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CompletedNCT03399656Updated Oct 4, 2022

Broccoli Supplement Dose Response

An interventional study of Avmacol tablets and Placebo tablets in Healthy Volunteers, sponsored by Johns Hopkins Bloomberg School of Public Health. Completed at 1 site in China. Open to participants aged 21 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-04.

Sponsored by Johns Hopkins Bloomberg School of Public Health · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
170
Allocation
Randomized
Ages
21 Years to 70 Years
Sex
All
01

Study summary

Do daily high (4 tablets) or intermediate (2 tablets) administration of the broccoli-based dietary supplement Avmacol® have improved bioavailability over a broccoli sprout beverage rich in sulforaphane and its biogenic precursor, glucoraphanin? The beverage formulation has been used successfully in the investigators' previous intervention studies in regions of China with high levels of air pollution to reduce the body burden of carcinogenic and toxic pollutants. The investigators seek to evaluate a more stable, less expensive formulation of a broccoli sprout preparation that can be used for disease prevention in future studies.

Read the detailed description

The investigators will conduct a 3-armed placebo-controlled 16-day intervention with the dietary supplement Avmacol® to determine the bioavailability with repeated dosing of a simple tablet-based intervention in the study participants. As shown in Scheme 1, the 3 arms are: 1) 4 tablets of Avmacol® daily for 14 days; 2) 2 tablets of Avmacol® daily for 14 days together with 2 placebo tablets to maintain parity in consumption; and 3) 4 placebo tablets daily for 14 days. In addition, all participants will receive 4 placebo tablets for 2 consecutive run-in days prior to commencing intervention in the 3 distinct arms. Consecutive overnight (12-hour) urine samples will be collected during the 2-day run-in, the 14-day intervention and during a 5-day run-out period (total = 21 days). Additional day-time urine collections will be made at 2 timepoints: the day after administration of Avmacol® tablets begins and the day after the last administration of Avmacol® tablets. A blood sample will be collected at the beginning of the run-in and after the last Avmacol® dose (Day 17 for intervention groups, and for the placebo group) from each participant. The tablets will be taken before dinner each day.

02

Conditions studied

  • Healthy Volunteers
03

Who can participate

Ages eligible
21 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Age ≥ 21 and ≤ 70 years who are residents of Qidong, China.
  2. Able to provide written, informed consent.
  3. Normal physical examination and medical history indicative of good general health with no history of chronic illness.
  4. No hepatomegaly by clinical exam;
  5. Normal liver function tests (ALT, aspartate aminotransferase (AST), bilirubin);
  6. Normal renal function tests (creatinine, blood urea nitrogen (BUN), urinalysis);
  7. Serum alpha-fetoprotein (AFP) negative.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant (positive human chorionic gonadotropin (HCG) strip test)
  2. Current or former diagnosis of cancer, with the exception of non-melanomatous skin cancer.
04

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
170 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    4 placebo tablets

    Dietary Supplement: Placebo tablets

  • Active comparator
    Low Dose Avmacol

    2 tablets Avmacol and 2 placebo tablets

    Dietary Supplement: Avmacol tablets · Dietary Supplement: Placebo tablets

  • Active comparator
    High Dose Avmacol

    4 Avmacol tablets

    Dietary Supplement: Avmacol tablets

Interventions

  • Dietary supplementAvmacol tablets

    The active components of Avmacol® are ground broccoli seeds that provide glucoraphanin and freeze-dried broccoli sprouts that provide a stabilized form of the enzyme myrosinase, which converts glucoraphanin to sulforaphane.

  • Dietary supplementPlacebo tablets

    MCC 90M Emcocel

05

What researchers measure

Primary outcomes

  1. Excretion of sulforaphane and metabolites in urine

    Levels of sulforaphane and its glutathione-conjugate derived metabolites will be measured in consecutive overnight urine samples

    Time frame: Consecutive overnight urine samples collected for the duration of the study (21 days)

Secondary outcomes

  1. Air pollution biomarkers in urine

    Levels of benzene mercapturic acid excreted in urine

    Time frame: Consecutive overnight urine samples collected for the duration of the study (21 days)

06

Study locations

1 site
  • Qidong Liver Cancer Institute
    Qidong, Jiangsu 226200, China
07

References and documents

Publications

  • Egner PA, Chen JG, Zarth AT, Ng DK, Wang JB, Kensler KH, Jacobson LP, Munoz A, Johnson JL, Groopman JD, Fahey JW, Talalay P, Zhu J, Chen TY, Qian GS, Carmella SG, Hecht SS, Kensler TW. Rapid and sustainable detoxication of airborne pollutants by broccoli sprout beverage: results of a randomized clinical trial in China. Cancer Prev Res (Phila). 2014 Aug;7(8):813-823. doi: 10.1158/1940-6207.CAPR-14-0103. Epub 2014 Jun 9. PubMed 24913818 ↗

Individual participant data

Plan to share: Yes — Individual participant data (IPD) that underlie results in a publication

Supporting information: Study protocol, Sap, Icf

08

Registry details

Key details

Study ID
NCT03399656
Lead sponsor
Johns Hopkins Bloomberg School of Public Health
Collaborators
Qidong Liver Cancer Institute
Responsible party
Sponsor
First posted
Jan 16, 2018
Start date
Jan 10, 2018
Primary completion
Feb 15, 2018
Completion
Feb 15, 2018
Last update
Oct 4, 2022

Study contacts

Thomas W Kensler, PhD
principal investigator · Johns Hopkins Bloomberg School of Public Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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