ClinicalTrials.gg
RecruitingNCT07004777SALVIMEXUpdated Apr 14, 2026

Effect of Consuming n-3 Polyunsaturated Fatty Acids Rich Foods on Triglyceride Concentration and Lipoprotein Composition

An interventional study of Isocaloric diet including chia and pumpkin seeds and Isocaloric diet in Hypertriglyceridemia, sponsored by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran. Recruiting at 1 site in Mexico. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-14.

Sponsored by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
375
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Hypertriglyceridemia is one of the most prevalent lipid profile disorders and is linked to a large proportion of mortality in Mexico and around the world. Various international treatment guidelines for hypertriglyceridemia have suggested the consumption of foods rich in n-3 polyunsaturated fatty acids or their intake through supplementation as a complement to lifestyle changes. However, adherence to the consumption of foods and supplements containing these fatty acids is often limited due to lack of acceptance or unaffordability. For this reason the objective of the study is to evaluate the effect of including Mexican foods rich in n-3 polyunsaturated fatty acids (chia seeds and pumpkin seeds) within a diet based on NCEP-ATPIII recommendations on triacylglycerol concentration and fatty acid profile in people with hypertriglyceridemia.

The study will consist of a 4-week period in which one group of participants will be randomized into two treatment groups: 1)isocaloric diet based on the NCEP-ATPIII dietary recommendations; 2) isocaloric diet based on the NCEP-ATPIII dietary recommendations plus chia and pumpkin seeds. The effect of the dietary intervention will be assessed by concentration of triglycerides, fatty acids profile and lipoprotein analysis.

Read the detailed description

The study will consist of a 4-week period in which one group of participants will be given a diet based on the NCEP-ATPIII dietary recommendations, and another group will receive the same diet plus chia and pumpkin seeds. If participants maintain triglyceride levels >200 mg/dL, they will be given fish oil supplementation for an additional 4 weeks to reinforce the dietary treatment (NCEP-ATPIII dietary recommendations).

Participants will be screened to ensure they meet the inclusion criteria. Those who agree to participate will be required to sign an informed consent form. At both the beginning and the end of the 4-week period, participants will undergo a medical history assessment, anthropometric measurements (weight, height, and waist circumference), body composition analysis (including body fat percentage, skeletal muscle mass percentage, and lean body mass percentage), blood pressure measurement, evaluation of hepatic steatosis using transient elastography and; pulse wave velocity.

In addition, blood samples will be collected to determine serum glucose levels; lipid profile parameters (total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides); inflammatory, oxidative, and endothelial markers; and genetic polymorphisms related to lipid metabolism, particularly n-3 polyunsaturated fatty acids (PUFAs) (FADS1 and FADS2). Monocytes will also be isolated to assess mitochondrial function.

Furthermore, serum concentrations of phosphatidylcholine species (16:0_20:5 and 16:0_22:6), lipoprotein composition, and fatty acid profiles will be analyzed using gas chromatography.

Participants with hypertriglyceridemia will be randomly assigned to two groups. Both groups will be prescribed an isocaloric diet; however, only one group will additionally include a food rich in n-3 PUFAs:

  • An isocaloric diet based on NCEP-ATPIII dietary recommendations.
  • An isocaloric diet based on NCEP-ATPIII dietary recommendations including chia and pumpkin seeds.

Resting energy expenditure wil be measured by indirect calorimetry to determine energy requirement of each participant. Distribution of micronutrients of the dietary intervention will be as follow: 50% carbohydrates, 20% protein, and 30% lipids .

This dietary intervention will last 4 weeks. To promote adherence, participants will be given foods rich in n-3 PUFA.

Participants with triglyceride levels >200 mg/dL after the 4-week dietary intervention period will receive fish oil supplementation for an additional 4 weeks. At the end of this period, anthropometric measurements (weight, height, and waist circumference), body composition analysis (including body fat percentage, skeletal muscle mass percentage, and lean body mass percentage), blood pressure measurement, and hepatic steatosis assessment using transient elastography will be repeated. Blood samples will be collected again to determine serum glucose levels and lipid profile parameters (total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides).

During the whole study dietary intake and the adherence to dietary treatment will be monitored using 24-hour dietary recalls, which will be conducted during all visits, as well as through phone calls 2 times per week and text messages.

