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Effect of Black Tea on Vascular Function

Randomized Double Blind Placebo Controlled Crossover Study to Assess the Effect of Black Tea on Flow-Mediated Dilation in Healthy, Non-tea Drinking Males

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01945970
Acronym
Heraclitus
Enrollment
30
Registered
2013-09-19
Start date
2013-09-30
Completion date
2013-12-31
Last updated
2017-03-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Vascular Function

Keywords

Vascular function, Flow mediated dilation, Tea

Brief summary

Epidemiological studies indicate that regular consumption of three cups of black tea per day reduces the risk of stroke or myocardial infarction. In a number of previous nutrition intervention studies tea has been shown to improve vascular function as assessed by Flow Mediated Dilation (FMD).

Detailed description

The current study tests a specific Black tea extract against a placebo in population that has previously show to be sensitive to the effect of black tea on Flow Mediated dilation. A tea extract that has previously been shown to improve FMD is included as the positive control.

Interventions

Black tea extract

OTHERPositive control

Positive control

OTHERPlacebo

Placebo

Sponsors

Sprim Advanced Life Sciences
CollaboratorOTHER
Unilever R&D
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
40 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Apparently healthy male volunteers with no history of cardiovascular disease * Having body mass index (BMI) of between 18.0 and 30.0 kg/m2 (inclusive) * Non-smokers (\> 2 years) * Non-tea drinkers (less or equal 1 cup/week) * Limited alcohol intake (less or equal 21 units/week) * Systolic blood pressure less or equal 160 mmHg and/or diastolic blood pressure less or equal 100 mmHg at screening * Brachial artery can be imaged using ultrasound and at screening FMD value is within the expected range as judged by the PI * Judged to be in good health on the basis of medical history, physical examination and routine laboratory tests (total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides, glucose, highly sensitive C-reactive protein).

Design outcomes

Primary

MeasureTime frameDescription
Flow Mediated Dilation, Acute-upon-chronic, Black TeaFrom before consumption on day 1 to 2 hours post consumption on day 8.Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Secondary

MeasureTime frameDescription
Flow Mediated Dilation, Acute, Black TeaFrom before consumption on day 1 to 2 hours post consumption on day 1Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Flow Mediated Dilation, Chronic, Black TeaFrom before consumption day 1 to before consumption day 8.Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Flow Mediated Dilation, Acute-upon-chronic, Positive ControlFrom before consumption on day 1 to 2 hours post consumption on day 8Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Flow Mediated Dilation, Acute, Positive ControlFrom before consumption on day 1 to 2 hours post consumption on day 1Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Flow Mediated Dilation, Chronic, Positive ControlFrom before consumption on day 1 to before consumption day 8Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Other

MeasureTime frameDescription
Endothelium-Independent Dilation, Acute, Black TeaFrom before consumption on day 1 to 2 hours post consumption on day 1Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Endothelium Independent Dilation, Acute-upon-chronic, Positive ControlFrom before consumption on day 1 to 2 hours post consumption on day 8Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Systolic Blood Pressure, Black TeaFrom before consumption on day 1 to before consumption on day 8Change in Systolic blood pressure
Endothelium Independent Dilation, Acute, Positive ControlFrom before consumption on day 1 to 2 hours post consumption on day 1Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Endothelium Independent Dilation, Chronic, Positive ControlFrom before consumption on day 1 to before consumption day 8Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Diastolic Blood Pressure Black TeaFrom before consumption on day 1 to before consumption day 8Change in Diastolic blood pressure
Systolic Blood Pressure, Positive ControlFrom before consumption (baseline) day 1 to before consumption day 8Change in systolic blood pressure
Diastolic Blood Pressure, Positive ControlFrom before consumption on day 1 to before consumption day 8Change in Diastolic Blood pressure
Endothelium Independent Dilation, Acute-upon-chronic, Black TeaFrom before consumption on day 1 to 2 hours post consumption on day 8FMD measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).
Endothelium Independent Dilation, Chronic, Black TeaFrom before consumption on day 1 to before consumption day 8Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Countries

Italy

Participant flow

Recruitment details

30 suitable subjects recruited from database

Pre-assignment details

30 subjects randomised

Participants by arm

ArmCount
Study Subjects
All six treatment orders combined
30
Total30

Baseline characteristics

CharacteristicStudy Subjects
Age, Continuous43 years
Body mass index25.0 kg/m^2
STANDARD_DEVIATION 2.4
Diastolic blood pressure74 mmHg
STANDARD_DEVIATION 8
Region of Enrollment
Italy
30 Participants
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
30 Participants
Systolic blood pressure118 mmHg
STANDARD_DEVIATION 12

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
4 / 301 / 306 / 30
serious
Total, serious adverse events
0 / 300 / 300 / 30

Outcome results

Primary

Flow Mediated Dilation, Acute-upon-chronic, Black Tea

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 8.

