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The William Harvey Research Institute - Faculty of Medicine and Dentistry

NITRATE-TOD

NITRATE-TOD

Read the papers:

  1. Dietary nitrate provides sustained blood pressure lowering in hypertensive patients: a randomized, phase 2, double-blind, placebo-controlled study
  2. Randomised, double-blind, placebo-controlled clinical trial investigating the effects of inorganic nitrate in hypertension-induced target organ damage: protocol of the NITRATE-TOD study in the UK

Full Title: A Phase II, double-blind, placebo-controlled randomised, single-centre clinical trial of inorganic nitrate in the form of beetroot juice to target sub-optimally controlled hypertension

Short Title: NITRATE-TOD

Sponsor: Queen Mary University of London

Funder: Barts Charity

Chief Investigator: Prof Amrita Ahluwalia, Professor of Vascular Pharmacology, Dean for Research, Queen Mary University of London & Director of Barts CVCTU

Co-Investigators: Dr Clement Lau, Lead Investigator, Queen Mary University of London

Contact: c.lau@qmul.ac.uk

Registration: https://www.clinicaltrials.gov/study/NCT03088514

Study Design: Phase II, double-blind, placebo-controlled randomised single-centre trial

Objectives:

  • To determine whether dietary nitrate in the form of beetroot juice lowers blood pressure in patients with sub-optimally controlled hypertension
  • To assess whether this intervention improves the structure and function of the heart and blood vessels over a 4-month period

Number of Participants: 160

Intervention Used: Beetroot juice as dietary nitrate

Study Duration: 5 years

Location: Queen Mary University of London

Summary: High blood pressure is one of the most common health problems worldwide and contributes to approximately 75% of strokes and 50% of heart attacks. Despite medication, around half of hypertensive patients remain at increased risk of these complications. Hypertension leads to damaging changes in the heart and blood vessels, worsening disease severity.

Research has shown that beetroot juice can lower blood pressure in healthy individuals. This effect is attributed to its inorganic nitrate content, which is converted in the body to nitric oxide, a molecule that benefits cardiovascular function.

The NITRATE-TOD study investigated whether dietary nitrate from beetroot juice could reduce blood pressure and reverse structural changes in the cardiovascular system in patients with inadequately controlled hypertension. Participants consumed beetroot juice daily for four months. The trial assessed blood pressure as well as changes in heart and vessel structure and function.

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