In addition to the above, the concentration of fatty acids in serum will be evaluated and compared over a 24-hour period following the intake of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) supplements (fish oil) vs. that of foods rich in n-3 polyunsaturated fatty acids (salmon fish, Sierra fish and chia seeds and pumpkin seeds).

02

Conditions studied

  • Hypertriglyceridemia

Keywords

  • Hypertriglyceridemia
  • Lipid metabolism
  • Dyslipidemia
  • Fatty Acids, Omega-3
  • Eicosapentaenoic Acid
  • Docosahexaenoic Acid
  • diet
03

In context

Hypertriglyceridemia

324 studies on the registry are indexed under Hypertriglyceridemia; 38 are open to participants now.

This study's planned enrollment of 375 is above the median of 66 across 288 interventional studies indexed under Hypertriglyceridemia.

Browse Hypertriglyceridemia studies →

Lead sponsor

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran is the lead sponsor of 144 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Signing of the form
  • Both sexes.
  • Adults over 18 years of age.
  • >18.5 kg/m2.
  • Triglycerides between 200 and 500 mg/dL.
  • Total cholesterol less than 240 mg/dL

Exclusion criteria

Exclusion Criteria:

  • Any type of diabetes.
  • kidney disease diagnosed by a physician.
  • Acquired diseases that secondarily cause obesity and diabetes.
  • Patients who have suffered a cardiovascular event.
  • Weight loss >3 kg in the last 3 months.
  • Catabolic diseases such as cancer and acquired immunodeficiency syndrome.
  • Pregnancy.
  • Treatment with any medication:
  • Treatment with antihypertensive drugs (tricyclic, loop, or potassium-sparing diuretics, angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers, alpha-blockers, calcium channel blockers, beta-blockers).
  • Treatment with hypoglycemic agents (sulfonylureas, biguanides, incretins) or - insulin and antidiabetics.
  • Treatment with statins, fibrates, or other drugs to control dyslipidemia.
  • Use of medications, chemotherapy, , or radiation therapy.
  • Anorectic agents or those that accelerate weight loss.
  • Treatment with any medication that influences inflammation (corticosteroids, nonsteroidal anti-inflammatory drugs, colchicine, interleukin-1 inhibitors) or triglyceride metabolism (metformin, glitazones, SGLT2 inhibitors, fibrates, statins, cholesterol ester transporter protein (CETP) inhibitors, pancreatic lipase inhibitors).
  • Anticoagulants and antiplatelets (warfarin, aspirin, clopidogrel).
  • People with a smoking cessation index (SCI) greater than 21.
  • People with a tobacco Index greater than 21.
  • Consumption of large amounts of alcohol (14 drinks for women or 21 drinks for men in a typical week).
  • Consumption of any recreational psychoactive substance.
  • Allergy or intolerance to any food listed in the proposed pantry.
  • Unwillingness to consume any of the foods listed in the proposed pantry.
  • Previous n-3 PUFA supplementation.
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
375 participants (estimated)

Study arms

  • Experimental
    Isocaloric diet based on NCEP-ATPIII dietary recommendations including chia and pumpkin seeds.

    Diet based on participant-specific energy expenditure. With the following macronutrient distribution: 50% carbohydrates, protein 20% and 30% fats.

    Dietary Supplement: Isocaloric diet including chia and pumpkin seeds

  • Active comparator
    Isocaloric diet based on NCEP-ATPIII dietary recommendations

    Diet based on participant-specific energy expenditure. With the following macronutrient distribution: 50% carbohydrates, protein 20% and 30% fats.

    Other: Isocaloric diet

Interventions

  • Dietary supplementIsocaloric diet including chia and pumpkin seeds

    Diet based on participant-specific energy expenditure. With the following macronutrient distribution: 50% carbohydrates, protein 20% and 30% fats. This dietary intervention consists of a four-week follow-up period and incorporates the intake of pumpkin and chia seeds.

  • OtherIsocaloric diet

    Diet based on participant-specific energy expenditure. With the following macronutrient distribution: 50% carbohydrates, protein 20% and 30% fats. This dietary intervention consists of a four-week follow-up period.