Population: Intention to treat

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Acute-upon-chronic, Black TeaDay 1, before consumption of test product4.24 percentage of flow mediated dilationStandard Deviation 1.57
Black Tea BeverageFlow Mediated Dilation, Acute-upon-chronic, Black TeaDay 8, 2 hours post consumption of test product4.49 percentage of flow mediated dilationStandard Deviation 1.88
Placebo BeverageFlow Mediated Dilation, Acute-upon-chronic, Black TeaDay 1, before consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Acute-upon-chronic, Black TeaDay 8, 2 hours post consumption of test product4.87 percentage of flow mediated dilationStandard Deviation 1.94
p-value: 0.3695% CI: [-1.09, 0.4]Mixed Models Analysis
Secondary

Flow Mediated Dilation, Acute, Black Tea

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 1

Population: Intention to treat

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Acute, Black TeaDay 1, 2 hours post consumption of test product4.50 percentage of flow mediated dilationStandard Deviation 1.89
Black Tea BeverageFlow Mediated Dilation, Acute, Black TeaDay 1, before consumption of test product4.24 percentage of flow mediated dilationStandard Deviation 1.57
Placebo BeverageFlow Mediated Dilation, Acute, Black TeaDay 1, before consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Acute, Black TeaDay 1, 2 hours post consumption of test product4.13 percentage of flow mediated dilationStandard Deviation 1.91
p-value: 0.1895% CI: [-0.24, 1.28]Mixed Models Analysis
Secondary

Flow Mediated Dilation, Acute, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 1

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Acute, Positive ControlDay 1, pre-consumption of test product3.28 percentage of flow mediated dilationStandard Deviation 1.67
Black Tea BeverageFlow Mediated Dilation, Acute, Positive ControlDay 1, 2 hours post consumption of test product4.06 percentage of flow mediated dilationStandard Deviation 1.78
Placebo BeverageFlow Mediated Dilation, Acute, Positive ControlDay 1, pre-consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Acute, Positive ControlDay 1, 2 hours post consumption of test product4.13 percentage of flow mediated dilationStandard Deviation 1.91
p-value: 0.0995% CI: [-0.11, 1.53]Mixed Models Analysis
Secondary

Flow Mediated Dilation, Acute-upon-chronic, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 8

Population: Intention to treat

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Acute-upon-chronic, Positive ControlDay 1, before consumption of test product3.28 percentage of flow mediated dilationStandard Deviation 1.67
Black Tea BeverageFlow Mediated Dilation, Acute-upon-chronic, Positive ControlDay 8, 2 hours post consumption of test product4.21 percentage of flow mediated dilationStandard Deviation 1.54
Placebo BeverageFlow Mediated Dilation, Acute-upon-chronic, Positive ControlDay 1, before consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Acute-upon-chronic, Positive ControlDay 8, 2 hours post consumption of test product4.87 percentage of flow mediated dilationStandard Deviation 1.94
p-value: 0.2295% CI: [-1.3, 0.31]Mixed Models Analysis
Secondary

Flow Mediated Dilation, Chronic, Black Tea

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption day 1 to before consumption day 8.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Chronic, Black TeaDay 1, before consumption of test product4.24 percentage of flow mediated dilationStandard Deviation 1.57
Black Tea BeverageFlow Mediated Dilation, Chronic, Black TeaDay 8, before consumption of test product3.90 percentage of flow mediated dilationStandard Deviation 1.67
Placebo BeverageFlow Mediated Dilation, Chronic, Black TeaDay 1, before consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Chronic, Black TeaDay 8, before consumption of test product4.84 percentage of flow mediated dilationStandard Deviation 1.96
p-value: 0.01495% CI: [-1.59, -0.19]Mixed Models Analysis
Secondary

Flow Mediated Dilation, Chronic, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to before consumption day 8

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageFlow Mediated Dilation, Chronic, Positive ControlDay 1, pre-consumption of test product3.28 percentage of flow mediated dilationStandard Deviation 1.67
Black Tea BeverageFlow Mediated Dilation, Chronic, Positive ControlDay 8, pre-consumption of test product4.20 percentage of flow mediated dilationStandard Deviation 1.65
Placebo BeverageFlow Mediated Dilation, Chronic, Positive ControlDay 1, pre-consumption of test product4.48 percentage of flow mediated dilationStandard Deviation 1.92
Placebo BeverageFlow Mediated Dilation, Chronic, Positive ControlDay 8, pre-consumption of test product4.84 percentage of flow mediated dilationStandard Deviation 1.96
p-value: 0.3295% CI: [-1.13, 0.37]Mixed Models Analysis
Other Pre-specified

