: 12 weeks
Fasting Plasma Glucose Concentration
Fasting blood glucose assessed by blood draw and expressed in mg/dL
Time frame: 12 weeks
Serum Insulin Concentration
Fasting serum insulin levels assessed by blood draw and expressed in micro IU/m
Time frame: 12 weeks
HbA1c
HbA1c assessed in whole blood collected during fasting
Time frame: 12-weeks
Diet Quality: Healthy Eating Index 2020
Diet quality measured by 24-hour recalls will be assessed using Health Eating Index 2020 (HEI-2020) scores range from 0-100 with 100 indicating perfect adherence to dietary guidelines and 0 indicating no adherence. The HEI-2020 includes 13 components; 9 components are adequacy (i.e., consuming more results in a higher score), and 4 are moderation (i.e., consuming less results in a higher score). The HEI-2020 was calculated with the Statistical Analysis System (SAS) code from the National Cancer Institute.
Time frame: 12-weeks
Total Cholesterol Concentration
Assessed from fasting blood draw expressed in mg/dL
Time frame: 12-weeks
LDL Subclasses
LDL subclasses with normal distribution; Measure Description: LDL particle size classifications are as follows: 22-25.5 nm is small, 25.6-26.5 nm medium, and 26.6-28.5 nm large. Typically, smaller LDL is associated with increased cardiovascular risk compared to larger.
Time frame: 12 weeks
HDL Subclass-Large
Measure was log transformed and back transformed to improve distribution; results for large HDL subclass are presented; Measure Description: Size classifications of HDL subclasses are as follows: large (size 9.4-14.0 nm), medium (8.3-9.3 nm), and small (7.3-8.2 nm). Higher levels of large HDL may be inversely related to cardiovascular risk.
Time frame: 12 weeks
Change in the Composition of the Gut Microbiota
Abundance measured using 16 s rRNA sequencing
Time frame: 12 weeks
| Milestone | Pecan Group | Usual Care Group |
|---|---|---|
| Started | 69 | 69 |
| Completed | 62 | 68 |
| Not completed | 7 | 1 |
| Withdrew: Withdrawal by subject | 4 | 0 |
| Withdrew: Unrelated medical issues | 3 | 0 |
| Withdrew: Relocated | 0 | 1 |
Measured by brachial ultrasound and expressed as percentage points of change in arterial diameter
| percent point change in arterial diamete | Pecan Group | Usual Care Group |
|---|---|---|
| Flow Mediated Dilation | 7.07 ± 0.35 | 7.25 ± 0.33 |
Assessed from fasting blood draw expressed in mg/dL
| mg/dL | Pecan Group | Usual Care Group |
|---|---|---|
| LDL-cholesterol Concentration | 110 ± 1.35 | 117 ± 1.26 |
Assessed from fasting blood draw expressed in mg/dL
| mg/dL | Pecan Group | Usual Care Group |
|---|---|---|
| HDL-cholesterol Concentration | 54 ± 0.47 | 53 ± 0.44 |
Assessed from fasting blood draw expressed in mg/dL
| mg/dL | Pecan Group | Usual Care Group |
|---|---|---|
| Triglycerides | 97.7 (92.6 to 103) | 108 (103 to 114) |
Assessed from fasting blood draw expressed in nmol/L. Data were log transformed and back transformed to improve residual distribution; Measure Description: LDL particle size classifications are as follows: 22-25.5 nm is small, 25.6-26.5 nm medium, and 26.6-28.5 nm large. Typically, smaller LDL is associated with increased cardiovascular risk compared to larger.
| nmol/L | Pecan Group | Usual Care Group |
|---|---|---|
| Large | 281 (249 to 317) | 252 (225 to 281) |
| Total | 1248 (1216 to 1280) | 1304 (1273 to 1336) |
Assessed from fasting blood draw expressed in µmol/L; Measure Description: Size classifications of HDL subclasses are as follows: large (size 9.4-14.0 nm), medium (8.3-9.3 nm), and small (7.3-8.2 nm). Higher levels of large HDL may be inversely related to cardiovascular risk.
| μmol/L | Pecan Group | Usual Care Group |
|---|---|---|
| Medium | 4.1 ± 0.1 | 4.4 ± 0.1 |
| Small | 14.1 ± 0.2 | 14.3 ± 0.2 |
| Total | 21.0 ± 0.17 | 21.0 ± 0.16 |
Blood pressure measured assessed using a SphygmoCor Xcel (Atcor Medical)
| mmHg | Pecan Group | Usual Care Group |
|---|---|---|
| Systolic | 125 ± 0.81 | 125 ± 0.77 |
| Diastolic | 79 ± 0.50 | 79 ± 0.47 |
Blood pressure measured assessed using a SphygmoCor Xcel (Atcor Medical)
| mmHg | Pecan Group | Usual Care Group |
|---|---|---|
| Systolic | 114 ± 0.70 | 115 ± 0.69 |
| Diastolic | 80 ± 0.50 | 80 ± 0.48 |
A measure of arterial stiffness assessed using a SphygmoCor Xcel (Atcor Medical). Expressed in meters/second. Higher values indicate greater arterial stiffness
| m/s | Pecan Group | Usual Care Group |
|---|---|---|
| Carotid-femoral Pulse Wave Velocity | 7.1 ± 1.3 | 7.3 ± 1.3 |
A measure of arterial stiffness assessed using a SphygmoCor Xcel (Atcor Medical). Expressed as a percentage. A higher percentage value is indicative of greater arterial stiffness. Measure Description: Augmentation index is a measure of arterial stiffening that correlates with CVD risk. Higher augmentation index, used as a surrogate for wave reflection, is indicative of additional load on the left ventricle. Augmentation index is calculated as augmentation pressure/pulse pressure\*100 to provide a percent. We utilized the Sphymocor Xcel for this measure. We used standardized augmentation index at 75 bpm for heart rate.
