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    Clinical Trial Results:
    A randomised control trial of omega-3 fatty acid on platelet and endothelial function in patients with peripheral arterial disease

    Summary
    EudraCT number
    2005-001332-69
    Trial protocol
    GB  
    Global end of trial date
    31 Jul 2007

    Results information
    Results version number
    v1(current)
    This version publication date
    19 Aug 2018
    First version publication date
    19 Aug 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    PG/04/100/17637
    Additional study identifiers
    ISRCTN number
    ISRCTN54802970
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    University of Aberdeen
    Sponsor organisation address
    Research & Innovation, Polwarth Building, Foresterhill, , Aberdeen, United Kingdom,
    Public contact
    Dr E Rattray, University of Aberdeen , 01224 551123, researchgovernance@abdn.ac.uk
    Scientific contact
    Dr Shona Fielding, University of Aberdeen, 01224 551123, researchgovernance@abdn.ac.uk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 Jan 2008
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Jul 2007
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Jul 2007
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    In patients with peripheral arterial disease, to assess the effects of omega-3 fatty acids on 1) platelet function 2) markers of endothelial activation
    Protection of trial subjects
    Ethical approval was obtained from the local research ethics committee and written informed consent was obtained from each patient.
    Background therapy
    150 patients who were receiving aspirin and statin therapy were recruited into a randomised cross-over double blind study involving 6 week supplementation with OMACOR fish oil versus placebo. A 12 week washout period occurred between treatments.
    Evidence for comparator
    Placebo - an 80:20 blend of palm and soya bean oils, which closely match that of the average adult UK diet (British Nutrition Foundation, 1992).
    Actual start date of recruitment
    01 Aug 2005
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 150
    Worldwide total number of subjects
    150
    EEA total number of subjects
    150
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    51
    From 65 to 84 years
    97
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    150 consecutive patients with history of stable IC & clinical findings of peripheral vascular disease were recruited over 2 year period. Patients identified at claudication clinic & from clinic database. Patients co-morbidity, cardiovascular medication & ankle brachial pressure indices were documented.

    Pre-assignment
    Screening details
    Eligible if their ankle brachial pressure index was less that 0.8 & they were receiving statin & aspirin therapy.

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator
    Blinding implementation details
    The placebo & supplement were indistinguishable & independently packaged by the Pharmacy Dept of Glasgow Western Infirmary. Pharmacists dispensed placebo or active drug packs according to a computer generated randomisation process. The code was held by the Trial Drugs Pharmacy Dept & was only revealed to the researchers once recruitment, data collection & lab analysis were complete.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    OMACOR
    Arm description
    850-882mg Eicoapentaenoic acid Docosahexaenoic acid
    Arm type
    Active comparator

    Investigational medicinal product name
    OMACOR
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, soft
    Routes of administration
    Oral use
    Dosage and administration details
    Six weeks of OMACOR supplementation followed by 12 weeks washout followed by six weeks of placebo

    Arm title
    Placebo
    Arm description
    80:20 blend of palm and soybean oils.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, soft
    Routes of administration
    Oral use
    Dosage and administration details
    Six weeks of placebo followed 12 week washout followed by six weeks of OMACOR supplementation.

    Number of subjects in period 1
    OMACOR Placebo
    Started
    77
    73
    Completed
    77
    73

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Trial
    Reporting group description
    -

    Reporting group values
    Overall Trial Total
    Number of subjects
    150 150
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    51 51
        From 65-84 years
    97 97
        85 years and over
    2 2
    Gender categorical
    Units: Subjects
        Female
    46 46
        Male
    104 104

    End points

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    End points reporting groups
    Reporting group title
    OMACOR
    Reporting group description
    850-882mg Eicoapentaenoic acid Docosahexaenoic acid

    Reporting group title
    Placebo
    Reporting group description
    80:20 blend of palm and soybean oils.

    Primary: Von Willebrand factor antigen (vWF)

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    End point title
    Von Willebrand factor antigen (vWF)
    End point description
    End point type
    Primary
    End point timeframe
    24 weeks
    End point values
    OMACOR Placebo
    Number of subjects analysed
    77
    73
    Units: Continuous variable
        median (standard deviation)
    25 ( 52 )
    21 ( 52 )
    Statistical analysis title
    Intention to treat
    Statistical analysis description
    Data was analysed on an intention to treat basis and study findings reported in line with CONSORT.
    Comparison groups
    OMACOR v Placebo
    Number of subjects included in analysis
    150
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    > 0.05
    Method
    Mixed models analysis
    Confidence interval

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Within 24hrs
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    None
    Dictionary version
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No Non-serious Adverse Events were recorded.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/22296885
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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