06

What researchers measure

Primary outcomes

  1. Serum triglycerides concentration in mg/dL

    Change in serum triglycerides between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  2. Serum fatty acid profile analysis by gas chromatography in microgram

    Change in serum fatty acid between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

Secondary outcomes

  1. Serum total cholesterol concentration in mg/dL

    Change in serum total cholesterol between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  2. Serum LDL cholesterol concentration in mg/dL

    Change in serum LDL cholesterol between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  3. Serum HDL cholesterol concentration in mg/dL

    Change in serum HDL cholesterol between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  4. Serum lipids concentration in relative peak area

    Change in serum lipids between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  5. Serum C-reactive protein concentration in mg/dL

    Change in serum C-reactive protein between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  6. Plasma malondialdehyde concentration in nmol/mL

    Change in plasma malondialdehyde between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  7. Serum Intercellular Adhesion Molecule-1 (ICAM-1) concentration in pg/mL

    Change in serum ICAM-1 between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  8. Serum Vascular Cell Adhesion Molecule-1 (VCAM-1) concentration in pg/mL

    Change in serum VCAM-1 between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  9. Serum plasminogen concentration in mg/dL

    Change in serum plasminogen between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  10. Serum glucose concentration in mg/dL

    Change in serum glucose between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  11. Serum aspartate aminotransferase concentration in IU/mL

    Change in serum aspartate aminotransferase between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  12. Serum alanine aminotransferase concentration in IU/mL

    Change in serum alanine aminotransferase between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  13. Serum insulin concentration in micro - IU / ml

    Change in serum insulin between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  14. Oxygen consumption rate in pmol / number of cells

    Change in oxygen consumption rate between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  15. Body weight in kilograms

    Change in body weight between different nutrition interventions.

    Time frame: From baseline to week 4 of the intervention

  16. Waist circumference in centimeters

    Change in waist circumference between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  17. Fat mass percentage

    Change in fat mass percentage between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  18. Skeletal muscle mass percentage

    Change in skeletal muscle mass percentage between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  19. Lean mass percentage

    Change in lean mass percentage between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  20. Medium very low density lipoprotein (VLDL) particle number in nmol/L

    Change in plasma medium VLDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  21. Large very low density lipoprotein (VLDL) particle number in nmol/L

    Change in plasma large VLDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  22. Small very low density lipoprotein (VLDL) particle number in nmol/L

    Change in plasma small VLDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  23. Large LDL particle number in nmol/L

    Change in plasma large LDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  24. Medium LDL particle number in nmol/L

    Change in plasma medium LDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  25. Small LDL particle number in nmol/L

    Change in plasma small LDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  26. Large HDL particle number in nmol/L

    Change in plasma large HDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  27. Small HDL particle number in nmol/L

    Change in plasma small HDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  28. Medium HDL particle number in nmol/L

    Change in plasma medium HDL particle number between different nutrition interventions.

    Time frame: From baseline to 4 week of the intervention

  29. Pulse wave velocity in m/s

    Change in pulse wave velocity between different nutrition interventions

    Time frame: From baseline to 4 week of the intervention

  30. Controlled attenuation parameter in decibels per meter

    Allows to evaluate the degree of steatosis by elastography.