| percentage of aortic pulse pressure | Pecan Group | Usual Care Group |
|---|---|---|
| Augmentation Index@75bpm | 21 ± 0.65 | 22 ± 0.65 |
Fasting blood glucose assessed by blood draw and expressed in mg/dL
| mg/dL | Pecan Group | Usual Care Group |
|---|---|---|
| Fasting Plasma Glucose Concentration | 97.7 ± 0.48 | 96.7 ± 0.45 |
Fasting serum insulin levels assessed by blood draw and expressed in micro IU/m
| μIU/mL | Pecan Group | Usual Care Group |
|---|---|---|
| Serum Insulin Concentration | 8.42 (7.92 to 8.95) | 8.33 (7.87 to 8.83) |
HbA1c assessed in whole blood collected during fasting
| percentage of glycated hemoglobin | Pecan Group | Usual Care Group |
|---|---|---|
| HbA1c | 5.53 ± 0.01 | 5.49 ± 0.01 |
Diet quality measured by 24-hour recalls will be assessed using Health Eating Index 2020 (HEI-2020) scores range from 0-100 with 100 indicating perfect adherence to dietary guidelines and 0 indicating no adherence. The HEI-2020 includes 13 components; 9 components are adequacy (i.e., consuming more results in a higher score), and 4 are moderation (i.e., consuming less results in a higher score). The HEI-2020 was calculated with the Statistical Analysis System (SAS) code from the National Cancer Institute.
| scores on a scale | Pecan Group | Usual Care Group |
|---|---|---|
| Diet Quality: Healthy Eating Index 2020 | 60.8 ± 1.1 | 51.5 ± 1.0 |
Assessed from fasting blood draw expressed in mg/dL
| mg/dL | Pecan Group | Usual Care Group |
|---|---|---|
| Total Cholesterol Concentration | 185 ± 1.69 | 193 ± 1.59 |
LDL subclasses with normal distribution; Measure Description: LDL particle size classifications are as follows: 22-25.5 nm is small, 25.6-26.5 nm medium, and 26.6-28.5 nm large. Typically, smaller LDL is associated with increased cardiovascular risk compared to larger.
| nmol/L | Pecan Group | Usual Care Group |
|---|---|---|
| Medium | 297 ± 20.2 | 337 ± 19.1 |
| Small | 684 ± 24.5 | 677 ± 23.2 |
Measure was log transformed and back transformed to improve distribution; results for large HDL subclass are presented; Measure Description: Size classifications of HDL subclasses are as follows: large (size 9.4-14.0 nm), medium (8.3-9.3 nm), and small (7.3-8.2 nm). Higher levels of large HDL may be inversely related to cardiovascular risk.
| μmol/L | Pecan Group | Usual Care Group |
|---|---|---|
| HDL Subclass-Large | 2.2 (2.0 to 2.3) | 2.0 (1.8 to 2.1) |
Abundance measured using 16 s rRNA sequencing
Results for this outcome have not been posted.
Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pecan Group | 0/69 (0%) | 0/69 (0%) | 2/69 (2.9%) |
| Usual Care Group | 0/69 (0%) | 0/69 (0%) | 0/69 (0%) |
| Event | Pecan Group | Usual Care Group |
|---|---|---|
| AppendectomyGastrointestinal disorders | 1/69 | 0/69 |
| Gastric resectionGastrointestinal disorders | 1/69 | 0/69 |
| Age, Continuous(years) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Mean | 46 ± 12 | 46 ± 14 | 46 ± 13 |
| Sex: Female, Male(Participants) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Female | 45 | 36 | 81 |
| Male | 24 | 33 | 57 |
| Race and Ethnicity Not Collected(Participants) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
| Region of Enrollment(participants) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| United States | 69 | 69 | 138 |
| Weight(kg) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Mean | 84.3 ± 12.5 | 85.2 ± 14.3 | 84.8 ± 13.4 |
| Waist circumference(cm) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Mean | 97.2 ± 8.8 | 98.8 ± 10.8 | 98.0 ± 9.9 |
| Pulse wave velocity(m/s) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Mean | 7.1 ± 1.3 | 7.2 ± 1.2 | 7.2 ± 1.3 |
| Flow mediated dilation(percent point change in arterial diamete) | Pecan Group | Usual Care Group | Total |
|---|---|---|---|
| Mean | 7.2 ± 4.0 | 6.1 ± 3.3 | 6.6 ± 3.7 |
13 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
Ran from Aug 2022 to primary completion in Mar 2024, 18 months.
Results were first posted in Feb 2025, 11 months after primary completion.
Of 54 non-industry phase 2 interventional studies under Cardiovascular Diseases, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 73. This study's 18 months is below that.
Counting every sponsor, half of 76 studies reached it within 28 months; a quarter within 18 and three quarters within 57.
Cardiovascular Diseases covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Pecan nut