Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 69

EPA versus DHA fish oil: effects on blood clotting and cholesterol

Official title: Differential Thrombogenesis Effects of Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA) Mediated by High-Density Lipoprotein (HDL)

Run by The Miriam Hospital · NCT06494488 · Data updated 2026-11-12

This study will test whether taking four grams a day of either EPA or DHA fish oil for eight weeks changes blood lipids and clotting markers in adults with high triglycerides and low HDL.

More Hypertriglyceridemia trials

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 69 Years
SexAll
Enrollment80 (estimated)
SponsorThe Miriam Hospital
Academic / other
Locations1 site (Providence, Rhode Island)
StatusRecruiting
StartedJuly 10, 2025
Main results expectedAugust 1, 2027
Study endsMarch 31, 2028
Registry record updatedOctober 1, 2025
Trial IDNCT06494488 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with fasting triglycerides 150–499 mg/dL, low HDL (≤40 mg/dL men, ≤50 mg/dL women), LDL between 41–130 mg/dL, able to consent, and willing to limit fatty fish intake are ideal candidates.

Probably not a fit

People with normal triglycerides/HDL, current smokers, pregnant or breastfeeding individuals, those taking anticoagulants/aspirin/NSAIDs, or those with significant liver, kidney, or thyroid dysfunction are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Researchers will randomize adults with atherogenic dyslipidemia to receive 4 grams per day of either EPA or DHA for eight weeks and collect blood and urine samples at baseline and after supplementation. The study includes three clinic visits, laboratory tests of lipids, thromboelastography, urinary thromboxane metabolites, platelet aggregation studies, and flow cytometry of platelets and platelet-leukocyte aggregates. Participants will keep a 28-day food and activity log and must limit high-fish intake during the study. The goal is a controlled, head-to-head comparison of the biological and safety effects of EPA versus DHA in a hyperlipidemic population.

Why it matters

Potential benefit: If successful, the trial could identify which omega-3 (EPA or DHA) more favorably affects clotting and lipid markers, helping guide safer and more effective supplement choices for people with atherogenic dyslipidemia.

How similar studies have gone: Previous large trials showed cardiovascular benefit with EPA-only regimens but not with mixed EPA/DHA products, and no prior head-to-head clinical comparison of EPA versus DHA in hyperlipidemic patients has been reported.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Fasting TG levels ≥ 150 mg/dL and \< 500 mg/dL and HDL-C ≤ 40 (men) or ≤ 50 (women)
* LDL-C \> 40 mg/dL and ≤ 130 mg/dL
* Able to provide informed consent and adhere to study schedules
* Agree to follow and maintain a relatively stable and low fatty fish intake diet (\<3 servings per week)

Exclusion Criteria:

* Female with pregnancy, planned pregnancy (within the study period), or currently breastfeeding.
* Subjects with weight changes greater than 20% over the past 3 months
* Subjects planning a significant change in diet or exercise levels
* Malabsorption syndrome and/or chronic diarrhea
* Use of dietary supplements containing n-3 PUFA fatty acids
* Frequent consumption of n-3 PUFA-enriched fish (\>3 times a week)
* Abnormal liver, kidney, or thyroid functions
* Drug or alcohol abuse within 6 months or significant mental/psychological impairment
* Current smokers
* Subjects taking daily aspirin, NSAIDs, anticoagulant, or corticosteroids
* Subjects with known bleeding disorders (for example, hemophilia)
* Known sensitivity or allergy to fish, shellfish, or omega-3 fatty acid supplements
* Subjects requiring regular transfusions for any reason
* No ethnic/racial groups will be excluded

Where it's running

  • Brown University Health - Lipid Clinic
    Providence, Rhode Island, United States
    Recruiting

Study contacts

  • Principal investigator: Wenliang Song, MD — Lifespan Cardiovascular Institute
  • Study coordinator: Wenliang Song, MD
  • Email: WSong@Lifespan.org
  • Phone: 4014449851

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.