    Time frame: From baseline to 4 week of the intervention

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Ly R, MacIntyre BC, Philips SM, McGlory C, Mutch DM, Britz-McKibbin P. Lipidomic studies reveal two specific circulating phosphatidylcholines as surrogate biomarkers of the omega-3 index. J Lipid Res. 2023 Nov;64(11):100445. doi: 10.1016/j.jlr.2023.100445. Epub 2023 Sep 18. PubMed 37730162 ↗
  • Ottestad I, Hassani S, Borge GI, Kohler A, Vogt G, Hyotylainen T, Oresic M, Bronner KW, Holven KB, Ulven SM, Myhrstad MC. Fish oil supplementation alters the plasma lipidomic profile and increases long-chain PUFAs of phospholipids and triglycerides in healthy subjects. PLoS One. 2012;7(8):e42550. doi: 10.1371/journal.pone.0042550. Epub 2012 Aug 28. PubMed 22952598 ↗
  • Erkkila AT, Manninen S, Fredrikson L, Bhalke M, Holopainen M, Ruuth M, Lankinen M, Kakela R, Oorni K, Schwab US. Lipidomic changes of LDL after consumption of Camelina sativa oil, fatty fish and lean fish in subjects with impaired glucose metabolism-A randomized controlled trial. J Clin Lipidol. 2021 Sep-Oct;15(5):743-751. doi: 10.1016/j.jacl.2021.08.060. Epub 2021 Sep 7. PubMed 34548243 ↗
  • Tatsuno I, Kudou K, Kagawa T. Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study. Cardiovasc Ther. 2015 Dec;33(6):317-23. doi: 10.1111/1755-5922.12146. PubMed 26222126 ↗
  • Makni M, Fetoui H, Gargouri NK, Garoui el M, Jaber H, Makni J, Boudawara T, Zeghal N. Hypolipidemic and hepatoprotective effects of flax and pumpkin seed mixture rich in omega-3 and omega-6 fatty acids in hypercholesterolemic rats. Food Chem Toxicol. 2008 Dec;46(12):3714-20. doi: 10.1016/j.fct.2008.09.057. Epub 2008 Oct 1. PubMed 18938206 ↗
  • Avila-Nava A, Noriega LG, Tovar AR, Granados O, Perez-Cruz C, Pedraza-Chaverri J, Torres N. Food combination based on a pre-hispanic Mexican diet decreases metabolic and cognitive abnormalities and gut microbiota dysbiosis caused by a sucrose-enriched high-fat diet in rats. Mol Nutr Food Res. 2017 Jan;61(1). doi: 10.1002/mnfr.201501023. Epub 2016 Aug 8. PubMed 27352915 ↗
  • Bhatt DL, Steg PG, Brinton EA, Jacobson TA, Miller M, Tardif JC, Ketchum SB, Doyle RT Jr, Murphy SA, Soni PN, Braeckman RA, Juliano RA, Ballantyne CM; REDUCE-IT Investigators. Rationale and design of REDUCE-IT: Reduction of Cardiovascular Events with Icosapent Ethyl-Intervention Trial. Clin Cardiol. 2017 Mar;40(3):138-148. doi: 10.1002/clc.22692. Epub 2017 Mar 15. PubMed 28294373 ↗
  • Zheng J, Huang T, Yu Y, Hu X, Yang B, Li D. Fish consumption and CHD mortality: an updated meta-analysis of seventeen cohort studies. Public Health Nutr. 2012 Apr;15(4):725-37. doi: 10.1017/S1368980011002254. Epub 2011 Sep 14. PubMed 21914258 ↗
  • Kontostathi M, Isou S, Mostratos D, Vasdekis V, Demertzis N, Kourounakis A, Vitsos A, Kyriazi M, Melissos D, Tsitouris C, Karalis E, Klamarias L, Dania F, Papaioannou GT, Roussis V, Polychronopoulos E, Anastassopoulou J, Theophanides T, Rallis MC, Black HS. Influence of Omega-3 Fatty Acid-Rich Fish Oils on Hyperlipidemia: Effect of Eel, Sardine, Trout, and Cod Oils on Hyperlipidemic Mice. J Med Food. 2021 Jul;24(7):749-755. doi: 10.1089/jmf.2020.0114. Epub 2020 Dec 23. PubMed 33370175 ↗

Individual participant data

Plan to share: No

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

Started Feb 2026 (actual). Primary completion is estimated for Dec 2026, 10 months after the start.

Of 42 non-industry interventional studies with no phase under Hypertriglyceridemia, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 39. This study's planned 10 months is below that.

Counting every sponsor, half of 45 studies reached it within 23 months; a quarter within 7 and three quarters within 33.

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

Registered
May 20, 2025
First posted
Jun 4, 2025
StartActual
Feb 1, 2026
Primary completionEst.
Dec 30, 2026
CompletionEst.
Jun 30, 2027
Last update
Apr 14, 2026
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 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07004777
Responsible party
Martha Guevara Cruz (Principal Investigator, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran) — Principal investigator
First posted
Jun 4, 2025
Start date
Feb 1, 2026
Primary completion
Dec 30, 2026 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Apr 14, 2026

Study contacts

Martha Guevara, MD, PhD
Contact
martha.guevarac@incmnsz.mx
+52 55 5487 0900 ext. 2802
Armando Tovar, PhD
Contact
armando.tovarp@incmnsz.mx
+52 55 5487 0900 ext. 2802
Martha Guevara
study director · INCMNSZ

Oversight

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

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