Title

The Effect of Grape Seed Extract on Blood Pressure in People With Pre-Hypertension
Randomized, Double-blind, Placebo-controlled Trial to Investigate the Effect of Grape Seed Extract Delivered in a Beverage on Blood Pressure in Individuals With Pre-hypertension.
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    vitis vinifera ...
  • Study Participants

    33
In this research study, the investigators are interested in learning how extracts from grape seeds can help those individuals with high blood pressure. The investigators also hope to learn how grape seed extract effects your blood and cell functions.

The grape seed extract the investigators will use in the study will be provided either in a beverage or a capsule form and is currently available on the market. This study is also using a placebo; therefore the treatment subjects receive may or may not contain the grape seed extract.

The purpose of this study is to determine if the grape seed extract (GSE) will lower blood pressure in people with slightly high blood pressure (Pre-Hypertension).
Elevated blood pressure, or hypertension, is a major risk factor for heart disease and stroke. Systolic and diastolic blood pressures meeting criteria for "pre-hypertension" double the absolute risk of stroke and ischemic heart disease over an extended age range from the 4th to the 8th decade of life. Lifestyle, particularly the diet, is critical in the prevention and management of hypertension. Polyphenolic compounds from various plant foods can promote blood pressure regulation and vascular health through protection of the endothelium from oxidant and or inflammatory stress and or stimulation of smooth muscle relaxation.

We will use a purified grape seed extract (GSE) in the proposed trial. This extract has been granted Generally Recognized as Safe (GRAS) status by Food and drug administration (GRAS Notice # GRN 000125, dated 08/18/2003, FDA, USA). Furthermore, GSE for use in the present trial has been used in previous human clinical trails and shown potent vasodilator properties in vitro and blood pressure lowering in metabolic syndrome patients. The proposed trial aims to verify the blood pressure lowering effect of GSE in an 'at risk' population for hypertension and to explore the extent to which other pathways of chronic disease may be modulated by GSE consumption.

Given this, the objectives of this study are as follows:

The primary objective of the proposed study is to demonstrate the effectiveness of GSE to lower blood pressure in pre-hypertensive individuals.
Secondary objectives will investigate the role of GSE to improve inflammatory- and oxidative stress- status, as well as its effect on endothelium function.
Study Started
Nov 15
2009
Primary Completion
Oct 15
2014
Study Completion
Oct 15
2014
Results Posted
Feb 11
2021
Last Update
Feb 11
2021

Dietary Supplement grape seed extract

grape seed extract 150 mg twice a day (BID) in beverage or capsule form

Dietary Supplement grape seed extract placebo

grape seed extract 150 mg twice a day (BID) in beverage or capsule form

GSE beverage active Active Comparator

grape seed extract beverage 150 mg/BID

GSE beverage placebo Placebo Comparator

grape seed extract placebo beverage 150 mg/BID

Criteria

Inclusion Criteria:

male and female

pre-hypertensive

systolic blood pressure (mmHg) 120 - 139 or
diastolic blood pressure (mmHg) 80 -89
no clinical evidence of cardiovascular, respiratory, renal, gastrointestinal or hepatic disease

Exclusion Criteria:

pregnant and or lactating
taking over the counter antioxidant supplements
taking prescription medications that may interfere with study procedures or endpoints
unusual dietary habits
actively trying to lose or gain weight
addicted to drugs and/or alcohol
medically documented psychiatric or neurological disturbances
smoker (past smoker may be allowed if cessation is > 2 years)

Summary

GSE Beverage Active

GSE Beverage Placebo

All Events

Event Type Organ System Event Term

Systolic Blood Pressure

BP was monitored using ambulatory BP monitors (Ambulo2400; Tiba Medical, Inc.) that were programmed to take BP measurements automatically at 1-h intervals for a period of 24 h. BP measurements were scheduled at week 0 and 6 of the intervention (for efficacy assessment). Day-time BP and night-time BP were divided based on the subject's sleeping hours and hours awake.

GSE Beverage Active

118.0
mmHg (Mean)
Standard Error: 2.3

GSE Beverage Placebo

127.0
mmHg (Mean)
Standard Error: 1.9

Plasma Insulin Level Over 6 Weeks

After 10-12 h of overnight fasting, fasting blood samples were collected at week 0 (baseline) and week 3 and 6 of the intervention. plasma insulin were evaluated.

GSE Beverage Active

17.8
µIU/mL (Mean)
Standard Error: 1.5

GSE Beverage Placebo

20.9
µIU/mL (Mean)
Standard Error: 1.2

Total

29
Participants

Age, Continuous

43
years (Mean)
Standard Deviation: 10

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

GSE Beverage Active

GSE Beverage Placebo