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Lipid-lowering Effect of Phytosterols, Red Yeast Rice and Their Combination

Lipid-lowering Effect of Phytosterols, Red Yeast Rice and Their Combination in Moderately Hypercholesterolemic Subjects in Primary Prevention for Cardiovascular Diseases: a Randomized, Double Blind, Clinical Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02603276
Enrollment
60
Registered
2015-11-11
Start date
2015-04-30
Completion date
2015-12-31
Last updated
2024-02-01

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

Conditions

Hypercholesterolemia

Keywords

hypercholesterolemia, dietary supplements, red yeast rice, plant sterols

Brief summary

A large body of evidence confirm the cholesterol lowering effect of phytosterols and red yeast rice. Because their mechanisms of action mime the ones of chemical statins and cholesterol absorption inhibitors, it is plausible that their association will provide a more relevant (and safe) LDL cholesterolemia reduction.

Detailed description

A large body of literature suggest that the patients are strongly interested in self-medicating them with natural products aimed at reducing their plasma level of LDL-cholesterol. Plant sterols and red yeast rice are among the most widely marketed product with these properties in Western countries. However plant sterols per se have a limited effect on cholesterolemia, while full dosed red yeast rice can induce myalgias and myopathies as statins do. In this context, the aim of the investigators' study was to evaluate if the association of both products at low dosage could induce an additive or synergistic effect in term of LDL-reduction in humans.

Interventions

DIETARY_SUPPLEMENTPlant sterols

Plant sterols 800 mg/dose, 1 liquid stick per day, for 8 weeks

DIETARY_SUPPLEMENTRed Yeast Rice

Red Yeast Rice titrated in 5 mg monacolin K per daily dose, 1 liquid stick per day, for 8 weeks

DIETARY_SUPPLEMENTRed Yeast Rice plus Plant sterols

Red Yeast Rice titrated in 5 mg monacolin K per daily dose plus Plant sterols 800 mg/dose, together in 1 liquid stick per day, for 8 weeks

Sponsors

University of Bologna
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes

Inclusion criteria

* LDL-cholesterolemia between 130 and 190 mg/dL

Exclusion criteria

* Type 2 diabetes * Previous cardiovascular disease * Assumption of lipid-lowering drugs or dietary supplements * Previous intolerance to red yeast rice

Design outcomes

Primary

MeasureTime frameDescription
LDL cholesterolemia reduction from baseline and between groups8 weeksAbsolute and % reduction of LDL cholesterolemia after 8 weeks of treatment

Secondary

MeasureTime frameDescription
Non-HDL cholesterolemia reduction from baseline and between groups8 weeksAbsolute and % reduction of of non-HDL cholesterolemia after 8 weeks of treatment
Number of Participants With Treatment-Related Adverse Events8 weeksSubjective tolerability of the tested treatment

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026