Diastolic Blood Pressure Black Tea

Change in Diastolic blood pressure

Time frame: From before consumption on day 1 to before consumption day 8

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageDiastolic Blood Pressure Black TeaDay 1, before consumption of test product72.23 mmHgStandard Deviation 8.57
Black Tea BeverageDiastolic Blood Pressure Black TeaDay 8, before consumption of test product71.77 mmHgStandard Deviation 8.2
Placebo BeverageDiastolic Blood Pressure Black TeaDay 1, before consumption of test product72.80 mmHgStandard Deviation 8.07
Placebo BeverageDiastolic Blood Pressure Black TeaDay 8, before consumption of test product72.27 mmHgStandard Deviation 8.38
p-value: 0.6995% CI: [-2.41, 1.62]Mixed Models Analysis
Other Pre-specified

Diastolic Blood Pressure, Positive Control

Change in Diastolic Blood pressure

Time frame: From before consumption on day 1 to before consumption day 8

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageDiastolic Blood Pressure, Positive ControlDay 1, before consumption of test product72.00 mmHgStandard Deviation 8.18
Black Tea BeverageDiastolic Blood Pressure, Positive ControlDay 8, before consumption of test product72.98 mmHgStandard Deviation 7.28
Placebo BeverageDiastolic Blood Pressure, Positive ControlDay 1, before consumption of test product72.80 mmHgStandard Deviation 8.07
Placebo BeverageDiastolic Blood Pressure, Positive ControlDay 8, before consumption of test product72.27 mmHgStandard Deviation 8.38
p-value: 0.3995% CI: [-1.15, 2.88]Mixed Models Analysis
Other Pre-specified

Endothelium-Independent Dilation, Acute, Black Tea

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 1

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium-Independent Dilation, Acute, Black TeaDay 1, before consumption of test product9.55 percentage of vascular dilationStandard Deviation 3.81
Black Tea BeverageEndothelium-Independent Dilation, Acute, Black TeaDay 1, 2 hours post consumption of test product8.48 percentage of vascular dilationStandard Deviation 3.66
Placebo BeverageEndothelium-Independent Dilation, Acute, Black TeaDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium-Independent Dilation, Acute, Black TeaDay 1, 2 hours post consumption of test product8.28 percentage of vascular dilationStandard Deviation 3.16
Comparison: Subject as random factor, baseline same period and mean baseline in both periods as covariates, and treatment, operator, and period as fixed effectsp-value: 0.7495% CI: [-1.11, 1.54]Mixed Models Analysis
Other Pre-specified

Endothelium Independent Dilation, Acute, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 1

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium Independent Dilation, Acute, Positive ControlDay 1, before consumption of test product10.05 percentage of vascular dilationStandard Deviation 4.08
Black Tea BeverageEndothelium Independent Dilation, Acute, Positive ControlDay 1, 2 hours post consumption of test product8.74 percentage of vascular dilationStandard Deviation 2.95
Placebo BeverageEndothelium Independent Dilation, Acute, Positive ControlDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium Independent Dilation, Acute, Positive ControlDay 1, 2 hours post consumption of test product8.28 percentage of vascular dilationStandard Deviation 3.16
p-value: 0.5595% CI: [-0.93, 1.73]Mixed Models Analysis
Other Pre-specified

Endothelium Independent Dilation, Acute-upon-chronic, Black Tea

FMD measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 8

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium Independent Dilation, Acute-upon-chronic, Black TeaDay 1, before consumption of test product9.55 percentage of vascular dilationStandard Deviation 3.81
Black Tea BeverageEndothelium Independent Dilation, Acute-upon-chronic, Black TeaDay 8, 2 hours post consumption of test product9.02 percentage of vascular dilationStandard Deviation 3.43
Placebo BeverageEndothelium Independent Dilation, Acute-upon-chronic, Black TeaDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium Independent Dilation, Acute-upon-chronic, Black TeaDay 8, 2 hours post consumption of test product9.28 percentage of vascular dilationStandard Deviation 2.73
p-value: 0.7495% CI: [-1.75, 1.24]Mixed Models Analysis
Other Pre-specified

Endothelium Independent Dilation, Acute-upon-chronic, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to 2 hours post consumption on day 8

