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Metabolic Impact of VLCPUFA-Rich Fish Oil: A Clinical Study on Omega-3 Index Enhancement in Healthy Individuals

Fatty Acids, Omega-3 · Fish Oils

THE QUICK READ

What this study involves

The registry says this study is recruiting. Individual locations may have different availability.

Study type
Interventional
Phase
Not applicable
Age range
18 years - 90 years
Sex eligible
All sexes
Healthy volunteers
Accepted
Participants
200 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

Background:

Fish oils contain omega-3 fatty acids that play important roles in the body. Researchers are studying a new type of fish oil that contains very-long-chain omega-3 fatty acids (VLCPUFAs). They want to learn how this fish oil affects omega-3 levels in the blood and other measures related to health.

Objective:

To learn how a VLCPUFA-enriched fish oil changes omega-3 levels in the blood compared with a standard fish oil.

Eligibility:

Healthy adults ages 18 to 60 years with a body mass index (BMI) between 18 and 30 kg/m\^2 may be eligible.

Design:

Participants will take part in the study for about 28 to 30 weeks and will have approximately 4 to 5 clinic visits plus a follow-up phone call.

Participants will complete screening tests to determine whether they are eligible. These may include a physical examination, blood tests, measurement of height and weight, visual testing, cognitive testing, and questions about their diet, exercise, medications, and daily habits.

Participants will take 2 fish oil capsules by mouth every day for 8 weeks. They will then stop taking study capsules for about 12 weeks. After that, they will take a different fish oil capsule for another 8 weeks.

One fish oil contains very-long-chain omega-3 fatty acids (VLCPUFAs), and the other contains standard omega-3 fatty acids. Participants will not know which type they are taking during each study period.

Blood samples and other study assessments will be collected at the beginning and end of each treatment period to measure changes in omega-3 levels and other study markers.

Participants will receive a follow-up phone call about one week after taking their last dose of study supplement.

Read the full description

Study Description:

This study is designed to investigate changes in the omega-3 index (ratio of omega-3 fatty acids (eicosapentaenoic acid (EPA) + docosahexaenoic acid (DHA)) over total RBC fatty acids) following supplementation with a fish oil enriched in very long chain polyunsaturated fatty acids (VLCPUFA) versus a standard, commercially available, over-the-counter (OTC), fish oil enriched in DHA. VLCPUFA-enriched fish oil provides roughly 10-fold the amount of VLCPUFA found in conventional fish oils. The oil was developed as a dietary supplement by Epax Norway AS. It may offer several potential advantages over standard fish oils in the improvement of risk factors for age-related macular degeneration (AMD) and cardiovascular disease (CVD) because of its higher content of VLCPUFAs. The study is designed as a double-blinded, randomized crossover study measuring differences in the omega-3 index following fish oil supplementation in healthy subjects.

Objectives:

Primary Objective: Compare the Omega-3 index score of participants given a DHA-rich fish oil versus those given VLCPUFA-rich fish oil.

Secondary Objective: Evaluate changes of biomarkers related to lipoprotein metabolism for VLCPUFA-rich fish oil.

Exploratory Objective:

  • Evaluate changes in clinical markers of cardiometabolic health, neurocognition and visual acuity with the VLCPUFA-rich fish oil.
  • Characterize the early absorption profile and interindividual variability of VLCPUFA-rich fish oil under standardized fasting conditions following a single oral dose in participants who elect to complete the optional overnight Metabolic Unit visit.

Endpoints:

Primary Endpoint: Changes in patient Omega-3 index in participants given DHA-rich fish oil (control) versus those given VLCPUFA-rich fish oil.

Secondary Endpoint: Changes in standard lipid panel and Nuclear Magnetic Resonance (NMR) lipoprotein profile in participants given DHA-rich fish oil versus those given VLCPUFA-rich fish oil.

Exploratory Endpoints:

  • Changes from baseline markers of glucose, fatty acid (FA) metabolism, red blood cell fatty acid profile, inflammation and coagulation in participants given a DHA-rich fish oil versus those given VLCPUFA-rich fish oil.
  • Evaluate changes in neurocognitive tests and visual acuity tests from baseline in participants given a DHA-rich fish oil versus those given VLCPUFA-rich fish oil.
  • Baseline-adjusted changes in plasma fatty acid concentrations (including VLCPUFAs and related omega-3 fatty acids) over the first approximately 2 hours following administration of the study product during the optional overnight Metabolic Unit visit.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

  • INCLUSION CRITERIA

In order to be eligible to participate in this study, an individual must meet all the following criteria:

1. Male or female, age 18-60 years, in good general health in accordance with PI evaluation.
2. Body Mass Index (BMI) \>18 and \<30 kg/m\^2.
3. Ability to take oral medication.
4. Participant demonstrates willingness to sign the informed consent form, comply with all study procedures.
5. For females of childbearing potential, stated willingness to use an accepted method of contraception for the duration of the study. Accepted methods of contraception are:

* Contraceptive implant
* Intrauterine device (hormonal or copper IUD)
* Permanent procedures: vasectomy, bilateral salpingectomy, or tubal occlusion
* Oral contraceptives (the pill)
* Contraceptive patch
* Contraceptive vaginal ring
* Injectable contraceptives
* Male or female condoms (typically as a secondary method)
* Diaphragm or cervical cap
* Sterilization (of either partner)
* Previously documented menopause for women as applicable
6. Screening labs within normal levels. Minor deviations from the normal screening labs are allowed per PI discretion.

EXCLUSION CRITERIA

An individual who meets any of the following criteria will be excluded from participation in this study:

1. Current or recent (2 months or less) use of omega-3 fatty acid supplements or foods enriched with omega-3 fatty acids (no more than two servings of fish per week), bile-acid sequestrants, plant sterol supplements, anticoagulants, fibrates, Niacin, or daily use of NSAIDs or medication that can affect lipid metabolism or any endpoint of the study (to be reviewed by the PI).
2. Subjects who have started or stopped medications that did not reach a stable baseline; subjects taking chronic medications or supplements.
3. Pregnancy (or planned pregnancy) or lactation.
4. Subjects planning a significant change in diet or exercise levels.
5. Known allergic reactions to fish or shellfish or omega-3 fatty acids supplements, and subjects with bleeding disorders.
6. Current use of anticoagulant or antiplatelet drugs.
7. History of heavy menstruation, chronic diarrhea, gastric bypass or lap-band procedures, ostomies, bowel motility problems, or presence of other conditions that could affect intestinal fat absorption.
8. Acute and life-threatening conditions, such as prior sudden cardiac arrest, acute myocardial infarction (last three months), stroke, embolism.
9. Subject with known history of Atrial Fibrillation.
10. Anticipated surgery during the study period.
11. Previous blood donation within 3 months of the start of the study.
12. Any other reason or clinical condition that the PI judges would interfere with study participation and/or be unsafe for a participant.

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Random assignment
Masking
Double masked
DHA-rich Fish Oil VLCPUFA-rich Fish Oil

Participants receive DHA-rich fish oil during the first intervention period, followed by VLCPUFA-rich fish oil during the second intervention period, according to the study crossover design.

Dietary Supplement: VLCPUFA-rich fish oil · Dietary Supplement: DHA-rich fish oil

VLCPUFA-rich Fish Oil DHA-rich Fish Oil

Participants receive VLCPUFA-rich fish oil during the first intervention period, followed by DHA-rich fish oil during the second intervention period, according to the study crossover design.

Dietary Supplement: VLCPUFA-rich fish oil · Dietary Supplement: DHA-rich fish oil

VLCPUFA-rich fish oil DIETARY_SUPPLEMENT

Fish oil enriched in very-long-chain polyunsaturated fatty acids (VLCPUFAs), developed by Epax Norway AS.

DHA-rich fish oil DIETARY_SUPPLEMENT

Standard commercially available over-the-counter fish oil enriched in docosahexaenoic acid (DHA), used as the comparator. In this randomized crossover study, participants receive both the DHA-rich fish oil and the VLCPUFA-rich fish oil in a randomized sequence.

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Change in Omega-3 Index

Time frame: Baseline and after each 8-week intervention period

Change in the Omega-3 Index, defined as the percentage of EPA plus DHA relative to total red blood cell fatty acids, following supplementation with VLCPUFA-rich fish oil compared with control fish oil.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (1)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

1 locations

National Institutes of Health Clinical CenterBethesda, Maryland, United StatesRecruiting
NIH Clinical Center Office of Patient Recruitment (OPR)CONTACTccopr@nih.gov800-411-1222 TTY dial 711
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Study team and timeline

Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Study start
Nov 15, 2026 Estimated
Primary completion
Dec 1, 2027 Estimated
Study completion
Dec 1, 2027 Estimated
First posted
Oct 20, 2026 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Joy Lynne V FreemanCONTACTjoylynne.freeman@nih.gov(301) 480-7632
Marcelo J Amar, M.D.CONTACTmamar@mail.nih.gov(301) 402-0521
Official study title

Metabolic Impact of VLCPUFA-Rich Fish Oil: A Clinical Study on Omega-3 Index Enhancement in Healthy Individuals

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 11, 2026 · Last registry update: Nov 10, 2026