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium Independent Dilation, Acute-upon-chronic, Positive ControlDay 1, before consumption of test product10.05 percentage of vascular dilationStandard Deviation 4.08
Black Tea BeverageEndothelium Independent Dilation, Acute-upon-chronic, Positive ControlDay 8, 2 hours post consumption of test product8.96 percentage of vascular dilationStandard Deviation 3.69
Placebo BeverageEndothelium Independent Dilation, Acute-upon-chronic, Positive ControlDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium Independent Dilation, Acute-upon-chronic, Positive ControlDay 8, 2 hours post consumption of test product9.28 percentage of vascular dilationStandard Deviation 2.73
p-value: 0.6695% CI: [-1.84, 1.17]Mixed Models Analysis
Other Pre-specified

Endothelium Independent Dilation, Chronic, Black Tea

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to before consumption day 8

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium Independent Dilation, Chronic, Black TeaDay 1, before consumption of test product9.55 percentage of vascular dilationStandard Deviation 3.81
Black Tea BeverageEndothelium Independent Dilation, Chronic, Black TeaDay 8, before consumption of test product9.86 percentage of vascular dilationStandard Deviation 4.58
Placebo BeverageEndothelium Independent Dilation, Chronic, Black TeaDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium Independent Dilation, Chronic, Black TeaDay 8, before consumption of test product10.51 percentage of vascular dilationStandard Deviation 4.16
p-value: 0.4195% CI: [-2.12, 0.88]Mixed Models Analysis
Other Pre-specified

Endothelium Independent Dilation, Chronic, Positive Control

Flow mediated dilation (FMD) measurement included the following steps: * 1 minute base scan to measure the baseline diameter of artery (Resting stage) * 5 minutes of forearm occlusion at 300±30 mmHg (cuff occlusion stage), just below the elbow 2-5 cm from antecubital crease) * 4 minutes FMD scan, which started immediately after release of occlusion (reactive hyperaemia stage) * When the artery had returned to baseline a second 1 minute scan was taken * 25 µg sublingual glyceryl trinitrate (GTN) was given to the subject * 5 minutes GTN scan to assess the endothelium-independent dilation FMD and response to GTN was calculated as maximal percent increase in diameter above baseline (mean value of measures obtained during 1 minute before cuff inflation).

Time frame: From before consumption on day 1 to before consumption day 8

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageEndothelium Independent Dilation, Chronic, Positive ControlDay 1, before consumption of test product10.05 percentage of vascular dilationStandard Deviation 4.08
Black Tea BeverageEndothelium Independent Dilation, Chronic, Positive ControlDay 8, before consumption of test product9.41 percentage of vascular dilationStandard Deviation 3.98
Placebo BeverageEndothelium Independent Dilation, Chronic, Positive ControlDay 1, before consumption of test product9.67 percentage of vascular dilationStandard Deviation 3.37
Placebo BeverageEndothelium Independent Dilation, Chronic, Positive ControlDay 8, before consumption of test product10.51 percentage of vascular dilationStandard Deviation 4.16
p-value: 0.1195% CI: [-2.7, 0.3]Mixed Models Analysis
Other Pre-specified

Systolic Blood Pressure, Black Tea

Change in Systolic blood pressure

Time frame: From before consumption on day 1 to before consumption on day 8

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageSystolic Blood Pressure, Black TeaDay 1, before consumption of test product111.7 mmHgStandard Deviation 11.45
Black Tea BeverageSystolic Blood Pressure, Black TeaDay 8, before consumption of test product113.7 mmHgStandard Deviation 11.84
Placebo BeverageSystolic Blood Pressure, Black TeaDay 1, before consumption of test product112.1 mmHgStandard Deviation 10.75
Placebo BeverageSystolic Blood Pressure, Black TeaDay 8, before consumption of test product111.8 mmHgStandard Deviation 10.41
p-value: 0.1495% CI: [-0.61, 4.39]Mixed Models Analysis
Other Pre-specified

Systolic Blood Pressure, Positive Control

Change in systolic blood pressure

Time frame: From before consumption (baseline) day 1 to before consumption day 8

Population: Intention to treat

ArmMeasureGroupValue (MEAN)Dispersion
Black Tea BeverageSystolic Blood Pressure, Positive ControlDay 1, before consumption of test product112.9 mmHgStandard Deviation 12.9
Black Tea BeverageSystolic Blood Pressure, Positive ControlDay 8, before consumption of test product112.3 mmHgStandard Deviation 10.05
Placebo BeverageSystolic Blood Pressure, Positive ControlDay 1, before consumption of test product112.1 mmHgStandard Deviation 10.75
Placebo BeverageSystolic Blood Pressure, Positive ControlDay 8, before consumption of test product111.8 mmHgStandard Deviation 10.41
p-value: 0.7295% CI: [-2.06, 2.95]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026